Bener A, Hamad A, Fares A, Al-Sayed H M, Al-Suwaidi J
Department of Medical Statistics and Epidemiology, Hamad Medical Corporation and Hamad General Hospital, University of Qatar, Doha.
Singapore Med J. 2006 May;47(5):404-8.
Over one billion Muslims fast worldwide during the month of Ramadan. Fasting during Ramadan is a radical change in lifestyle for the period of a lunar month. The objective of this study was to investigate whether Ramadan fasting has any effect on the incidence of stroke and its outcome in a geographically-defined population.
We retrospectively reviewed a 13-year stroke database and studied the data on Muslim patients who were hospitalised with stroke over a 13-year period from January 1991 to December 2003. Patients were divided according to the time of presentation in relation to the month of Ramadan, one month before, during, and one month after Ramadan. The number of hospitalisations for stroke in various time periods was analysed. The age of presentation, gender, cardiovascular risk factor profiles (smoking status, hypertension, hypercholesterolaemia, diabetes mellitus, and pre-existing cardiovascular disease) were analysed. We also studied the trends of in-hospital mortality, morbidity and acute medical care provided.
Overall, 335 Muslim patients were hospitalised for stroke. Their mean age and standard deviation were 56.99 and 13.9 years, respectively. The number of hospitalisations for stroke was not significantly different in the month of Ramadan (29 cases), when compared to the month before Ramadan (30 cases) and the month after Ramadan (29 cases). Risk factors included for stroke were not significantly different in Ramadan when compared to the month before and after Ramadan. These associated diseases were hypertension, diabetes mellitus, hypercholesterolaemia, acute myocardial infarction, and congestive heart failure.
This study demonstrated that no significant difference was found in the number of hospitalisations for stroke while fasting during the month of Ramadan when compared to the non-fasting months.
全球超过十亿穆斯林在斋月期间禁食。斋月禁食是一个农历月期间生活方式的彻底改变。本研究的目的是调查斋月禁食对特定地理区域人群中中风发病率及其结局是否有任何影响。
我们回顾性分析了一个13年的中风数据库，并研究了1991年1月至2003年12月这13年期间因中风住院的穆斯林患者的数据。根据发病时间与斋月的关系将患者分为三组：斋月前一个月、斋月期间和斋月后一个月。分析了不同时间段中风的住院人数。分析了发病年龄、性别、心血管危险因素概况（吸烟状况、高血压、高胆固醇血症、糖尿病和既往心血管疾病）。我们还研究了住院死亡率、发病率和提供的急性医疗护理的趋势。
总体而言，335名穆斯林患者因中风住院。他们的平均年龄和标准差分别为56.99岁和13.9岁。斋月期间中风的住院人数（29例）与斋月前一个月（30例）和斋月后一个月（29例）相比无显著差异。与斋月前和斋月后相比，斋月期间中风的危险因素无显著差异。这些相关疾病包括高血压、糖尿病、高胆固醇血症、急性心肌梗死和充血性心力衰竭。
本研究表明，与非禁食月份相比，斋月期间禁食时中风的住院人数没有显著差异。
