متنی علمی به زبان انگلیس و با ترجمه فارسی در باره زیانهای روزه

پروفسور دکتر ویلیام جارویس استاد بازنشته دانشکده پزشکی لوما لیندا(امریکا) متخصص سلامت عمومی و مدافع حقوق مصرف کنندگان در امریکا است.تخصص های او شامل بهداشت آب، سلامت عمومی، پیشگیری و واکسیناسون و تکنولوژی غذا است.دکتر جارویس از مخالفان سرسخت روزه نیز هست.متن زیر ترجمه ی مقاله ای از این نخبه پزشکی امریکا درباره مضرات روزه برای بدن است.(تخلیص شده)این مقاله به عنوان یکی از رفرنس ها در ویکی پدیا در بخش مضرات روزه(مدخل روزه) هم به کار رفته(رفرنس شماره 10 در ویکیپدیای فارسی-توضیح روزه)

Fasting

William T. Jarvis, Ph.D

 روزه شامل دست کشیدن داوطلبانه از خوردن آب و غذا یا فقط غذا برای مدت مشخص است.روزه دارای سابقه ای طولانی در تاریخ است که به دلایل مختلف مذهبی و سیاسی انجام می شده است.برخی پزشکان مذهبی برای توجیه و تراشیدن فواید علمی برای آن، از روزه به عنوان پاکسازی بدن و یا درمان هر درد! یاد میکنند.از آن جمله می توان به هربرت شلتون نویسنده کتاب fit for life اشاره کرد که در سال 1981 منتشر شد و پر از اطلاعات علمی اشتباه بود.

برخلاف ادعاهای طرفداران، روزه بدن را پاکسازی نمی کند و باعث استراحت کبد نمی شود.ولی البته باعث انباشت سم در بدن و امراض کبد می شود! چون با فشار بر کلیه باعث انباشت ترشحات سمی مانند اوره می شود.

روزه می تواند برای سلامتی خطرناک باشد.به ویژه وقتی به دلایل مذهبی و سیاسی و بدون توجه به مسایل علمی و پزشکی اتخاذ شود.مثلا در رژبم روزه ای شلتون(که همانطور که قبلا اشاره شد پر از اشتباهات علمی هم بود)، شکل و مدت روزه برای افراد در سنین و شرایط گوناگون بدنی کاملا متفاوت بود.ولی در روزه های مذهبی و سیاسی همین مسائل هم رعایت نمی شود.

طرفداران روزه می گویند به دلیل روزه بسیاری از سموم از بدن خارج می شود.اما باید بدانید در مقابل شما در معرض  هپاتیت ، اختلالات کلیه ، بیماری های خون ، بیماری های قلبی ، ورم مفاصل بیماری های  اعصاب و روان  یا حتی سرطان — بسته بر شرایط ارثی و یا نقاط ضعف ساختاری بدن شما – قرار می گیرید.

تغییرات شیمیایی در خون در طول روزه میتواند تاثیرات خطرناکی بر سیستم بدن داشته باشد.از جمله احتمال مسمومیت‌های استامینوفنی که همراه با برخی داروها رخ میدهد. برهم خوردن تعادل گرمایی بدن، تشنگی مفرط، ضعف و نقصان مواد غذایی مورد نیاز بافت‌های بدن از جمله جنبه‌های منفی روزه‌گرفتن است. ایجاد حالات عصبی همراه با سردرد، بیخوابی و خستگی مفرط از دیگر عوارض روزه‌ داری است.

هنگامی که بدن با کمبود انرژی مواجه می‌شود بدن طی فرآیندی به نام کاتابولیسم شروع به شکستن ماهیچه‌ها و دیگر بافت‌های پروتئنی و تبدیل آن به انرژی می‌کند. این کاتابولیسم(در حالت روزه) در واقع نوعی «خود خوری» محسوب می‌شود که با تولید اوره و آمونیاک (به عنوان مواد فرعی) منجر به افزایش اسیدیته خون می‌شود. نتیجهٔ اسیدی شدن خون ضعف، خستگی شدید، کج‌خلقی، افسردگی، کاهش میل جنسی و احساس کسالت است.

روزه علاوه بر سمی کردن خون با مواد اسیدی، مانع از دفع کامل آنها از بدن نیز میشود. روزه باعث از دست رفتن سریع آب، پتاسیم و سدیم میشود. کاهش آب بدن منجر به کاهش حجم خون و در نتیجه کاهش فشار خون خواهد شد که به سرگیجه، احساس ضعف و یا غش منتهی میشود. کمبود شدید پتاسیم منجر به بهم خوردن ریتم ضربان قلبی میشود. این افت تپش قلب حتی ممکن است در مواردی به مرگ بینجامد. کسانی که روزه می‌گیرند ممکن است همچنین به کم‌خونی، ضعف ایمنی بدن، آسیب‌های کلیوی یا کبدی مبتلا گردند. همچنین آسیب‌های معده-روده‌ای یا نارسایی‌های گوارشی میتواند تا چند هفته یا چند ماه ادامه داشته باشد. روزه خصوصاً برای کودکان خطرناک است. از دست رفتن آب بیش از حد باعث  کاهش سطح هوشیاری و یبوست و سنگ کلیه نیز می شود.

