Habbal R, Azzouzi L, Adnan K, Tahiri A, Chraibi N
Centre de cardiologie, Centre hospitalier universitaire Ibn Rochd, Casablanca, Maroc.
Arch Mal Coeur Vaiss. 1998 Aug;91(8):995-8.
The goal of this work is to study the consequences of the last on variations of the blood pressure (BP) in the course of 24 hours. From 1994 to 1997 we have selected 99 hypertensive patients and studied their BP profile. This study included 72 women and 27 men. Their age varies from 22 to 72 years (average 56.7 +/- 9 years). All these patients has an ambulatory blood pressure measurement (ABPM) before the fast and during Ramadan. Before Ramadan the period of the sleep goes from 10 pm +/- 1 h to 8 am +/- 1 h. During the month of Ramadan, the sleep lasts from 0 h +/- 1 to 9 am +/- 1 h. [table: see text] No statistically significant difference is noted between these 2 periods neither for the systolic BP (SBP) nor for the diastolic BP (DBP), for the BP of 24 hours, and the diurnal and nocturnal periods. We have then the compared the hourly average on 24 hours of the 99 patients. We observed that during the month of Ramadan the peak of the awakening is delayed by 2 hours and the nocturnal through is delayed by 1 hour. After this study, which is the first one to deal with variations of blood pressure during the fast of Ramadan we can confirm that in patients with essential hypertension without complications, the fast is well supported. The variations of BP are minimal and are related to the variations of the sleep, activity and eating pattern.
这项工作的目标是研究禁食对24小时内血压（BP）变化的影响。从1994年到1997年，我们选取了99名高血压患者并研究了他们的血压情况。该研究包括72名女性和27名男性。他们的年龄在22岁至72岁之间（平均56.7±9岁）。所有这些患者在禁食前和斋月期间都进行了动态血压测量（ABPM）。斋月前，睡眠时间从晚上10点±1小时至早上8点±1小时。在斋月期间，睡眠时间从凌晨0点±1小时至早上9点±1小时。[表格：见正文]在这两个时间段之间，无论是收缩压（SBP）还是舒张压（DBP）、24小时血压以及白天和夜间血压，均未发现统计学上的显著差异。然后我们比较了99名患者24小时的每小时平均值。我们观察到，在斋月期间，觉醒峰值延迟了2小时，夜间低谷延迟了1小时。在这项首次探讨斋月禁食期间血压变化的研究之后，我们可以确认，在无并发症的原发性高血压患者中，禁食耐受性良好。血压变化极小，且与睡眠、活动和饮食模式的变化有关。
