Evidence map›Paper›PMID 39572100›Full record

SynthesisBMJ open2024

Impact of Ramadan fasting on kidney function and related outcomes in chronic kidney disease and kidney transplant recipients: a systematic review and meta-analysis.

Aminu Kasarawa Bello, Anita Lloyd, Mohamed Abdullahi Osman, Julia Kurzawa, Thane Chambers, Syed Habib, Michelle E Olah, Zahraa Habeeb, Uwais Qarni, Soroush Shojai and 1 more

Abstract readSystematic ReviewMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMJ open, 2024. 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

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.

  1. 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

11 authors.

Aminu Kasarawa BelloDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Anita LloydUniversity of Alberta, Edmonton, Alberta, Canada.
Mohamed Abdullahi OsmanDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Julia KurzawaChildren's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
Thane ChambersUniversity of Alberta Libraries, Edmonton, Alberta, Canada.
Syed HabibDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Michelle E OlahDepartment of Medicine, Queen's University, Kingston, Ontario, Canada.
Zahraa HabeebDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Uwais QarniDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Soroush ShojaiDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.ORCID http://orcid.org/0000-0002-2969-9121
Robert Peter PaulyDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada robert.pauly@ualberta.ca.ORCID http://orcid.org/0000-0002-9642-5315

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesRamadan fasting is an Islamic religious practice involving abstinence from food and drink from dawn to sunset. Its consequences on kidney-relevant outcomes in patients with chronic kidney disease (CKD) and kidney transplant recipients remain unclear.

designSystematic review and meta-analysis. DATA SOURCES: MEDLINE, Embase, Global Health, CINAHL (EBSCOhost), Scopus, Web of Science and Google Scholar were searched up to 18 September 2023. ELIGIBILITY CRITERIA: We included observational studies among non-dialysis CKD and kidney transplant recipients who fasted during Ramadan and examined changes in kidney function. DATA EXTRACTION AND SYNTHESIS: Standardised methods were used by two independent reviewers to screen, select and extract data. Outcomes included changes in serum creatinine (SCr), estimated glomerular filtration rate (eGFR), proteinuria, blood pressure, electrolytes and adverse events-all pre- and post-Ramadan. Results were pooled using random effects modelling.

resultsWe included 32 observational studies with a total of 2592 participants. 21 studies reported on participants with CKD and 11 studies reported on kidney transplant recipients (studies variably including non-fasting control arms). Meta-analysis of 25 studies revealed that Ramadan fasting was not associated with changes to SCr for the following groups according to study design: CKD

conclusionWe report inconsistent effects of Ramadan fasting on kidney function in CKD or kidney transplantation. Results should be interpreted with caution due to the significant limitations of the underlying studies.

Indexed as

FastingGlomerular Filtration RateIslamKidney TransplantationRenal Insufficiency, ChronicCreatinineHumansTransplant RecipientsCreatinineAcute renal failureChronic renal failureNephrologySystematic Review

Identifiers

PMID39572100
PMCPMC11580238

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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.