title: Effect of fasting on voice in women.
abstract: OBJECTIVE
  To study the effect of fasting on voice in women: abstinence from food and water intake between 14 and 18 hours.
  
  
  METHODS
  A prospective study on female subjects.
  
  
  METHODS
  A total of 28 female subjects were included in this study. Their age ranged between 21 and 45 years. Subjects with vocal symptoms or vocal fold lesions were excluded. The subjects were tested when they were not fasting and while fasting after the first week of intermittent fasting during Ramadan. Each subject was first asked about her vocal symptoms and the ease of phonation or phonatory effort. Then each underwent acoustic analysis and laryngeal video-endostroboscopy.
  
  
  RESULTS
  Vocal fatigue was the most common reported complaint (53.6%) followed by deepening of the voice (21.4%) and harshness (10.2%). Self-reported phonatory effort was significantly affected by fasting (P value < 0.001). Out of the 28 subjects, 23 had an increase in their phonatory effort. Vocal acoustic parameters did not change markedly except for the maximum phonation time, which decreased significantly. Laryngeal video-endostroboscopy did not reveal any significant changes during fasting. All stroboscopic parameters were the same except for a decrease in the amplitude of the mucosal waves in one subject and the presence of a posterior chink in three subjects.
  
  
  CONCLUSIONS
  Fasting affects voice. There is an increase in the phonatory effort, and vocal fatigue is the most common symptom.
authors.affiliation: Department of Otolaryngology Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon. alhamdan@svclb.com
authors.forename: Abdul-Latif
authors.initials: AL
authors.lastname: Hamdan
authors.forename: Abla
authors.initials: A
authors.lastname: Sibai
authors.forename: Charbel
authors.initials: C
authors.lastname: Rameh
mesh_terms: D000328:Adult; D003681:Dehydration / Q000150:complications; D005215:Fasting; D005260:Female; D006801:Humans; D014832:Voice Disorders / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D014833:Voice Quality