Evidence map›Paper›PMID 38301826›Full record

Observational studyThe American journal of clinical nutrition2024

Metabolomics of Ramadan fasting and associated risk of chronic diseases.

Rami Al-Jafar, Rui Climaco Pinto, Paul Elliott, Konstantinos K Tsilidis, Abbas Dehghan

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in The American journal of clinical nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 11 citations in OpenAlex.

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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

5 authors at 4 institutions in 2 countries.

Rami Al-JafarDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom; Department of Data Services, Lean Business Services, Riyadh, Saudi Arabia. Electronic address: r.al-jafar18@imperial.ac.uk.
Rui Climaco PintoDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom; Dementia Research Institute at Imperial College London, London, United Kingdom.
Paul ElliottDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom; Dementia Research Institute at Imperial College London, London, United Kingdom; National Institute for Health Research Imperial College Biomedical Research Centre, Imperial College London, London, United Kingdom.
Konstantinos K TsilidisDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom; Department of Hygiene and Epidemiology, University of Ioannina School of Medicine, Ioannina, Greece.
Abbas DehghanDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom; Dementia Research Institute at Imperial College London, London, United Kingdom; MRC-PHE Centre for Environment and Health, School of Public Health, Imperial College London, London, United Kingdom.
NIHR Imperial Biomedical Research Centre · GBImperial College London · GBNational Institute for Health Research · GBUniversity of Ioannina · GR

Funding

Medical Research Council MR/S019669/1
6 · The paper itself

Abstract

backgroundThe dramatic change in lifestyle associated with Ramadan fasting raises questions about its effect on metabolism and health. Metabolites, as the end product of metabolism, are excellent candidates to be studied in this regard.

objectiveThis study aims to investigate the effect of Ramadan fasting on the metabolic profile and risk of chronic diseases.

methodsThe London Ramadan study (LORANS) is an observational study in which 2 blood samples were collected from 72 participants a few days before and after the fasting month of Ramadan. We conducted metabolomic profiling using nuclear magnetic resonance spectroscopy to assess the change in individual metabolites from before to after Ramadan. Also, we generated metabolic scores (scaled from 0 to 100) for 7 chronic diseases in the UK Biobank and assessed the association of Ramadan fasting with these scores in LORANS.

resultsOf the 72 participants, 35 were male (48.6%); the mean (± standard deviation) age was 45.7 (±16) y. Ramadan fasting was associated with changes in 14 metabolites (1 inflammation marker, 1 amino acid, 2 glycolysis-related metabolites, 2 ketone bodies, 2 triglyceride, and 6 lipoprotein subclasses), independent of changes in body composition. Using data from 117,981 participants in the UK Biobank, we generated metabolic scores for diabetes, hypertension, coronary artery disease, renal failure, colorectal cancer, breast cancer, and lung cancer. The metabolic scores for lung cancer, colorectal cancer, and breast cancer were lower after Ramadan in LORANS (-4.74, 9.6%, 95% confidence interval -6.56, -2.91, P < 0.001), (-1.09, -2.4%, -1.69, -0. 50, P < 0.001), and (-0.48, -1.1%, -0. 81, -0.15, P = 0.006), respectively.

conclusionsRamadan fasting is associated with short-term favorable changes in the metabolic profile concerning risk of some chronic diseases. These findings should be further investigated in future, larger studies of longer follow-up with clinical outcomes.

Indexed as

Breast NeoplasmsDiabetes MellitusChronic DiseaseFastingFemaleHumansIslamMalechronic diseasesintermittent fastinglifestylemetabolic biomarkersRamadan

Identifiers

PMID38301826
PMCPMC11007737
OpenAlexW4391431849

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.