AsSalaam O Alaikum (Peace be always with you. AMEEN.)

*Fasting and Your Biological Rhythms *

*By Ebrahim 
Kazim<http://www.islamonline.net/English/Science/2002/11/article03.shtml#111>,
M.B., B.S., D.T.M & H., M.R.C.P.*

*12/11/2002*



Allah (all glory be to Him) tells us in the Holy Quraan about Ramadan that,
"*(He wants you) to complete the prescribed period (of fasting), and to
glorify Him in that He has guided you; and perchance ye shall be grateful.*"
(2:185)

Many benefits, in addition to the spiritual, result from completing this
prescribed period of fasting.  This article attempts to explain those
related to our biological rhythms.

*The Stages of Sleep*



The background activity of the brain is called the electroencephalogram
(EEG) and can be recorded by the use of scalp electrodes.  The dominant
frequency and amplitude characteristic of the surface EEG varies with states
of arousal.

A person goes through five stages while going to sleep.

Calm wakefulness is accompanied by alpha waves 8-12 Hz (cycles per second)
and low voltage fast activity of mixed frequency.  This is called *stage one
*.  Alpha waves disappear when we open our eyes.

As sleep deepens into *stage two*, bursts of 12-14 Hz (sleep spindles) and
high amplitude slow waves appear.

The deep sleep of *stages three and four* is featured by an increasing
proportion of high voltage slow activity.  Breathing is regular in slow-wave
sleep or non-REM (Rapid Eye Movements) sleep.

*Delta activity* (very slow waves, 0.5-4 Hz, high amplitude) is unusual in a
normal record and accompanies deep sleep i.e. stages three and four sleep.

After about 70 minutes or so mostly spent in stages three and four, the
first *REM period* occurs, usually heralded by an increase in body
movements, and a shift in the EEG pattern from stage four to stage two.
These rapid low-voltage irregular waves resemble those seen in alert humans;
sleep, however, is not interrupted. This is called *stage 5 or REM sleep*,
when the EEG activity gets desynchronised. There is marked muscle atonia
despite the rapid eye movements in REM sleep, and the breathing is
irregular.

*Theta activity* with a pattern of large regular waves occurs in normal
children and is briefly seen in stage one sleep and also in REM sleep.

Non-REM (NREM) sleep passes through stages one and two, and spends 60-70
minutes in stages three and four. Sleep then lightens and a REM period
follows. This cycle is repeated three or four times per night, at intervals
of about 90 minutes throughout the night, depending on the length of sleep.
REM sleep occupies 25% of total sleeping time.

When the eyes are opened, the alpha rhythm is replaced by fast irregular low
voltage activity with no dominant frequency, called the *alpha block*. Any
form of sensory stimulation or mental concentration such as solving
arithmetic problems could produce this break-up of the alpha rhythm. This
replacement of the regular alpha rhythm with irregular low voltage activity
is called "*desynchronisation*".

*Fasting Positively Affects Sleep*

During the first few hours of an Islamic fast, the EEG is normal.  However,
the frequency of the alpha rhythm is decreased by a low blood glucose
level.  This may happen at the end of the fasting day towards evening when
the blood sugar is low.

Fasting improves the quality and intensifies the depth of sleep, a matter of
particular importance to the aged who have much less stage three and four
sleep (deep sleep).  The processes of repair of the body and of the brain
take place during sleep.  Two hours of sleep during the month of Ramadan are
more satisfying and refreshing than more hours of sleep otherwise!

REM sleep and dreaming are closely associated.  Dreaming may be necessary to
maintain health, but prolonged REM deprivation has no adverse psychological
effects.  Dreaming sleep occupies 50% of the sleep cycle in infants and
decreases with age.  Brain synthetic processes occur in deep sleep; brain
protein molecules are synthesized in the brain during deep sleep or used in
REM sleep in restoring cerebral function.  Fasting significantly increases
deep sleep and leads to a fall in REM sleeping time or dreaming time, and
also accelerates synthesis of memory molecules.

*Fasting and the Circadian Rhythm *

The period of the circadian pace-maker in humans is 24 hours 11 minutes.
Hormonal secretion is frequently characterised by rhythmic fluctuations
which may be regular or irregular in periodicity.  The period of regular
oscillation may be as short as a few minutes or as long as a year.

The body timing system that drives circadian rhythms is exposed to external
factors ranging from the imposed activity-rest cycle, the natural light-dark
cycle, and social activities outside the workplace.

There are biological pacemakers or oscillators within the body with
time-keeping capacity which synchronise with the external environmental
cycles such as light.  Environmental cues that synchronize biological
pacemakers are called "zeitgebers" (from the German "time-givers"), and the
process of re-setting the pacemaker is called re-synchronization.

The light/dark cycle is a potent zeitgeber for circadian rhythm but daily
cycles in temperature, food availability, social interaction (such as
congregational prayers) and even electro-magnetic field strength synchronize
circadian rhythm in certain species.  Because of recurring cycles of light,
temperature and food availability, organisms evolved endogeous rhythms of
metabolism and behavior providing response to specific environmental
cycles.  Many biological rhythms reflect the period of one of four
environmental cycles: cycles of the tide, of day and night, of moon phase
and of seasons.

