Lipids, Lipoprotein Distribution and Nutritional Parameters over the Ramadan Period in Hemodialysis Patients

Bayan Tashkandi, Deepinder Kaur, Eno Latifi, Dina A. Tallman, Karuthan Chinna, Zulfitri Azuan Mat Daud, Tilakavati Karupaiah, Hanadi Alhozali, Pramod Khosla

Research output: Contribution to journalArticle

Abstract

The period of Ramadan (R) is associated with dramatic changes in eating habits involving extended periods of fasting on a daily basis. The current study assessed whether lipids and lipoproteins were impacted during R in chronic hemodialysis (HD) patients. Forty-five subjects in an outpatient dialysis clinic in Saudi Arabia were evaluated for anthropometric and lipid changes on a monthly basis before, during as well as one and two months after R. In addition to routine biochemical measures, anthropometric assessments including hand-grip strength (HGS), mid-arm muscle circumference (MAMC), plasma lipids and lipoproteins were evaluated. Dietary assessment was carried out using 24 h recalls. Over the course of the study, changes in renal-related parameters (creatinine, albumin, Kt/V) were minor, as were changes in plasma lipids. Large high-density lipoproteins (HDLs) and low-density lipoproteins (LDLs) accounted for the majority of their respective lipoproteins and their proportions did not change over the study period. Mean LDL particle diameters were higher during the R period, but the changes over the study period were small. Calorie intake during R (2139 ± 709 kcal/d) was significantly higher than the value noted two month post-R (1755 ± 424 kcal/d) and this was associated with significant increases in protein (69 ± 24 vs. 60 ± 24 g/d) and fat (97 ± 38, vs. 73 ± 35 g/d), respectively. No changes were noted with respect to HGS and MAMC. These data show that for HD patients, the period of R results in temporal or non-significant effects on plasma lipids, despite changes in nutrient intake.

Original languageEnglish
JournalNutrients
Volume11
Issue number9
DOIs
Publication statusPublished - 14 Sep 2019
Externally publishedYes

Fingerprint

hemodialysis
lipoproteins
blood lipids
Lipoproteins
Renal Dialysis
Hand Strength
low density lipoprotein
Lipids
hands
lipids
muscles
LDL Lipoproteins
high density lipoprotein
Saudi Arabia
dialysis
eating habits
nutrient intake
creatinine
fasting
albumins

Keywords

  • anthropometrics
  • hemodialysis
  • lipoprotein particles
  • nutrition
  • plasma lipids
  • Ramadan

ASJC Scopus subject areas

  • Food Science
  • Nutrition and Dietetics

Cite this

Tashkandi, B., Kaur, D., Latifi, E., Tallman, D. A., Chinna, K., Daud, Z. A. M., ... Khosla, P. (2019). Lipids, Lipoprotein Distribution and Nutritional Parameters over the Ramadan Period in Hemodialysis Patients. Nutrients, 11(9). https://doi.org/10.3390/nu11092225

Lipids, Lipoprotein Distribution and Nutritional Parameters over the Ramadan Period in Hemodialysis Patients. / Tashkandi, Bayan; Kaur, Deepinder; Latifi, Eno; Tallman, Dina A.; Chinna, Karuthan; Daud, Zulfitri Azuan Mat; Karupaiah, Tilakavati; Alhozali, Hanadi; Khosla, Pramod.

In: Nutrients, Vol. 11, No. 9, 14.09.2019.

Research output: Contribution to journalArticle

Tashkandi, B, Kaur, D, Latifi, E, Tallman, DA, Chinna, K, Daud, ZAM, Karupaiah, T, Alhozali, H & Khosla, P 2019, 'Lipids, Lipoprotein Distribution and Nutritional Parameters over the Ramadan Period in Hemodialysis Patients', Nutrients, vol. 11, no. 9. https://doi.org/10.3390/nu11092225
Tashkandi, Bayan ; Kaur, Deepinder ; Latifi, Eno ; Tallman, Dina A. ; Chinna, Karuthan ; Daud, Zulfitri Azuan Mat ; Karupaiah, Tilakavati ; Alhozali, Hanadi ; Khosla, Pramod. / Lipids, Lipoprotein Distribution and Nutritional Parameters over the Ramadan Period in Hemodialysis Patients. In: Nutrients. 2019 ; Vol. 11, No. 9.
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