TY - JOUR
T1 - The effect of Ramadan fasting on cardiovascular events and risk factors in patients with type 2 diabetes
T2 - A systematic review
AU - Almulhem, Munerah
AU - Susarla, Radhika
AU - Alabdulaali, Luluh
AU - Khunti, Kamlesh
AU - Karamat, Muhammad Ali
AU - Rasiah, Thayakaran
AU - Tahrani, Abd A
AU - Hanif, Wasim
AU - Nirantharakumar, Krishnarajah
N1 - Copyright © 2019. Published by Elsevier B.V.
PY - 2020/1
Y1 - 2020/1
N2 - Ramadan is the fasting month in Islam. Muslims around the world observe Ramadan every year, including people with diabetes. Data on the association of fasting in people with diabetes are sparse. The purpose of this study is to assess the association of fasting on cardiovascular risk factors and events in people with diabetes. A comprehensive search was conducted in the following database: Embase, Medline, Cochrane library and CINAHL. The following key terms were used: Ramadan, Ramazan, Ramadhan, Muslim, Islam and fasting. Studies were eligible if they included people with Type 2 diabetes who fasted during Ramadan and reporting results on cardiovascular risk factors or events. Overall 22 studies met inclusion criteria for the review; five studies reported cardiovascular outcomes and 17 reported changes in risk factors. There is insufficient evidence to link Ramadan fasting with increased or reduced incidence of cardiovascular events in people with diabetes, though there were some indication stroke risk may be increased. Findings were inconsistent in term of risk factors as some favoured Ramadan and others did not..
AB - Ramadan is the fasting month in Islam. Muslims around the world observe Ramadan every year, including people with diabetes. Data on the association of fasting in people with diabetes are sparse. The purpose of this study is to assess the association of fasting on cardiovascular risk factors and events in people with diabetes. A comprehensive search was conducted in the following database: Embase, Medline, Cochrane library and CINAHL. The following key terms were used: Ramadan, Ramazan, Ramadhan, Muslim, Islam and fasting. Studies were eligible if they included people with Type 2 diabetes who fasted during Ramadan and reporting results on cardiovascular risk factors or events. Overall 22 studies met inclusion criteria for the review; five studies reported cardiovascular outcomes and 17 reported changes in risk factors. There is insufficient evidence to link Ramadan fasting with increased or reduced incidence of cardiovascular events in people with diabetes, though there were some indication stroke risk may be increased. Findings were inconsistent in term of risk factors as some favoured Ramadan and others did not..
KW - Adult
KW - Cardiovascular Diseases/etiology
KW - Diabetes Mellitus, Type 2/complications
KW - Fasting/adverse effects
KW - Female
KW - Humans
KW - Islam
KW - Male
KW - Middle Aged
KW - Risk Factors
U2 - 10.1016/j.diabres.2019.107918
DO - 10.1016/j.diabres.2019.107918
M3 - Article
C2 - 31711857
SN - 0168-8227
VL - 159
SP - 107918
JO - Diabetes Research and Clinical Practice
JF - Diabetes Research and Clinical Practice
ER -
