Evaluation of Hematological Indices Changes in Response to Ramadan Fasting

  • ALnazeer J Ali Department of Physiology, Faculty of Medicine ,The National Ribat University,Khartoum ,Sudan.
  • Ibrahim A. Ali Department of Physiology, Faculty of Medicine ,The National Ribat University,Khartoum ,Sudan.
  • Bareeq Abdallah Department of Physiology, Faculty of Medicine ,The National Ribat University,Khartoum ,Sudan.
  • GadAllah Modawe Department of Biochemistry , Faculty of Medicine and Health Sciences ,Omdurman Islamic University , Omdurman, Sudan
  • Omer Abdelaziz Musa Department of Physiology, Faculty of Medicine ,The National Ribat University,Khartoum ,Sudan.
Keywords: Fasting, RBCs, WBCs, Indices

Abstract

Introduction: Fasting in the month of Ramadan is one of the five pillars of Islam. Fasting is obligatory for all adults and healthy Muslims during the day hours for the whole month every year. The effect of Ramadan on biochemical parameters is still a matter of debate. Several studies have reported the effect of Ramadan fasting on the values of certain haematological factors, and the impact of Ramadan fasting on various aspects of health, including lipid metabolism.

Objective: The study aimed to assess the impact of fasting on haematological parameters among Sudanese healthy adults male.

Materials and Methods: An experimental study was conducted between 27 May and 26 June 2017 (Ramadan of higri year 1438) in Khartoum state(Algerif East). The study was carried out on 20 healthy Sudanese volunteer subjects of aged between 18 to 45 years and with the same lifestyle, food intake and work. After informed written consent; all volunteers were asked to complete a medical test involving history taking, weight, height, and blood pressure were measured with standard techniques. Five ml of venous blood was collected by a standard procedure from each participant under complete aseptic conditions and putted in a test tube containing an anticoagulant (Ethyl diamine tetra acetic acid/EDTA).  Blood samples were taken in 2 separate sessions on 1st and 2nd day before Ramadan which represented the baseline and during the last 3days of Ramadan At 10 pm. Blood samples were assessed for haemoglobin, Hematocrit,  red blood cells count and indices, white blood cell count, differential white blood cells and platelets count. The data were analyzed using SPSS version (24).

Results: Hemoglobin and white blood cells significantly increased at the end of Ramadan (respectively=0.002, P=0.05). There was a direct correlation between haemoglobin and hematocrit significantly (P=0.000).

Conclusion: There was a significant increase in haemoglobin during Ramadan fasting, because most of the individual ate high or rich sources of iron (high biological value protein) and a rich source of vitamin  C during Ramadan in comparison to other months of the year.

 

References

1. Sakr AH. Fasting in Islam. J Am Diet Assoc. 1975; 67(1):17-21.
2. El-Hazmi MA, Al-Faleh FZ, Al-Mofleh IA. Effect of Ramadan fasting on the values of haematological and biochemicalparameters. Saudi Med J 1987;8:171-6
3. .Sliman NA, Khatib FA: Effect of fasting Ramadan on body weight and some blood constituents of healthy Muslims. Nutr Rep Int 1988; 38: 1299 -306.
4. Bilto YY. Effects of Ramadan fasting on body weight and the biochemical and haematological parameters of the blood. Arab Gulf J Sci Res 1998; 1-13.
5. Sarraf-Zadegan N, Atashi M, Naderi GA, Baghai AM, Asgary S, Fatehifar MR, et al. The effect of fasting in ramadan on the values and interrelations between biochemical, co- agulation and hematological factors. Annals of Saudi Medicine. 2000; 20(5- 6): 379
6. Al-Hader A, Abu-Farsakh N, Khatib S, Hasan Z. The effects of Ramadan fasting on certain biochemical parameters in normal subjects and in type II diabetic patients. Ann Saudi Med 1994;14:139–141.
7. Aksungar FB, Topkaya AE, Akyildiz M. Interleukin-6, C- reactive protein and biochemical parameters during pro-longed intermittent fasting. Ann NutrMetab 2007;51:88–95.
8. Gharbi M, Akrout M, Zouari B (2003). Food intake during and outside Ramadan. East. Mediterr. Health J. 9(1-2): 131-140.
Published
2022-12-24