Alteration in body water compartments following intermittent fasting in Ramadan

Concerning the health outcomes of intermittent fasting in Ramadan, loss of fat-free mass (FFM) and changes in the content of body water are of paramount importance. In this study, we aimed to assess the concomitant alterations in body water compartment and composition following Ramadan fasting in he...

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Main Authors: Mohammad Taghi Najafi, Ali Sadoogh Abbasian, Hamed Mohammadi, Mohammad Reza Abbasi, Mohammad Reza Khatami, Ali Ghafari, Mohammad Hossein Shojamoradi
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2023.1232979/full
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author Mohammad Taghi Najafi
Ali Sadoogh Abbasian
Ali Sadoogh Abbasian
Hamed Mohammadi
Mohammad Reza Abbasi
Mohammad Reza Khatami
Ali Ghafari
Mohammad Hossein Shojamoradi
author_facet Mohammad Taghi Najafi
Ali Sadoogh Abbasian
Ali Sadoogh Abbasian
Hamed Mohammadi
Mohammad Reza Abbasi
Mohammad Reza Khatami
Ali Ghafari
Mohammad Hossein Shojamoradi
author_sort Mohammad Taghi Najafi
collection DOAJ
description Concerning the health outcomes of intermittent fasting in Ramadan, loss of fat-free mass (FFM) and changes in the content of body water are of paramount importance. In this study, we aimed to assess the concomitant alterations in body water compartment and composition following Ramadan fasting in healthy individuals. We conducted an open-label cohort with longitudinal follow-up, involving 73 healthy medical staff who planned to fast for at least 20 consecutive days during Ramadan. The primary outcomes of the cohort were changes in parameters related to body composition and water content, which were measured using bioelectrical impedance analysis by InBody S10 (InBody, Seoul, South Korea). Based on the results, the participants’ weight decreased significantly by approximately 1,030 g after the fasting period (p < 0.001). There was a significant reduction in the fat mass of an average 828 g (p < 0.001), which accounted for more than 80% of the weight loss. The decline in FFM was not significant (190 g; p = 0.234). The amount of total body water (TBW) and extracellular water (ECW) did not change, while intracellular water (ICW) decreased significantly by about 160 mL (p = 0.027). A strong correlation was observed between the reduction of phase angle and the increase in ECW/TBW ratio (R = −0.71, p < 0.001). Overall, our findings revealed a minimal amount of weight loss after Ramadan fasting, which was mainly due to the loss of fat mass. The parallel decrease in ICW and phase angle indicated impaired cell membrane integrity, with subsequent movement of water from the intracellular to the extracellular compartment.
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spelling doaj.art-3c4fac5e819f4a2aa32119c26fd11d592023-08-14T15:00:18ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2023-08-011010.3389/fnut.2023.12329791232979Alteration in body water compartments following intermittent fasting in RamadanMohammad Taghi Najafi0Ali Sadoogh Abbasian1Ali Sadoogh Abbasian2Hamed Mohammadi3Mohammad Reza Abbasi4Mohammad Reza Khatami5Ali Ghafari6Mohammad Hossein Shojamoradi7Nephrology Research Center, Tehran University of Medical Sciences, Tehran, IranNephrology Research Center, Tehran University of Medical Sciences, Tehran, IranDepartment of Internal Medicine, Arak University of Medical Sciences, Arak, IranDepartment of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, IranNephrology Research Center, Tehran University of Medical Sciences, Tehran, IranNephrology Research Center, Tehran University of Medical Sciences, Tehran, IranNephrology Research Center, Tehran University of Medical Sciences, Tehran, IranNephrology Research Center, Tehran University of Medical Sciences, Tehran, IranConcerning the health outcomes of intermittent fasting in Ramadan, loss of fat-free mass (FFM) and changes in the content of body water are of paramount importance. In this study, we aimed to assess the concomitant alterations in body water compartment and composition following Ramadan fasting in healthy individuals. We conducted an open-label cohort with longitudinal follow-up, involving 73 healthy medical staff who planned to fast for at least 20 consecutive days during Ramadan. The primary outcomes of the cohort were changes in parameters related to body composition and water content, which were measured using bioelectrical impedance analysis by InBody S10 (InBody, Seoul, South Korea). Based on the results, the participants’ weight decreased significantly by approximately 1,030 g after the fasting period (p < 0.001). There was a significant reduction in the fat mass of an average 828 g (p < 0.001), which accounted for more than 80% of the weight loss. The decline in FFM was not significant (190 g; p = 0.234). The amount of total body water (TBW) and extracellular water (ECW) did not change, while intracellular water (ICW) decreased significantly by about 160 mL (p = 0.027). A strong correlation was observed between the reduction of phase angle and the increase in ECW/TBW ratio (R = −0.71, p < 0.001). Overall, our findings revealed a minimal amount of weight loss after Ramadan fasting, which was mainly due to the loss of fat mass. The parallel decrease in ICW and phase angle indicated impaired cell membrane integrity, with subsequent movement of water from the intracellular to the extracellular compartment.https://www.frontiersin.org/articles/10.3389/fnut.2023.1232979/fullbody compositionRamadanintermittent fastingbody waterweight loss
spellingShingle Mohammad Taghi Najafi
Ali Sadoogh Abbasian
Ali Sadoogh Abbasian
Hamed Mohammadi
Mohammad Reza Abbasi
Mohammad Reza Khatami
Ali Ghafari
Mohammad Hossein Shojamoradi
Alteration in body water compartments following intermittent fasting in Ramadan
Frontiers in Nutrition
body composition
Ramadan
intermittent fasting
body water
weight loss
title Alteration in body water compartments following intermittent fasting in Ramadan
title_full Alteration in body water compartments following intermittent fasting in Ramadan
title_fullStr Alteration in body water compartments following intermittent fasting in Ramadan
title_full_unstemmed Alteration in body water compartments following intermittent fasting in Ramadan
title_short Alteration in body water compartments following intermittent fasting in Ramadan
title_sort alteration in body water compartments following intermittent fasting in ramadan
topic body composition
Ramadan
intermittent fasting
body water
weight loss
url https://www.frontiersin.org/articles/10.3389/fnut.2023.1232979/full
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