Ramadan Fasting Improves Body Composition without Exacerbating Depression in Males with Diagnosed Major Depressive Disorders

Background: Ramadan fasting (RF) is a form of intermittent fasting that generally improves body composition and related metabolic profiles. Whether RF exacerbates depressive symptomatology in individuals diagnosed with major depressive disorder (MDD) is undetermined. Methods: 100 men, who lived in B...

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Main Authors: Haitham Jahrami, Ahmed S. BaHammam, Eman Ahmed Haji, Nicola L. Bragazzi, Ihab Rakha, Amani Alsabbagh, Boya Nugraha, Stefan M. Pasiakos
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/13/8/2718
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author Haitham Jahrami
Ahmed S. BaHammam
Eman Ahmed Haji
Nicola L. Bragazzi
Ihab Rakha
Amani Alsabbagh
Boya Nugraha
Stefan M. Pasiakos
author_facet Haitham Jahrami
Ahmed S. BaHammam
Eman Ahmed Haji
Nicola L. Bragazzi
Ihab Rakha
Amani Alsabbagh
Boya Nugraha
Stefan M. Pasiakos
author_sort Haitham Jahrami
collection DOAJ
description Background: Ramadan fasting (RF) is a form of intermittent fasting that generally improves body composition and related metabolic profiles. Whether RF exacerbates depressive symptomatology in individuals diagnosed with major depressive disorder (MDD) is undetermined. Methods: 100 men, who lived in Bahrain and were between the ages of 18 and 64 years with an established diagnosis of MDD, participated in this 4-week study. Based on preference, participants were assigned to a fasting group (FG, <i>n</i> = 50) and a non-fasting group (NFG, <i>n</i> = 50). The FG engaged in fasting from 03:40 to 18:10 (dawn and dusk timings). Changes in depressive symptoms, body mass, body composition, and components of metabolic syndrome were measured. Results: There were no significant changes in depressive symptoms within the FG vs. NFG after controlling for baseline covariates: mean difference 0.49 (SE = 0.63), <i>p</i> = 0.43. No adverse effects were reported in either group. The FG experienced significant reductions in body mass, 1.87 kg, <i>p</i> = 0.001; body mass index, 0.69 kg/m<sup>2</sup>, <i>p</i> = 0.001; body fat, 0.87%, <i>p</i> = 0.001; body surface area, 0.03 m<sup>2</sup>, <i>p</i> = 0.001; and lean mass, 0.77 kg, <i>p</i> = 0.001. Conclusions: RF did not negatively affect depressive symptoms and improved body composition, suggesting short-term intermittent fasting may be a safe dietary practice for adult males with MDD.
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spelling doaj.art-adf7777281904135b32ecb8d2598c3e22023-11-22T09:05:03ZengMDPI AGNutrients2072-66432021-08-01138271810.3390/nu13082718Ramadan Fasting Improves Body Composition without Exacerbating Depression in Males with Diagnosed Major Depressive DisordersHaitham Jahrami0Ahmed S. BaHammam1Eman Ahmed Haji2Nicola L. Bragazzi3Ihab Rakha4Amani Alsabbagh5Boya Nugraha6Stefan M. Pasiakos7Ministry of Health, Manama 410, BahrainUniversity Sleep Disorders Center, Department of Medicine, College of Medicine, King Saud University, P.O. Box 225503, Riyadh 11324, Saudi ArabiaMinistry of Health, Manama 410, BahrainLaboratory for Industrial and Applied Mathematics, Departments and Statistics, York University, Toronto, ON M3J 1P3, CanadaMinistry of Health, Manama 410, BahrainMinistry of Health, Manama 410, BahrainDepartment of Rehabilitation Medicine, Hannover Medical School, 30625 Hannover, GermanyMilitary Nutrition Division, U.S. Army Research Institute of Environmental Medicine, Natick, MA 01760, USABackground: Ramadan fasting (RF) is a form of intermittent fasting that generally improves body composition and related metabolic profiles. Whether RF exacerbates depressive symptomatology in individuals diagnosed with major depressive disorder (MDD) is undetermined. Methods: 100 men, who lived in Bahrain and were between the ages of 18 and 64 years with an established diagnosis of MDD, participated in this 4-week study. Based on preference, participants were assigned to a fasting group (FG, <i>n</i> = 50) and a non-fasting group (NFG, <i>n</i> = 50). The FG engaged in fasting from 03:40 to 18:10 (dawn and dusk timings). Changes in depressive symptoms, body mass, body composition, and components of metabolic syndrome were measured. Results: There were no significant changes in depressive symptoms within the FG vs. NFG after controlling for baseline covariates: mean difference 0.49 (SE = 0.63), <i>p</i> = 0.43. No adverse effects were reported in either group. The FG experienced significant reductions in body mass, 1.87 kg, <i>p</i> = 0.001; body mass index, 0.69 kg/m<sup>2</sup>, <i>p</i> = 0.001; body fat, 0.87%, <i>p</i> = 0.001; body surface area, 0.03 m<sup>2</sup>, <i>p</i> = 0.001; and lean mass, 0.77 kg, <i>p</i> = 0.001. Conclusions: RF did not negatively affect depressive symptoms and improved body composition, suggesting short-term intermittent fasting may be a safe dietary practice for adult males with MDD.https://www.mdpi.com/2072-6643/13/8/2718depressionintermittent fastingmood disordersmetabolic syndrome
spellingShingle Haitham Jahrami
Ahmed S. BaHammam
Eman Ahmed Haji
Nicola L. Bragazzi
Ihab Rakha
Amani Alsabbagh
Boya Nugraha
Stefan M. Pasiakos
Ramadan Fasting Improves Body Composition without Exacerbating Depression in Males with Diagnosed Major Depressive Disorders
Nutrients
depression
intermittent fasting
mood disorders
metabolic syndrome
title Ramadan Fasting Improves Body Composition without Exacerbating Depression in Males with Diagnosed Major Depressive Disorders
title_full Ramadan Fasting Improves Body Composition without Exacerbating Depression in Males with Diagnosed Major Depressive Disorders
title_fullStr Ramadan Fasting Improves Body Composition without Exacerbating Depression in Males with Diagnosed Major Depressive Disorders
title_full_unstemmed Ramadan Fasting Improves Body Composition without Exacerbating Depression in Males with Diagnosed Major Depressive Disorders
title_short Ramadan Fasting Improves Body Composition without Exacerbating Depression in Males with Diagnosed Major Depressive Disorders
title_sort ramadan fasting improves body composition without exacerbating depression in males with diagnosed major depressive disorders
topic depression
intermittent fasting
mood disorders
metabolic syndrome
url https://www.mdpi.com/2072-6643/13/8/2718
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