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Effect of ramadan fasting on the sympathovagal balance through a study of heart rate variability

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par Mohamed EL Amine FANNANI
High Institute of Sport and Physical Education of Sfax / TUNISIA - Master degree in Sciences and technique of physical and sport activities.  2011
  

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III.4. Effect of fasting Ramadan on the durations RR (ms)

R R (ms)

1400

1200

1000

400

800

600

200

0

BR R1 R2

Supine Standing Effort

*

b

*

a

b

Figure 10: Mean (#177; SD) of the RRs (ms) recorded during the second, fourth week and before Ramadan (n

= 9).

* (p <0.05) Significant difference compared to before Ramadan (supine position);

a (p <0.05) Significant difference compared to before Ramadan (standing position);

BR R1 R2

b (p <0.05) Significant difference compared to before Ramadan (During effort).

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Table VII: Heart rate averages (bpm) recorded before, in the middle and at the end of the month of Ramadan (n = 9).

 

B.R

R 1

R 2

F C (bpm) Supine

59,94

56,92

55,50

F C (bpm) Standing

72,99

68,80

67,95

F C (bpm) Effort

122,19

115,16

112,57

 

· Supine position: the analysis of variance shows a significant effect F (2) = 13.2 (p <0.05) of Ramadan fasting on RR durations (Figure 10).

Post hoc analysis shows that RR durations recorded before Ramadan are significantly lower than those measured in the middle and at the end of Ramadan (p <0.05).

· Standing position: Variance analysis shows a significant effect F (2) = 8.22 (p <0.05) of Ramadan fasting on RR durations (Figure 10).

The post hoc analysis shows that the RR durations recorded in the standing position before Ramadan are significantly lower than those measured in the middle and at the end of the month of Ramadan (p <0.05).

· During effort: the analysis of the variance shows a significant effect F (2) = 17.6 (p <0.05) of Ramadan fasting on the average RR durations (Figure 10).

The post hoc analysis shows that RR durations recorded during the effort before Ramadan are significantly lower than those measured in the middle and at the end of the month of Ramadan (p <0.05).

Part IV : Discussion

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The objective of this study is to evaluate the effects of Ramadan fasting on:

1. Performances during a Wingate test,

2. The modulation of sympathetic and parasympathetic system activity on cardiovascular function in adolescents who have been playing football for at least 5 years.

Our results showed that Ramadan fasting had no effect on anthropometric parameters and performances during a Wingate test. Moreover, our results revealed a modulation of the autonomic system by the increase of the parasympathetic participation and by the decrease of the sympathetic effect.

I. The effects of fasting Ramadan on body weight

The results of the present study found that the effect of fasting on body weight does not show a significant difference during the month of Ramadan compared to the control period (before Ramadan), this is confirmed by other previous studies (El Ati et al., 1995, Finch et al., 1998, Ramadan 2002, Souissi et al., 2007, Zerguini et al., 2007, Meckel et al., 2008, Chennaoui et al., 2009, Sweileh et al. al., 1992). Moreover, Sweileh et al., (1992) reported that dehydration exists only during the first week of Ramadan as it returns to its pre-Ramadan values during the fourth week of the month of fasting.

Ramadan et al., (1999) also noted a significant increase in osmolarity among sedentarians, which is not the case for athletes who continue to train during Ramadan.

Karli et al., (2007), confirmed the results of Ramadan et al., (1999) in their study of international athletes, where they conclude that the fluid balance has not changed significantly. We can deduce the same conclusions since our subjects are athletes who did not interrupt their sports activities during the holy month.

II. The effects of Ramadan fasting on Wingate test performances

Our results showed that the peak powers and the average powers recorded during the Wingate test do not reveal a significant difference during the second, fourth week of Ramadan compared to the pre-Ramadan control session.

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This confirms the results of some previous studies that looked for the fasting effect of Ramadan on anaerobic performance especially for the Wingate test. Indeed, Souissi et al., (2007a) showed that the muscle powers recorded during the morning Wingate test are not affected during the month of Ramadan. On the other hand, the muscular powers are diminished during the fourth week compared to before Ramadan for the sessions realized in the afternoon.

In the same vein, Karli et al., (2007) showed that the average powers did not decrease significantly during Ramadan and that the peak powers showed an increase in nine athletes who continued to train normally during Ramadan.

On the other hand, other studies have led to other results. Indeed, Chaouachi et al., (2009) showed that the power recorded during the 30-sec repeated jump test decreased at the end of Ramadan compared to before Ramadan. The study of Abedelmalek (2008) showed that the average powers decreased significantly during the second and fourth week of Ramadan compared to after Ramadan. The same study showed that the Peak powers also declined significantly at the end of Ramadan compared to after Ramadan. In this study, the author explained these decreases in mean powers and peak powers by two essential factors: calorie restriction and sleep deprivation; this is not the case of our study which showed that the peak powers and the average powers were not affected by the fast of the month of Ramadan.

Several factors can explain this stability of performances during Wingate test found in our study. Indeed, the short duration of this test (30s) and its anaerobic nature do not seem to be influenced by the availability or not of the Energetic substrates. Thus, the test is slightly affected by the reduced caloric intake relating to fasting Ramadan (Zerguini et al., 2007).

In addition, our subjects did not stop their training during Ramadan (2 to 4 training sessions per week). This confirms previous studies (Rösch et al., 2000, McGregor et al., 2002, Ali et al., 2007, Kirkendall et al., 2008) which explained the stability or even sometimes the improvement in performance observed during the month of fasting by the effect of maintaining the same intensity and duration of training sessions.

With regard to partial sleep deprivation during Ramadan, data available in the literature have shown that anaerobic performance seems to be little affected by this factor (Mougin et al., 1996, Bambaeichi et al., 2005, Reilly and Waterhouse, 2009). On the other hand,

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Souissi et al., (2007b) have shown that the effects of total and partial sleep deprivation are mainly related to the time of testing. Indeed, these authors have shown that sleep deprivation has negative effects only during the afternoon and evening, while the average powers were only diminished at the end of Ramadan for sessions performed between 10am and 11am. These results are discordant with ours, despite the fact that we recorded a slight decrease that was not significant during the periods of the test (between 15h and 17h).

In partial conclusion we say that, the performance stability of the peak powers and the average powers during Wingate test during and out of Ramadan can be explained by several factors:

1. the continuity of physical activity practice during Ramadan,

2. the nature of the test itself and its short duration that appears to be little affected by calorie deficit during the month of fasting or sleep / wake rhythm disruption that results in decreased performance when exercises require sensorimotor coordination or cognitive processes (Mougin et al., 1996) which is not the case in our study (purely physical test).

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