Ramadan Fasting during Pregnancy and Health Outcomes in Offspring: A Systematic Review

Oosterwijk, Violet N. L.; Molenaar, J Jaap; Bilsen, Lily A. van; Jong, Jessica C. Kiefte-de

doi:10.3390/nu13103450

Cited by 15 publications

(14 citation statements)

References 61 publications

(97 reference statements)

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“…Our results contrast with a few country specific studies. [5][6][7][8][9]12 However, our results are in tune with many other population-based and hospital-based cohart studies and also with the conclusions of two systematic reviews of the global literature by Oosterwijk et al (2021) and Glazier et al (2018). [15][16][17][18][19][20][21] Nonetheless, we failed to link changes in dietary practices during Ramadan to child nutrition.…”

Section: Discussionsupporting

confidence: 86%

“…15 Similarly, Petherick, Tuffnell and Wright (2014) studied pregnant Muslim women living in the UK who fasted during Ramadan and observed that fasting was not associated with adverse birth outcomes in their sample. 16 Other studies, [17][18][19] as well as two systematic reviews of the literature by Oosterwijk et al (2021) and Glazier et al (2018), 20,21 present a more neutral and inconclusive view on the relationship between in utero exposure to Ramadan fasting and health outcomes.…”

Section: Introductionmentioning

confidence: 99%

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In utero Ramadan exposure and child nutrition

Chu

Goli

Rammohan

2022

J Dev Orig Health Dis

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In this study, we empirically analyse whether in utero exposure to the Ramadan fasting period is negatively associated with child nutrition. The data for the analyses come from a retrospective assessment of 759,799 children from 103 Demographic and Health Surveys (DHS) across 56 countries during 2003–2020. Considering the month-long Ramadan exposure as a natural experiment, we implement an intent-to-treat framework, comparing stunting and underweight among children aged 0–5 years who were exposed to Ramadan fasting at any time in utero with those who were not exposed. Our findings do not show significant evidence to conclude that in utero exposure to the Ramadan fasting period is negatively associated with child nutrition. On the contrary, except for stunting in Muslim children who had in utero exposure to Ramadan fasting during the first months of pregnancy, we find no significant association between in utero exposure to Ramadan fasting and child stunting and underweight. Our main results are robust to multiple robustness checks.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

In utero Ramadan exposure and child nutrition

Chu

Goli

Rammohan

2022

J Dev Orig Health Dis

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“…Second, the effects of RF on the offspring of mothers, particularly on fetal growth, birth indices, cognitive effects, and long-term effects, were investigated. 48 Studies were evaluated based on a predefined quality score, and 43 articles were included. The study quality had a mean score of 5.4 (range 2-9).…”

Section: Highlights Of the Year's Literaturementioning

confidence: 99%

“…There was no difference in anthropometric measurements of newborn children among both groups Two systematic reviews addressed the impact of RF on maternal and fetal health. 47,48 First, research on any longterm outcome of in utero Ramadan exposure was reviewed, excluding maternal and perinatal outcomes. Sixteen studies were included.…”

Section: Effects Of Rf On Maternal and Fetal Healthmentioning

confidence: 99%

Ramadan Fasting in Health and Disease in 2021: A Narrative Review

Hassan-Beck

Hafidh

Badi³

et al. 2022

Ibnosina Journal of Medicine and Biomedical Sciences

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Introduction: The literature on the health aspects of Ramadan fasting (RF) is widely spread in many journals. Materials and Methods: This is a narrative review of data obtained from the PubMed database (National Library of Medicine, Bethesda, Maryland, United States). We used the search term “Ramadan fasting,” and relevant records were examined. The publications are narrated thematically. Results: The publications spanned fundamental, clinical, professional, cultural, and advocacy facets. The publications crossed conventional disciplinary lines and geographical locations and appeared in journals with different access systems. The contents are presented under the themes that emerged depending on the retrieved literature. This year basic coverage included changes in physiology and nutrition during Ramadan. However, the clinical issues included a wide range of topics. These included the impact of RF on nonalcoholic fatty liver disease and adjustments needed in endocrine replacement therapy for hypothyroidism and adrenal insufficiency. Coverage also included chronic kidney disease. The impact on maternal health, fetal well-being, and long-term effects of RF exposures were addressed in several studies. Studies in cardiovascular medicine focused on blood pressure and cardiovascular risk factors. Sports medicine and athletes' well-being received somewhat prominent coverage. The impact on renal function, particularly in patients with chronic kidney disease, was investigated by a few authors. Several groups addressed the eyes' structure and function, neurological conditions, especially headache disorders, and hematological and oncological conditions. Finally, the impact of RF on several aspects of mental health and well-being was addressed by various groups. Conclusions: Health aspects of RF received a sustained academic interest with a broad spectrum in 2021. This narration provides an overview of the year's scholarly health-related literature on various aspects of health and disease. It should help researchers and clinicians catch up quickly with the health concerns during Ramadan.

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“…In contrast to short-term outcomes, our study aimed to collect and evaluate existing evidence on the relationship between in utero Ramadan exposure and its long-term effects, excluding perinatal and maternal outcomes. A recent systematic review by Oosterwijk et al [14] analyzed the impact of Ramadan exposure on health, including long-term effects, and concluded that no study reported significant long-term effects. However, the systematic review included only part of the available literature, and focused on health only.…”

Section: Introductionmentioning

confidence: 99%

Long-Term Outcomes of in Utero Ramadan Exposure: A Systematic Literature Review

et al. 2021

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Health outcomes of in utero Ramadan exposure have been reported in a systematic literature review; however, the available literature on long-term effects were not fully covered. Our study aims to specifically review the long-term outcomes of in utero Ramadan exposure. We searched for original research articles analyzing any long-term outcome of in utero Ramadan exposure, excluding maternal and perinatal outcomes. Sixteen studies from 8304 non-duplicate search results were included. Most studies suggest negative consequences from in utero Ramadan exposure on health, as well as on economic outcomes later in adulthood. Higher under-five mortality rate, higher mortality under three months, and under one year, shorter stature, lower body mass index, increased incidence of vision, hearing and learning disabilities, lower mathematics, writing and reading scores, as well as a lower probability to own a home were associated with Ramadan exposure during conception or the first trimester of pregnancy. Furthermore, age and sex seem to play a pivotal role on the association. Existing studies suggest that in utero Ramadan exposure may adversely impact long-term health and economic well-being. However, evidence is limited. Meanwhile, increasing awareness of the potential risks of Ramadan fasting during pregnancy should be raised among pregnant women and clinicians and other antenatal care workers should promote better maternal healthcare.

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Ramadan Fasting during Pregnancy and Health Outcomes in Offspring: A Systematic Review

Cited by 15 publications

References 61 publications

In utero Ramadan exposure and child nutrition

In utero Ramadan exposure and child nutrition

Ramadan Fasting in Health and Disease in 2021: A Narrative Review

Long-Term Outcomes of in Utero Ramadan Exposure: A Systematic Literature Review

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