Impact of Ramadan Intermittent Fasting on Salivary pH, Flow Rate, and Electrolyte Levels in Healthy Adult Men

This before-and-after design study, which was conducted during Ramadan 2023, aimed to compare salivary flow rate (SFR), potential hydrogen (pH), and electrolyte concentrations before Ramadan (BR), at the end of Ramadan (ER), and after Ramadan (AR). Men aged 20 to 30 years who were fasting during Ram...

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Main Authors: Sinda Yacoub, Mehdi Khemiss, Amira Besbes, Helmi Ben Saad
Format: Article
Language:English
Published: SAGE Publishing 2025-02-01
Series:American Journal of Men's Health
Online Access:https://doi.org/10.1177/15579883241312396
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author Sinda Yacoub
Mehdi Khemiss
Amira Besbes
Helmi Ben Saad
author_facet Sinda Yacoub
Mehdi Khemiss
Amira Besbes
Helmi Ben Saad
author_sort Sinda Yacoub
collection DOAJ
description This before-and-after design study, which was conducted during Ramadan 2023, aimed to compare salivary flow rate (SFR), potential hydrogen (pH), and electrolyte concentrations before Ramadan (BR), at the end of Ramadan (ER), and after Ramadan (AR). Men aged 20 to 30 years who were fasting during Ramadan were recruited from the University of Monastir (Tunisia). Unstimulated saliva was collected over a 5-minute period between 10 and 11 a.m. at BR, ER, and AR. After recording the SFR, the pH was measured immediately using a pH meter. Concentrations of several salivary electrolytes (e.g., calcium, potassium, sodium, chloride, and phosphate) were determined using inductively coupled plasma-optical emission spectroscopy. Twenty-seven participants completed all three sessions. Ramadan intermittent fasting (RIF) caused significant changes only in calcium levels and pH. The mean (M) ± standard deviation (SD) salivary calcium concentration decreased during ER compared to BR and AR (0.10 ± 0.08 vs. 0.21 ± 0.18 [ p = .041] vs. 0.22 ± 0.20 [ p = .026], respectively). The M ± SD salivary pH increased during ER compared to BR (6.88 ± 0.23 vs. 6.69 ± 0.35 [ p = .049], respectively). To conclude, RIF decreased salivary calcium, increased salivary pH, and did not significantly affect potassium, sodium, chloride, or phosphate. The pH change, although statistically significant, was clinically insignificant, as values remained normal. The lack of reference values for salivary calcium limits assessment of its clinical impact. There is a need for further research on the effects of RIF on saliva secretion.
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spelling doaj-art-e99aeafe15af43b884481e7dedc1c0112025-02-11T12:03:27ZengSAGE PublishingAmerican Journal of Men's Health1557-98912025-02-011910.1177/15579883241312396Impact of Ramadan Intermittent Fasting on Salivary pH, Flow Rate, and Electrolyte Levels in Healthy Adult MenSinda Yacoub0Mehdi Khemiss1Amira Besbes2Helmi Ben Saad3 Research Laboratory LR12SP10: Functional and Aesthetic Rehabilitation of Maxillary, Farhat Hached University Hospital of Sousse, Sousse, Tunisia Department of Dental Medicine, Fattouma BOURGUIBA University Hospital of Monastir, University of Monastir, Monastir, Tunisia Laboratory Research of Medical and Molecular Parasitology and Mycology, LR12ES08, Faculty of Pharmacy, University of Monastir, Monastir, Tunisia Hôpital Farhat HACHED, Faculté de Médecine de Sousse, Laboratoire de recherche (Insuffisance cardiaque, LR12SP09), Université de Sousse, Sousse, TunisieThis before-and-after design study, which was conducted during Ramadan 2023, aimed to compare salivary flow rate (SFR), potential hydrogen (pH), and electrolyte concentrations before Ramadan (BR), at the end of Ramadan (ER), and after Ramadan (AR). Men aged 20 to 30 years who were fasting during Ramadan were recruited from the University of Monastir (Tunisia). Unstimulated saliva was collected over a 5-minute period between 10 and 11 a.m. at BR, ER, and AR. After recording the SFR, the pH was measured immediately using a pH meter. Concentrations of several salivary electrolytes (e.g., calcium, potassium, sodium, chloride, and phosphate) were determined using inductively coupled plasma-optical emission spectroscopy. Twenty-seven participants completed all three sessions. Ramadan intermittent fasting (RIF) caused significant changes only in calcium levels and pH. The mean (M) ± standard deviation (SD) salivary calcium concentration decreased during ER compared to BR and AR (0.10 ± 0.08 vs. 0.21 ± 0.18 [ p = .041] vs. 0.22 ± 0.20 [ p = .026], respectively). The M ± SD salivary pH increased during ER compared to BR (6.88 ± 0.23 vs. 6.69 ± 0.35 [ p = .049], respectively). To conclude, RIF decreased salivary calcium, increased salivary pH, and did not significantly affect potassium, sodium, chloride, or phosphate. The pH change, although statistically significant, was clinically insignificant, as values remained normal. The lack of reference values for salivary calcium limits assessment of its clinical impact. There is a need for further research on the effects of RIF on saliva secretion.https://doi.org/10.1177/15579883241312396
spellingShingle Sinda Yacoub
Mehdi Khemiss
Amira Besbes
Helmi Ben Saad
Impact of Ramadan Intermittent Fasting on Salivary pH, Flow Rate, and Electrolyte Levels in Healthy Adult Men
American Journal of Men's Health
title Impact of Ramadan Intermittent Fasting on Salivary pH, Flow Rate, and Electrolyte Levels in Healthy Adult Men
title_full Impact of Ramadan Intermittent Fasting on Salivary pH, Flow Rate, and Electrolyte Levels in Healthy Adult Men
title_fullStr Impact of Ramadan Intermittent Fasting on Salivary pH, Flow Rate, and Electrolyte Levels in Healthy Adult Men
title_full_unstemmed Impact of Ramadan Intermittent Fasting on Salivary pH, Flow Rate, and Electrolyte Levels in Healthy Adult Men
title_short Impact of Ramadan Intermittent Fasting on Salivary pH, Flow Rate, and Electrolyte Levels in Healthy Adult Men
title_sort impact of ramadan intermittent fasting on salivary ph flow rate and electrolyte levels in healthy adult men
url https://doi.org/10.1177/15579883241312396
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