Skip to main content Accessibility help
×
Hostname: page-component-848d4c4894-ttngx Total loading time: 0 Render date: 2024-04-30T10:37:59.329Z Has data issue: false hasContentIssue false

Chapter 12 - Ramadam Fasting and Neurologic Disorders

from II.I - Clinical Conditions

Published online by Cambridge University Press:  28 October 2019

Alasdair Coles
Affiliation:
University of Cambridge
Joanna Collicutt
Affiliation:
University of Oxford
Get access

Summary

Fasting – the voluntary withholding of food – is a common practice in many religions. Depending on the type of fast, weight loss may occur. Participants in a fast may develop negative sodium balance and have high rates of gluconeogenesis with amino acids as the primary substrates. Ketosis develops and ketones replace glucose as the primary energy source in the central nervous system, thereby decreasing the need for gluconeogenesis and sparing protein catabolism. Several hormonal changes occur during fasting, including a fall in insulin and T3 levels and a rise in glucagon and reverse T3 levels [1]. However, the effect of fasting on neurological diseases, direct or indirect (for instance through affecting medication adherence), are not well known. The mass participation in, and clear regulations of, Ramadan fasting make it an ideal opportunity to study these issues.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2019

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Kerndt, P. R., Naughton, J. L., Driscoll, C. E and Loxterkamp, D. A.. 1982. Fasting: the history, pathophysiology and complications. Western Journal of Medicine 137: 379–99.Google ScholarPubMed
Quran: Al-Baqarah, verse 183.Google Scholar
Bukhari and Muslim and others.Google Scholar
Sakr, A. H. 1975. Fasting in Islam. Journal of the American Dietetic Association 67: 1721.Google Scholar
Sahih Bukhari vol. 3, no. 178.Google Scholar
Sahih Bukhari vol. 3, no. 146.Google Scholar
Sahih Muslim 1096 a, Book 13, Hadith 56. USC-MSA web (English) reference: Book 6, Hadith 2413.Google Scholar
Baianonie, Mohamed, imam of the Islamic Center of Raleigh, NC, www.raleighmasjid.org/imam/fiqh-ramadan.html.Google Scholar
Aadil, N., Houti, I. E. and Moussamih, S.. 2004. Drug intake during Ramadan. British Medical Journal 329: 778–82.Google Scholar
Aslam, M., and Healy, M. A.. 1986. Compliance and drug therapy in fasting Moslem patients. Journal of Clinical and Hospital Pharmacy 11: 321–5.Google Scholar
Aslam, M., and Assad, A.. 1986. Drug regimens and fasting during Ramadan: a survey in KuwaitPublic Health 100: 4953.CrossRefGoogle Scholar
Zeeneldin, A. A., Gaber, A. A. and Taha, F. M.. 2012. Does fasting during Ramadan trigger non-adherence to oral hormonal therapy in breast cancer patients? Journal of the Egyptian National Cancer Institute 24: 133–7.CrossRefGoogle ScholarPubMed
Recommendations of the 9th Fiqh-Medical seminar, ‘An Islamic View of Certain Contemporary Medical Issues’, Casablanca, Morocco, 14–17 June 1997, www.islamset.com/search/index.html.Google Scholar
Kumar, N., and Jivan, S.. 2007. Ramadan and eyedrops: the Muslim perspective. Ophthalmology 114: 2356–60.Google Scholar
Kumar, N., Jivan, S. and Buchan, J.. 2008. Compliance with prescribed treatment during Ramadan. Clinical and Experimental Ophthalmology 36: 699.Google Scholar
Patel, T., Magdum, A. and Ghura, V.. 2012. Does fasting during Ramadan affect the use of topical dermatological treatment by Muslim patients in the UK? Clinical and Experimental Dermatology 37: 718–21.Google Scholar
Zabeen, B., Tayyeb, S., Benarjee, B, Baki, A, Nahar, J, Mohsin, F, Nahar, N and Azad, K.. 2014. Fasting during Ramadan in adolescents with diabetes. Indian Journal of Endocrinology and Metabolism 18: 44–7.Google Scholar
Bener, A., Hamad, A., Fares, A, Al-Sayed, H. M and Al-Suwaidi, J.. 2006. Is there any effect of Ramadan fasting on stroke incidence? Singapore Medical Journal 47: 404–8.Google ScholarPubMed
Akhan, G., Kutluhan, S. and Koyuncuoglu, H. R.. 2000. Is there any change of stroke incidence during Ramadan? Acta Neurologica Scandinavica 101: 259–61.Google Scholar