اثرات جسمی روزه:

به جز مغز که بیشتر از هر ارگان دیگری در بدن نیاز دائمی به گلوکز دارد و کمبودش باعث آسیب به مغز می شود، پایین آمدن شدید قند خون در نتیجه روزه باعث می شود بدن برای تامین کالری مورد نیاز شروع به کاتوبولیسم  تجزیه بافت عضلانی و سایر پروتین های بدن کند.در هنگام روزه ، شکل کاتوبولیسم بدن تبدیل به “خود خواری” می شود که با ترکیب با سایر نتایج روزه مثل افزایش آمونیاک و اوره منجر به ضعف ، خستگی ، تحریک پذیری ، افسردگی ، میل جنسی کم ، و احساس بیماری می شود.

. روزه منجر به از دست دادن سریع آب ، سدیم و پتاسیم است. این کار سبب کاهش حجم خون می شود همچنین کم خونی، کاهش ایمنی بدن، پوکی استخوان ، صدمه به کلیه ، یا آسیب کبدی از عوارض دیگر روزه است.

روانشناسی روزه:

روزه از دید مذهبی ارتبط زیادی با “خود آزاری “دارد.مرتاضان اعتقاد دارند بزرگترین رشد و لذت روحی آزاد دادن و ضرر زدن به خود است.این موضوع به ضرورت ریشه ای ارتباط نزدیکی با فقدان اعتماد به نفس دارد.آنها از زجر و درد لذت می برند.مرتاض ها و افراد شدیدا مذهبی  وقتی اتفاق خوبی برایشان می افتد احساس بدی می کنند زیرا خود را لایق ان نمی دانند و احساس بی ارزش بودن می کنند.

یکی از این افراد می گوید: ” وقتی بیمار ویا ناراحت هستم تفکر می کنم.در هنگام شادی تنها غفلت وجود دارد، پس من شادی نمی خواهم.من فقط درد و رنج می خواهم!

در پایان به شدت توصیه می کنم از روزه طولانی بپرهیزید.به خصوص اگر روزه شما شامل آب نخوردن هم هست،بیش از 6 ساعت آن را ادامه ندهید.ویا منتظر عواقب آن بر سلامتیان باشید.

لینک مقاله اصلی به انگلیسی

Fasting

William T. Jarvis, Ph.D.

Fasting involves voluntary total food deprivation (water only or distilled water only), juice-fasting which permits fruit juices or distilled water and lemon juice. Fasting has a long history as a symbolic demonstration of religious devotion, act of protest, or commitment to a political cause. Various so-called "natural health" or "hygienic" practitioners advocate fasting to "cleanse the body" or as a cure-all. Herbert Shelton, advocate of "natural hygiene"[1] and originator of the erroneous idea of "food combining" popularized by the best-selling pseudonutrition book Fit For Life, was an influential advocate of fasting. Other Shelton disciples include:

• Judy Mazel, author of The Beverly Hills Diet (1981), said to be "ludicrous" and "full of misinformation so strange that it would be funny, except that so many people seem to believe it."
• Firewalk guru Tony Robbins, author of Unlimited Power which also taught nutrition nonsense (See NCAHF Newsletter, Jan-Feb, 1995).

