Dawn to sunset fasting and the fatigue manifestations of Post COVID-19 syndrome: A Case control study
El-Meidany1, W., Farahat,2, M., Rozza 3, H., Ali4,, A., Abdelaal 5,, A., Ntenda6, ,., Waly 7, M. (2025). Dawn to sunset fasting and the fatigue manifestations of Post COVID-19 syndrome: A Case control study. EKB Journal Management System, 40(3), 46-58. doi: 10.21608/enj.2025.467142
Walaa El-Meidany1; Mohamed Farahat,2; Hebatullah HA Rozza 3; Aya Ali4,; Amir Abdelaal 5,; , Peter Ntenda6; Mostafa Waly 7. "Dawn to sunset fasting and the fatigue manifestations of Post COVID-19 syndrome: A Case control study". EKB Journal Management System, 40, 3, 2025, 46-58. doi: 10.21608/enj.2025.467142
El-Meidany1, W., Farahat,2, M., Rozza 3, H., Ali4,, A., Abdelaal 5,, A., Ntenda6, ,., Waly 7, M. (2025). 'Dawn to sunset fasting and the fatigue manifestations of Post COVID-19 syndrome: A Case control study', EKB Journal Management System, 40(3), pp. 46-58. doi: 10.21608/enj.2025.467142
El-Meidany1, W., Farahat,2, M., Rozza 3, H., Ali4,, A., Abdelaal 5,, A., Ntenda6, ,., Waly 7, M. Dawn to sunset fasting and the fatigue manifestations of Post COVID-19 syndrome: A Case control study. EKB Journal Management System, 2025; 40(3): 46-58. doi: 10.21608/enj.2025.467142

Dawn to sunset fasting and the fatigue manifestations of Post COVID-19 syndrome: A Case control study

Egyptian Journal of Nutrition
Volume 40, Issue 3, September 2025, Pages 46-58    PDF (709.86 K)
Document Type: Original Article
DOI: 10.21608/enj.2025.467142
Authors
Walaa El-Meidany11; Mohamed Farahat,22; Hebatullah HA Rozza 33; Aya Ali4,4; Amir Abdelaal 5,5; , Peter Ntenda66; Mostafa Waly 77
11 Nutrition Department, High Institute of Public Health, Alexandria University, Egypt
22 Department of Community Health Sciences, College of Applied Medical Sciences, King Saud university, Riyadh, Saudi Arabia
33 Department of Health administration and behavioral science, High Institute of Public Health, Alexandria University, Egypt
44 Department of Biostatistics, High Institute of Public Health, Alexandria University, Egypt.
55 Medical Resident, Marien-Hospital Euskrichen, Academic teaching hospital of the university of Bonn, Germany
66 College of Medicine, University of Malawi, Private Bag 360, Chichiri, Blantyre 3, Malawi.
77 Food Science and Nutrition Department, CAMS, Sultan Qaboos University, Oman.
Abstract
ABSTRACT
A growing number of individuals previously infected with the SARS-CoV-2 have reported persistent symptoms which are called post-COVID syndrome. It is a widely prevailing problem in which chronic fatigue is primarily the most common reported symptom in up to 72% cases. Therefore, solutions should be made to help post COVID-19 syndrome patients overcome this major problem. Dawn to sunset fasting plays an important role in human health and it has many beneficial effects on fatigue, mood, and wellbeing. Thus, our study aims to investigate the effect of dawn to sunset fasting on fatigue manifestation among post COVID-19 cases compared to the control.  A case control study was carried out in which two groups were assigned and evaluated by the Piper fatigue scale during dawn to sunset fasting.  The results showed that fatigue manifestation, during dawn to sunset fasting, was less severe among cases versus control. Only 6% of post COVID-19 cases had severe fatigue symptoms compared to 21.5% of control. It was concluded that fasting may be a good solution for cases suffering from post-COVID-19 syndrome to regain their health and reduce their daily sense of chronic fatigue that will improve their quality of life. Further research needs to be carried out on a large scale.
Keywords
Keywords: Dawn to sunset fasting; post COVID-19 syndrome; fatigue manifestation; piper fatigue scale. 
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