Afrasiabi Abbas, Hassanzadeh Susan, Sattarivand Reza, Mahboob Soltanali
Department of Cardiothoracic Surgery, Madani Heart Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.
Saudi Med J. 2003 Jan;24(1):23-6.
The effects of Ramadan fasting, with low fat and low calorie diet, on blood lipid and lipoprotein levels were studied. Results revealed reduction of plasma lipid levels and anthropometric parameters in the hyperlipidemic cases. To find out whether such reductions were due to nutritional diet or Ramadan fasting, we conducted a study to evaluate effects of Ramadan fasting on 2 separate hyperlipidemic groups with or without nutritional diet regimen.
This study was carried out at Madani Heart Hospital, Tabriz, Iran, during the year 1998. Thirty-eight hyperlipidemic healthy men voluntarily enrolled into 2 groups, group I, 22 men on low fat and low calorie diet and group II, 16 men without any special diet interference. The blood lipid profile tests were measured 4 times (3 weeks before, first week, last week and one month after Ramadan). To evaluate nutritional composition, 12 times in non-successive days, 24 hour nutrition recalls were obtained from all individuals during the study.
Analysis of data revealed that only triglyceride in both groups reduced in the beginning of Ramadan compared to 3 weeks before. During Ramadan, with a reduction of 300 Kcal/day in comparison to before Ramadan, no changes were seen concerning anthropometric parameters and serum lipids levels.
It seems that the effect of Ramadan fasting on serum lipid levels may be closely related to the nutritional diet. For reduction of plasma lipid levels, it would be necessary to omit at least one term meal or reduce energy by 500 Kcal or more per day.
研究斋月禁食(低脂、低热量饮食)对血脂和脂蛋白水平的影响。结果显示,高脂血症患者的血浆脂质水平和人体测量参数有所降低。为了确定这种降低是由于营养饮食还是斋月禁食所致,我们开展了一项研究,以评估斋月禁食对两个分别采用或未采用营养饮食方案的高脂血症组的影响。
本研究于1998年在伊朗大不里士的马达尼心脏医院进行。38名高脂血症健康男性自愿分为两组,第一组22名男性采用低脂、低热量饮食,第二组16名男性未接受任何特殊饮食干预。在斋月前3周、第一周、最后一周和斋月后1个月进行4次血脂检测。为评估营养成分,在研究期间,对所有个体在非连续的12天中每天进行24小时饮食回顾。
数据分析显示,与斋月前3周相比,两组仅在斋月开始时甘油三酯有所降低。在斋月期间,与斋月前相比,每日热量摄入减少300千卡,但人体测量参数和血脂水平未见变化。
斋月禁食对血脂水平的影响似乎与营养饮食密切相关。为降低血浆脂质水平,有必要至少省略一顿正餐或每天减少500千卡或更多的能量摄入。