Evaluation of Long-Term Thirst due to Ramadan Fasting in Terms of Acute Kidney Injury

Özet

Objective: Acute kidney injury (AKI) is characterized by a rapid decline (i.e., within hours and days) of renal function. Longterm thirst due to fasting may cause a decrease in both the intravascular volume and kidney perfusion. The aim of this study was to investigate the relationship between long-term thirst due to fasting and AKI.Materials and Methods: Forty-five individuals (24 females, 21 males; mean age, 75±12 years) whose kidney function was normal and who were fasting during the month of Ramadan in 2014 participated in the study. The participants were divided into three groups: the first group was aged >60 years and using angiotensin-converting enzyme inhibitors for hypertension, the second group was aged >60 years and did not use drugs, and the third group was aged 0.3 mg/dL.Conclusion: The thirst due to fasting did not increase the risk of AKI in the population with a normal kidney function, and the AKIN-urinary output criteria alone were not adequate to evaluate AKI in patients who were fasting during the month of Ramadan.