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Ramadan fasting and weight change trajectories

Time-varying association of weight during and after Ramadan in low-income and refugee populations

Bibliographic Data

ID19594044
AuthorsDaniel E Zoughbie (0000-0003-2178-7773, Microclinic International, corresponding author), Tin Lok James Ng (Trinity College Dublin), Jacqueline Y Thompson (0000-0002-9775-361X, University of Birmingham), Kathleen T Watson (0000-0001-7202-8553, Palo Alto University), Rami Farraj (0000-0002-8225-1887, Royal Health Awareness Society), Eric L Ding (0000-0002-5881-8097, Federation of American Scientists)
EditorsBai Li (0009-0005-5729-9685)
Year2022
Volume2
Issue10
Pagese0000371
Publication date2022-10-26
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0000371
PMID36962504
OpenAlexW4307313906
LanguageEN
Citations received1
References cited30

Obesity is a significant driver of the global burden of non-communicable diseases. Fasting is one approach that has been shown to improve health outcomes. However, the effects of Ramadan fasting differ in that the type, frequency, quantity, and time of food consumption vary. This phenomenon requires in-depth evaluation considering that 90% of Muslims (~2 billion people) fast during Ramadan. To address this issue, we evaluated the pattern of weight change during and following Ramadan for a total of 52 weeks. The study was conducted in Amman, Jordan. Between 2012 and 2015, 913 participants were recruited as part of a trial investigating the efficacy of a weight loss intervention among those with or at risk for diabetes. Weight was measured weekly starting at the beginning of Ramadan, and changes were analyzed using discrete and spline models adjusted for age, sex, and trial group. Results show slight weight gain within the first two weeks and weight loss in the subsequent weeks. During the first week of Ramadan, the estimate for a weight reduction was 0·427 kg, (95% CI: -0·007, 0·861), increasing to 1·567 kg, (95% CI: 2·547, 3·527) at week 26. There was clear evidence of gradual weight gain from about 4 to 15 weeks and a drop towards the end of the investigation at week 28 (-0·12kg, 95% CI: -0·89, 0·56). Our results show that weight changes occurred during and after Ramadan. Weight fluctuations may affect health risks, and thus, findings from this study can inform interventions. Public health agencies could leverage this period of dietary change to sustain some of the benefits of fasting. The authors (DEZ, EFD) acknowledge the Mulago Foundation, the Horace W. Goldsmith Foundation, Robert Wood Johnson Foundation, and the World Diabetes Foundation. TRIAL REGISTRATION. Clinicaltrials.gov registry identifier: NCT01596244

Body weight · Obesity · Weight change · Weight gain · Weight loss · Demography · Dietary Effects on Health · Medicine · Optimism, Hope, and Well-being · Internal Medicine

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Citations per year0.5
Citation span2024 - 2024 (1)
Highly citedNo

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