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The Journal of Clinical Endocrinology & Metabolism Vol. 82, No. 4 1261-1273
Copyright © 1997 by The Endocrine Society


Clinical Studies

Ramadan Diet Restrictions Modify the Circadian Time Structure in Humans. A Study on Plasma Gastrin, Insulin, Glucose, and Calcium and on Gastric pH1

L. Iraki, A. Bogdan, F. Hakkou, N. Amrani, A. Abkari and Y. Touitou

Hassan II Foundation for Scientific and Medical Research on Ramadan (L.I., F.H.), Faculté de Médecine et de Pharmacie, Casablanca, Morocco; Service de Biochimie (A.B., Y.T.), Faculté de Médecine Pitié-Salpêtrière, 75013 Paris, France; Service d’Exploration Fonctionnelle Digestive (N.A.), Hôpital Ibn Sina, Souissi, Rabat, Morocco; and Hôpital Bnou Rochd (A.A.), Service de P3, Casablanca, Morocco

Address all correspondence and requests for reprints to: Pr Yvan Touitou, Department of Biochemistry, Faculty of Medicine Pitié-Salpêtrière, 91 Bd de l’Hôpital, 75013 Paris, France.

The rule of Ramadan (1 month of food and water intakes re-stricted to night hours) is followed by the majority of the Moslem fraction of the human population, but the possible consequences of this long-lasting modification of food intake schedule on public health have not yet been extensively documented. Therefore, a group of healthy control subjects and a group of healed duodenal ulcer patients were studied before (controls), during (both groups), and after (both groups) the month of Ramadan. The time-restricted food and water intakes were associated with variations of gastric pH, plasma gastrin, insulin, glucose, and calcium documented on a circadian basis. All of the studied biological variables, except insulin, underwent changes in their 24-h mean concentration (e.g. decrease in gastric pH, increase in plasma gastrin), some of which were still present 1 month after the end of Ramadan. The circadian patterns of all the studied variables were altered during the month of Ramadan. Some differences between the group of healthy control subjects and the group of healed duodenal ulcer patients may suggest a greater susceptibility of the latter to the modifications of feeding and sleeping schedule, which could possibly be a risk factor for the disease.




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Copyright © 1997 by The Endocrine Society