Evidence map›Paper›PMID 33202407›Full record

ArticleEuropean addiction research2021

Influences of Fasting on Stress Response and Withdrawal Symptoms in Habitual Khat Users.

Motohiro Nakajima, Mustafa al'Absi

Open access · greenAbstract read
In one paragraph

Article in European addiction research, 2021. 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
0.4field-weighted citation impact, top 39% 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, 5 citations in OpenAlex.

  1. Is Water-Only Fasting Safe?Global advances in health and medicine · 2021
    Article
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

2 authors at 1 institution in 1 country.

Motohiro NakajimaDepartment of Family Medicine and Biobehavioral Health, University of Minnesota Medical School, Duluth, Minnesota, USA, mnakajim@d.umn.edu.
Mustafa al'AbsiDepartment of Family Medicine and Biobehavioral Health, University of Minnesota Medical School, Duluth, Minnesota, USA.
University of Minnesota · US

Funding

Khat Research Program: Neurobehavioral Impact of Long-Term UseR21DA024626 · NIDA · UNIVERSITY OF MINNESOTA DULUTH · PI AL'ABSI, MUSTAFA · 2009 to 2010
$283k
Biobehavioral Mechanisms of Concurrent Tobacco and Khat*R03TW007219 · FIC · UNIVERSITY OF MINNESOTA DULUTH · PI AL'ABSI, MUSTAFA N · 2005 to 2007
$109k
FIC NIH HHS R03 TW007219NIDA NIH HHS R21 DA024626
6 · The paper itself

Abstract

backgroundFasting changes mood and physiological states. Substance use, such as khat use, is prohibited during fasting during Ramadan, a traditional practice among Muslims. Habitual khat use is associated with increased negative affect and altered psychobiological stress responses. Effects of fasting on stress responses, mood, and withdrawal symptoms among khat users have not been examined.

methodsIn this study, 80 individuals completed an ambulatory monitoring period and a laboratory assessment session. Participants who completed the study while fasting during Ramadan were matched by gender and khat use status with participants who completed the study while not fasting. This resulted in 40 participants (12 females and 28 males; 25 khat users and 15 nonusers) in each fasting group. Cardiovascular (blood pressure and heart rate) and subjective measures were collected throughout the laboratory stress session. A mental arithmetic challenge was used to induce stress. In addition, self-reported mood and withdrawal measures were collected multiple times during the ambulatory assessment.

resultsKhat users reported greater negative affect than nonusers. Results from the ambulatory study indicated that withdrawal symptoms were lower during evening hours in the fasting group than in the no-fasting group. Stress-related changes in positive and negative affects were flattened in the fasting group relative to the no-fasting group. Khat users reported reduced blood pressure responses relative to nonusers.

conclusionThese preliminary results demonstrate that fasting is associated with reduced negative affect and withdrawal symptoms in khat users. Khat use was related to blunted blood pressure stress responses, but this was independent of fasting. Due to the small sample size, these results should be replicated with a large sample and comprehensive stress tasks.

Indexed as

CathaSubstance Withdrawal SyndromeCross-Sectional StudiesFastingFemaleHumansMaleYoung AdultFastingKhatNegative affectRamadanStressWithdrawal

Identifiers

PMID33202407
PMCPMC7785579
OpenAlexW3098693377

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.