Impact of Ramadan Diurnal Intermittent Fasting on Hypoglycemic Events in Patients With Type 2 Diabetes: A Systematic Review of Randomized Controlled Trials and Observational Studies

Abdelrahim, Dana N.; Faris, MoezAlIslam; Hassanein, Mohamed; Shakir, Ayman Z; Yusuf, Ayesha M; Almeneessier, Aljohara S.; BaHammam, Ahmed S.

doi:10.3389/fendo.2021.624423

Cited by 41 publications

(41 citation statements)

References 115 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While the effect of fasting (and its associated higher sugar intake) did not show any adverse glucometabolic impacts in healthy subjects (64), its effects on diabetic patients remains to be elucidated. Worldwide, it is estimated that 70 million people with diabetes observe fasting during Ramadan (65). Considering this large population of patients who mostly selfdecide to fast during Ramadan, despite being exempted to do so as per the Islamic rules of Ramadan, the findings of this study (higher sugar consumption during the month of Ramadan) ought to be integrated into the formulation of culturespecific recommendations for dietary intake during the month of Ramadan for this group of patients.…”

Section: Discussionmentioning

confidence: 95%

Impact of Ramadan Fasting on Dietary Intakes Among Healthy Adults: A Year-Round Comparative Study

et al. 2021

View full text Add to dashboard Cite

Religious rituals are considered among the principle factors that impact dietary behaviors and food selections. The main objective of this study is to characterize food intake among Lebanese adults observant of the fasting month of Ramadan and compare it to their intake of the rest of the year. During a year-round study, including the month of Ramadan, Lebanese adults (n = 62), completed multiple (9 to 13) 24-h dietary recalls. Information about sociodemographic and lifestyle characteristics was also obtained. Dietary intake was examined using food groups as well as energy, macro, and micronutrient consumption. Significant differences in dietary intakes were observed for 12 of the 19 food groups (expressed as a percent of total energy) during Ramadan as compared to the rest of the year. More specifically, the intakes of cereals, cereal-based products, pasta, eggs, nuts and seeds, milk and dairy, and fats and oils were lower, while vegetables, dried fruit, Arabic sweets, cakes and pastries, and sugar-sweetened-beverages intakes were higher during Ramadan as compared to the remainder of the year (p < 0.05). Such differences in food groups' intakes were reflected in nutrients intakes, including carbohydrates, cholesterol, calcium, beta-carotene, vitamin C, folate, and magnesium. The findings of this study highlighted major differences in dietary intakes between the fasting month as compared to the rest of the year. With the large number of adults who observe fasting during Ramadan, the particularities of dietary intake during Ramadan ought to be considered in the development of context and culture-specific dietary recommendations.

show abstract

Section: Discussionmentioning

confidence: 95%

Impact of Ramadan Fasting on Dietary Intakes Among Healthy Adults: A Year-Round Comparative Study

et al. 2021

View full text Add to dashboard Cite

show abstract

“…However, the findings of other studies suggested that RF could increase the risk of hypoglycaemia in some of these patients, while could not in others (26)(27)(28). This variation could be ascribed to many factors such as season of Ramadan month, fasting time duration, pre-fasting education, geographical location and the duration of time since diagnosis with the disease (29). Thus, this review has hypothesised that some children who are eligible to fast according to Islamic regulations on RF, which usually starts around 12 years old or reaching puberty, will benefit from RF and the effects could be the same as in adults.…”

Section: Introductionmentioning

confidence: 91%

Impact of COVID-19 on Children and Young Adults With Type 2 Diabetes: A Narrative Review With Emphasis on the Potential of Intermittent Fasting as a Preventive Strategy

Elmajnoun

Faris

Uday³

et al. 2021

Front. Nutr.

