Evidence map›Paper›PMID 32471399›Full record

ArticleBMC oral health2020

Does fasting during Ramadan increase the risk of the development of sialadenitis?

Michael V Joachim, Yasmine Ghantous, Suleiman Zaaroura, Kutaiba Alkeesh, Tameem Zoabi, Imad Abu El-Na'aj

Open access · goldAbstract read
In one paragraph

Article in BMC oral health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 56% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Michael V JoachimDepartment of Oral & Maxillofacial Surgery, Baruch Padeh Medical Center, Poriya, Israel and Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel. mike.joachim@gmail.com.ORCID 0000-0002-3577-276X
Yasmine GhantousDepartment of Oral & Maxillofacial Surgery, Baruch Padeh Medical Center, MP Lower Galilee, Poriya, 1520800, Israel.
Suleiman ZaarouraDepartment of Otolaryngology, St. Vincent de Paul (French) Hospital, POB 50294, Nazareth, 1616102, Israel.
Kutaiba AlkeeshDepartment of Oral & Maxillofacial Surgery, Baruch Padeh Medical Center, MP Lower Galilee, Poriya, 1520800, Israel.
Tameem ZoabiDepartment of Otolaryngology, St. Vincent de Paul (French) Hospital, POB 50294, Nazareth, 1616102, Israel.
Imad Abu El-Na'ajDepartment of Oral & Maxillofacial Surgery, Baruch Padeh Medical Center, Poriya, Israel and Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel.
Bar-Ilan University · ILNazareth Hospital EMMS · ILPoriya Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRamadan is a month within the Islamic lunar calendar when Muslims are required to fast (abstain from food and drink) during the daytime (from sunrise to sunset) for the entire month. Due to the established connection between fasting and dehydration and acute sialadenitis, the aim of this study is to determine if there is a higher frequency of sialadenitis among the Muslim population during Ramadan than during other months of the year.

methodsWe conducted a retrospective study using the medical records of 120 Muslim patients admitted to the emergency room (ER) and diagnosed with acute sialadenitis over a 5-year period at the Baruch Padeh Medical Center, Poriya, and St. Vincent de Paul (French) Hospital, Nazareth, both located in Israel. The study group were Muslim patients, with the aforementioned diagnosis, admitted during Ramadan, while the control group included patients diagnosed with sialadenitis during the rest of the year. We analyzed overall admission frequency as well as descriptive and diagnostic data, including age, sex, gland involved and several blood test results.

resultsDuring the month of Ramadan, the admission of Muslims with a diagnosis of acute sialadenitis was more than double that during the other months of the year - a difference that was found to be statistically significant (p = 0.001). Additionally, we found that Ramadan sialadenitis patients had significantly higher leukocyte numbers at admission (p = 0.0085) and, importantly, a significantly higher level of dehydration (blood urea nitrogen (BUN)/creatinine ratio) than non-Ramadan sialadenitis patients (p = 0.0001).

conclusionThere is evidence that fasting in Ramadan may increase the risk for the development of acute sialadenitis. Our results suggest that this may be the result of dehydration.

Indexed as

FastingSialadenitisHumansIslamIsraelRetrospective StudiesAdenitisIslamSalivary gland

Identifiers

PMID32471399
PMCPMC7260764
OpenAlexW3029557066

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.