Ramadan intermittent fasting and immunity: An important topic in the era of COVID-19.

Mo'ez A-Islam E Faris, Mohamed L Salem, Haitham A Jahrami, Mohamed I Madkour, Ahmed S BaHammam
Author Information
  1. Mo'ez A-Islam E Faris: Department of Clinical Nutrition and Dietetics, College of Health Sciences/Research Institute of Medical and Health Sciences (RIMHS), University of Sharjah, Sharjah, United Arab Emirates.
  2. Mohamed L Salem: Immunology and Biotechnology Division, Department of Zoology, Faculty of Science, Tanta University, Egypt.
  3. Haitham A Jahrami: Rehabilitation Services, Periphery Hospitals, Ministry of Health, Manama, Bahrain.
  4. Mohamed I Madkour: Department of Medical Laboratory Sciences, College of Health Sciences/Research Institute of Medical and Health Sciences (RIMHS), University of Sharjah, Sharjah, United Arab Emirates.
  5. Ahmed S BaHammam: Department of Medicine, College of Medicine, University Sleep Disorders Center, King Saud University, Reyad, Saudi Arabia.

Abstract

WITH the growing pandemic of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome (SARS)-related coronavirus (SARS-CoV-2) infection, a parallel growing interest arose concerning potential preventive and adjunct therapies, dietary and lifestyle modifications, and remedies that may boost the immunity against SARS-CoV-2 infection. Furthermore, as Ramadan intermittent religious fasting that is practiced by about one and a half billion Muslims throughout the globe is coincide this year with COVID-19 pandemic, a growing debate rose concerning the expected impact of fasting during Ramadan month and the associated dietary and lifestyle behaviors on the body's immunity against the pandemic infection. Published literature was searched to find out how intermittent fasting (IF) and its model of Ramadan affect the various aspects related to the body's immunity against microbial infections. IF was found to impact immunity by changing different related elements, including oxidative stress and inflammation, metabolism, body weight, and body composition. Dietary and lifestyle modifications during Ramadan month and their impact on immunity, such as water intake and hydration status, sleep duration and timing, caloric intake and mealtime, and social and spirtual activities, were addressed. Further research is warranted to figure out how IF during ramadan affects immunity against SARS-CoV-2 infection.

