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I imagine that these impacts are varied. For people of poor health with a diet of meager nutrition, or for diabetics with irregular blood sugar levels, Ramadan fasting may lead to worse health outcomes. For people who are not diabetic but at risk of becoming so, Ramadan fasting may lead to better health outcomes. Just a guess.

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Those with severe health issues are not obligated to fast. Those that do have health issues but are still able to fast notice an improvement in health if they fast in the recommended way. If they continue with their poor diet at the prescribed eating times then nothing changes.

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