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Who Should and Shouldn’t Fast?

Daniel Kamara
By
Daniel Kamara
Kamara Daniel is a Professional Clinical and Community Nutritionist at Bwindi Community Hospital. He serves as Board Member, Allied Nutritionists Association of Uganda.
4 Min Read
Daniel Kamara, a Nutritionist- Bwindi Community Hospital in Kanungu District. File Photo
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Fasting is often described as a simple act of abstaining from food and, at times, fluids for a set period each day. In practice, it is far more complex. Rooted in religion, culture and personal tradition, fasting also carries real physiological effects on metabolism and overall wellbeing.

Done thoughtfully, it can support health; done carelessly, it can pose risks. The question, therefore, is not whether fasting is good or bad, but who it is right for, and how it should be approached.

When practiced safely, fasting can offer measurable benefits. With balanced meals before and after fasting hours, it may improve insulin sensitivity, help regulate blood sugar, reduce inflammation and support metabolic health.

Many people also report improved digestion and a better awareness of hunger cues. These benefits, however, depend heavily on what is eaten, how much is consumed, and the individual’s health status.

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Beyond nutrition, fasting is not merely a health trend; it is a deeply spiritual and communal practice. In Islam, for instance, the holy month of Ramadan involves fasting from dawn to sunset, accompanied by prayer, charity and shared meals.

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Across Uganda, Muslims observe this period as a time of discipline, reflection and solidarity. From a nutrition standpoint, careful planning of suhoor and iftar meals, emphasizing complex carbohydrates, lean proteins, fibre and adequate hydration, can help sustain energy and nutrient levels throughout the fast.

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That said, fasting is not suitable for everyone. Certain groups face increased health risks and should avoid prolonged fasting unless closely supervised by a qualified nutritionist or medical professional.

People living with diabetes, particularly those on blood sugar–altering medications, may experience dangerous glucose fluctuations. Children and adolescents, pregnant or breastfeeding women, individuals with chronic conditions such as advanced kidney or liver disease, and those with a history of eating disorders are also generally advised against fasting due to the risk of dehydration, nutritional deficiencies and metabolic strain.

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Even healthy adults who choose to fast must do so responsibly. Meals during non-fasting hours should be balanced and nutrient-dense. At suhoor, foods that digest slowly, whole grains, legumes, vegetables and lean proteins, help release energy steadily throughout the day.

Hydration is equally critical, especially in Uganda’s warm climate. Drinking enough water and consuming water-rich fruits like watermelon can reduce fatigue and dehydration. Limiting caffeinated and highly sugary drinks at the early morning meal can also help prevent excessive thirst during the day.

How one breaks the fast matters just as much. Heavy, fatty or highly processed foods may be tempting after long hours without eating, but they can cause rapid blood sugar spikes, indigestion and fatigue. A gentler approach, starting with dates and water, a traditional practice supported by nutritional guidance, followed by light soups, vegetables and lean proteins, supports digestion and sustained energy into the evening.

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Ultimately, fasting is about more than food and physiology. For many Ugandans, it is a time of spiritual renewal, emotional resilience and stronger community bonds. When approached with awareness and preparation, fasting can be both meaningful and beneficial.

However, individuals must honestly assess their health, seek professional guidance where necessary, and prioritize balanced nutrition around fasting periods. With the right care, fasting can remain a safe and purposeful practice for many, but it should never come at the expense of one’s health.

The Writer Kamara Daniel, is a Nutritionist at Bwindi Community Hospital in Kanungu District.

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Kamara Daniel is a Professional Clinical and Community Nutritionist at Bwindi Community Hospital. He serves as Board Member, Allied Nutritionists Association of Uganda.
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