Evidence map›Paper›PMID 37525238›Full record

ArticleBMC public health2023

Changes in dietary and lifestyle behaviors and mental stress among medical students upon Ramadan diurnal intermittent fasting: a prospective cohort study from Taif/Saudi Arabia.

Mohammed I Alotaibi, Ghadir Elsamad, Abdulaziz N Aljardahi, Ahmed N Alghamdi, Abdulrahman I Alotaibi, Hibah M Alorabi, Khalid M Alzahrani, Ahmed S Abdel-Moneim

Abstract read
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
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  8. Article
  9. Intermittent Fasting Among Adults: Patterns, Prevalence, and Health Benefits.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
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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

8 authors.

Mohammed I AlotaibiCollege of Medicine, Taif University, Al-Taif 21944, Taif, Saudi Arabia. m.jaber@tu.edu.sa.
Ghadir ElsamadTranslational Health Sciences, University of Bristol, Bristol, BS1 3NY, UK.
Abdulaziz N AljardahiCollege of Medicine, Taif University, Al-Taif 21944, Taif, Saudi Arabia.
Ahmed N AlghamdiCollege of Medicine, Taif University, Al-Taif 21944, Taif, Saudi Arabia.
Abdulrahman I AlotaibiCollege of Medicine, Taif University, Al-Taif 21944, Taif, Saudi Arabia.
Hibah M AlorabiKing Abdulaziz Specialist Hospital, Al-Taif 21944, Taif, Saudi Arabia.
Khalid M AlzahraniCollege of Medicine, Taif University, Al-Taif 21944, Taif, Saudi Arabia.
Ahmed S Abdel-MoneimCollege of Medicine, Taif University, Al-Taif 21944, Taif, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntermittent fasting (IF) is a popular dietary plan for weight loss. In fact, fasting is a common practice in different religions such as Buddhism, Hinduism, Judaism, Christianity, and Islam. During the month of Ramadan, more than 1.5 billion Muslims worldwide fast from dawn to sunset. Ramadan diurnal intermittent fasting (RDIF) has health benefits, including a reduction in cardiovascular disease (CVD) risk and an improvement in mood. However, little is known about the effects of RDIF on lifestyle behaviors, such as regular exercise, consuming healthy diet, and avoiding harmful substances, as well as mental stress, and academic performance in high school and university students.

methodsIn this prospective cohort study, two self-reported questionnaires were sent one week before and during the last week of Ramadan (April 2022; Ramadan 1443 in Hijri Islamic Calendar) to assess changes in lifestyle, perceived stress, and academic achievement of medical students at Taif University in Taif city, Saudi Arabia. Healthy lifestyle components data were collected to calculate healthy lifestyle scores, including body mass index, physical activity, adherence to a Mediterranean diet, smoking status, and sleep duration.

resultsRDIF was associated with a healthier lifestyle in both female and male participants (pre-RDIF mean score: 2.42 vs post-RDIF mean score: 2.74; statistical power = 0.99; P-value < 0.05). They were more active and adherent to the Mediterranean diet during RDIF. Additionally, the post-RDIF smoking rate declined by 53.4%. Male participants showed higher perceived stress scores during RDIF (pre-RDIF mean score: 19.52 vs post-RDIF mean score: 22.05; P-value < 0.01). No changes in academic performance were observed upon RDIF.

conclusionMedical students show healthier dietary and lifestyle behaviors and their academic performance is not affected during RDIF. However, perceived stress is higher among male students.

Indexed as

FastingStudents, MedicalFemaleHumansIntermittent FastingIslamLife StyleMaleProspective StudiesSaudi ArabiaStress, PsychologicalAcademic performanceIntermittent fastingLifestyleRamadanStress

Identifiers

PMID37525238
PMCPMC10391762

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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.