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“THE WEEKLY PRESCRIPTION:  Your dose of National Well-Being”A Ramadan Prescription: How to Preserve Your Health and Well-being during a blessed month.

Mar 6, 2024, 12:36 PM | Article By: Dr. Ismail D Badjie, PharmD

The Essence of Ramadan: Unity and Gratitude
As the crescent moon signals the start of Ramadan, a blanket of unity and gratitude envelops the Muslim community worldwide. This holy month is a time when the spiritual realm intertwines with the physical, and fasting serves as a bridge between self-discipline and self-awareness. The beauty of Ramadan extends beyond mere abstinence from food and drink; it is a period of reflection, community bonding, and a profound appreciation for life’s blessings.

In the warmth of most dinner tables, the ceremonial whisper “allahuma inni laka sumtu, wa bika aamantu, wa’alaa riz-qi-ka af-tar-tu” (‘O Allah, I have fasted for You, believed in You, placed my trust in You, and broken my fast on your provision’) by family members gathered as they pick up a date is not just a tradition, but a reminder of the true purpose of our fast. It is the embodiment of belief and trust in the Almighty, and the breaking of the fast is as much a spiritual moment as it is a physical replenishment.

Intermittent Fasting: The Reality of Ramadan and what actually happens.

During a 12-hour period of intermittent fasting, such as that practiced during Ramadan, the body undergoes a series of physiological changes that promote detoxification and cellular repair. When the body is in a fasted state, insulin levels drop, and the body begins to burn stored fat for energy. This metabolic shift triggers a process called autophagy, which is essentially the body’s way of cleaning out damaged cells and regenerating new, healthier ones.

Autophagy is a natural process that occurs when the body is under stress, such as during fasting. During this process, the body breaks down and recycles old, damaged proteins and cellular components, making way for new, healthy cells to take their place. This cellular renewal process has been linked to numerous health benefits, including improved brain function, increased longevity, and reduced inflammation throughout the body.

Moreover, the act of fasting allows the digestive system to rest and repair itself, reducing the burden of constantly processing food and allowing the body to focus on other vital functions. This temporary break from digestion also enables the liver to detoxify more efficiently, filtering out toxins and waste products that may have accumulated over time.

The spiritual practice of fasting during Ramadan, therefore, can be seen as a manifestation of God’s grace and wisdom, providing an opportunity for both spiritual growth and physical renewal. By embracing the discipline of fasting and focusing on prayer and reflection, individuals can cultivate a deeper connection with their faith while also allowing their bodies to heal and rejuvenate. The month-long practice of intermittent fasting serves as a reminder of the body’s innate resilience and the importance of mindfulness in maintaining overall health and well-being.

The Dangers of Meal Cramming: A Recipe for Digestive Distress

Picture this: you’ve just completed a day of fasting, and the aroma of “benachin” (rice cooked with vegetables and meat) and “domoda” (a peanut butter-based stew) fills the air. These traditional Gambian dishes, while undeniably delicious, can be calorie bombs waiting to sabotage your health goals. A single serving of these rice-based meals, with their sauces often cooked in generous amounts of oil or peanut butter, can easily clock in at 1000–1500 calories. To put that into perspective, every fist-sized portion of cooked white rice alone is about 100g, or 130 calories.

One of the most concerning aspects of Ramadan eating habits is the tendency to cram both the iftar (breakfast) and dinner meals, which are typically spread out over a 6 to 8-hour period during other months, into a much shorter 3 to 4-hour window between Maghrib (sunset) and bedtime. This practice, while customary, can be incredibly harmful to our digestive system and overall health.

When we consume large amounts of food in a short period, our bodies struggle to properly digest and absorb the nutrients. This can lead to a host of digestive issues, such as bloating, gas, and acid reflux. Moreover, the traditional Ramadan meals are often accompanied by sugary desserts and local juices, which, although not considered “meals” per se, can easily add over 1000 calories to our daily intake without providing much nutritional value.

Here’s where the math gets scary: if individual eats a surplus of 1500 calories above their daily recommended intake, they could be consuming an extra 45,000 calories over the course of the month. To put that into perspective, dividing that number by 3500 (the number of calories in one pound of fat) or 7700 (the number of calories in one kilogram of fat) reveals a potential weight gain of 12.8 pounds (5.8 kg) in just one month!

It’s crucial to remember that God did not intend for us to harm our bodies during this sacred month. The Quran itself states, “Eat and drink, but do not be excessive. Indeed, He does not like those who commit excess” (7:31). By being mindful of our portion sizes, making healthier food choices, and allowing our bodies sufficient time to digest between meals, we can honor the true spirit of Ramadan while safeguarding our health and well-being.

In the end, it’s up to each individual to find a balance that works for them, one that enables them to fully embrace the spiritual benefits of Ramadan while also nourishing their bodies in a way that promotes long-term health and vitality.

The Significance of Sleep:

During Ramadan, it is crucial to prioritize sleep and rest to maintain overall health and well-being. While the late-night prayers and early morning suhoor can disrupt normal sleep patterns, it is essential to aim for a minimum of 6 hours of sleep each night. If this is not possible, consider taking short naps between prayer times, particularly in the afternoon, to help reduce sleep debt and recharge your body and mind.

Lack of sleep can have significant negative impacts on both physical and mental health. When we are sleep-deprived, our bodies produce higher levels of stress hormones, such as cortisol, which can lead to inflammation, impaired immune function, and an increased risk of chronic diseases like diabetes, heart disease, and obesity. Additionally, insufficient sleep can affect our cognitive abilities, leading to decreased alertness, impaired decision-making, and reduced emotional regulation.

