Is it safe for Multiple Sclerosis patients to fast?
Ramadan fasting predispose multiple sclerosis (MS) patients to a great challenge. Clinicians should have practical knowledge about the effects of fasting on MS. A mini-symposium was held in 2013 to answer the common questions about fasting in MS patients. In current review we present a summary of th...
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doaj-33e31ef6448740d0b8fb0dd5eb8b47662020-11-25T01:54:36ZengMashhad University of Medical SciencesJournal of Fasting and Health2345-25872345-25872015-12-013414414710.22038/jfh.2015.61426142Is it safe for Multiple Sclerosis patients to fast?Soodeh Razeghi Jahromi0PhD, assistant professor, MS Research Center- Neuroscience Institute, Sina Hospital, Tehran University of Medical Sciences, Tehran, IranRamadan fasting predispose multiple sclerosis (MS) patients to a great challenge. Clinicians should have practical knowledge about the effects of fasting on MS. A mini-symposium was held in 2013 to answer the common questions about fasting in MS patients. In current review we present a summary of the mentioned mini-symposium.<br/>Generally, fasting is possible for most stable MS patients. Thorough monitoring of symptoms, proper adjustment of drug regimens, as well as, providing patients with evidences on MS and fasting are inevitable parts of management. Data from experimental studies proposed that calorie restriction prior to disease induction ameliorated disease severity by reducing inflammation and demyelination. According to the results of the mini-symposium, fasting doesn’t have adverse effects on disease course in patients with mild disability (Expanded Disability Status Scale (EDSS) score ≤3). There was a general consensus that during fasting (especially in summer), some MS symptoms (such as dizziness, fatigue, fatigue perception, cognitive problems, spasticity, vision, weakness, gait, and balance) may exacerbate. However, they return to normal levels during feasting period. A majority of experts did not recommend fasting to patients: with EDSS score of 7 or more, during attacks, with active disease or coagulopathy; on high doses of anti-spastics, corticosteroids, and anti-convulsants.http://jnfh.mums.ac.ir/article_6142_b57c8c7f05fb6d8b1d5c107d382c01f7.pdfIslamic fastingMultiple SclerosisCalorie restrictionExpanded Disability Status Scale (EDSS) |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Soodeh Razeghi Jahromi |
spellingShingle |
Soodeh Razeghi Jahromi Is it safe for Multiple Sclerosis patients to fast? Journal of Fasting and Health Islamic fasting Multiple Sclerosis Calorie restriction Expanded Disability Status Scale (EDSS) |
author_facet |
Soodeh Razeghi Jahromi |
author_sort |
Soodeh Razeghi Jahromi |
title |
Is it safe for Multiple Sclerosis patients to fast? |
title_short |
Is it safe for Multiple Sclerosis patients to fast? |
title_full |
Is it safe for Multiple Sclerosis patients to fast? |
title_fullStr |
Is it safe for Multiple Sclerosis patients to fast? |
title_full_unstemmed |
Is it safe for Multiple Sclerosis patients to fast? |
title_sort |
is it safe for multiple sclerosis patients to fast? |
publisher |
Mashhad University of Medical Sciences |
series |
Journal of Fasting and Health |
issn |
2345-2587 2345-2587 |
publishDate |
2015-12-01 |
description |
Ramadan fasting predispose multiple sclerosis (MS) patients to a great challenge. Clinicians should have practical knowledge about the effects of fasting on MS. A mini-symposium was held in 2013 to answer the common questions about fasting in MS patients. In current review we present a summary of the mentioned mini-symposium.<br/>Generally, fasting is possible for most stable MS patients. Thorough monitoring of symptoms, proper adjustment of drug regimens, as well as, providing patients with evidences on MS and fasting are inevitable parts of management. Data from experimental studies proposed that calorie restriction prior to disease induction ameliorated disease severity by reducing inflammation and demyelination. According to the results of the mini-symposium, fasting doesn’t have adverse effects on disease course in patients with mild disability (Expanded Disability Status Scale (EDSS) score ≤3). There was a general consensus that during fasting (especially in summer), some MS symptoms (such as dizziness, fatigue, fatigue perception, cognitive problems, spasticity, vision, weakness, gait, and balance) may exacerbate. However, they return to normal levels during feasting period. A majority of experts did not recommend fasting to patients: with EDSS score of 7 or more, during attacks, with active disease or coagulopathy; on high doses of anti-spastics, corticosteroids, and anti-convulsants. |
topic |
Islamic fasting Multiple Sclerosis Calorie restriction Expanded Disability Status Scale (EDSS) |
url |
http://jnfh.mums.ac.ir/article_6142_b57c8c7f05fb6d8b1d5c107d382c01f7.pdf |
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