Keywords

References

  1. Diabetes Res Clin Pract. 2019 Sep;155:107801 [PMID: 31356832]
  2. Physiol Rev. 2014 Apr;94(2):329-54 [PMID: 24692350]
  3. Nutrients. 2019 Feb 24;11(2): [PMID: 30813495]
  4. J Neuroinflammation. 2014 May 06;11:85 [PMID: 24886300]
  5. Diabetes Res Clin Pract. 2019 Jul;153:166-175 [PMID: 31150725]
  6. J Neurosci Res. 2006 Jun;83(8):1552-7 [PMID: 16521127]
  7. J Med Virol. 2020 May;92(5):479-490 [PMID: 32052466]
  8. J Virol. 2015 Jul;89(14):7425-7 [PMID: 25948748]
  9. Eur J Nutr. 2020 Sep;59(6):2291-2316 [PMID: 32157368]
  10. Endocr Regul. 2009 Oct;43(4):157-68 [PMID: 19908934]
  11. J Pak Med Assoc. 2004 Jan;54(1):6-8 [PMID: 15058633]
  12. J Ayub Med Coll Abbottabad. 2007 Apr-Jun;19(2):15-8 [PMID: 18183711]
  13. J Infect Dis. 2020 Oct 1;222(9):1444-1451 [PMID: 32601708]
  14. Oxid Med Cell Longev. 2016;2016:7432797 [PMID: 27738491]
  15. PLoS Pathog. 2015 Nov 12;11(11):e1005263 [PMID: 26562011]
  16. Age (Dordr). 2016 Feb;38(1):13 [PMID: 26798034]
  17. J Pak Med Assoc. 2015 May;65(5 Suppl 1):S14-7 [PMID: 26013776]
  18. Nutrition. 2018 Jul - Aug;51-52:29-37 [PMID: 29571007]
  19. Adv Nutr. 2016 Jan 15;7(1):66-75 [PMID: 26773015]
  20. Front Immunol. 2018 Oct 30;9:2509 [PMID: 30459770]
  21. Mediators Inflamm. 2014;2014:385297 [PMID: 25548434]
  22. Lancet. 2001 Aug 25;358(9282):651-6 [PMID: 11530173]
  23. Eur J Clin Nutr. 2003 Dec;57 Suppl 2:S6-9 [PMID: 14681707]
  24. Cell Metab. 2018 Jun 05;27(6):1222-1235.e6 [PMID: 29874567]
  25. Public Health Nutr. 2014 Feb;17(2):396-406 [PMID: 23182306]
  26. Adv Chronic Kidney Dis. 2019 Mar;26(2):122-130 [PMID: 31023446]
  27. Sleep Med. 2013 Oct;14(10):1031-4 [PMID: 23993876]
  28. J Ayub Med Coll Abbottabad. 2002 Jan-Mar;14(1):23-5 [PMID: 12043328]
  29. Nutrients. 2019 Aug 16;11(8): [PMID: 31426423]
  30. Br J Nutr. 1990 Mar;63(2):329-37 [PMID: 2334668]
  31. J Immunol Res. 2019 Jul 14;2019:2180409 [PMID: 31396541]
  32. Eur Arch Otorhinolaryngol. 2013 May;270(5):1655-9 [PMID: 23179938]
  33. Trop Doct. 2011 Oct;41(4):233-5 [PMID: 21914677]
  34. Br J Nutr. 2020 Jan 14;123(1):1-22 [PMID: 31581955]
  35. Biomol Concepts. 2018 May 30;9(1):64-79 [PMID: 29856726]
  36. Mol Cell Endocrinol. 2017 Nov 5;455:4-12 [PMID: 28137612]
  37. Chin Med J (Engl). 2020 May 5;133(9):1032-1038 [PMID: 32118640]
  38. Qatar Med J. 2017 Feb 07;2016(2):16 [PMID: 28293538]
  39. Ageing Res Rev. 2019 Aug;53:100910 [PMID: 31116995]
  40. Nutrients. 2017 May 18;9(5): [PMID: 28524103]
  41. Front Immunol. 2017 Nov 27;8:1144 [PMID: 29230208]
  42. BMJ. 2006 Feb 4;332(7536):291-4 [PMID: 16455732]
  43. J Autoimmun. 2020 May;109:102433 [PMID: 32113704]
  44. J Immunol Res. 2015;2015:678164 [PMID: 26417606]
  45. J Ayub Med Coll Abbottabad. 2008 Jul-Sep;20(3):128-31 [PMID: 19610537]
  46. J Relig Health. 2014 Jun;53(3):929-42 [PMID: 23423818]
  47. Autoimmun Rev. 2020 Jun;19(6):102537 [PMID: 32251717]
  48. Kidney Int. 1999 Jul;56(1):244-52 [PMID: 10411699]
  49. Sleep Breath. 2020 Jun;24(2):771-782 [PMID: 31832984]
  50. Nutr Res. 2012 Dec;32(12):947-55 [PMID: 23244540]
  51. Folia Microbiol (Praha). 2013 Nov;58(6):503-13 [PMID: 23504625]
  52. Nutr J. 2014 Jun 17;13:61 [PMID: 24939238]
  53. JAMA. 2020 Apr 28;323(16):1610-1612 [PMID: 32129805]
  54. Oxid Med Cell Longev. 2016;2016:5698931 [PMID: 26881031]
  55. Hum Exp Toxicol. 2014 Dec;33(12):1277-83 [PMID: 24651824]
  56. Nat Rev Immunol. 2006 Oct;6(10):772-83 [PMID: 16998510]
  57. Open Respir Med J. 2011;5:31-43 [PMID: 21754974]
  58. Prog Cardiovasc Dis. 2020 May - Jun;63(3):383-385 [PMID: 32061635]
  59. Circ Res. 2002 Jun 14;90(11):1222-30 [PMID: 12065326]
  60. Pak J Med Sci. 2016 Jan-Feb;32(1):18-21 [PMID: 27022337]
  61. Andrologia. 2018 Dec;50(11):e13126 [PMID: 30569652]
  62. Front Aging Neurosci. 2017 Nov 03;9:365 [PMID: 29163145]
  63. PLoS One. 2019 Dec 10;14(12):e0226034 [PMID: 31821377]
  64. Tob Induc Dis. 2020 Mar 20;18:20 [PMID: 32206052]
  65. Gut Microbes. 2013 Nov-Dec;4(6):475-81 [PMID: 23811829]
  66. Avicenna J Med Biotechnol. 2010 Jan;2(1):47-52 [PMID: 23407146]
  67. Eur J Clin Nutr. 2003 Dec;57 Suppl 2:S30-8 [PMID: 14681711]
  68. Sleep Breath. 2017 Sep;21(3):577-586 [PMID: 28190167]

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