El-Mitwalli, A., Zaher, A. A., Mohamed, M. A and Elmenshawi, E.. 2009. The effect of Ramadan fasting on cerebral stroke: a prospective hospital-based study. European Journal of Neurology 16, no. 4: e80.Google Scholar
El-Mitwalli, A., Zaher, A. A. and El Menshawi, E.. 2010. Circadian rhythm of stroke onset during the month of Ramadan. Acta Neurologica Scandinavica 122: 97101.Google Scholar
Saadatnia, M., Zare, M., Fatehi, F and Ahmadi, A.. 2009. The effect of fasting on cerebral venous and dural sinus thrombosis. Neurology Research 31: 794–8.Google Scholar
Burazeri, G., Goda, A. and Kark, J. D.. 2008. Religious observance and acute coronary syndrome in predominantly Muslim Albania: a population-based case-control study in Tirana. Annals of Epidemiology 18: 937–45.Google Scholar
Nakhaee, N., Divsalar, K. and Jadidi, N.. 2009. Religious involvement and cigarette smoking among Iranian university students. International Journal of Psychiatry and Medicine 39: 189–98.Google Scholar
Nematy, M., Alinezhad-Namaghi, M., Rashed, M. M, Mozhdehifard, M, Sajjadi, S. S, Akhlaghi, S, Sabery, M, Mohajeri, S. A, Shalaey, N, Moohebati, M and Norouzy, A.. 2012. Effects of Ramadan fasting on cardiovascular risk factors: a prospective observational study. Nutrition Journal 11: 69.Google Scholar
Saleh, S. A., El-Kemery, T. A., Farrag, K. A, Badawy, M. R, Sarkis, N. N, Soliman, F. S and Mangoud, H.. 2004. Ramadan fasting: relation to atherogenic risk among obese Muslims. Journal of the Egyptian Public Health Association 79: 461–83.Google Scholar
Norouzy, A., Salehi, M., Philippou, E, Arabi, H, Shiva, F, Mehrnoosh, S, Mohajeri, S. M, Mohajeri, S. A, Motaghedi Larijani, A and Nematy, M.. 2013. Effect of fasting in Ramadan on body composition and nutritional intake: a prospective study. Journal of Human Nutrition and Diet 26, Suppl. 1: 97104.Google Scholar
Sarraf-Zadegan, N., Atashi, M., Naderi, G. A, Baghai, A. M, Asgary, S, Fatehifar, M. R, Samarian, H and Zarei, M.. 2000. The effect of fasting in Ramadan on the values and interrelations between biochemical, coagulation and hematological factors. Annals of Saudi Medicine 20: 377–81.Google Scholar
Qujeq, D., Bijani, K., Kalavi, K, Mohiti, J and Aliakbarpour, H.. 2002. Effects of Ramadan fasting on serum low-density and high-density lipoprotein-cholesterol concentrations. Annals of Saudi Medicine 22: 297–9.Google Scholar
Afrasiabi, A., Hassanzadeh, S., Sattarivand, R and Mahboob, S.. 2003. Effects of Ramadan fasting on serum lipid profiles on 2 hyperlipidemic groups with or without diet pattern. Saudi Medical Journal 24: 23–6.Google ScholarPubMed
Shehab, A., Abdulle, A., El Issa, A, Al Suwaidi, J and Nagelkerke, N.. 2012. Favorable changes in lipid profile: the effects of fasting after Ramadan. PLoS One 7, no. 10: e47615.CrossRefGoogle ScholarPubMed
Dalton, K. 1975. Food intake prior to a migraine attack-study of 2313 spontaneous attack. Headache 15: 188–93.Google Scholar
Headache Classification Committee of the International Headache Classification. 1988. Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalalgia 8, Suppl. 7: 196.Google Scholar
Headache Classification Subcommittee of the International Headache Society. 2004. The International Classification of Headache Disorders. Cephalalgia 24, Suppl. 1: 1160.Google Scholar
Headache Classification Committee of the International Headache Society. 2013. The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia 33, no. 9: 629808.Google Scholar
Mosek, A., and Korczyn, A. D.. 1995. The Yom Kippur headache. Neurology 45: 1953–5.Google Scholar
Mosek, A., and Korczyn, A. D.. 1999. Fasting headache, weight loss, and dehydration. Headache 39: 225–7.CrossRefGoogle ScholarPubMed
Abu-Salameh, I., Plakht, Y. and Ifergane, G.. 2010. Migraine exacerbation during Ramadan fasting. Journal of Headache Pain 11: 513–17.Google Scholar
Drescher, M. J., Wimpfheimer, Z., Abu Khalef, S., Gammaitoni, A, Shehadeh, N and Torgovicky, R.. 2012. Prophylactic etoricoxib is effective in preventing ‘first of Ramadan’ headache: a placebo-controlled double-blind and randomized trial of prophylactic etoricoxib for ritual fasting headache. Headache 52: 573–81.Google Scholar
