Knowledge, Food Consumption Behaviors and Changing of Health Status during Ramadan Fasting among Diabetic Patients in Diabetic Clinic, Yala Hospital

Main Article Content

Haleemoh Seameang
Paradee Temcharoen
Vasina Chandrasiri


          The objectives of this descriptive research were to study knowledge on diabetic diet and food consumption behaviors during Ramadan fasting and relationships between knowledge and food consumption behaviors, and to compare health status in terms of weight, body mass index, and blood sugar levels before and during Ramadan fasting. The samples were 102 Muslim patients with type 2 diabetes mellitus, who received services from the Diabetes Clinic of Yala Hospital during Ramadan month. The samples were selected by systematic random sampling. The data were collected through interview questionnaires, and from medical records. Data were analyzed using descriptive statistic, Chi-square test and Paired t-test. The results found that most of the samples were female aged 50-69 years and had body mass index at an obese level. There were 46.10% of the samples who had knowledge on diabetic diet during Ramadan fasting at a moderate level, and similar proportions of the rest who had low and high level of knowledge. About threefourths of them had food consumption behaviors during Ramadan fasting at a moderate level, followed with a good level, without an improved level. No relationship was found between knowledge and food consumption behaviors (p > .05). The results found a decrease in weight and body mass index during Ramadan fasting (p < .01), but blood glucose level was not significantly changed (p > .05). It is recommended to improve nutrition education service for Muslim diabetic patients before Ramadan fasting. Further studies on health status during Ramadan fasting should be done.


Download data is not yet available.

Article Details

How to Cite
Seameang, H. . ., Temcharoen, P. ., & Chandrasiri, V. . (2020). Knowledge, Food Consumption Behaviors and Changing of Health Status during Ramadan Fasting among Diabetic Patients in Diabetic Clinic, Yala Hospital. Journal of Research in Nursing-Midwifery and Health Sciences, 40(4), 48–60. Retrieved from
Research Articles


Nima Y, Hasuwannakit S. Medical and patient care consistent with the Muslim way. 2 nd ed. Songkla: Southern Health System Research Institute (SHSRI), Prince of Songkla University; 2008. Thai.

Athar S. The spiritual and health benefits of Ramadan fasting [Internet]. 2020 [cited 2020 Jul 12]. Available from

Tangsangwornthamma C, Hathirat S, Leelapattana W. Lifestyle modification and drug administration among Thai Muslim patients with diabetes mellitus type 2 during Ramadan. J Med Health Sci. 2010; 17(2): 70-86. Thai.

World Health Organization. Noncommunicable diseases country profiles 2018 [Internet]. 2018 [cited 2019 Dec 12] Available from:

Aekaplakorn W, editor. The 5th Thai National Health Examination Survey (NHES V) 2014. Nonthaburi: Health System Research Institute (HSRI); 2014. Thai.

Diabetes Association of Thailand under the Patronage of Her Royal Highness Princess Maha Chakri Sirindhorn. Clinical practice guideline for diabetes 2017. 3 rd ed. Pathum Thani: Romyen Media Co. Ltd; 2017. Thai.

Puti S. Relationship between health beliefs and accessibility to health services for noncommunicable diseases among the five Southern border provinces, Thailand. Songklanagarind J Nurs. 2018; 38(4): 114-27. Thai.

National Statistical Office, Ministry of Digital Economy and Society [Internet]. Socio-Cultural and Mental Health Survey 2018. [cited 2019 Dec 12]. Available from: Thai.

Office of Strategic Management for Southern Border Provinces [Internet]. Development plan for Southern border provinces 2014-2017 (Revise version 2017). [cited 2019 Dec 12]. Available from:

Roungrit R, Malathum P, Prapaipanich W. Perception towards fasting and self care behaviors of Thai Muslims with type 2 diabetes mellitus during the fasting month of Ramadan. Rama Nurs J. 2012; 18(2): 207-22. Thai.

Bener A, Yousafzai MT. Effect of Ramadan fasting on diabetes mellitus: a populationbased study in Qatar. JEPHA. 2014; 89(2): 47-52. doi: 10.1097/01.EPX.0000451852.92252.9b.

Suwattanakul T. Factors related to blood sugar control among diabetes mellitus type 2 patients. Journal of Health Systems Research. 2018; 12(3): 515-22. Thai.

Adib R. Top 4 incredible health benefits of fasting in Ramadan [Internet] 2014 [cited 2019 Dec 12] Available from https://english.alarabiya. net/en/variety/2014/07/08/Top-4-incrediblehealth-benefits-of-fasting-in- Ramadan

Ahmad S, Goel K, Maroof KA, et al. Psycho-social behaviour and health benefits of Islamic fasting during the month of ramadan. J Community Med Health Educ. 2012; 2(9): 178. doi: 10.4172/2161-0711.1000178.

Almalki MH, Hussen I, Khan SA, et al. Assessment of Ramadan education and knowledge among diabetic patients. Clin Med Insights Endocrinol Diabetes. 2018; 11: 1-7. doi: 10.1177/1179551417751611.

Yala Hospital. Information Technology Division, Diabetic Clinic Report 2015-2018. Yala: Hospital; 2018. Thai.

Faculty of Nursing Kanchanaburi, Western University. Knowledge management [Internet]. 2013 [cited 2019 Oct 10] Available from: facultyofwestern/fac_page.php?mod=nursing

kan&parentID=CAT0000028&categoryID=CAT0000070. Thai.

Muslare, N. Meaning of knowledge [Internet]. 2015 [cited 2019 Oct 10] Available from:ความหมายของความรู้/ Thai.

Theppitak T. The KAP model and a study of behavior and attitude on prevention HIV/AIDS infection in Thai Seafarers. Journal of Management Science Chiang Rai Rajabhat University. 2013; 8(2): 84-102. Thai.

Jirawatkul A. Statistics for health science research. 3 rd ed. Bangkok: Witthayaphat Company; 2013. Thai.

Bloom BS, Hastings J, Madaus GF. Handbook on formative and summative evaluation of student learning. New York: McGraw-Hill Book Company; 1971.

Panpini, S. Research techniques in social science. 1 st Revise version. Bangkok: Witthayaphat Company; 2010. Thai.

Sudjai S, Therawiwat M, Imamee N. Factors related to food consumption behavior among type 2 diabetes patients in Nonthaburi Province. Paper presented at: The 3rd National Conference & Research Presentation 2016: Step into the 2nd Decade: Integration of Research Knowledge towards Sustainability. Proceeding of the National Conference & Research Presentation 2016: Step into the 2nd Decade: Integration of Research Knowledge towards Sustainability; 2016 June 17; Nakhon Ratchasima College, Nakhon Ratchasima Province. Thai.