Emami-Naini Afsoon, Roomizadeh Peyman, Baradaran Azar, Abedini Amin, Abtahi Mohammad
Isfahan Kidney Diseases Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Isfahan Kidney Diseases Research Center, Isfahan University of Medical Sciences, Isfahan, Iran ; Medical Students Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
J Res Med Sci. 2013 Aug;18(8):711-6.
Fasting during the month of Ramadan is one of the five pillars of Islam. During this month, adult Muslims are obligated to refrain from eating and drinking from dawn to dusk. Although based on Islamic principles patients are exempted from fasting, each year, many Muslim patients express their willingness to observe the fast in Ramadan month to respect the cultural customs. There are concerns about the impact of fluid restriction and dehydration during Ramadan fasting for patients with renal diseases. In this study, we reviewed the PubMed, Google Scholar, EBSCO, SCIRUS, Embase, and DOAJ data sources to identify the published studies on the impact of Ramadan fasting on patients with renal diseases. Our review on published reports on renal transplant recipients revealed no injurious effect of Ramadan fasting for the renal graft function. Nearly all studies on this topic suggest that Ramadan fasting is safe when the function of the renal graft is acceptable and stable. Regarding the impact of Ramadan fasting on patients with chronic kidney disease, there is concern about the role of renal hypoperfusion in developing tubular cell injury. Finally, there is controversy between studies about the risk of dehydration in Ramadan in developing renal stones. There are uncertainties about the change in the incidence of renal colic in Ramadan month compared with the other periods of the year. Despite such discrepancies, nearly all studies are in agreement on consuming adequate amounts of water from dusk to dawn to reduce the risk of renal stone formation.
斋月禁食是伊斯兰教的五大支柱之一。在这个月里，成年穆斯林有义务从黎明到黄昏禁食禁饮。尽管根据伊斯兰教教义，患者可以免于禁食，但每年仍有许多穆斯林患者表示愿意在斋月期间遵守禁食规定，以尊重文化习俗。人们担心斋月禁食期间的液体限制和脱水对肾病患者的影响。在本研究中，我们查阅了PubMed、谷歌学术、EBSCO、SCIRUS、Embase和DOAJ等数据源，以确定已发表的关于斋月禁食对肾病患者影响的研究。我们对已发表的关于肾移植受者的报告进行的综述显示，斋月禁食对肾移植功能没有有害影响。几乎所有关于这个主题的研究都表明，当肾移植功能可接受且稳定时，斋月禁食是安全的。关于斋月禁食对慢性肾病患者的影响，人们担心肾灌注不足在肾小管细胞损伤发展中的作用。最后，关于斋月期间脱水在肾结石形成中的风险，各研究之间存在争议。与一年中的其他时期相比，斋月期间肾绞痛发病率的变化存在不确定性。尽管存在这些差异，但几乎所有研究都一致认为，从黄昏到黎明应摄入足够的水分，以降低肾结石形成的风险。
