AlSahow Ali
Division of Nephrology, Jahra Hospital, Jahra, Kuwait.
Int J Nephrol. 2023 Dec 9;2023:2636507. doi: 10.1155/2023/2636507. eCollection 2023.
The Islamic (lunar) calendar has 11 fewer days each year than the Gregorian (solar) calendar. Consequently, ambient temperatures during the month of Ramadan and the duration of the presunrise-to-sunset fast will change each year. At some point, individuals observing Ramadan will experience prolonged periods of fasting during the hot summer months. In this manuscript, findings published in the English-language medical literature that address the impact of prolonged fasting during the warmer summer months on patients with chronic kidney disease, including dialysis and transplantation patients, are reviewed. This is of particular concern given the accelerated pace of global warming. The limitations of the evidence that is currently available are also discussed, and an approach that might be used to standardize future evaluations of the impact of fasting on kidney health is suggested.
伊斯兰（阴历）历法每年比公历（阳历）少11天。因此，斋月期间的环境温度以及从日出前到日落的禁食时长每年都会变化。在某些时候，遵守斋月的人会在炎热的夏季经历长时间的禁食。在本手稿中，我们回顾了英文医学文献中发表的关于夏季较温暖月份长时间禁食对慢性肾病患者（包括透析患者和移植患者）影响的研究结果。鉴于全球变暖加速，这一点尤为令人担忧。我们还讨论了现有证据的局限性，并提出了一种可用于规范未来禁食对肾脏健康影响评估的方法。
