Abstract
Aim
To explore the association of Ramadan fasting with symptoms of depression, anxiety,
and stress in people with diabetes.
Methods
This observational study was conducted at Baqai Institute of Diabetology and Endocrinology
between May-July 2017. Informed consent was taken from each study participant. Demographic
and baseline data was recorded. DASS-21 scale was used to assess symptoms of depression,
anxiety, and stress pre and post Ramadan.
Results
A total of one hundred and fifty people with diabetes participated in this study.
100 people were in fasting group and 50 were in non-fasting group. In fasting group
pre-Ramadan depression, anxiety and stress symptoms were present in 45%, 45%,49% of
people which improved to 23%, 26%, 35% post Ramadan (p-value <0.0001, <0.0001, 0.001)
respectively. In non-fasting group pre-Ramadan depression and anxiety symptoms were
present in 34%, and 50% of people, which improved to 30% and 40% post Ramadan (p-value
0.625, 0.227) respectively, while no improvement was observed in stress symptoms.
Conclusion
There is significant improvement in symptoms of depression, anxiety, and stress in
people with diabetes post-Ramadan fasting.
Keywords
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Article info
Publication history
Published online: November 20, 2020
Accepted:
November 6,
2020
Received in revised form:
October 2,
2020
Received:
August 8,
2020
Identification
Copyright
© 2020 Elsevier B.V. All rights reserved.
