Ramadan Fasting and Kidney Stones: A Systematic Review Ramadan Fasting and Kidney Stones
5 January 2019
Purpose: Ramadan fasting in Muslims may contain several hours of abstaining from food and drinking in any kind. This can potentially increase the risk of urinary stone disease. Current literature on possible effects of Ramadan fasting on urolithiasis is rather limited. Having the gap in scientific background, we decided to evaluate the available comparative information in this systematic review.
Materials and Methods: We included all studies comparing fasting and non-fasting conditions, studies evaluating stone formation and clinical manifestations of kidney stone disease. All the English studies published from January 1980 to the end of 2019 were included. The exclusion criteria were as followed: fasting out of Ramadan, non-comparative studies, animal studies, patients with bladder stones and studies evaluating conditions that are only indirectly related to the stone formation or clinical manifestations of it. Applying the Joanna Briggs Institute (JBI) methodology for systematic review showed the quality of included studies was not high.
Results: Only five studies remained after exclusion. Meta-analysis was not applicable due to the diversity in methods and evaluated population.
Conclusion: Main trend of the included studies is toward showing no difference between fasting and non-fasting conditions in terms of renal stone formation. However, generalization of the findings to greater populations should be applied carefully considering the heterogeneity of results and quality of studies.
- Fasting; Kidney Calculi; Kidney Diseases; Systematic Review
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2. Kadri N, Tilane A, El Batal M, Taltit Y, Tahiri SM, Moussaoui D. Irritability during the month of Ramadan. Psychosomatic Medicine. 2000 Mar 1;62(2):280-5.
3. Al-Hourani HM, Atoum MF. Body composition, nutrient intake and physical activity patterns in young women during Ramadan. Singapore medical journal. 2007 Oct; 48(10):906.
4. Roky R, Houti I, Moussamih S, Qotbi S, Aadil N. Physiological and chronobiological changes during Ramadan intermittent fasting. Annals of nutrition and metabolism. 2004; 48(4):296-303.
5. Whitney, E and S R Rolfes. Planning a healthy diet. Understanding Nutrition, 11th ed.; Thomson Wadsworth: Belmont, CA, USA. 2008; 37-63.
6. Emami-Naini A, Roomizadeh P, Baradaran A, Abedini A, Abtahi M. Ramadan fasting and patients with renal diseases: A mini review of the literature. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences. 2013 Aug; 18(8):711.
7. El-Wakil HS, Desoky I, Lotfy N, Adam AG. Fasting the month of Ramadan by Muslims: could it be injurious to their kidneys?. Saudi Journal of Kidney Diseases and Transplantation. 2007 Jul 1; 18(3):349.
8. Abdolreza N, Omalbanin A, Mahdieh TS, Ali MR, Reza MS, Maryam S, Mohsen N. Comparison of the number of patients admitted with renal colic during various stages of peri-Ramadan month. Saudi Journal of Kidney Diseases and Transplantation. 2011 Nov 1; 22(6):1199.
9. Al-Hadramy MS. Seasonal variations of urinary stone colic in Arabia. Journal-Pakistan Medical Association. 1997 Nov; 47:281-3.
10. Basiri A, Moghaddam SM, Khoddam R, Nejad ST, Hakimi A. Monthly variations of urinary stone colic in Iran and its relationship to the fasting month of Ramadan. Journal-Pakistan Medical Association. 2004 Jan; 54(1):6-7.
11. Miladipour AH, Shakhssalim N, Parvin M, Azadvari M. Effect of Ramadan fasting on urinary risk factors for calculus formation. Iranian journal of kidney diseases. 2012 Jan; 6(1):3338.
12. Romero V, Akpinar H, Assimos DG. Kidney stones: a global picture of prevalence, incidence, and associated risk factors. Reviews in urology. 2010; 12(2-3):e86.
13. Emami-Naini A, Eshraghi A, Shahidi S, Mortazavi M, Seyrafian S, Roomizadeh P, Abtahi SH, Ghafoori HB. Metabolic evaluation in patients with nephrolithiasis: A report from Isfahan, Iran. Advanced biomedical research. 2012; 1:65.
14. Moe OW. Kidney stones: pathophysiology and medical management. The lancet. 2006 Jan 28; 367(9507):333-44.
15. Barnela SR, Soni SS, Saboo SS, Bhansali AS. Medical management of renal stone. Indian Journal of Endocrinology and metabolism. 2012 Mar; 16(2):236.
16. Worcester EM, Coe FL. Nephrolithiasis. Primary Care: Clinics in Office Practice. 2008 Jun 1; 35(2):369-91.
17. Munn Z, Moola S, Lisy K, Riitano D, Tufanaru C. Chapter 5: systematic reviews of prevalence and incidence. Joanna Briggs Institute Reviewer's Manual. The Joanna Briggs Institute. 2017:37.
18. Moher D, Liberati A, Tetzlaff J, Altman DG, Prisma Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS med. 2009 Jul 21; 6(7):e1000097.
19. Al Mahayni AO, Alkhateeb SS, Abusaq IH, Al Mufarrih AA, Jaafari MI, Bawazir AA. Does fasting in Ramadan increase the risk of developing urinary stones?. Saudi medical journal. 2018 May; 39(5):481.
20. Cevik Y, Corbacioglu SK, Cikrikci G, Oncul V, Emektar E. The effects of Ramadan fasting on the number of renal colic visits to the emergency department. Pakistan journal of medical sciences. 2016 Jan; 32(1):18.
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