Evidence map›Paper›PMID 41102433›Full record

ArticleInternational urology and nephrology2026

The effect of Ramadan fasting on fluid control, dietary adherence, and interdialytic weight gain in patients undergoing hemodialysis: a quasi-experimental study.

Ercan Bakir, Fatma Karasu, Bedriye Cansu Koyunoğlu

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Article in International urology and nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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5 · Who and what money

Authors and funding

3 authors.

Ercan BakirFaculty of Health Sciences, Department of Nursing, Adiyaman University, Adiyaman, Turkey. e.bakir02@gmail.com.ORCID http://orcid.org/0000-0002-1752-5298
Fatma KarasuFaculty of Health Sciences, Department of Nursing, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Turkey.ORCID http://orcid.org/0000-0002-7347-0981
Bedriye Cansu KoyunoğluFaculty of Health Sciences, Department of Nursing, Erzurum Technical University, Erzurum, Turkey.ORCID http://orcid.org/0000-0002-0297-2634

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis study compared fluid control, dietary adherence, and interdialytic weight gain (IDWG) between fasting and non-fasting hemodialysis (HD) patients during Ramadan. MATERIALS AND

methodsThis quasi-experimental study, data were collected from 128 HD patients (56 fasting, 72 non-fasting) at a single center. Pretest data were gathered 1 month before Ramadan, and post-test data on the final day of Ramadan. Data collection tools included a Patient Information Form, the Fluid Control in Hemodialysis Patients Scale (FCHPS), and the Dialysis Diet and Fluid Non-adherence Questionnaire (DDFQ). Data were analyzed using paired and independent samples t-tests.

findingsA significant time-by-group interaction was observed. Fasting patients showed a significant decrease in IDWG from pretest to posttest (p < 0.05), whereas non-fasting patients maintained more stable IDWG. However, fasting patients also demonstrated a significant decline in FCHPS total scores and its Knowledge, Behavior, and Attitude subscales (p < 0.05), indicating poorer fluid management adherence and awareness. DDFQ scores also indicated poorer dietary adherence in the fasting group compared to the non-fasting group.

conclusionFasting patients were found to have lower adherence to fluid management, and their knowledge, behavior, and attitudes were negative. Non-fasting patients were found to have higher adherence to fluid management, diet, and fluid management than fasting patients.

Indexed as

FastingIslamKidney Failure, ChronicPatient ComplianceRenal DialysisWeight GainAdultAgedFemaleHumansMaleMiddle AgedSurveys and QuestionnairesDietFastingFluidsHemodialysisInterdialytic weight gain

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.