Effects of Ramadan Gasting on Postural Balance and Attentional Capacities in Elderly People

Overview

Journal J Nutr Health Aging

Specialties Geriatrics
Nutritional Sciences

Date 2016 Apr 23

PMID 27102795

Citations 6

Authors

R Laatar

R Borji

R Baccouch

F Zahaf

H Rebai

S Sahli

Affiliations

Soon will be listed here.

Abstract

Objective: To evaluate the effects of Ramadan fasting on postural balance and attentional capacities in older adults.

Setting: the Neurophysiology department of a University Hospital.

Participants: Fifteen males aged between 65 and 80 years were asked to perform a postural balance protocol and a simple reaction time (SRT) test in four testing phases: one week before Ramadan (BR), during the second (SWR) and the fourth week of Ramadan (FWR) and 3 weeks after Ramadan (AR).

Measurements: Postural balance measurements were recorded in the bipedal stance in four different conditions: firm surface/eyes open (EO), firm surface/eyes closed (EC), foam surface/EO and foam surface/EC using a force platform.

Results: Results of the present study demonstrated that center of pressure (CoP) mean velocity (CoPVm), medio-lateral length (CoPLX) and antero-posterior length (CoPLY) were significantly higher during the SWR than BR. Likewise, values of CoPVm and CoPLX increased significantly during the FWR compared to BR. The CoPLX decreased significantly in the FWR compared to the SWR. Values of CoPVm and CoPLX were significantly higher AR in comparison with BR. In addition, SRT values increased significantly during the SWR and the FWR than BR.

Conclusion: Ramadan fasting affects postural balance and attentional capacities in the elderly mainly in the SWR and it may, therefore, increase the risk of fall and fall-related injuries. More than three weeks are needed for older adults to recover postural balance impairment due to Ramadan fasting.

Citing Articles

Time-Restricted Eating Benefits on Pulmonary Function and Postural Balance in Overweight or Obese Women.

Miladi S, Hammouda O, Ameur R, Miladi S, Feki W, Driss T Nutrients. 2024; 16(17).

PMID: 39275235 PMC: 11397302. DOI: 10.3390/nu16172919.

Ramadhan fasting for people living with chronic illness: A narrative literature review.

Ras T, Holdman R, Matthews D S Afr Fam Pract (2004). 2024; 66(1):e1-e6.

PMID: 38299530 PMC: 10839217. DOI: 10.4102/safp.v66i1.5805.

Risk Stratification in People with Diabetes for Fasting During Ramadan: Consensus from Arabic Association for the Study of Diabetes and Metabolism.

Shaltout I, Abdelwahab A, El Meligi A, Hammad H, Abdelghaffar S, Elbahry A Curr Diabetes Rev. 2023; 20(7):e201023222409.

PMID: 37867270 PMC: 11041120. DOI: 10.2174/0115733998249793231005105724.

Anthropometric, Psychosocial, Physiological, and Postural Observances During Ramadan in Men With Chronic Obstructive Pulmonary Disease.

Mekki M, Paillard T, Bouhlel E, Shephard R, Tabka Z, Trabelsi Y Am J Mens Health. 2022; 16(1):15579883221078141.

PMID: 35184575 PMC: 8864263. DOI: 10.1177/15579883221078141.

Prolonged nightly fasting and lower-extremity functioning in community-dwelling older adults.

Estrada-deLeon D, Struijk E, Caballero F, Sotos Prieto M, Rodriguez-Artalejo F, Lopez-Garcia E Br J Nutr. 2020; 126(9):1347-1354.

PMID: 33371909 PMC: 8505711. DOI: 10.1017/S0007114520005218.

References

Roky R, Chapotot F, Benchekroun M, Benaji B, Hakkou F, Elkhalifi H . Daytime sleepiness during Ramadan intermittent fasting: polysomnographic and quantitative waking EEG study. J Sleep Res. 2003; 12(2):95-101. DOI: 10.1046/j.1365-2869.2003.00341.x. View

Hakkou F, Tazi A, Iraki L . Ramadan, health, and chronobiology. Chronobiol Int. 1994; 11(5):340-2. DOI: 10.3109/07420529409057250. View

Waterhouse J . Effects of Ramadan on physical performance: chronobiological considerations. Br J Sports Med. 2010; 44(7):509-15. DOI: 10.1136/bjsm.2007.071712. View

