Islamic Fasting and Health: Difference between revisions

Medical fasting can have [[health]] benefits. However, Medical fasting differs from Islamic fasting, and contrary to popular Muslim beliefs, Islamic fasting, unlike Medical fasting, has numerous adverse effects. As we will explain here, Islamic fasting has significant harmful effects on health, national economy and productivity, crime rate, public safety and social behavior. Health effects include heat stress, dehydration, migraines and, for lactating women, the nutritional make-up of their milk, amongst others.  

Some Muslims claim eating a small amount of food is the correct Islamic way however we cannot function for the whole day by eating only a small amount of food at the time of dawn. This would affect our performance even more during the day.

In a recent study done on the Arab world, diseases linked to cholesterol and diabetes increased by 27.65% because of overeating.<ref name="ANSA"/> Non-compliance with prescribed treatment regimens is common during Ramadan. <ref>Aslam M, Healey MA. Drug regimens and fasting Moslem patients [Letter]. Lancet 1985;290:1746</ref> Other health effects include:

Dehydration is indicated by the increase of several serum biochemical parameters (El-Hazmi et al., 1987; Ramadan et al., 1999; Schmahl & Metzler, 1991; Sweileh et al., 1992). The increase in uric acid, however, should especially be noted (El-Ati et al, 1995; El-Hazmi et al., 1987; Fedail et al., 1982; Schmahl & Metzler, 1991), because hyperuricemia is one of the known sequelae of prolonged fasting (Murphy & Shipman, 1963). Hyperuricemia is associated with reduction in glomerular filtration rate, decrease in uric acid clearance and alterations in the renal transport of uric acid (Murphy & Shipman). During Ramadan, however, reports show that the increase in uric acid does not excessively deviate from the normal range and studies have not reported clinical gout (El-Hazmi et al., 1987; Fedail et al., 1982). Increased uric acid is, therefore, unlikely to affect healthy individuals.<ref name="Morimoto">Toda, Masahiro, Morimoto, Kanehisa - [http://findarticles.com/p/articles/mi_qa3852/is_200401/ai_n9352292/ Ramadan Fasting - Effect on Healthy Muslims] - Social Behavior and Personality, 2004</ref>}}

The following study studied [[Turkey|Turkish]] Muslims in [[Germany]] who were involved in heavy and manual work. 'Moderate to severe health disturbances' including severe dehydration were found in such laborers during Ramadan:

 

During Ramadan, Moslems are required strictly to avoid fluids and nourishment from dawn to sunset. Heat stress during such abstinence represents a substantial health hazard. In the Federal Republic of Germany (FRG) where numerous Moslems, particularly of Turkish origin, perform heat work and other heavy labour, we observed moderate to severe health disturbances in such labourers during Ramadan, e.g.: '''tachycardia, severe headaches, dizziness, nausea, vomiting and circulatory collapse'''. The '''severe dehydration''' of these workers was demonstrated by substantial increases in their hematocrit, serum protein, urea, creatinine, uric acid and electrolyte imbalance. Because of the evidence of the substantial health hazard to Islamic workers in such situations, we have strongly urged employers to refrain from assigning Islamic workers to heat work or heavy daytime work during Ramadan; we have therefore limited systematic studies of health problems during Ramadan to persons performing only moderate work. Even under these conditions signs of dehydration were found in the 32 labourers monitored. Some of these labourers also had to interrupt their observance of Ramadan due to health problems, e.g.: acute gout due to serum uric acid increase, or circulatory insufficiency. In light of the observed potentially harmful pathophysiological effects, the danger of dehydration of Islamic workers due to heat work during Ramadan should be taken very seriously.<ref>Polish Journal of Occupational Medicine 1991 4:3 219-28</ref>}}

{{Quote||This change of meal schedule is accompanied with changes in sleep habits, such as delayed and shortened sleep periods, which may affect endocrine and neuroendocrine circadian patterns. Several cardiovascular parameters (i.e., heart rate, blood pressure, vascular tone, and coagulation-fibrinolysis) show circadian pattern. Several studies reported that autonomic activity and melatonin rhtyhmicity may be responsible for circadian patterns of cardiovascular parameters. '''Changes of sleep habit in Ramadan affects autonomic activity and melatonin rhtyhmicity'''. The other negative effects may be that, during fasting patients with cardiovascular disease cannot consume medications, such as anti-ischemic, anti-platelet, anti-hypertensive drugs, and drugs of heart failure on time. Some patients may get admitted to the hospital with cardiovascular symptoms owing to failure of therapy.<ref>"Does Ramadan modify the Circadian Patterns?" - Journal of Postgraduate Medicine, March 2006, Vol. 52 Issue 1 [https://tspace.library.utoronto.ca/bitstream/1807/6924/1/jp06011.pdf pdf]</ref>}}

