Pre-Ramadan health seeking behavior, fasting trends, eating pattern and sleep cycle in pregnant women at a tertiary care institution of Pakistan

Masood, Shabeen Naz; Saeed, Saira; Lakho, Nusrat; Masood, Yasir; Ahmedani, Muhammad Yakoob; Shera, A. Samad

doi:10.12669/pjms.346.15883

Cited by 6 publications

(10 citation statements)

References 12 publications

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“…To our knowledge, this is one of the first studies that examined the characteristics and outcomes of Ramadan fasting in pregnant women over a period of 10 years since most of the studies were conducted over one or few years. 5,8,[10][11][12][13][14][15] The rate of fasting in the current study (84.9%) was similar to the rate of a study conducted in Pakistan (82.8%) and another in Indonesia (80%). 5,13 Other studies showed a lower prevalence of fasting.…”

Section: Resultssupporting

confidence: 86%

Ramadan fasting during pregnancy: characteristics and outcomes

Ghazal

Khazaal

Chahine

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Background: The primary aim of this study was to measure the prevalence of pregnant women who fast during Ramadan. The secondary outcome was their beliefs and motivations regarding fasting during Ramadan in addition to the consequences of fasting on maternal and neonatal outcome.Methods: A retrospective review of pregnant patients aged between 18-45 years who presented for antenatal care in the private clinic in Beirut, Lebanon during or after the month of Ramadan between 2010 and 2019 was performed.Results: A total of 502 pregnant patients were included in the study, of which 426 (84.9%) fasted during Ramadan and 76 (15.1%) did not fast at all. Of those who fasted, 148 (34.7%) fasted between 1 and 15 days while 278 (65.3%) fasted more than 15 days. Multiparous and non-Lebanese women had significantly higher rate of fasting compared to primiparous and Lebanese women. Adherence to fasting was associated with the spiritual environment that accompanies the month of Ramadan while non-adherence was mainly related to the fear from adverse effects on the mother and fetus. Fasting was not significantly associated with maternal complications or decreased neonatal birth weight.Conclusions: The present study showed that Ramadan fasting is important to pregnant Muslim women. This was manifested by the relatively high rate of fasting even in summer and spring seasons. Understanding the beliefs and motivations of pregnant women would provide valuable insight to physicians to appropriately advise these women without compromising the maternal or fetal well-being.

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Section: Resultssupporting

confidence: 86%

Ramadan fasting during pregnancy: characteristics and outcomes

Ghazal

Khazaal

Chahine

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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“…111 The dietary habits with consumption of high carbohydrates, fats and sweets are common in Pakistan. 112 Lebanon, Jordan and Palestine In Lebanon, people with diabetes continue their daily work, but with less physical activity and less sleep. Usually, they consume two large meals between sunset and dawn.…”

Section: Pakistanmentioning

confidence: 99%

Recommendations for management of diabetes during Ramadan: update 2020, applying the principles of the ADA/EASD consensus

Ibrahim¹,

Davies

Ahmad

et al. 2020

BMJ Open Diab Res Care

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Fasting the Holy month of Ramadan constitutes one of the five pillars of the Muslim faith. Although there is some evidence that intermittent fasting during Ramadan may be of benefit in losing weight and cardiometabolic risk factors, there is no strong evidence these benefits apply to people with diabetes. The American Diabetes Association/European Association for the Study of Diabetes consensus recommendations emphasize the importance of patient factors and comorbidities when choosing diabetes medications including the presence of comorbidities, atherosclerotic cardiovascular disease, heart failure, chronic kidney disease, hypoglycemia risk, weight issues and costs. Structured education and pre-Ramadan counseing are key components to successful management of patients with diabetes. These should cover important aspects like glycemic targets, self-monitoring of blood glucose, diet, physical activity including Taraweeh prayers, medication and dose adjustment, side effects and when to break the fast. The decision cycle adapted for the specific situation of Ramadan provides an aid for such an assessment. Children with type 1 diabetes should strongly be advised not to fast due to the high risk of acute complications such as hypoglycemia and probably diabetic ketoacidosis (DKA), although there is very little evidence that DKA is increased in Ramadan. Pregnant women with diabetes or gestational diabetes should be advised to avoid fasting because of possible negative maternal and fetal outcomes. Hypoglycemia is a common concern during Ramadan fasting. To prevent hypoglycemic and hyperglycemic events, we recommend the adoption of diabetes self-management education and support principles. The use of the emerging technology and continuous glucose monitoring during Ramadan could help to recognize hypoglycemic and hyperglycemic complications related to omission and/or medication adjustment during fasting; however, the cost represents a significant barrier.