Contrary to the teachings of proponents, fasting doesn't "cleanse" or "rest" the liver. If anything, fasting overworks the liver by saturating it with toxins produced by fasting itself [2]. Fasting can be dangerous, especially when undertaken or supervised by ideologists who are blind to its actual effects. Shelton's fasting regime was responsible for several deaths. A 49-yr-old man died of bronchial pneumonia that resulted from a 30-day distilled water diet sponsored by "Dr. Shelton's Health School" in Texas (said to be sixth such death in five years while undergoing treatment at the school) [3] Proponents of fasting often evoke the dangerous "healing crisis" theory of naturopathy alleging that adverse symptoms experienced by the faster are "poisons being expelled by the body." The misguided theory that adverse symptoms should be expected and welcomed as the body's "re-tracing" is explained by Stanley Bass, ND, DC, PhC (Philosopher of Chiropractic):
The toxins being discarded are saving you from more serious disease which will result if you keep them in your body too much longer--possibly hepatitis, kidney disorders, blood disease, heart disease, arthritis, nerve degenerations or even cancer--depending upon your hereditary or structural weaknesses. Be happy you're paying your bills now in an easy payment plan. With some, colds which haven't appeared for a long time may occur, or even fevers. THIS IS NATURE'S WAY OF HOUSECLEANING. DON'T -- but DON'T try to stop these symptoms ...These symptoms are part of a curing process, and don't try to cure a cure.
Those who have lived worse lives and poisoned themselves more will experience more severe symptoms. Headaches may occur at the beginning; fever and/or colds may appear; the skin may break out; there may be a short interval of bowel sluggishness, occasional diarrhea, feelings of tiredness and weakness, disinclination to exercise, nervousness, irritability, negativity or mental depression, frequent urination, etc. REALIZE DEEPLY that your body is becoming younger and healthier every day because you are throwing off more and more wastes which would eventually have brought pain, disease and suffering. Those who have the worst symptoms . . . and follow through to their successful termination are thus avoiding some of the worst diseases which would eventually have developed had they continued their careless eating habits.
The notion that adverse symptoms should be disregarded, or even rejoiced about, caused Bivian Lee to ignore serious symptoms of cardiac myopathy that developed during a very-low-calorie Herbalife diet program. When Lee blacked out, his wife discovered his condition and made an appointment for him to see a physician. Sadly, Lee died in front of his 4-year-old daughter before the appointment could be kept [4].
Physical Effects of Fasting
Except for the brain, which consumes more calories than any other organ and has a constant need for glucose whether one is asleep or awake, one's metabolic rate varies with physical activity and by day and nightime effects. The body's ongoing need for nutrition is met by stores in the cells and liver, circulating blood, and gastrointestinal contents. Fasting causes blood sugar to drop. This leads to a breakdown (catabolism) of muscle and other protein tissue for energy. During fasting, catabolism is a kind of "self-cannibalism" the by-products of which (ammonia and urea) lead to acidosis that produces weakness, fatigue, irritability, depression, depressed libido, and a sick feeling. Fasting does not cleanse the system, but loads it with metabolic toxins while decreasing its ability to destroy and excrete these. Fasting leads to rapid loss of water, sodium, and potassium. This decreases blood volume which produces postural hypotension (low blood pressure when standing up), and fainting. Severe potassium depletion can cause a fatal heart rhythm disturbance. The body cannot differentiate between voluntary fasting and starvation and deaths have occurred even with medically supervised fasts and near-fasts. People who survive prolonged fasts (starvation) may suffer anemia, decreased immunity, osteoporosis, kidney damage, or liver damage. Depressed gastrointestinal or digestive functions may persist for weeks or months [v]. The worst thing about fasting is its destruction of lean and vital tissue needed for a healthy and active life. Fasting, like colonic irrigation, laxatives, sweat baths, and other naturopathic regimes are at best useless, and at worst, can be fatal. Fasting is particularly dangerous for children.
Case. A 3.5 yr-old girl died of malnutrition and pneumonia following a 27-day water fast [6]. Her parents were disciples of a naturopath, Kenneth Jaffrey, who believed that fasting was beneficial. The couple placed the little girl on a diet of distilled water for 27 days to clean her body of toxins that they believed had built up through expose to orthodox medicine. The girl's father was described as "intolerant of medical practitioners" and "arrogant in view of life." At death, the child was half of her expected weight [7].
Case. A 9-year-old girl died in Ottawa, Canada after being on a water-only diet for 40-days. Mellissa Larochelle was treated at home in the northern Ontario town of Hearst with the diet which, according to provincial police "apparently has some religious overtones to it. It's somehow connected to the 40 days and nights Jesus fasted and its supposed to purge your system," they said. Mellissa was seized by the Children's Aid Society and hospitalized in Ottawa but died on March 16, 1990. The girl's grandmother, Rollande Turgeon, 55, was sentenced to 6 months in jail on January 18, 1991 after pleading guilty to negligence causing bodily harm. Turgeon had taken courses and was accredited by the American Hygiene Association. She operated a so-called fasting clinic at her house. Turgeon was treating Mellissa for an ear infection. In passing sentence the judge said that Turgeon had made a grave error in judgment by not contacting doctors sooner. He stated that "she was blinded by the principles of fasting and didn't believe in medical intervention." [8]
Psychology of Fasting
The psychology of fasting is consistent with asceticism (self-denial). Ascetics find pleasure in pain. This reversal of perception is rooted in a negative self-concept. Ascetics feel badly when good things happen to them because they do not feel worthy. They feel good when they are deprived of what gives normal people pleasure because they are getting what they feel they deserve. Puritans were ascetics. They are remembered for the concept that "if it feels good, don't touch it," "if it tastes good, don't eat it," and "if it looks good, cover your eyes!" Ascetics love to give up things. When they are sick they often think, "If I give up something more, I will be better." Fasting and austere diets that amount to near-fasting have appeal to ascetics for whom sacrifice has become the route to health and eternal salvation. Little wonder that many religious zealots demonstrate their extreme devotion by fasting. The importance of psychological factors in the desire to fast can be seen in case reports.
Case. A 36-yr-old male adherent to the Temple Beautiful diet died of malnutrition attempting to become a holy man who could live on air alone. Five years earlier, David Blume had been pursuing an idyllic career as an English teacher at Nathaniel Hawthorne college in New England. His students loved him. He was a tall, handsome man with clear, bright eyes and a gift for sharing ideas. Blume lost his teaching job because of budget cuts, and was unable to secure satisfactory employment. During his period of vulnerability, he meet Steven Haasz, founder and leader of Temple Beautiful. Haasz was a disciple of Ann Wigmore, originator of the wheatgrass fad. Blume chose the most rigorous of the group's dietary options and began subsisting almost entirely on raw wheatgrass juice. His aim was to become a "breatharian" -- a holy man who could live on air alone. On October 6, 1979, Blume's lifeless body was found on the floor of his shabby Philadelphia apartment. He was 6 feet tall and weighed 87 lbs [9].
Case. Several "patients" of Arthur Andrews, operator of the California Health Sanctuary at Hollister, CA, died following prolonged fasting. The California medical licensing board brought charges against Andrews for practicing medicine without a license because the purpose of the fasting had been to heal medical conditions. The defense argued that Andrews' regime was intended to "heal the soul," which was a religious matter. Andrews was fined $1,000 for the unlawful practice of medicine, but was allowed to continue operating as a religious retreat as long as he did not practice medicine [10].
NCAHF strongly advises against the use of prolonged fasting for health purposes, and believes that requiring children to fast is a form of child abuse.
References

