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:: Volume 18, Issue 3 (Fall 2008) ::
MEDICAL SCIENCES 2008, 18(3): 171-176 Back to browse issues page
Effect of Ramadan fasting on some components of metabolic syndrome
Maryam Vahdat Shariatpanahi 1, Zahra Vahdat Shariatpanahi
1- , nutritiondata@yahoo.com
Abstract:   (18277 Views)
Background: Insulin resistance is a feature of a number of clinical disorders including type 2 diabetes, glucose intolerance, obesity, dyslipidemia and hypertension clustering in the so-called metabolic syndrome. The purpose of this study was to evaluate the effect of Ramadan fasting on insulin sensitivity in subjects with metabolic syndrome.
Material and methods: In this study 55 males (34.1± 8.9 years) with metabolic syndrome were studied. Blood pressure, waist circumference, body weight, high density lipoprotein (HDL-C), triglyceride, fasting plasma glucose (FPG), fasting blood insulin and insulin resistance indices (QUICKI or quantitative insulin sensitivity check index, HOMA-IR or Homeostasis model assessment of insulin resistance and 1/HOMA-IR) were evaluated before and after 30 days of Ramadan fasting (2 meals at 12 hours intervals). The dietary intake was estimated by 24 h recall before and after fasting.
Results: The total daily energy intake was decreased by 56± 33.91 Kcal per day in the fasting period (p = 0.005). 1/HOMA-IR, QUICKI and HDL-C were significantly increased (p = 0.005, p = 0.001 and p = 0.004) and FPG significantly decreased (p < 0.005) after fasting. Simple linear regression analysis demonstrated that HOMA-IR, 1/HOMA-IR and QUICKI were related to waist circumference after intervention (r = 0.458, p < 0.001 r = -0.396, p < 0.05 r = -0.342, p < 0.05).
Conclusion: This study showed that combined change in the number and timing of meals and portioning of the entire intake into only 2 meals per day might increase insulin sensitivity in subjects with metabolic syndrome even when the decrease in energy consumption was minimal.
Keywords: Insulin sensitivity, Ramadan fasting, Metabolic syndrome, HOMA, QUICKI
Full-Text [PDF 150 kb]   (3332 Downloads)    
Subject: Epidemiology
Received: 2006/09/6 | Published: 2008/10/15
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Vahdat Shariatpanahi M, Vahdat Shariatpanahi Z. Effect of Ramadan fasting on some components of metabolic syndrome. MEDICAL SCIENCES 2008; 18 (3) :171-176
URL: http://tmuj.iautmu.ac.ir/article-1-156-en.html


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Volume 18, Issue 3 (Fall 2008) Back to browse issues page
فصلنامه علوم پزشکی دانشگاه آزاد اسلامی واحد پزشکی تهران Medical Science Journal of Islamic Azad Univesity - Tehran Medical Branch
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