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      Effects of Ramadan on physical capacities of North African boys fasting for the first time

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          Abstract

          Introduction

          Most of the literature related to the effects of Ramadan fasting on physical performance has focused on adults, and only three studies have examined its impact on children’s physical performance.

          Aims

          To examine the effects of Ramadan fasting on first-time fasting boys’ performance in short-term explosive exercises [vertical and horizontal jump tests (VJT and HJT), 20-m and 30-m sprints and medicine-ball throw (MBT)], as well as in sub-maximal endurance [6-min walking distance (6MWD) measured during the 6-min walk test (6MWT)].

          Methods

          Eighteen Tunisian boys [mean±standard deviation (SD) of age and body mass (BM): 11.9±0.8 y and 55.4±18.2 kg, respectively] were included. The experimental design comprised four testing phases: 2-weeks before Ramadan (BR), the end of the second week (R2) and the fourth week (R4) of Ramadan, and 10–12 days after the end of Ramadan (AR). At each phase, boys performed two test sessions in the afternoon (15:00–17:00 h) interrupted by 48 h of recovery (first test session: BM, VJT, HJT, and 20-m and 30-m sprint tests; second session: MBT and 6MWT). The study was conducted during the summer of 2012 from July 5 to August 29.

          Results

          6MWDs (m) were significantly shorter during R2 (652±101) and R4 (595±123) compared to BR (697±86) and came back to baseline values AR. BM (kg) mean±SD did not significantly change during R2 (52±15) and during R4 (53±15) compared to BR (55±17), and short-term explosive performances were unchanged throughout the study.

          Conclusion

          In non-athletic children, first-ever Ramadan fasting impairs sub-maximal aerobic capacity but has no effect on BM or short-term explosive performance.

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          Most cited references53

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          The six-minute walk test in healthy children: reliability and validity.

          The aim of this study was to assess the reliability and validity of the 6-min walk test (6MWT) in healthy children. Chinese secondary school students were randomly recruited. They attended the current authors' unit on two occasions, separated by 2 weeks. Physical examination and standardised maximum incremental exercise testing on a treadmill were performed on the first visit. Spirometry and 6MWT were carried out on the second visit. A randomly selected subgroup was invited to return for repeat 6MWT at an interval of 2-4 weeks. Seventy-eight subjects were recruited; however, four failed to achieve maximal effort on exercise test. The final group included 43 young females and the mean+/-sd age of the subjects was 14.2+/-1.2 yrs. Physical examination was unremarkable in all cases. The mean+/-sd per cent predicted forced expiratory volume in one second was 91.4+/-10.2%. Concurrent validity was demonstrated by good correlation between the 6-min walking distance and maximum oxygen uptake determined on the exercise treadmill. Test-retest reliability was undertaken in 52 subjects, and the intraclass correlation coefficient (95% confidence interval) was calculated as 0.94 (0.89-0.96). In addition, Bland and Altman plots demonstrated a high degree of repeatability. In healthy children, the 6-min walk test is a reliable and valid functional test for assessing exercise tolerance and endurance.
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            The effect of the Ramadan fast on physical performance and dietary habits in adolescent soccer players.

            The purpose of this study was to examine the effect of the Ramadan fast on performance capacities, dietary habits, and the daily behavioral patterns in adolescent (14-16-year-old) soccer players. Nineteen male players performed a series of fitness tests before and at the end of Ramadan fast. Caloric intake, physical activity pattern and sleep habits were evaluated during the week before the Ramadan fast and during the last week of the Ramadan fast. The fast resulted in a significant reduction in aerobic capacity [3,000 m run time (mean +/- SD): 812.8 +/- 73.3 s vs. 819.9 +/- 73.4 s, P < 0.001], speed endurance (Sum 6 x 40 m run time: 46.36 +/- 1.36 s vs. 46.73 +/- 1.31 s, P < 0.001, and performance decrement: 9.0 +/- 1.5% vs. 9.5 +/- 1.7%, P < 0.05), and jumping performance (44.8 +/- 4.5 cm vs. 44.0 +/- 4.5 cm, P < 0.05), but had no significant effect on sprint performance (7.38 +/- 0.25 s vs. 7.40 +/- 0.26 s, P = 0.20) or agility (4 x 10 m shuttle run time: 9.53 +/- 0.35 s vs. 9.55 +/- 0.37 s, P = 0.26). Daily intense physical activity was significantly reduced during Ramadan (6.4 +/- 0.2 h/week vs. 4.5 +/- 0.1 h/week, P < 0.005). There were no significant differences in total caloric intake (3,012 +/- 412 kcal/day vs. 3240 +/- 348 kcal/day, P = 0.39) or total daily sleeping hours (8.6 +/- 0.7 h/day vs. 8.6 +/- 0.5 h/day, P = 0.80) between Ramadan and a regular month. The results indicate that Ramadan fasting can lead to a significant decrease in athletic performance capacities. The decrease in performance does not necessarily relate to changes in caloric intake and sleeping hours during the fast.
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              The effects of fasting on metabolism and performance.

