title: Changes in biochemical, hemodynamic, and dialysis adherence parameters in hemodialysis patients during Ramadan.
abstract: This paper aimed to study the effect of Ramadan fasting on biochemical and clinical parameters and compliance for dialysis. A prospective multicenter observational cross-sectional study comparing fasting with a non-fasting stable adult hemodialysis patients for demographic and biochemical parameters, compliance with dialysis, inter-dialytic weight gain, pre- and post-blood pressure, and frequency of intradialytic hypotensive episodes was carried out. Six hundred thirty-five patients, of whom 64.1% fasted, were studied. The fasters were younger (53.3 ± 16.2 vs. 58.4 ± 16.1 years; P = 0.001) but had similar duration on dialysis (P = 0.35). More fasters worked (22.0% vs. 14.6%; P = 0.001) and missed dialysis sessions during Ramadan. No differences were noted between groups in sex, diabetic status, or dialysis shift or day. There were no differences in the pre- and post-dialysis blood pressure; serum potassium, albumin or weight gain; diabetic status; sex; and dialysis shift time or days. However, serum phosphorous was significantly higher in the fasting group (2.78 ± 1.8 vs. 2.45 ± 1.6 mmol/L; P = 0.045). There were no intragroup differences in any of the parameters studied when comparing the findings during Ramadan with those in the month before Ramadan. Fasters were significantly younger and more likely to be working, to miss dialysis sessions, and to have higher serum phosphorous levels. No other differences were observed.
authors.affiliation: King Abdulaziz Medical City, Riyadh, Saudi Arabia.
authors.forename: Shaikha
authors.initials: S
authors.lastname: Alshamsi
authors.affiliation: College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
authors.forename: Fatima
authors.initials: F
authors.lastname: Binsaleh
authors.affiliation: King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
authors.forename: Fayez
authors.initials: F
authors.lastname: Hejaili
authors.affiliation: Kanoo Kidney Center, Dammam, Saudi Arabia.
authors.forename: Ayman
authors.initials: A
authors.lastname: Karkar
authors.affiliation: Prince Naif Dialysis Center, Riyadh, Saudi Arabia.
authors.forename: Dujana
authors.initials: D
authors.lastname: Moussa
authors.affiliation: King Abdullah Dialysis Program, Riyadh, Saudi Arabia.
authors.forename: Hamad
authors.initials: H
authors.lastname: Raza
authors.affiliation: King Abdullah Dialysis Program, Riyadh, Saudi Arabia.
authors.forename: Parkash
authors.initials: P
authors.lastname: Parbat
authors.affiliation: College of Medicine, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Abdulkareem
authors.initials: A
authors.lastname: Al Suwida
authors.affiliation: College of Medicine, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Saad
authors.initials: S
authors.lastname: Alobaili
authors.affiliation: College of Medicine, King Saud University, Riyadh, Saudi Arabia.
authors.forename: R
authors.initials: R
authors.lastname: AlSehli
authors.affiliation: King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
authors.forename: Abdulla
authors.initials: A
authors.lastname: Al Sayyari
mesh_terms: D003430:Cross-Sectional Studies; D005215:Fasting / Q000502:physiology*; D005260:Female; D005440:Fluid Therapy / Q000379:methods*; D006439:Hemodynamics; D006801:Humans; D007514:Islam; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D006435:Renal Dialysis / Q000379:methods*
keywords: Ramadan; hemodialysis