Isoverity is correct, it's usually a big feast at sundown. So in terms of health, the daily calorie intake and whatnot isn't far off what it should be.
Kids don't have to fast, although some teenagers choose to do so, hence people knowing people who fasted in highschool etc.
The fluid/water thing depends on how people interpret the scripture I think, although the majority of Muslims will allow water during the day (I'm not 100% sure on that, but a lot of Muslim countries are roasting hot during the day, so going without water would be very difficult).
As stated, pregnant women & other at-risk people are 'exempt' from fasting. So yeah, it's not particularly unhealthy, as long as people use their common sense...
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