Teasdale N, Stelmach G, Breunig A . Postural sway characteristics of the elderly under normal and altered visual and support surface conditions. J Gerontol. 1991; 46(6):B238-44. DOI: 10.1093/geronj/46.6.b238. View

Suhr J, Hall J, Patterson S, Niinisto R . The relation of hydration status to cognitive performance in healthy older adults. Int J Psychophysiol. 2004; 53(2):121-5. DOI: 10.1016/j.ijpsycho.2004.03.003. View

Gomez S, Patel M, Berg S, Magnusson M, Johansson R, Fransson P . Effects of proprioceptive vibratory stimulation on body movement at 24 and 36h of sleep deprivation. Clin Neurophysiol. 2008; 119(3):617-625. DOI: 10.1016/j.clinph.2007.10.058. View

Goble D, Coxon J, Wenderoth N, Van Impe A, Swinnen S . Proprioceptive sensibility in the elderly: degeneration, functional consequences and plastic-adaptive processes. Neurosci Biobehav Rev. 2008; 33(3):271-8. DOI: 10.1016/j.neubiorev.2008.08.012. View

Robillard R, Prince F, Filipini D, Carrier J . Aging worsens the effects of sleep deprivation on postural control. PLoS One. 2011; 6(12):e28731. PMC: 3233602. DOI: 10.1371/journal.pone.0028731. View

Tinetti M, Speechley M, Ginter S . Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988; 319(26):1701-7. DOI: 10.1056/NEJM198812293192604. View

10.

Tinetti M, Baker D, McAvay G, Claus E, Garrett P, Gottschalk M . A multifactorial intervention to reduce the risk of falling among elderly people living in the community. N Engl J Med. 1994; 331(13):821-7. DOI: 10.1056/NEJM199409293311301. View

11.

Whipple R, Wolfson L, Amerman P . The relationship of knee and ankle weakness to falls in nursing home residents: an isokinetic study. J Am Geriatr Soc. 1987; 35(1):13-20. DOI: 10.1111/j.1532-5415.1987.tb01313.x. View

12.

Gibson E, Green M . Nutritional influences on cognitive function: mechanisms of susceptibility. Nutr Res Rev. 2008; 15(1):169-206. DOI: 10.1079/NRR200131. View

13.

Maki B, Cheng K, Mansfield A, Scovil C, Perry S, Peters A . Preventing falls in older adults: new interventions to promote more effective change-in-support balance reactions. J Electromyogr Kinesiol. 2007; 18(2):243-54. DOI: 10.1016/j.jelekin.2007.06.005. View

14.

Qiu F, Cole M, Davids K, Hennig E, Silburn P, Netscher H . Enhanced somatosensory information decreases postural sway in older people. Gait Posture. 2012; 35(4):630-5. DOI: 10.1016/j.gaitpost.2011.12.013. View

15.

Gschwind Y, Kressig R, Lacroix A, Muehlbauer T, Pfenninger B, Granacher U . A best practice fall prevention exercise program to improve balance, strength / power, and psychosocial health in older adults: study protocol for a randomized controlled trial. BMC Geriatr. 2013; 13:105. PMC: 3852637. DOI: 10.1186/1471-2318-13-105. View

16.

Roky R, Iraki L, HajKhlifa R, Lakhdar Ghazal N, Hakkou F . Daytime alertness, mood, psychomotor performances, and oral temperature during Ramadan intermittent fasting. Ann Nutr Metab. 2000; 44(3):101-7. DOI: 10.1159/000012830. View

17.

Lord S, Clark R, Webster I . Postural stability and associated physiological factors in a population of aged persons. J Gerontol. 1991; 46(3):M69-76. DOI: 10.1093/geronj/46.3.m69. View

18.

Schlesinger A, Redfern M, Dahl R, Jennings J . Postural control, attention and sleep deprivation. Neuroreport. 1998; 9(1):49-52. DOI: 10.1097/00001756-199801050-00010. View

19.

Morad Y, Azaria B, Avni I, BarKana Y, Zadok D, Kohen-Raz R . Posturography as an indicator of fatigue due to sleep deprivation. Aviat Space Environ Med. 2007; 78(9):859-63. View

20.

Berg W, Alessio H, Mills E, Tong C . Circumstances and consequences of falls in independent community-dwelling older adults. Age Ageing. 1997; 26(4):261-8. DOI: 10.1093/ageing/26.4.261. View