PMID- 16489329
OWN - NLM
STAT- MEDLINE
DCOM- 20061120
LR  - 20060704
IS  - 0954-3007 (Print)
IS  - 0954-3007 (Linking)
VI  - 60
IP  - 7
DP  - 2006 Jul
TI  - Unexpected changes in blood pressure and hematological parameters among fasting 
      and nonfasting workers during Ramadan in Indonesia.
PG  - 877-81
AB  - OBJECTIVE: To examine the effect of Ramadan fasting on basic hematological 
      parameters, in addition to the effects on body weight and blood pressure of 
      fasters and nonfasters. DESIGN, SETTING, AND SUBJECTS: One hundred male outdoor 
      workers at a vehicle terminal in a city in East Java were recruited for this 
      study. Anthropometric measurements and blood sampling were conducted on two 
      separate occasions, just before the start of Ramadan and in the third week of the 
      month of Ramadan (October-November 2004). The degree of subjective compliance 
      with Ramadan fasting (complete, partial, or none) was evaluated using a 
      questionnaire. RESULTS: The mean body mass index (BMI) of the fasting group was, 
      as expected, significantly lower at the second sampling period, and the decrease 
      in BMI correlated significantly with decreased blood pressure in this group. The 
      blood pressure was also reduced in the partial fasting and nonfasting groups, 
      which was an unexpected result. While red blood cell production was suppressed, 
      as evidenced by lower levels of hemoglobin, red blood cell (RBC), and packed cell 
      volume (PCV) at the second sampling, the subjects were normocytic and 
      normochromic, based on normal mean corpuscular volume (MCV), mean corpuscular 
      hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC) levels. 
      CONCLUSIONS: These results indicate that, regardless of fasting status, blood 
      pressure is lower and RBC production is suppressed in subjects during the Ramadan 
      period. These findings should be taken into account when evaluating the effects 
      of Ramadan on the general population. To avoid the adverse effects of anemia, 
      increased intake of iron-rich foodstuffs is recommended during the Ramadan month, 
      regardless of fasting practice.
FAU - Dewanti, L
AU  - Dewanti L
AD  - Department of Human Ecology, University of Tokyo, Tokyo, Japan. 
      lindaperisdiono@yahoo.com
FAU - Watanabe, C
AU  - Watanabe C
FAU - Sulistiawati
AU  - Sulistiawati
FAU - Ohtsuka, R
AU  - Ohtsuka R
LA  - eng
PT  - Journal Article
DEP - 20060208
PL  - England
TA  - Eur J Clin Nutr
JT  - European journal of clinical nutrition
JID - 8804070
RN  - 0 (Hemoglobins)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Analysis of Variance
MH  - Anemia/epidemiology/etiology
MH  - Blood Pressure/*physiology
MH  - Body Mass Index
MH  - Body Weight/*physiology
MH  - *Erythrocyte Count
MH  - *Fasting/blood/physiology
MH  - Hemoglobins/analysis
MH  - Humans
MH  - Indonesia
MH  - *Islam
MH  - Male
MH  - Middle Aged
EDAT- 2006/02/21 09:00
MHDA- 2006/12/09 09:00
CRDT- 2006/02/21 09:00
PHST- 2006/02/21 09:00 [pubmed]
PHST- 2006/12/09 09:00 [medline]
PHST- 2006/02/21 09:00 [entrez]
AID - 1602393 [pii]
AID - 10.1038/sj.ejcn.1602393 [doi]
PST - ppublish
SO  - Eur J Clin Nutr. 2006 Jul;60(7):877-81. doi: 10.1038/sj.ejcn.1602393. Epub 2006 
      Feb 8.