Fasting during Ramadan is distinct from regular voluntary or experimental fasting. This project was conducted to objectively assess the effect of Ramadan fasting on sleep architecture, daytime sleepiness and the circadian cycle of melatonin level. Eight healthy volunteers reported to the Sleep Disorders Center on four occasions for polysomnography and multiple sleep latency tests: 1) an initial visit for adaptation; 2) 2 weeks before Ramadan (BL); and 3,4) during the first and third weeks of Ramadan (R1, R3). Salivary melatonin level was measured using radioimmunoassay. Sleep latency at night was significantly shorter and the amount of rapid eye movement sleep was significantly less, at R3 compared to BL. There was no difference in multiple sleep latency test data between BL and Ramadan. Although melatonin level kept the same circadian pattern at BL, R1 and R3, '''it had a flatter slope and a significantly lower peak at midnight (00:00) at R1 and R3.''' '''This study showed a significant reduction in sleep latency and rapid eye movement sleep during the third week of Ramadan fasting.''' Otherwise, there was no significant effect of Ramadan on sleep architecture and assessment revealed no increase in daytime sleepiness. Although melatonin level had the same circadian pattern during Ramadan, the '''level of the hormone dropped significantly from baseline.'''<ref>Ahmed BAHAMMAM/Sleep Disorders Center, Respiratory Unit, Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia</ref>}}

{{Quote|| ''Epidemiological study: chronotype and daytime sleepiness before and during Ramadan.

Few epidemiological data have been reported on the relation between Ramadan fasting, life habits (meal frequency, sleep habits) and daytime sleepiness during Ramadan. This paper presents the results of a detailed study of the chronotype and daytime sleepiness before and during Ramadan. It was conducted on a sample of 264 subjects aged between 20 and 30 years. Results have revealed a significant decrease in the meal frequency during Ramadan compared with the control period. Before Ramadan, the majority of subjects woke up between 6 and 7 a.m. and went to sleep between 10 and 11 p.m. however, during Ramadan fasting, they woke up after 8 a.m. and preferred to go to sleep later (after midnight). Chronotype as evaluated by the Horne and Ostberg scale was changed significantly during Ramadan: an increase of the evening type and a decrease in the morning type of subjects was observed. Daytime sleepiness as evaluated by the Epworth Sleepiness Scale was significantly increased.<ref>Therapie 54:567-72</ref>}}

{{Quote||''Daytime alertness, mood, psychomotor performances, and oral temperature during Ramadan intermittent fasting. Roky R, Iraki L, HajKhlifa R, Lakhdar Ghazal N, Hakkou F''

During the month of Ramadan, Moslems abstain from drinking and eating daily between sunrise and sunset. This change of meals schedule is accompanied with changes in sleep habit, which may affect diurnal alertness. This study examined the effect of Ramadan intermittent fasting on the diurnal alertness and oral temperature in 10 healthy young subjects. The cognitive task battery including movement reaction time (MRT), critical flicker fusion (CFF) and visual analogue scale, was administered at 6 different times of the day: 09.00, 11.00, 13.00, 16.00, 20.00 and 23.00 h on the 6th, 15th, and 28th days of Ramadan. The baseline day was scheduled one week before Ramadan, and the recovery day 18 days after this month. Oral temperature was measured prior to each test session and at 00.00 h. During Ramadan oral temperature decreased at 09.00, 11.00, 13.00, 16.00 and 20.00 h and increased at 23.00 and 00.00 h. Subjective alertness decreased at 09.00 and 16.00 h and increased at 23.00 h. Mood decreased at 16.00 h. MRT was increased at the beginning of Ramadan (R6) and CFF was not changed. These results showed that daytime oral temperature, subjective alertness and mood were decreased during Ramadan intermittent fasting.<ref>Annals of Nutrition and Metabolism 2000 44:101-7</ref>}}

==Accident and Emergency Attendances==

In 1994, the Accident and Emergency Department of St Mary's Hospital in London conducted a study to examine if accident and emergency attendances increased during Ramadan for Muslim patients. At the time, the department was treating 55,000 new patients every year:

{{Quote||2=The results are shown in Table 1. This demonstrates a '''significant rise in the number of Muslims attending during Ramadan''' compared to non-Muslims, with the proportion of Muslims rising from 3.63% of total attendances in the periods before and after Ramadan to 5.11% during Ramadan (P=0.0024). '''The rise in non accident-related attendances among Muslims was also significant''' when compared to non-Muslims (P=0.027) [...]<ref>[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1294766/ The effect of the fast of Ramadan on accident and emergency attendances] (J R Soc Med. 1994 September; 87(9): 517–518.)</ref>}}

{{Quote|| ''Kadri N, Tilane A, El Batal M, Taltit Y, Tahiri SM, Moussaoui D''

 

RESULTS: Irritability was significantly higher in smokers than in nonsmokers before the beginning of Ramadan. It was higher in both groups during the Ramadan month. '''Irritability increased continuously during Ramadan and reached its peak at the end of the month.''' Consumption of psychostimulants (coffee and tea) and anxiety level followed the same pattern. Smokers and nonsmokers had a similar pattern of irritability over time, but irritability increased more in smokers than in nonsmokers.<ref>Psychosomatic Medicine 2000 Mar-Apr 62:2 280-5 ([{{Reference archive|1=http://www.psychosomaticmedicine.org/cgi/reprint/62/2/280.pdf|2=2011-04-04}} pdf])</ref>}}

In a study done on the Arab world,<ref name="ANSA"/> experts claimed that increases in blood crimes (+1.5%) and theft (+3.5%) were observed during Ramadan.

