No Differences in Hematological Parameters of Fasting and Non-Fasting Pregnant Women Three Months after Ramadan
Abstract
Abstract.Introduction: Ramadan is a holy month in the Islamic calendar. Ramadan fasting is a religious obligation for all healthy adult Muslims. Many pregnant Muslim women choose to fast during Ramadan while others prefer not to do so. The aim of this study was to compare the basic hematological parameters of fasting and non-fasting pregnant women 3 months after Ramadan. Materials and methods: In this case-control study, 3 months after the end of Ramadan, the concentrations of basic hematological parameters in 200 healthy pregnant women with a previous history of fasting (n = 100) and non-fasting (n = 100) were measured. Results: The results showed that the fasters and non-fasters were similar in maternal age, gestational age, gravidity, pre-pregnancy weight, and maternal weight at enrollment. There were no statistically significant differences between the mean of hemoglobin (12.34 ± 1.15 g/dL vs 12.60 ± 1.11 g/dL, p = 0.10) and hematocrit (36.39 ± 2.79 % vs 36.27 ± 3.14 %, p = 0.77) in the fasting and non-fasting groups, respectively. In addition, no statistically significant differences were observed between the two groups when other hematological parameters were compared (p >0.05). Conclusion: Although the immediate effects of Ramadan fasting on hematological parameters are not known, this study concluded that partial fasting during Ramadan from a hematological point of view is of no concern for pregnant women 3 months after the end of Ramadan.
Literature
Ziaee, V., Razaei, M., Ahmadinejad, Z., Shaikh, H., Yousefi, R., Yarmohammadi, L., Bozorgi, F. and Behjati, M. J. (2006) The changes of metabolic profile and weight during Ramadan fasting. Singapore Med J. 47, 409–414.
Chaouachi, A., Leiper, J. B., Souissi, N., Coutts, A. J. and Chamari, K. (2009) Effects of Ramadan intermittent fasting on sports performance and training: a review. Int J Sports Physiol Perform. 4, 419–434.
Waterhouse, J. (2010) Effects of Ramadan on physical performance: chronobiological considerations. Br J Sports Med. 44, 509–515.
Dikensoy, E., Balat, O. Cebesoy, B. Ozkur, A. Cicek, H. and Can, G. (2009) The effect of Ramadan fasting on maternal serum lipids, cortisol levels and fetal development. Arch Gynecol Obstet. 279, 119–123.
Robinson, T. and Raisler, J. (2005) Each one is a doctor for herself: Ramadan fasting among pregnant Muslim women in the United States. Ethn Dis. 15(Suppl 1), S1–99.
Azizi, F. and Siahkolah, B. (2003) Ramadan fasting and diabetes mellitus. Arch Iran Med. 6, 237–242.
Cunningham, F., Leveno, K., Bloom, S., Hauth, J., Rouse, D. and Spong, C. (2010) Williams obstetrics, 23rd ed. New York, NY: McGraw Hill.
Dikensoy, E., Balat, Ö., Cebesoy, F. B., Özkur, A., Çiçek, H. and Can, G. (2008) Does Ramadan cause iron deficiency in pregnancy? Perinatal J. 16, 100–103.
Van Ewijk, R. (2011) Long-term health effects on the next generation of Ramadan fasting during pregnancy. J Health Econ. 30, 1246–1260.
Miller, J. L. (2013) Iron deficiency anemia: a common and curable disease. Cold Spring Harb Perspect Med. 3, 1–14.
Scholl, T. O. and Hediger, M. L. (1994) Anemia and iron-deficiency anemia: compilation of data on pregnancy outcome. Am J Clin Nutr. 59, 492S–500S
Saha, C., Jain, V., Gupta, I. and Varma, N. (2000) Serum ferritin level as a marker of preterm labor. Int J Gynecol Obstet. 71, 107–111.
Allen, L. H. (2000) Anemia and iron deficiency: effects on pregnancy outcome. Am J Clin Nutr. 71, 1280s–1284s.
