Fasting during the month of Ramadan is observed annually by most of the 1·9 billion Muslims worldwide and is one of the five core pillars of Islam. Most able and observing Muslims fast and abstain from food, liquids, and sexual activity between dawn and dusk for spiritual growth, seeking redemption and striving to better themselves through self-reflection and control. As such, individuals might fast for up to 18 h a day, depending on where they live. Although there are exemptions for young children, older people, travellers, pregnant women, and the sick, many Muslims nevertheless try their best to participate, given the month's religious significance. As acute or severe illness might rekindle spirituality, patients can unsurprisingly become more resolute in their desire to fast. With significant lifestyle changes during the month in terms of eating habits, physical activity levels, sleep schedules, and an inability to take medications or smoke while fasting, these changes might have profound implications for patients with chronic diseases. Ramadan, therefore, presents an opportunity for health-care providers to ensure fasting is safe for their patients through shared treatment decisions and affirming healthy lifestyle changes.

中文翻译：

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呼吸系统疾病和斋月。

全世界1·90亿穆斯林中的大多数人每年都在斋月期间禁食，这是伊斯兰教的五个核心支柱之一。多数能干且能观察到的穆斯林在黎明和黄昏之间会快速进食，并避免食物，液体和性活动，以实现精神成长，寻求救赎并通过自我反省和自我控制来改善自己。因此，根据他们居住的地方，个人每天禁食长达18公顷。尽管对幼儿，老年人，旅行者，孕妇和病人有豁免，但鉴于该月的宗教意义，许多穆斯林仍然尽力参加。由于急性或严重疾病可能会重新激发人们的灵性，因此患者可以毫无疑问地变得更加坚决禁食。在一个月中，就饮食习惯，身体活动水平，睡眠时间表以及在禁食时无法服药或吸烟，生活方式发生了重大变化，这些变化可能会对慢性病患者产生深远的影响。因此，斋月为医疗服务提供者提供了一个机会，可以通过共同的治疗决策和肯定健康的生活方式改变，确保他们的患者禁食安全。