              An overnight fast of 8-10 h is normal for most people. Fasting is characterised by a coordinated set of metabolic changes designed to spare carbohydrate and increase reliance on fat as a substrate for energy supply. As well as sparing the limited endogenous carbohydrate, and increased rate of gluconeogenesis from amino acids, glycerol and ketone bodies help maintain the supply of carbohydrate. Many individuals undergo periodic fasts for health, religious or cultural reasons. Ramadan fasting, involving 1 month of abstention from food and fluid intake during daylight hours, is practised by a large part of the world population. This period involves a shift in the pattern of intake from daytime to the hours of darkness. There seems to be little effect on overall daily dietary intake and only small metabolic effects, but there may be implications for both physical and cognitive function. The limited evidence suggests that effects of Ramadan-style fasting on exercise performance are generally small. This needs to be balanced, however, against the observation that small differences in performance are critical in determining the outcomes of sporting events. Studies involving challenging sporting events (prolonged sustained or intermittent high-intensity events, hot and humid environments) are needed. Increases in subjective sensations of fatigue may be the result of loss of sleep or disruption of normal sleep patterns. Modifications to the competition timetable may minimise or even eliminate any effect on performance in sport, but there may be negative effects on performance in some events.
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                Author and article information

                Journal
                Libyan J Med
                Libyan J Med
                LJM
                The Libyan Journal of Medicine
                Co-Action Publishing
                1993-2820
                1819-6357
                24 September 2014
                2014
                : 9
                : 10.3402/ljm.v9.25391
                Affiliations
                [1 ]Research Unit ‘Exercise Physiology and Pathophysiology – from the Integrated to the Molecular Biology, Medicine and Health’, UR12ES06, Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
                [2 ]Laboratory of Physiology, Faculty of Medicine of Sousse, University of Sousse, Tunisia
                [3 ]Research Laboratory ‘Sport Performance Optimization’, National Center of Medicine and Sciences in Sport, Tunis, Tunisia
                [4 ]Department of Physiology and Functional Exploration, Farhat HACHED University Hospital of Sousse, Sousse, Tunisia
                [5 ]Department of Neurophysiology, Sahloul University Hospital of Sousse, Sousse, Tunisia
                [6 ]Laboratory of Community Medicine, Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
                [7 ]Athlete Health and Performance Research Center, ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
                [8 ]Research Unit ‘Secondary Prevention after Myocardial Infarction’ N°: 04/UR/08-18, Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
                Author notes
                [* ]Correspondence to: Helmi Ben Saad, Laboratory of Physiology, Faculty of Medicine of Sousse, University of Sousse, Rue Mohamed Karoui, Sousse 4000, Tunisia, Email: helmi.bensaad@ 123456rns.tn
                Article
                25391
                10.3402/ljm.v9.25391
                4176671
                25261691
                9f47b8f9-712f-435b-a009-664c48904caf
                © 2014 Mohamed A. Fenneni et al.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 06 July 2014
                : 30 August 2014
                Categories
                Original Article

                Medicine
                tunisia,ramadan fasting,anaerobic exercise,walking distance,child
                Medicine
                tunisia, ramadan fasting, anaerobic exercise, walking distance, child

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