Fasting with chronic medical conditions? Know these tips
With right and personalised advice, fasting is possible for those with chronic conditions
Abu Dhabi: With the start of the holy month of Ramadan, Muslims begin a journey of spiritual contemplation, strengthening the faith, and living the values and lessons of fasting during this sacred season.
While fasting has many known benefits – such as improved circulation, enhanced immune function, and improved cardiovascular health, not everyone can participate in this religious observance without careful considerations.
Personalised medical advice
Individuals with pre-existing medical conditions or chronic illnesses may face unique challenges in adhering to fasting traditions due to their ongoing treatment.
However, with careful planning and guidance from healthcare professionals, it is still possible to fast for those with medical conditions – such as colorectal cancer and multiple sclerosis (MS).
Dr. Riyaz Thottakurichi, Staff Physician, Primary Care Medicine, Medical Subspecialties Institute at Cleveland Clinic Abu Dhabi, emphasises the importance of personalised medical advice for patients choosing to fast during Ramadan.
Considering factors such as medication interaction, metabolic demand, and physiological responses to fasting are crucial in determining the feasibility of fasting for individuals with chronic medical conditions,” Dr. Thottakurichi explained.
“While fasting may be possible for many patients with chronic conditions, every individual’s health needs are unique,” said Dr. Thottakurichi.
“For instance, individuals with colorectal cancer may need to adjust their dietary intake and medication schedule, while those with MS should be mindful of managing fatigue and hydration levels during fasting hours.
He also added that fasting can pose greater challenges for MS patients with higher levels of physical impairment, as immobility and other related issues may lead to more prone to conditions such as constipation and urinary tract infections.
“Considering factors such as medication interaction, metabolic demand, and physiological responses to fasting are crucial in determining the feasibility of fasting for individuals with chronic medical conditions,” Dr. Thottakurichi explained.
To help individuals with chronic medical conditions navigate Ramadan fasting safely, here are some tips and healthy habits to consider:
1. Consult your physician
It is advisable to consult a physician and nutritionist before deciding to fast. It is crucial for patients to assess their health status and understand the proper way to practise fasting. Failure to adopt healthy habits during Ramadan fasting can lead to aggravation of pre-existing medical conditions, exposure to health problems, or excess weight gain.
2. Stay hydrated
Ensure sufficient hydration by drinking enough water (at least 10 glasses) between iftar and suhoor, especially for individuals with conditions like multiple sclerosis that may increase susceptibility to heat-related issues. Caffeinated drinks such as coffee, tea and soda should also be avoided as they can cause frequent urination which leads to dehydration.
3. Plan your meals wisely
Focus on consuming nutrient-dense foods during suhoor (pre-dawn meal) and iftar (evening meal) to support your health and energy levels throughout the day.
Avoid diets high in sodium and fried or processed food. Additionally, for diabetic patients, it’s crucial to cut down on foods and drinks rich in sugar during iftar.
4. 'Listen' to your body
Pay attention to how your body responds to fasting and adjust your routine accordingly. If you experience significant discomfort or worsening symptoms, consider modifying your fasting practices by seeking medical advice.
5. Exercise moderately
Fasting and dehydration can naturally cause lethargy and make your routine sedentary. However, it is important to exercise in moderate amounts to stay functional and healthy. Remaining active helps reduce fatigue, gives your body the strength to keep going and is a good opportunity to lose weight, if needed.
It’s best to exercise just before suhoor or a few hours after iftar to make the most of your workouts. Also, consult your physician before adopting a workout routine during Ramadan, to ensure a balance between your treatment and fitness.
Ramadan fasting can be a spiritually enriching experience for individuals with chronic medical conditions, provided that it is approached with careful consideration and medical supervision.
By following these tips and seeking personalised advice from healthcare professionals, individuals can observe and enjoy the joyous period of Ramadan while managing their health effectively.