The effect of fasting on spirometry indices and respiratory symptoms in asthmatic patients

Introduction: Ramadan can alter the course of diseases by changing nutrition patterns, sleep habits, and medication-taking schedules. There are some concerns that patients with asthma may be affected by these alterations during Ramadan and experience deterioration of their symptoms. This study aimed...

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Main Authors: Mohammad Reza Ghaffary, Ali Talei, Maryam Moradian, Shamsi Ghaffari
Format: Article
Language:English
Published: Tabriz University of Medical Sciences 2022-06-01
Series:Journal of Cardiovascular and Thoracic Research
Subjects:
Online Access:https://jcvtr.tbzmed.ac.ir/PDF/jcvtr-14-116.pdf
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author Mohammad Reza Ghaffary
Ali Talei
Maryam Moradian
Shamsi Ghaffari
author_facet Mohammad Reza Ghaffary
Ali Talei
Maryam Moradian
Shamsi Ghaffari
author_sort Mohammad Reza Ghaffary
collection DOAJ
description Introduction: Ramadan can alter the course of diseases by changing nutrition patterns, sleep habits, and medication-taking schedules. There are some concerns that patients with asthma may be affected by these alterations during Ramadan and experience deterioration of their symptoms. This study aimed to investigate the effect of fasting in Ramadan on the severity of the disease and spirometric parameters in patients with asthma. Methods: An overall 120 patients with moderate to severe asthma were investigated during Ramadan and categorized into two groups of fasting (60 cases) and non-fasting (60 cases)groups. Patients underwent spirometry before and after Ramadan and asthma control status was also assessed. The parameters measured in spirometry were compared in each group before and after Ramadan and also between the two groups. Results: Spirometric measurements including forced expiratory volume in the first second(FEV1), forced vital capacity (FVC), peak expiratory flow (PEF), and FEV1/FVC were not significantly different before and after Ramadan in both groups of fasting and non-fasting patients. Furthermore, there was no significant difference between the two groups in terms of these spirometric parameters changes from baseline. Nevertheless, FEV1 change in the fasting group was significantly higher than that in the non-fasting group (1.46 ± 5.37 vs. -0.13 ± 3.08,respectively; P = 0.040). Conclusion: The results of this study demonstrated that fasting has no significant effect on the severity of asthma and spirometric findings in patients with moderate to severe asthma.Therefore, fasting during Ramadan can be considered safe for patients with asthma.
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spelling doaj.art-75b01c70f43d4dc6b7355d50ca8c854f2022-12-22T02:41:30ZengTabriz University of Medical SciencesJournal of Cardiovascular and Thoracic Research2008-51172008-68302022-06-0114211612110.34172/jcvtr.2022.21jcvtr-30379The effect of fasting on spirometry indices and respiratory symptoms in asthmatic patientsMohammad Reza Ghaffary0Ali Talei1Maryam Moradian2Shamsi Ghaffari3Tuberculosis and Lung Disease Research Center, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Internal Medicine, School of Medicine, Tabriz University of Medical Sciences, Tabriz, IranRajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IranCardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, IranIntroduction: Ramadan can alter the course of diseases by changing nutrition patterns, sleep habits, and medication-taking schedules. There are some concerns that patients with asthma may be affected by these alterations during Ramadan and experience deterioration of their symptoms. This study aimed to investigate the effect of fasting in Ramadan on the severity of the disease and spirometric parameters in patients with asthma. Methods: An overall 120 patients with moderate to severe asthma were investigated during Ramadan and categorized into two groups of fasting (60 cases) and non-fasting (60 cases)groups. Patients underwent spirometry before and after Ramadan and asthma control status was also assessed. The parameters measured in spirometry were compared in each group before and after Ramadan and also between the two groups. Results: Spirometric measurements including forced expiratory volume in the first second(FEV1), forced vital capacity (FVC), peak expiratory flow (PEF), and FEV1/FVC were not significantly different before and after Ramadan in both groups of fasting and non-fasting patients. Furthermore, there was no significant difference between the two groups in terms of these spirometric parameters changes from baseline. Nevertheless, FEV1 change in the fasting group was significantly higher than that in the non-fasting group (1.46 ± 5.37 vs. -0.13 ± 3.08,respectively; P = 0.040). Conclusion: The results of this study demonstrated that fasting has no significant effect on the severity of asthma and spirometric findings in patients with moderate to severe asthma.Therefore, fasting during Ramadan can be considered safe for patients with asthma.https://jcvtr.tbzmed.ac.ir/PDF/jcvtr-14-116.pdfasthmafastingramadanspirometry
spellingShingle Mohammad Reza Ghaffary
Ali Talei
Maryam Moradian
Shamsi Ghaffari
The effect of fasting on spirometry indices and respiratory symptoms in asthmatic patients
Journal of Cardiovascular and Thoracic Research
asthma
fasting
ramadan
spirometry
title The effect of fasting on spirometry indices and respiratory symptoms in asthmatic patients
title_full The effect of fasting on spirometry indices and respiratory symptoms in asthmatic patients
title_fullStr The effect of fasting on spirometry indices and respiratory symptoms in asthmatic patients
title_full_unstemmed The effect of fasting on spirometry indices and respiratory symptoms in asthmatic patients
title_short The effect of fasting on spirometry indices and respiratory symptoms in asthmatic patients
title_sort effect of fasting on spirometry indices and respiratory symptoms in asthmatic patients
topic asthma
fasting
ramadan
spirometry
url https://jcvtr.tbzmed.ac.ir/PDF/jcvtr-14-116.pdf
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