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Fasting in Ramadan is not associated with deterioration of chronic kidney disease: A prospective observational study

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Erişim

info:eu-repo/semantics/openAccess

Tarih

2017

Yazar

Kara, Ekrem
Şahin, Osman Zikrullah
Kızılkaya, Bayram
Öztürk, Burcu
Pusuroğlu, Gökhan
Yıldırım, Şafak
Sevinç, Mustafa
Sahutoğlu, Tuncay

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Künye

Kara, E., Sahin, O. Z., Kizilkaya, B., Ozturk, B., Pusuroglu, G., Yildirim, S., Sevinc, M., & Sahutoglu, T. (2017). Fasting in Ramadan is not associated with deterioration of chronic kidney disease: A prospective observational study. Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia, 28(1), 68–75. https://doi.org/10.4103/1319-2442.198140

Özet

Although not mandatory for patients, many Muslims fast in Ramadan. We aimed to investigate the effects of long hours (17.5) fasting on renal functions in patients with chronic kidney disease (CKD). Stage 3-5 CKD patients with stable renal function were recruited to this prospective observational study three months ahead of Ramadan in 2015. All patients were instructed regarding possible deleterious effects of dehydration caused by fasting. Forty-five patients (mean age 66.8 10.3 years, 68.8% male) chose to fast and 49 (mean, age: 64.1 12.6 years, 51% male) chose not to fast. Clinical and laboratory data were recorded before and after Ramadan. Baseline clinical and laboratory parameters were similar in the two groups, except for higher serum creatinine and lower estimated glomerular filtration rate (eGFR) in the nonfasting group (2.22 0.99 vs. 1.64 0.41 mg/dL, P < 0.001 and 3 1.9 12.4 vs. 42.6 9.8 mL/min, P < 0.001, respectively). More than 30% elevation in serum creatinine after Ramadan occurred in 8.8% and 8.1% of fasting and nonfasting patients, respectively (P = 0.9). More than 25% drop eGFR after Ramadan was noted in seven (15.5%) and six (12.2%) fasting and nonfasting patients, respectively (P = 0.642). Patients with >= 25% drop in eGFR (13 vs. 81) were older (72.3 8.3 years vs. 64.3 11.7 years, P = 0.020) and more frequently using diuretics (69.2% vs. 35.8%, P = 0.023). in multiple linear regression analysis, only advanced age was found to be associated with >= 25% drop in eGFR after Ramadan in the fasting group. Fasting during Ramadan was not associated with increased risk of declining in renal functions in patients with Stage 3-5 CKD. However, elderly patients may still be under a higher risk.

Kaynak

Saudi Journal of Kidney Diseases and Transplantation

Cilt

28

Sayı

1

Bağlantı

https://doi.org/10.4103/1319-2442.198140
https://hdl.handle.net/11436/2303

Koleksiyonlar

  • PubMed İndeksli Yayınlar Koleksiyonu [2443]
  • Scopus İndeksli Yayınlar Koleksiyonu [5931]
  • TF, Dahili Tıp Bilimleri Bölümü Koleksiyonu [1559]
  • WoS İndeksli Yayınlar Koleksiyonu [5260]



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