Khaled Boumédiène Méghit, Belbraouet Slimane
Department of Biology, Faculty of Sciences, Djillali Liabès University, Sidi-Bel-abbès, Algeria.
Int J Diabetes Dev Ctries. 2009 Apr;29(2):62-8. doi: 10.4103/0973-3930.53122.
To assess the effect of Ramadan fasting on body weight and food consumption in type 2 diabetic obese women.
A total of 276 outpatient women receiving oral antidiabetic drugs (OADs) (BMI = 34.63 +/- 3.29 kg/m(2)), aged 49 (+/-6 years), were selected. The study was carried out over three periods - before (T1: prefasting), during (T2: fasting), and after (T3: postfasting) Ramadan - in three towns located in the northwestern region of Algeria. During the course of 3 days, the daily food intake and anthropometric parameters weight, height, waist and hip circumferences, body mass index (BMI), and waist-hip ratio (WHR) were recorded. A one-way repeated measures ANOVA test was used to compare the groups.
The main effect of fasting during Ramadan was a significant weight loss (-3.12 kg i.e. 3.70%; P < 0.01), a decrease in meal frequency (2.2 +/- 0.3 vs. 4.3 +/- 0.4) as well as in energy intake (1488 +/- 118 vs.1823 +/- 262 Kcal/d) and an important increase in dietary fat consumption (35.84 vs. 25.36%), especially the saturated one (231Kca/d i.e. 43.25%) of total fat, dietary cholesterol (392 +/- 121 vs. 221 +/- 73 mg/d), and polyunsaturated fatty acids (PUFA). Except in three cases, there were no frequent hypoglycaemic episodes observed among the participants.
Fasting during the month of Ramadan causes weight loss and decrease in calorie intake, which is correlated with a decrease in meal frequency. However, more foods rich in fat and dietary cholesterol were consumed during this period. The latter could constitute a high risk for diabetics who are fasting, in particular when medication advice and/or health care control are insufficient or ignored.
评估斋月禁食对2型糖尿病肥胖女性体重和食物摄入量的影响。
共选取276名接受口服降糖药（OADs）治疗的门诊女性（BMI = 34.63±3.29kg/m²），年龄49（±6岁）。该研究在阿尔及利亚西北部的三个城镇分三个阶段进行——斋月前（T1：禁食前）、斋月期间（T2：禁食）和斋月后（T3：禁食后）。在3天的过程中，记录每日食物摄入量和人体测量参数体重、身高、腰围和臀围、体重指数（BMI）以及腰臀比（WHR）。采用单向重复测量方差分析检验对各组进行比较。
斋月禁食的主要影响是体重显著减轻（-3.12kg，即3.70%；P < 0.01），进餐频率降低（2.2±0.3对4.3±0.4）以及能量摄入减少（1488±118对1823±262千卡/天），膳食脂肪消耗量显著增加（35.84%对25.36%），尤其是饱和脂肪（231千卡/天，即总脂肪的43.25%）、膳食胆固醇（392±121对221±73毫克/天）和多不饱和脂肪酸（PUFA）。除三例情况外，参与者中未观察到频繁的低血糖发作。
斋月期间禁食会导致体重减轻和热量摄入减少，这与进餐频率降低相关。然而，在此期间食用了更多富含脂肪和膳食胆固醇的食物。后者可能对禁食的糖尿病患者构成高风险，特别是在药物建议和/或医疗保健控制不足或被忽视的情况下。