Dewanti, L., Watanabe, C. and Ohtsuka, R. (2006) Unexpected changes in blood pressure and hematological parameters among fasting and nonfasting workers during Ramadan in Indonesia. Eur J Clin Nutr. 60, 877–881.
Kamyabi, Z. and Naderi, T. (2004) The effect of Ramadan fasting on amniotic fluid volume. Saudi Med J. 25, 45–46.
Ziaee, V., Kihanidoost, Z., Younesian, M., Akhavirad, M. B., Bateni, F., Kazemianfar, Z. and Hantoushzadeh, S. (2010) The effect of Ramadan fasting on outcome of pregnancy. Iran J Pediatr. 20, 181–186.
Hefni, M., Fikry, S. and Abdelkhalik, M. (1993) Fasting in Ramadan and preterm labour. Saudi Med J. 14, 130–132.
Jürges, H. (2015) Ramadan fasting, sex-ratio at birth, and birth weight: No effects on Muslim infants born in Germany. Econ Lett. 137, 13–16.
Azizi, F., Sadeghipour, H., Siahkolah, B. and Rezaei-Ghaleh, N. (2004) Intellectual development of children born of mothers who fasted in Ramadan during pregnancy. Int J Vitam Nutr Res. 74, 374–380.
Makvandi, S., Nematy, M. and Karimi, L. (2013) Effects of Ramadan fasting on neonatal anthropometric measurements in the third trimester of pregnancy. J Fasting Health. 1, 53–57.
Leiper, J. and Molla, A. (2003) Effects on health of fluid restriction during fasting in Ramadan. Eur J Clin Nutr. 57, S30–S38.
Boroojeny, S. B. and Fard, M. M. (2012) Effect of oral Clonidine on acute intraocular pressure rise after cataract extraction under general anaesthesia. J Pak Med Assoc. 62, 1285–1288.
Bouhlel, E., Salhi, Z., Bouhlel, H., Mdella, S., Amamou, A., Zaouali, M., Mercier, J., Bigard, X., Tabka, Z., Zbidi, A. and Shephard, R. J. (2006) Effect of Ramadan fasting on fuel oxidation during exercise in trained male rugby players. Diabetes MeTab. 32, 617–624.
Maughan, R. J., Leiper, J. B., Bartagi, Z., Zrifi, R., Zerguini, Y. and Dvorak, J. (2008) Effect of Ramadan fasting on some biochemical and haematological parameters in Tunisian youth soccer players undertaking their usual training and competition schedule. J Sports Sci. 26, S39–S46.
Tayebi, S. M., Hanachi, P., Gabnari-Niaki, A., Nazar-Ali P. and Ghaziani, F. (2010) Ramadan fasting and weight-lifting training on vascular volumes and hematological profiles in young male weight-lifters. Glob J Health Sci. 2, 160–166.
Azizi, F. (2010) Islamic fasting and health. Ann Nutr MeTab. 56, 273–282.
Al Hourani, H. M., Atoum, M. F., Akel, S., Hijjawi, N. and Awawdeh, S. (2009) Effects of Ramadan fasting on some haematological and biochemical parameters. Jordan J Biol Sci. 2, 103–108.
Farshidfar, G., Yousfi, H., Vakili, M. and Asadi-Noughabi, F. (2006) The effect of Ramadan fasting on hemoglobin, hematocrit and blood biochemical parameters. J Res Health Sci. 6, 21–7.
Callen, B. L. (2000) Program of care for young women with iron deficiency anemia: a pilot. J Community Health Nurs. 17, 247–262.
Fararjeh, M. A., Al-Jamal, A., Faris, M. E., Al-Kurd R. A., Khalil, M. and Al-Bustanji, Y. (2012) Effect of intermitting fasting on lipid profile and hematological parameters in healthy volunteers in Jordan. International Conference on Electronics, Biomedical Engineering and its Applications (ICEBEA‘2012). 262–266.