To mitigate these health risks, it is essential to create a sleep schedule that works in harmony with your Ramadan routine. Try to establish consistent sleep and wake times, create a relaxing bedtime routine, and ensure that your sleep environment is cool, quiet, and comfortable. By prioritizing sleep and taking steps to maintain a healthy sleep pattern, you can help your body and mind recover from the demands of fasting and fully embrace the spiritual benefits of this sacred month.

The Importance of Balanced Nutrition and Exercise

To truly benefit from the spiritual and physical aspects of Ramadan, it is essential to approach the iftar and suhoor meals with a plan that emphasizes balance and nutritional value. Opting for a diet rich in vegetables, lean proteins, healthy fats, and complex carbohydrates, while minimizing sugars and processed foods, can help maintain health and vigor throughout the month.

One way to ensure a balanced diet is to follow the “MyPlate” guidelines, which recommend filling half of your plate with fruits and vegetables, a quarter with lean proteins, and the remaining quarter with whole grains. By incorporating a variety of nutrient-dense foods into your meals, you can provide your body with the essential vitamins, minerals, and fiber it needs to function optimally during the fasting period.

In addition to a balanced diet, staying hydrated is crucial during Ramadan. With limited time available for drinking water, dehydration can lead to various health issues, including kidney problems, reduced cognitive function, and fatigue. To mitigate these risks, make a conscious effort to drink plenty of water and other hydrating fluids, such as coconut water or herbal teas, during the non-fasting hours. Aim for at least 8–10 glasses of water between iftar and suhoor to keep your body properly hydrated.

Another often-overlooked aspect of maintaining health during Ramadan is the importance of low-intensity exercise. Engaging in activities such as walking or jogging, either right before iftar or immediately after meals, can significantly aid digestion and promote overall well-being. Exercise helps stimulate the digestive system, reducing the risk of bloating, constipation, and other gastrointestinal discomforts that may arise from the changes in eating patterns during the month.

Moreover, incorporating low-intensity exercise into your Ramadan routine can also serve as an excellent opportunity for family bonding. After breaking the fast and completing the evening prayers, consider gathering your loved ones for a leisurely walk around the neighborhood or finding a safe, well-lit place to stroll and converse. Not only will this help support your physical health, but it can also foster a sense of connection and togetherness during this sacred time.

By making a conscious effort to prioritize balanced nutrition, hydration, and low-intensity exercise, you can create a more holistic approach to Ramadan that nourishes both your spiritual and physical well-being. Remember, the goal is not to deprive yourself or push your body to its limits, but rather to find a balanced way to honor the traditions of the month while maintaining your health and vitality.

A Vital Reminder: Prioritizing Health and Medication Adherence

For individuals living with chronic health conditions such as uncontrolled diabetes, heart failure, or hypertension, it is crucial to recognize that fasting during Ramadan may not be advisable. The decision to fast should be made in consultation with a healthcare professional who can assess your individual health status and provide personalized recommendations.

It is a tragic reality that many communities witness an increase in mortality and hospitalization rates during and immediately after Ramadan, often due to a lack of medication adherence. When individuals prioritize fasting over their prescribed treatment plans, they put their health and lives at risk. This is particularly concerning for those with diabetes, as episodes of hypoglycemia (low blood sugar) during the day can have grave consequences, while overconsumption during the evening meals can lead to dangerous spikes in blood sugar levels.

If you are taking prescription medications, it is essential to maintain your regular dosing schedule to the best of your ability. A general guideline is to align your medication intake with meals that you are least likely to miss. For many, this tends to be the iftar meal rather than suhoor, as some individuals may choose to prioritize sleep over the pre-dawn meal. If your medication is prescribed as one tablet daily, consider keeping your medication bottle near your plate of dates and taking it immediately after breaking your fast. For medications prescribed as one tablet twice daily, taking them immediately after iftar and right before bedtime can help ensure adherence, as oversleeping may lead to missed doses during suhoor.

However, it is crucial to remember that these are general guidelines, and the most important message is this: if you are not well enough to fast safely, do not put your health at risk. The Islamic faith already provides provisions for those who are unable to fast due to health concerns, such as feeding a household in lieu of fasting. Your well-being should always be the top priority, and this includes strictly adhering to your prescribed medication regimen.

Conclusion

Ramadan is a time for spiritual reflection, self-discipline, and community bonding. While fasting is an integral part of this sacred month, it is essential to approach it with a balanced and health-conscious mindset. By understanding the physiological impact of intermittent fasting, making mindful choices about nutrition and hydration, incorporating low-intensity exercise, and prioritizing medication adherence for those with chronic conditions, individuals can fully embrace the transformative potential of Ramadan while safeguarding their physical well-being.

Remember, the true essence of Ramadan lies in spiritual growth and the cultivation of compassion, gratitude, and self-reflection. By nurturing our bodies and minds in a balanced manner, we can deepen our connection with faith and emerge from this holy month with renewed strength, clarity, and purpose. May Allah accept all of our prayers and fasting. May He also soften our hearts to forgive those who have wronged us.

In peace, love, and good health,

Dr. IDB.

For more information, follow the work of Dr. Badjie and his Innovarx WOW team on www.igh.gm and on social media @innovarxglobal or call +2866200.  Ismail is also the author of newly released book “LIFE AS A HYPHEN” available at Timbooktoo Bookstore and Kairo Café (Fajara).

Disclaimer: The information provided in this article is for general understanding and does not constitute a diagnosis. For specific concerns or detailed health advice, always consult your designated healthcare professional.