===Child Trafficking===

===Disruption of Emergency Services===

{{Quote||''Some behavioural Changes observed among fasting subjects, their nutritional habits and energy expenditure in Ramadan. Karaaðaoðlu N, Yücecan S''

This study was conducted in five provinces and food consumption, physical activity types and duration for 3 consecutive days were recorded in the questionnaire together with some general characteristics of 750 (320 males, 430 females) adults who were on fast during Ramadan at time of interview. One hundred and eighty-seven subjects had some type of health problems, among whom 60.4% were using drugs, and 31.6% were on diets; however, during Ramadan 9.7 and 18.8% of the subjects dropped taking drugs and did not regularly keep on diets, respectively. During the fasting time, from dawn to sunset, 34.3% of the subjects developed some behavioural disturbances, such as feeling tired and being unwilling to work. Although the meal consumed at dawn consisted of foods that were usually eaten at breakfast, the meal consumed at sunset consisted of a great variety of foods. Calcium intake was the most insufficiently consumed nutrient. It was observed that the daily energy intakes were less than the expenditures both in males and females. Further research should be done on the effects of fasting in health and disease.<ref>International Journal of Food Science and Nutrition 2000 Mar 51:125-34</ref>}}

Ramadan-inspired violence against non-Muslims and non-observant Muslims is worryingly on the increase in the West. Notable incidents include; a Jewish women in Toulouse, [[France]], being called a "dirty Jew" and struck on the head by two Muslim teenagers for buying food during fasting hours; a Muslim man in a central Lyon Restaurant struck in the head with a glass bottle and hit with a chair by three youths for not respecting Ramadan;<ref>[http://vladtepesblog.com/?p=25211 Two people assaulted in France for eating during Ramadam. One was not even Muslim] - Vlad Tepes, August 24, 2010</ref> an 11-year-old in Sydney, [[Australia]], chased and later beaten by Muslim students because he ate a salami sandwich during Ramadan;<ref>[http://www.news.com.au/national/parents-say-son-was-tormented-for-eating-salami-sandwich-during-ramadan/story-e6frfkvr-1225797140592 Parents say son was tormented for eating salami sandwich during Ramadan] - The Daily Telegraph, November 13, 2009</ref> a Turkish MP in Berlin, [[Germany]], beaten by restaurant staff for ordering pork sausages;<ref>[{{Reference archive|1=http://news.am/eng/news/70698.html|2=2011-08-12}} Turkish MP was beaten for ordering pork sausage in Germany] - NEWS.am, August 11, 2011</ref> and the following report is of an atheist living in the [[United Kingdom]]:

In [[Bahrain]], the work day is reduced to six-hours instead of the normal eight hours:<ref name="arabnews"/>

Intermittent and prolonged fasting is generally not conducive to a healthy lifestyle. Depriving the body of water and essential nutrients by dividing and postponing meals to irregular intervals does nothing to limit consumption. In-fact it causes a host of health, performance and mood disorders. Fasting is not normally prescribed for the well being of human beings. Instead, it is commonly understood that eating healthy, smaller-portioned meals, interspersed throughout the day is far better in maintaining a well-balanced diet and far more forgiving on a person's metabolism.  Any claims that prolonged and intermittent fasting contributes to the well-being of an individual's health are misleading, based on the scientific studies that prove otherwise. If the Islamic argument in favor of fasting is that “we fast because Allah commanded us to do so," then it is obvious that [[Allah]] is not a nutritionist or a dietitian because the negatives definitely outweigh the positives.

So the question to the Muslim world is: keeping in mind the above adverse affects of fasting observed in studies, what benefit does the Muslim world get for 1 billion people staying hungry throughout the day for one full month every year? Did Allah actually want Muslims to suffer physically, socially and economically for one month every year? Also, if fasting is beneficial as Muslims claim, why do Muslims not fast the entire year instead of just one month?

*[[Fasting]] ''- A hub page that leads to other articles related to Fasting''

* [http://www.iol.co.za/index.php?set_id=1&click_id=13&art_id=vn20080914093305299C824902 Ramadan diet poses health risk - experts]

* [http://www.ncbi.nlm.nih.gov/pubmed/9100605 Ramadan diet restrictions modify the circadian time structure in humans. A study on plasma gastrin, insulin, glucose, and calcium and on gastric pH] ''(extract)''

* [http://www.unboundmedicine.com/medline/ebm/related/9198696/%5BRamadan__A_month_of_fasting_with_risk_for_both_nocturnal_overeating_dehydration_and_starving%5D Medical Search Engine Result]'' - more studies on fasting''

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