The effect of Ramadan focused education on patients with type 2 diabetes: A systematic review and meta-analysis
<h3>Aim</h3><p dir="ltr">The aim of this systematic review and meta-analysis was to assess the effect of Ramadan focused education on clinical and metabolic parameters in patients with type 2 diabetes who fast during Ramadan.</p><h3>Methods</h3><p dir...
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2020
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| Summary: | <h3>Aim</h3><p dir="ltr">The aim of this systematic review and meta-analysis was to assess the effect of Ramadan focused education on clinical and metabolic parameters in patients with type 2 diabetes who fast during Ramadan.</p><h3>Methods</h3><p dir="ltr">Literature search was done in PubMed, Embase (Ovid), and the Cochrane Library. Quality assessment was done using the ROBINS-I and Cochrane tools for risk of bias and analyses were performed using RevMan version 5.1.</p><h3>Results</h3><p dir="ltr">From 770 records, 430 full text studies were assessed. After exclusions, the final quantitative analysis included 16 studies. Pre-Ramadan education was associated with a significant reduction in HbA1c (SMD −0.46, 95% CI −0.65 to −0.27P < 0.05) and LDL (SMD −0.09, 95% CI −0.13 to −0.04P < 0.05), an increase in TG (SMD 0.07, 95% CI −0.23 to 0.93P < 0.05) and weight (SMD 0.44, 95% CI 0.06 to 0.81P < 0.05) and no change in hypoglycemic events, BMI, TC, HDL or blood pressure (P > 0.05) during Ramadan.</p><h3>Conclusions</h3><p dir="ltr">This systematic review and meta-analysis shows that Ramadan-focused diabetes education leads to a decrease in HbA1c and LDL, but an increase in TG and weight during Ramadan. It also identifies a lack of head to head studies and limited observational studies with adequately assessed end-points.</p><h2>Other Information</h2><p dir="ltr">Published in: Diabetes Research and Clinical Practice<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.diabres.2020.108122" target="_blank">https://dx.doi.org/10.1016/j.diabres.2020.108122</a></p> |
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