Guelpa, G. M. A. 1911. La lutte contre l’epilepsie par la desintoxication et par la reducation alimentaire. Revue Therapeutique Medica-Chirugie 78: 813.Google Scholar
Geyelin, H. R. 1921. Fasting as a method for treating epilepsy. Medical Record 99: 1037–9.Google Scholar
Conklin, H. W. 1922. Cause and treatment of epilepsy. American Journal of the Osteopathic Association 26: 1114.Google Scholar
Hartman, A. L., Rubenstein, J. E. and Kossoff, E. H.. 2013. Intermittent fasting: a ‘new’ historical strategy for controlling seizures? Epilepsy Research 104: 275–9.Google Scholar
Gomceli, Y. B., Kutlu, G., Cavdar, L and Inan, L. E.. 2008. Does the seizure frequency increase in Ramadan? Seizure 17: 671–6.Google Scholar
Al-Qattan, M. M. 2000. Burns in epileptics in Saudi Arabia. Burns 26: 561–3.Google ScholarPubMed
Aadil, N., Fassi-Fihri, A., Houti, I, Benaji, B, Ouhakki, M, Kotbi, S, Diquet, B and Hakkou, F.. 2000. Influence of Ramadan on the pharmacokinetics of a single oral dose of valproic acid administered at two different times. Methods and Findings in Experimental and Clinical Pharmacology 22: 109–14.Google Scholar
Khattab, E., Mahmood, I. H. and Abdul-Jabbar, E. T.. 2007. Can epileptic patients on carbamazepine safely fast Ramadan? JIMA 38486: 156–60.Google Scholar
Latifynia, A., Vojgani, M., Abofazeli, T and Jafarieh, H.. 2007. Circulating immune complex during Ramadan. Journal of Ayub Medical College Abbottabad 19, no. 2: 1518.Google Scholar
Faris, M. A., Kacimi, S., Al-Kurd, R. A, Fararjeh, M. A, Bustanji, Y. K, Mohammad, M. K and Salem, M. L.. 2012. Intermittent fasting during Ramadan attenuates proinflammatory cytokines and immune cells in healthy subjects. Nutrition Research 32: 947–55.Google Scholar
Latifynia, A., Vojgani, M., Gharagozlou, M. J and Sharifian, R.. 2009. Neutrophil function (innate immunity) during Ramadan. Journal of Ayub Medical College Abbottabad 21, no. 4: 111–15.Google Scholar
Saadatnia, M., Etemadifar, M., Fatehi, F, Ashtari, F, Shaygannejad, V, Chitsaz, A and Maghzi, A. H.. 2009. Short-term effects of prolonged fasting on multiple sclerosis. European Neurology 61: 230–2.Google Scholar
Abdeldayem, S. M., and Hossam Zyton, A. H.. 2012. The effect of Ramadan fasting on multiple sclerosis. Egyptian Journal of Neurology, Psychiatry, and Neurosurgery 494: 341–5.Google Scholar
Jahromi, S. R., Sahraian, M. A., Ashtari, F, Ayromlou, H, Etemadifar, M, Ghaffarpour, M, Mohammadianinejad, E, Nafissi, S, Nickseresht, A, Shaygannejad, V, Togha, M, Torabi, H. R and Ziaie, S.. 2014. Islamic fasting and multiple sclerosis. BMC Neurology 14: 56.Google Scholar
Bahammam, A., Alrajeh, M., Albabtain, M, Bahammam, S and Sharif, M.. 2010. Circadian pattern of sleep, energy expenditure, and body temperature of young healthy men during the intermittent fasting of Ramadan. Appetite 54: 426–9.Google Scholar
Margolis, S. A., and Reed, R. L.. 2004. Effect of religious practices of Ramadan on sleep and perceived sleepiness of medical students. Teaching and Learning in Medicine 16: 145–9.CrossRefGoogle ScholarPubMed
Bahammam, A. S., Nashwan, S., Hammad, O, Sharif, M. M and Pandi-Perumal, S. R.. 2013. Objective assessment of drowsiness and reaction time during intermittent Ramadan fasting in young men: a case-crossover study. Behavioral and Brain Functions 9: 32.Google Scholar
Bahammam, A. S., Almushailhi, K., Pandi-Perumal, S. R and Sharif, M. M.. 2014. Intermittent fasting during Ramadan: does it affect sleep? Journal of Sleep Research 23: 3543.Google Scholar
Dolu, N., Yüksek, A., Sizer, A and Alay, M.. 2007. Arousal and continuous attention during Ramadan intermittent fasting. Journal of Basic and Clinical Physiology and Pharmacology 18: 315–22.Google Scholar
Sahih Bukhari vol. 3, no. 127.Google Scholar
Herrag, M., Lahmiti, S. and Yazidi, A. A.. 2010. Ramadan: a different side of the emergencies? African Health Sciences 10: 215–16.Google Scholar
Koushali, A. N., Hajiamini, Z., Ebadi, A, Bayat, N and Khamseh, F.. 2013. Effect of Ramadan fasting on emotional reactions in nurses. Iranian Journal of Nursing and Midwifery Research 18: 232–6.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×