Evidence map›Paper›PMID 35025960›Full record

ArticlePloS one2022

Ramadan is not associated with increased infection risk in Pakistani and Bangladeshi populations: Findings from controlled interrupted time series analysis of UK primary care data.

Munerah Almulhem, Rasiah Thayakaran, Shahjehan Hanif, Tiffany Gooden, Neil Thomas, Jonathan Hazlehurst, Abd A Tahrani, Wasim Hanif, Krishnarajah Nirantharakumar

Abstract read
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Article in PloS one, 2022. 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
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Munerah AlmulhemInstitute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0001-9415-2221
Rasiah ThayakaranInstitute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom.
Shahjehan HanifLife and Medical Sciences, University College London, London, United Kingdom.
Tiffany GoodenInstitute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom.
Neil ThomasInstitute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom.
Jonathan HazlehurstInstitute of Metabolism and Systems Research, University of Birmingham, Birmingham, United Kingdom.
Abd A TahraniCentre for Endocrinology, Diabetes and Metabolism, Birmingham Health Partners, Birmingham, United Kingdom.
Wasim HanifDiabetes Department, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.
Krishnarajah NirantharakumarInstitute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effect of fasting on immunity is unclear. Prolonged fasting is thought to increase the risk of infection due to dehydration. This study describes antibiotic prescribing patterns before, during, and after Ramadan in a primary care setting within the Pakistani and Bangladeshi populations in the UK, most of whom are Muslims, compared to those who do not observe Ramadan.

methodRetrospective controlled interrupted time series analysis of electronic health record data from primary care practices. The study consists of two groups: Pakistanis/Bangladeshis and white populations. For each group, we constructed a series of aggregated, daily prescription data from 2007 to 2017 for the 30 days preceding, during, and after Ramadan, respectively.

findingsControlling for the rate in the white population, there was no evidence of increased antibiotic prescription in the Pakistani/Bangladeshi population during Ramadan, as compared to before Ramadan (IRR: 0.994; 95% CI: 0.988-1.001, p = 0.082) or after Ramadan (IRR: 1.006; 95% CI: 0.999-1.013, p = 0.082).

interpretationIn this large, population-based study, we did not find any evidence to suggest that fasting was associated with an increased susceptibility to infection.

Indexed as

AdultAgedAnti-Bacterial AgentsArabsCommunicable Disease ControlCommunicable DiseasesDisease SusceptibilityElectronic Health RecordsFastingFemaleHumansInterrupted Time Series AnalysisIslamMaleMiddle AgedPractice Patterns, Physicians'Anti-Bacterial Agents

Identifiers

PMID35025960
PMCPMC8757987

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