Possible gastrointestinal disorders for athletes during Ramadan: an overview

Ramadan is considered to be the month of the stomach break. It has been reported that Ramadan has some health benefits. In most Muslims countries, there is a huge modification in the diet during this month. These changes could induce some gastrointestinal (GI) disorders (e.g. diarrhea, cramps, fullness, nausea). The aims of the present overview were to present some challenges that could be observed for athletes during the training sessions or competition and present some practical recommendations to avoid GI disorders during Ramadan. Based on previous studies, we could advance that the prevalence of GI disorders will be more pronounced when athletes travel for international competitions during Ramadan. Besides, GI disorders are more frequent for athletes when there is a huge modification in the training load. Dehydration observed during Ramadan is one of the factors that may induce GI disorders. The latter could be exacerbated by sweat loss during training sessions. Carbohydrate is frequently used by athletes to improve performance and is associated with some GI disorders. Therefore, during Ramadan, coaches and athletes should be advised to maintain the same diet and a good hydration as before the fasting month, and avoid air travel when preparing for competitions.