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“…Masood et al [42] observed the pre-Ramadan health-seeking behavior, fasting trends, eating pattern, and sleep cycle in pregnant women in a cross-sectional observational study in Karachi. The tool used for data collection was interviewer-based closed-ended questionnaire.…”

Section: Antenatal Care During Ramadanmentioning

confidence: 99%

The Year in “Ramadan Fasting and Health” (2018): A Narrative Review

Beshyah

Badi²,

Elghul

et al. 2019

Ibnosina Journal of Medicine and Biomedical Sciences

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Invited Review introduCtionRamadan fasting (RF) is practiced by adult Muslims during the 9 th lunar month every year. It entails that they abstain from eating and drinking between dawn and sunset. Medical and religious scholars got closer in their approach to advice given to patients based on objective risk assessment. [1] Muslim patients with acute or chronic medical conditions may be exempted from fasting; many do still choose to observe the fast sometimes against medical advice. This may adversely affect their health if not addressed properly by evidence-based recommendations. [2] There has been a tremendous recent interest in the health implications of RF. Keeping up with developments in this area may prove difficult, and hence, a narrative overview under a single cover may be particularly useful in presenting a digest of the research and expert opinion in the year. [3] Our previous review of the literature published in 2017 was the most viewed Introduction: There has been an increased interest in health implications of Ramadan fasting (RF). Materials and Methods: This is a narrative, nonsystematic review of the literature including all relevant full articles in English in three electronic databases (Scopus, PubMed, and Google Scholar). The search term "Ramadan fasting" was used to identify the relevant records to provide a readily comprehensible concise account of the contributions made to research and clinical practice in 1 year (2018). Results: The publications spanned basic, clinical, ethical, professional, and cultural and advocacy facets of the subject. The publications crossed the conventional disciplinary lines and geographical locations and appeared in journals with varying systems of access. Only full-text research articles in English were reviewed. Review articles, news, note items, and correspondence were not included. No formal bibliometric analysis is presented. Emerging concepts are presented under the relevant subheading depending on the available literature. Impact of RF on diabetes control, pregnancy outcome and fetal life, and sports and athletes' well-being received somewhat more prominent coverage by research work published in 2018. Renovascular disease, and risk factors, posttransplant care, and some metabolic concerns for patients with hepatic, renal, and metabolic conditions were covered too. Patterns of use of emergency services during Ramadan and features of some specific medical emergencies were examined by some workers. Most interesting perhaps was the greater focus on documenting the perception, attitudes, and practices of both patients and healthcare professions regarding deciding and acting during Ramadan. Isolated research reports addressed subjects of wide nature from body composition and energy metabolism to smoking, law, music, and history. Conclusions: The volume of scholarly work on Ramadan fasting and health remains modest. Greater improvements in both quality and quantity of research on Ramadan are needed. Most studies indicate that Ramadan fasting is safe in mild and st...

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Pre-Ramadan health seeking behavior, fasting trends, eating pattern and sleep cycle in pregnant women at a tertiary care institution of Pakistan

Cited by 6 publications

References 12 publications

Ramadan fasting during pregnancy: characteristics and outcomes

Ramadan fasting during pregnancy: characteristics and outcomes

Recommendations for management of diabetes during Ramadan: update 2020, applying the principles of the ADA/EASD consensus

The Year in “Ramadan Fasting and Health” (2018): A Narrative Review

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