Libyan International Medical University Journal, Journal Year: 2025, Volume and Issue: unknown
Published: May 2, 2025
Ramadan fasting (RF), the religious practice of abstaining from food and drink dawn to sunset during Islamic holy month, continues generate significant research interest regarding its health implications. This narrative review synthesizes findings 141 studies published in 2023, offering clinicians an updated perspective on evolving evidence base. Research highlights RF's complex physiological effects, demonstrating both potential benefits risks across various medical domains. The gut microbiome undergoes temporary alterations fasting, with reductions beneficial bacteria followed by post-Ramadan recovery diversity. Cardiovascular reveal improved endothelial function arterial elasticity, though they also identify delayed hospital presentations for acute coronary events. Maternal–fetal provides reassuring data, large-scale analyses showing no association between utero RF exposure childhood stunting or underweight. Endocrine management offer practical insights, flexibility thyroxine timing safe glucocorticoid adjustment protocols adrenal insufficiency patients. Renal demonstrates that strategic nighttime hydration can mitigate daytime dehydration while neurological investigations characterize prevalent but manageable phenomenon caffeine-withdrawal headaches. Mental present a nuanced picture, population-level improvements well-being contrasting increased stress among specific subgroups like male students. Emergency department data show consistent patterns complaints Ramadan, without mortality. Specialty areas including bariatric surgery, ophthalmology, hematology contribute valuable patient-specific considerations, sports medicine documents trade-offs fat reduction athletic athletes. collective underscores importance individualized, culturally competent care approaches respect observance addressing needs. Key clinical takeaways include value pre-Ramadan assessments, feasibility medication adjustments, need targeted monitoring vulnerable populations. Despite methodological limitations inherent single-database, nonsystematic review, this synthesis practitioners actionable insights guide patient counseling Ramadan. Future directions should prioritize long-term outcome studies, high-risk populations, implementation science translate into practice. 2023 literature ultimately reinforces appropriate preparation monitoring, most patients safely observe maintaining stability.
Language: Английский