The effects of Ramadan fasting on activity and energy expenditure

Nader Lessan, Ilham Saadane, Budour Alkaf, Catherine Hambly, Adam J Buckley, Nick Finer, John R Speakman, Maha T Baraka

Research output: Contribution to journalArticlepeer-review

51 Citations (Scopus)


Fasting during the month of Ramadan entails abstinence from eating and drinking between dawn and sunset and a major shift in meal times and patterns with associated changes in several hormones and circadian rhythms; whether there are accompanying changes in energy metabolism is unclear.

We have investigated the impact of Ramadan fasting on resting metabolic rate (RMR), activity, and total energy expenditure (TEE).

Healthy nonobese volunteers (n = 29; 16 women) fasting during Ramadan were recruited. RMR was measured with the use of indirect calorimetry. In subgroups of participants, activity (n = 11; 5 women) and TEE (n = 10; 5 women) in free-living conditions were measured with the use of accelerometers and the doubly labeled water technique, respectively. Body composition was measured with the use of bioelectrical impedance. Measurements were repeated after a wash-out period of between 1 and 2 mo after Ramadan. Nonparametric tests were used for comparative statistics.

Ramadan fasting did not result in any change in RMR (mean ± SD: 1365.7 ± 230.2 compared with 1362.9 ± 273.6 kcal/d for Ramadan and post-Ramadan respectively, P = 0.713, n = 29). However, controlling for the effects of age, sex, and body weight, RMR was higher in the first week of Ramadan than in subsequent weeks. During Ramadan, the total number of steps walked were significantly lower (n = 11, P = 0.001), while overall sleeping time was reduced and different sleeping patterns were seen. TEE did not differ significantly between Ramadan and post-Ramadan (mean ± SD: 2224.1 ± 433.7 compared with 2121.0 ± 718.5 kcal/d for Ramadan and post-Ramadan, P = 0.7695, n = 10).

Ramadan fasting is associated with reduced activity and sleeping time, but no significant change in RMR or TEE. Reported weight changes with Ramadan in other studies are more likely to be due to differences in food intake. This trial is registered at as NCT02696421.
Original languageEnglish
Pages (from-to)54-61
Number of pages7
JournalThe American Journal of Clinical Nutrition
Issue number1
Publication statusPublished - 1 Jan 2018

Bibliographical note

Add Other exception for REF - final PDF will be deposited in PMC 12 months after publication.


Dive into the research topics of 'The effects of Ramadan fasting on activity and energy expenditure'. Together they form a unique fingerprint.

Cite this