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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| _version_ | 1864513559098032128 |
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| author | Hoda Gad (6470522) |
| author2 | Hamad Al-Muhannadi (17052423) Hana Purra (17075203) Paul Mussleman (12160883) Rayaz A. Malik (7372649) |
| author2_role | author author author author |
| author_facet | Hoda Gad (6470522) Hamad Al-Muhannadi (17052423) Hana Purra (17075203) Paul Mussleman (12160883) Rayaz A. Malik (7372649) |
| author_role | author |
| dc.creator.none.fl_str_mv | Hoda Gad (6470522) Hamad Al-Muhannadi (17052423) Hana Purra (17075203) Paul Mussleman (12160883) Rayaz A. Malik (7372649) |
| dc.date.none.fl_str_mv | 2020-03-17T00:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1016/j.diabres.2020.108122 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/The_effect_of_Ramadan_focused_education_on_patients_with_type_2_diabetes_A_systematic_review_and_meta-analysis/24225601 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Medical biochemistry and metabolomics Ramadan fasting Diabetes Education HbA1c Hypoglycemia Weight |
| dc.title.none.fl_str_mv | The effect of Ramadan focused education on patients with type 2 diabetes: A systematic review and meta-analysis |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <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> |
| eu_rights_str_mv | openAccess |
| id | Manara2_080ca2f9304e3e7c3d407d3cb8bda5b5 |
| identifier_str_mv | 10.1016/j.diabres.2020.108122 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/24225601 |
| publishDate | 2020 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | The effect of Ramadan focused education on patients with type 2 diabetes: A systematic review and meta-analysisHoda Gad (6470522)Hamad Al-Muhannadi (17052423)Hana Purra (17075203)Paul Mussleman (12160883)Rayaz A. Malik (7372649)Biomedical and clinical sciencesClinical sciencesMedical biochemistry and metabolomicsRamadan fastingDiabetesEducationHbA1cHypoglycemiaWeight<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>2020-03-17T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.diabres.2020.108122https://figshare.com/articles/journal_contribution/The_effect_of_Ramadan_focused_education_on_patients_with_type_2_diabetes_A_systematic_review_and_meta-analysis/24225601CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/242256012020-03-17T00:00:00Z |
| spellingShingle | The effect of Ramadan focused education on patients with type 2 diabetes: A systematic review and meta-analysis Hoda Gad (6470522) Biomedical and clinical sciences Clinical sciences Medical biochemistry and metabolomics Ramadan fasting Diabetes Education HbA1c Hypoglycemia Weight |
| status_str | publishedVersion |
| title | The effect of Ramadan focused education on patients with type 2 diabetes: A systematic review and meta-analysis |
| title_full | The effect of Ramadan focused education on patients with type 2 diabetes: A systematic review and meta-analysis |
| title_fullStr | The effect of Ramadan focused education on patients with type 2 diabetes: A systematic review and meta-analysis |
| title_full_unstemmed | The effect of Ramadan focused education on patients with type 2 diabetes: A systematic review and meta-analysis |
| title_short | The effect of Ramadan focused education on patients with type 2 diabetes: A systematic review and meta-analysis |
| title_sort | The effect of Ramadan focused education on patients with type 2 diabetes: A systematic review and meta-analysis |
| topic | Biomedical and clinical sciences Clinical sciences Medical biochemistry and metabolomics Ramadan fasting Diabetes Education HbA1c Hypoglycemia Weight |