Avoid crash diets and follow doctor's orders during Ramadan fast, experts say


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People fasting during Ramadan are urged to avoid crash diets and to stay hydrated to maintain good health.

Experts spoke of the importance of eating nutritious foods to bolster the body's immune system and reduce vulnerability to infections, such as Covid-19.

Muslims abstain from food and drink from sunrise to sunset throughout the holy month as one of the five pillars of Islam.

Fiji Antony, chief dietician at NMC Speciality Hospital in Al Nahda, Dubai, said careful consideration should be given to how the fast is broken, particularly given the threat still posed by the pandemic.

She emphasised the need for people with conditions such as diabetes, hypertension and cardiac and kidney diseases to be mindful of their diet.

"Eating good healthy food makes sure our body’s defence system is set to fight against any disease," she said.

"Always eat a nutritionally balanced diet to boost your immunity.

"It’s a time where you can control your eating habits, schedule your routine and hydrate yourself as required.

"Those who are fasting are always advised to follow balanced, nutritious diets and not to follow any type of crash diets for weight reduction."

Tips for breaking fast sensibly

Dr Budoor Al Shehi , section head for chronic disease at Abu Dhabi Public Health Centre, recommends people enjoy a diet that includes all food groups.

“Try to include a variety of nutritious foods from all the food groups specified in your diet, such as a variety of fruits and vegetables to diversify the vitamin and mineral content and support the nutrient content of your meals,” she said.

Those suffering from chronic illnesses such as diabetes and high cholesterol can fast but have to be closely monitored by a physician and a dietician, she said.

The same advice applies to senior citizens with chronic conditions.

"My advice to senior members of the community would be to follow their treating physician’s recommendations regarding fasting and taking medications.

"Moreover, it is advisable to break their fast if they start displaying any symptoms or feel sick. In this case, they need to seek immediate medical attention and care,” she said.

Doctors’ advise people not to overindulge during iftar and suhoor.

“Try to eat fruit and vegetables during iftar or afterwards and ensure that you do not reduce the amount of nutrients you are taking in," Dr Al Shehi said.

"As our traditional foods are high in sugar and fats, we recommend keeping a balance between all food groups including protein (20 per cent to 30 per cent) and carbs (45 per cent to 50 per cent). Fats should constitute no more than 35 per cent of your meal and should be consumed from healthy sources such as avocados, nuts, and olive oil.

“It is common for people to consume an increased amount of sweets and sugars during Ramadan. People with chronic diseases, especially diabetic patients should monitor their blood sugar regularly especially after heavy meals and in case they develop any hyperglycaemic symptoms.”

“On the other hand, hypoglycaemic symptoms should be monitored and breaking the fast immediately is a must if patients develop symptoms such as dizziness. In addition, drinking enough water, non-sweetened drinks and hydrating fruits such as watermelon and vegetables such as tomato and cucumber, are advisable. Try to avoid caffeinated drinks. Plenty of water between iftar and suhoor is recommended to keep your body hydrated.“

Include fruits and vegetables in iftar

Breaking one's fast after more than 10 hours of no food and water should be a gradual process.

“The traditional and healthy way to break one’s fast is to eat three dates and drink one or two cups of water. Your iftar meal should include plenty of fruits and vegetables in addition to the right choice of protein, such as skinless chicken, lean meat, or fish. Avoid foods high in fat, or that are processed or high in sugar. Incorporating whole grains will give your body the energy to sustain itself and remain active for the rest of the day. Try to eat slowly and avoid overeating,” she said.

“To keep your body healthy during Ramadan, a balance between diet and a moderate level of physical activity is recommended. In addition, it is important to adhere to your physician’s advice on adjusting or modifying your medication during the holy month. We also recommend that you try to keep yourself active – Ramadan is a chance for many people to lose weight and control their blood pressure, blood sugar and cholesterol levels. It is the month that helps people learn discipline and self-control.

Mercer, the investment consulting arm of US services company Marsh & McLennan, expects its wealth division to at least double its assets under management (AUM) in the Middle East as wealth in the region continues to grow despite economic headwinds, a company official said.

Mercer Wealth, which globally has $160 billion in AUM, plans to boost its AUM in the region to $2-$3bn in the next 2-3 years from the present $1bn, said Yasir AbuShaban, a Dubai-based principal with Mercer Wealth.

Within the next two to three years, we are looking at reaching $2 to $3 billion as a conservative estimate and we do see an opportunity to do so,” said Mr AbuShaban.

Mercer does not directly make investments, but allocates clients’ money they have discretion to, to professional asset managers. They also provide advice to clients.

“We have buying power. We can negotiate on their (client’s) behalf with asset managers to provide them lower fees than they otherwise would have to get on their own,” he added.

Mercer Wealth’s clients include sovereign wealth funds, family offices, and insurance companies among others.

From its office in Dubai, Mercer also looks after Africa, India and Turkey, where they also see opportunity for growth.

Wealth creation in Middle East and Africa (MEA) grew 8.5 per cent to $8.1 trillion last year from $7.5tn in 2015, higher than last year’s global average of 6 per cent and the second-highest growth in a region after Asia-Pacific which grew 9.9 per cent, according to consultancy Boston Consulting Group (BCG). In the region, where wealth grew just 1.9 per cent in 2015 compared with 2014, a pickup in oil prices has helped in wealth generation.

BCG is forecasting MEA wealth will rise to $12tn by 2021, growing at an annual average of 8 per cent.

Drivers of wealth generation in the region will be split evenly between new wealth creation and growth of performance of existing assets, according to BCG.

Another general trend in the region is clients’ looking for a comprehensive approach to investing, according to Mr AbuShaban.

“Institutional investors or some of the families are seeing a slowdown in the available capital they have to invest and in that sense they are looking at optimizing the way they manage their portfolios and making sure they are not investing haphazardly and different parts of their investment are working together,” said Mr AbuShaban.

Some clients also have a higher appetite for risk, given the low interest-rate environment that does not provide enough yield for some institutional investors. These clients are keen to invest in illiquid assets, such as private equity and infrastructure.

“What we have seen is a desire for higher returns in what has been a low-return environment specifically in various fixed income or bonds,” he said.

“In this environment, we have seen a de facto increase in the risk that clients are taking in things like illiquid investments, private equity investments, infrastructure and private debt, those kind of investments were higher illiquidity results in incrementally higher returns.”

The Abu Dhabi Investment Authority, one of the largest sovereign wealth funds, said in its 2016 report that has gradually increased its exposure in direct private equity and private credit transactions, mainly in Asian markets and especially in China and India. The authority’s private equity department focused on structured equities owing to “their defensive characteristics.”

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Tax authority targets shisha levy evasion

The Federal Tax Authority will track shisha imports with electronic markers to protect customers and ensure levies have been paid.

Khalid Ali Al Bustani, director of the tax authority, on Sunday said the move is to "prevent tax evasion and support the authority’s tax collection efforts".

The scheme’s first phase, which came into effect on 1st January, 2019, covers all types of imported and domestically produced and distributed cigarettes. As of May 1, importing any type of cigarettes without the digital marks will be prohibited.

He said the latest phase will see imported and locally produced shisha tobacco tracked by the final quarter of this year.

"The FTA also maintains ongoing communication with concerned companies, to help them adapt their systems to meet our requirements and coordinate between all parties involved," he said.

As with cigarettes, shisha was hit with a 100 per cent tax in October 2017, though manufacturers and cafes absorbed some of the costs to prevent prices doubling.

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Updated: April 08, 2022, 12:00 AM