Self Cite

View full text Add to dashboard Cite

Background: The world is still struggling to control the COVID-19 pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The level of uncertainty regarding the virus is still significantly high. The virus behaves differently in children and young adults. Most children and adolescents are either asymptomatic or have mild symptoms. They generally have a very good prognosis. However, it is not well-known whether children and young adults with type 2 diabetes are at risk of getting a severe infection of COVID-19. Many Muslim children with type 2 diabetes have been performing dawn to dusk fasting during the month of Ramadan, before and during the COVID-19 pandemic, and the impact of this on their health has not been well investigated. Previous studies in adults have suggested that intermittent fasting may be beneficial in different ways including reversal of type 2 diabetes and prevention of COVID-19 infection.Objective: The primary aim of this narrative review is to summarise the impacts of the COVID-19 pandemic on children and young adults with type 2 diabetes, and to identify the knowledge gaps in the literature. It also explores the potential of intermittent fasting in reversing the pathogenesis of diabetes and highlighting how this approach could prevent these patients from developing chronic complications.Methods: This narrative review has been produced by examining several databases, including Google Scholar, Research Gate, PubMed, Cochrane Library, MEDLINE (EBSCO), and Web of Science. The most common search terms used were “COVID-19 AND Children”, “SARS-CoV-2 AND/OR Children”, “COVID-19 AND Diabetes” “COVID-19 Epidemiology”, “COVID-19 AND Ramadan fasting”, “COVID-19 and Intermittent fasting.” All the resources used are either peer-reviewed articles/reports and/or official websites of various media, governmental and educational organisations.Results: Having reviewed the currently limited evidence, it has been found that the incidence of COVID-19 among children with type 2 diabetes seems to be not much different from children without diabetes. However, these patients are still vulnerable to any infection. Several studies have reported that prevention programmes such as intermittent fasting are effective to protect these groups of patients from developing any complications. Moreover, observing Ramadan fasting as a type of intermittent fasting could be beneficial for some children with established diabetes, prediabetes and people at risk.Conclusion: Children and young adults with type 2 diabetes are not at risk of severe COVID-19 infection as the case in adults with diabetes. More research is needed to identify the impact of COVID-19 and to investigate the efficacy and safety of intermittent fasting, including Ramadan fasting, among these age groups. Implementing these cost-effective programmes may have a great impact in minimising the incidence of diabetes. Moreover, this could be effective particularly at prediabetes stage by preventing these people from going onto develop type 2 diabetes and taking medications for the rest of their life and protecting people from complications linked to disease and infection.

show abstract

“…Every year, the Islamic holy month of Ramadan is observed by more than 1.5 billion Muslims worldwide (Abdelrahim et al 2021). During Ramadan, Muslims must refrain from eating, drinking, smoking, and sexual activity from dawn to dusk each day, for about 11-22 hours depending on the geographical location and solar season.…”

Section: Introductionmentioning

confidence: 99%

“…Pregnant and lactating women, children before puberty, and those with certain health conditions such as patients with diabetes are exempt from fasting during Ramadan; however, some of these groups still choose to fast during Ramadan and may face complications (Abdelrahim et al 2021). Therefore, the impact of RIF has been extensively researched regarding medical recommendations for these population groups (Hassanein et al 2022; Mahmood et al 2022).…”

Section: Introductionmentioning

confidence: 99%

What does medical research on Ramadan intermittent fasting tell us? Bibliographic mapping analysis of seven decades (1952–2021) and future directions

Obaideen

Shihab

Madkour

et al. 2022

Preprint

View full text Add to dashboard Cite

There is a large body of research focused on various aspects related to Ramadan intermittent fasting (RIF) and human health and disease. This study aimed to quantify the bibliometric parameters of RIF medical research over the past seven decades and explore these parameters qualitatively via text mining analysis. We used the Scopus search engine to identify published articles related to RIF from inception to December 31, 2021. All types of research articles were included. Scientometric and bibliometric parameters were determined using Excel, Biblioshiny, and VOSviewer. The Scopus search returned 1916 relevant articles. Most citations pertained to publications from the last two decades, and most publications were original research articles. These publications had received around 27,000 citations, and the 20 most prolific publishing journals had an h-index of 112.25. More than one-third of all medical publications were in open-access journals. There was a 13-fold increase in medical research on RIF over the past few decades. We identified the 10 most prolific publishing countries, institutes, journals, and authors. This is the first comprehensive bibliometric analysis of medical research related to RIF. The research gaps identified will inform future research directions and foster collaborative research activities.

show abstract

Impact of Ramadan Diurnal Intermittent Fasting on Hypoglycemic Events in Patients With Type 2 Diabetes: A Systematic Review of Randomized Controlled Trials and Observational Studies

Cited by 41 publications

References 115 publications

Impact of Ramadan Fasting on Dietary Intakes Among Healthy Adults: A Year-Round Comparative Study

Impact of Ramadan Fasting on Dietary Intakes Among Healthy Adults: A Year-Round Comparative Study

Impact of COVID-19 on Children and Young Adults With Type 2 Diabetes: A Narrative Review With Emphasis on the Potential of Intermittent Fasting as a Preventive Strategy

What does medical research on Ramadan intermittent fasting tell us? Bibliographic mapping analysis of seven decades (1952–2021) and future directions

Contact Info

Product

Resources

About