Effects of Modified Ramadan Fasting on Mental Well-Being and Biomarkers in Healthy Adult Muslims - A Randomised Controlled Trial.

IF 2 3区心理学 Q3 PSYCHOLOGY, CLINICAL International Journal of Behavioral Medicine Pub Date : 2024-05-22 DOI:10.1007/s12529-024-10296-0

Romy Lauche, Iman Fathi, Chalil Saddat, Petra Klose, Jallal Al-Abtah, Arndt Büssing, Thomas Rampp, Gustav Dobos, Holger Cramer

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Abstract

Background: Ramadan fasting has seen increased attention in research, often with inconsistent findings. This study aims to investigate whether dietary and lifestyle modifications during Ramadan can improve well-being and health in healthy adult Muslims.

Method: A randomised controlled trial with two parallel groups was conducted in an outpatient clinic of a university hospital in Essen, Germany, in 2016. Healthy adult Muslims (n = 114) aged 18-60 years were randomised to a modified fasting group; i.e., they received educational material prompting dietary and lifestyle modifications pre-Ramadan, and a control group who undertook Ramadan fasting as usual. Primary outcome was quality of life (WHO-5 Well-Being Index). Secondary outcomes included sleep quality, spirituality, and mindfulness (all self-report), body weight, body mass index, body fat, waist circumference, hip circumference, blood pressure, and heart rate, as well as blood serum biomarkers. Safety was examined via adverse events.

Results: The modified fasting group reported significantly higher quality of life (WHO-5) compared to the control after Ramadan (MD 5.9; 95% CI, 0.02-11.8; p < 0.05). Group differences in favour of the modified fasting were also found for satisfaction with health (MD 5.9, 95% CI 0.19-11.67), ease of life (MD 4.1, 95% CI 0.38-7.80) and mindfulness (MD 7.6, 95% CI 2.68-12.52), reductions in weight (MD, - 0.9 kg; 95% CI - 1.39 to - 0.42), BMI (MD - 0.3 kg/m², 95% CI - 0.50 to - 0.15), hip circumference (MD - 0.3 kg/m², 95% CI - 0.50 to - 0.15), and diastolic blood pressure (MD - 2.8 mmHg, 95% CI - 5.15 to - 0.43). About 60% of participants reported adverse events, mostly headaches/migraines, dizziness/fatigue, common cold, and gastrointestinal symptoms, with no group differences. One serious non-related adverse event each occurred in both groups.

Conclusion: Pre-Ramadan dietary and lifestyle advice can lead to short-term improvements in mental and physical well-being of adult Muslims observing Ramadan. As such, this study demonstrates the potential benefits of culturally appropriate health interventions in a religious context.

Trial registration: ClinicalTrials.gov (Identifier NCT02775175).

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改良斋月禁食对健康成年穆斯林心理健康和生物标志物的影响--随机对照试验。

背景：斋月斋戒在研究中受到越来越多的关注，但研究结果往往并不一致。本研究旨在探讨在斋月期间调整饮食和生活方式能否改善健康成年穆斯林的福祉和健康：方法：2016 年，在德国埃森一所大学医院的门诊部进行了一项随机对照试验，试验分为两个平行组。年龄在 18-60 岁之间的健康成年穆斯林（n = 114）被随机分配到改良斋戒组（即在斋月前接受饮食和生活方式改良教育材料）和对照组（照常进行斋月斋戒）。主要结果是生活质量（WHO-5 幸福指数）。次要结果包括睡眠质量、灵性和正念（均为自我报告）、体重、体重指数、体脂、腰围、臀围、血压和心率以及血清生物标志物。安全性通过不良事件进行检验：结果：与对照组相比，改良禁食组在斋月后的生活质量（WHO-5）（MD 5.9；95% CI，0.02-11.8；P 2，95% CI - 0.50 至 - 0.15）、臀围（MD - 0.3 kg/m2，95% CI - 0.50 至 - 0.15）和舒张压（MD - 2.8 mmHg，95% CI - 5.15 至 - 0.43）明显更高。约 60% 的参与者报告了不良事件，主要是头痛/偏头痛、头晕/疲劳、普通感冒和胃肠道症状，无组间差异。两组均发生了一起严重的非相关不良事件：斋月前的饮食和生活方式建议可在短期内改善斋月期间成年穆斯林的身心健康。因此，这项研究证明了在宗教背景下采取文化适宜的健康干预措施的潜在益处：试验注册：ClinicalTrials.gov（标识符 NCT02775175）。

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来源期刊

International Journal of Behavioral Medicine PSYCHOLOGY, CLINICAL-

CiteScore

5.20

自引率

3.70%

发文量

期刊介绍： The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.