1.     Kenney J. "Fit For Life: Some notes on the book and its roots," Nutr Forum 1986;3:57-9.

2.     Butler K. A Consumer's Guide to "Alternative Medicine." Prometheus, 1992, p.60.

3.     Los Angeles Daily Journal, 9/21/82, p.1.

4.     Civil District Court Parrish of Orleans, State of Louisiana, Cynthia Lee, et al v HerbaLife International, Inc., CDC #85-16512.

5.     Butler, Op Cit. p.181.

6.     Finke M, Horne C. "Parents to trial over fast death," The Herald, (Melbourne, Australia) 12/5/85.

7.     "Water diet couple found guilty of manslaughter," Age (Melbourne, Australia), March 26, 1986.

8.     "Grandmother gets 6 months for girl's fast death," Chronicle Journal (Thunder Bay, Ontario) 1/19/91; Also The Toronto Star, 1/20/91, p.A14.

9.     "Temple Beautiful diet--death for David Blume," San Bernardino Sun, 10/15/79. p.A-3.

10. Sampson W. "The sanctuary desanctified; inside the courtroom." The Health and Nutrition Newsletter, Fall, 1987, pp.4-5.

Other Resource Documents

• Fasting takes off weight but it can be dangerous (Mayer) Sun-Telegram 1/11/76
• The physiology of starvation (Young) Scientific American 1971;225 (4):14-21
  [Review of how prolonged starvation affects the body. Exceptional as a source of scientific information on the topic].
• A Guide to Political Fasting (Brooks) Nonviolent Tactics Development Project, July, 1981 [Although the aim of this publication is to prepared people for the psychosocial effects of protest-fasting, the authors present a great deal of practical information on beginning, maintaining and ending fasts. Included is a useful bibliography on fasting.]
• Hunger strikers may have died of fat, not protein, loss. (Korcok) JAMA 1981;246:1878-9
• Unwarranted dieting retards growth and delays puberty Nutrition Reviews 1984;42:14-15 [Reports on 14 children who voluntarily restricted food intake due to fear of obesity.]
• Brief fasting, stress and cognition in children (Pollitt) Am J Clin Nutr 1981;34:1526-33
• Fit For Life: some notes on the book and its roots (Kenney) Nutr Forum 1986;3:57-9
• Sudden death associated with very low calorie weight reduction regimens (Sours) Am J Clin Nutr 1981;34:453-61,
• A critique of Mr. Clinton's self-help guru NCAHF Newsletter Jan-Feb, 1995

Recommended Books

• Butler K. A Consumer's Guide to "Alternative Medicine" Prometheus, 1992.
• Raso J. Mystical Diets. Prometheus, 1993

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© 1995, National Council Against Health Fraud. 
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