Muslims who have been fasting regularly since childhood, have been exposed
to different sleep/wake and light/darkness cycles on a daily basis in one
annual lunar month.  Hence, it may be easier for such persons to synchronize
their circadian, circalunar and circannual biological rhythms under
difficult conditions.

*Fasting, Jet Lag and Shift Work*



International travel across time zones produces symptoms of jet lag such as
sleep disturbances, gastro-intestinal disorders, decreased alterness,
fatigue and lack of concentration and motivation.

Factors contributing to symptoms of jet lag are (1) external
desynchronisaion due to immediate differences between body time and local
time at the end of the flight. (2) internal desynchronisation due to the
fact that different circadian rhythms in the body re-synchronise at
different rates, and during the re-synchronisation period, these rhythms
will be out of phase with one another.

General symptoms arising from desynchronisation include tiredness during the
day and disturbed sleep and reaction time.  The severity of these adverse
effects and therefore the time required for re-synchronisation depends on
the ability to pre-set the bodily rhythms prior to flying, the number of
time zones crossed, the direction of flight, age, social interaction and
activity.  NASA estimates that it takes one day for every time zone crossed
to regain normal rhythm and energy levels.  A 6-hour time-difference thus
needs 6 days to get back to normal.

Rapid adaptation to a new zone can be facilitated by maximising exposure to
zeitgebers for the new cycle e.g. changing to meal times and sleep times
appropriate to the new time zone.  Maximising social contact and exposure to
natural lgihting will result in faster resynchronisation than staying at
home in a hotel and eating and sleeping without regard to local time.  There
are widesperead individual viariations in the rapidity of
resynchronisation.

Muslims who fast regularly and who have experienced disturbed
wakefulness/sleep cycles on a daily lunar annual basis, can adapt themselves
much faster to different time zones during international travel and do not
suffer from the ill effects of jet lag.  Moreover, the social contact during
the Tarawih congregational prayer and the other social-cum–spiritual
activities act as zeitgebers which regulate any desynchronised biological
rhythm.

Shift workers also experience similar symptoms as jet lag, especially
gastro-intestinal, cardiovascular, and sleep disorders and also reproductive
dysfunctions in women. The inverted schedule of sleeping and waking also
results in diminshed alterness and performance during night-time work with
attendant increase in the number of fatigue-related accidents during night
time shift hours.  Normally, a period of three weeks is required for
re-synchronisation among shift workers, and as the fasting Muslim atunes
himself to resynchronization processes during the space of just over four
weeks in Ramadan, his health problems as a shift worker would be negligible,
as his synchronization processes would be more rapid, whether during Ramadan
or at any other time.

It is also a common observation that as soon as Ramadan is over, normal
circadian rhythms are established in the fasted Muslims with such great
rapidity as to be at par with pre-Ramadan levels on the first day of
Shawwal, i.e. Eid-ul-Fitr.

*Fasting and Encephalins *

During fasting, certain endogenous, narcotic-like substances known as
opioids (or endorphins) are released into the body.  They have a
tranquilizing effect as well as an elating effect on the mind.  These are
also probably responsible for prevention of psychosomatic diseases.  The
opioids have several effects, including slowing down metabolism to conserve
energy.  Another effect of opioids may be that, although they produce
elation as well as intense hunger, they do not drive the person to eat with
sheer gluttony.

Muslims in Ramadan experience an ability to intensely focus their minds on
meditation, Quranic recitation and prayers.  This spiritual gain during the
Holy Month is despite the fact that normal sleep/waking cycles are somewhat
disturbed and despite a long day of fasting.  Perhaps now we have a closer
idea as to the science of this miraculous process.

*Dr. Ebrahim Kazim* is a medical doctor and the founder and director of the
Islamic Academy in Trinidad.  The above article was excerpted with
permission of the author from his book "*Further Essays on Islamic Topics*".

------------------------------------

***************************************************************************
{Invite (mankind, O Muhammad ) to the Way of your Lord (i.e. Islam) with wisdom 
(i.e. with the Divine Inspiration and the Qur'an) and fair preaching, and argue 
with them in a way that is better. Truly, your Lord knows best who has gone 
astray from His Path, and He is the Best Aware of those who are guided.} (Holy 
Quran-16:125)

{And who is better in speech than he who [says: "My Lord is Allah (believes in 
His Oneness)," and then stands straight (acts upon His Order), and] invites 
(men) to Allah's (Islamic Monotheism), and does righteous deeds, and says: "I 
am one of the Muslims."} (Holy Quran-41:33)
 
The prophet (peace and blessings of Allah be upon him) said: "By Allah, if 
Allah guides one person by you, it is better for you than the best types of 
camels." [al-Bukhaaree, Muslim] 

The prophet (peace and blessings of Allah be upon him)  also said, "Whoever 
calls to guidance will have a reward similar to the reward of the one who 
follows him, without the reward of either of them being lessened at all." 
[Muslim, Ahmad, Aboo Daawood, an-Nasaa'ee, at-Tirmidhee, Ibn Maajah] 
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