A systematic review, meta-analysis, and meta-regression of the impact of diurnal intermittent fasting during Ramadan on body weight in healthy subjects aged 16 years and above

Purpose Studies on the effect of Ramadan diurnal intermittent fasting (RDIF) on body weight have yielded conflicting results. Therefore, we conducted a systematic review and meta-analysis to estimate the effect size of body weight changes in healthy, non-athletic Muslims practicing Ramadan fasting,...

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Published inEuropean journal of nutrition Vol. 59; no. 6; pp. 2291 - 2316
Main Authors Jahrami, Haitham A., Alsibai, Joud, Clark, Cain C. T., Faris, Mo’ez Al-Islam E.
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 01.09.2020
Springer Nature B.V
Subjects
Body size
Body weight
Chemistry
Chemistry and Materials Science
confidence interval
Diurnal
Fasting
Meta-analysis
Nutrition
Obesity
Ramadan
regression analysis
Review
Systematic review
Obesity
Body weight
Diurnal intermittent fasting
Systematic review
Ramadan
Caloric restriction
Meta-analysis
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Abstract Purpose Studies on the effect of Ramadan diurnal intermittent fasting (RDIF) on body weight have yielded conflicting results. Therefore, we conducted a systematic review and meta-analysis to estimate the effect size of body weight changes in healthy, non-athletic Muslims practicing Ramadan fasting, and to assess the effect of covariates such as age, sex, fasting time duration, season, and country, using subgroup analysis, and meta-regression. Covariate adjustments were performed to explain the variability of weight change in response to Ramadan fasting. Methods CINAHL, Cochrane, EBSCOhost, EMBASE, Google Scholar, ProQuest Medical, PubMed/MEDLINE, ScienceDirect, Scopus, and Web of Science databases were searched from date of inception in 1950 to the end of August 2019. Results Eighty-five studies, conducted in 25 countries during 1982–2019, were identified. RDIF yielded a significant, but small reduction in body weight ( K  = 85, number of subjects, N  = 4176 (aged 16–80 years), Hedges’ g =− 0.360, 95% confidence interval (CI) − 0.405 to − 0.315, I 2  = 45.6%), this effect size translates into difference in means of − 1.022 kg (95% CI − 1.164 kg to − 0.880 kg). Regression analysis for moderator covariates revealed that fasting time (min/day) is a significant ( P  < 0.05) moderator for weight change at the end of Ramadan, while age and sex are not. Variable effects for the season and country were found. Conclusion RDIF may confer a significant small reduction in body weight in non-athletic healthy people aged 16 years and above, directly associated with fasting time and variably correlated with the season, and country.
AbstractList PURPOSE: Studies on the effect of Ramadan diurnal intermittent fasting (RDIF) on body weight have yielded conflicting results. Therefore, we conducted a systematic review and meta-analysis to estimate the effect size of body weight changes in healthy, non-athletic Muslims practicing Ramadan fasting, and to assess the effect of covariates such as age, sex, fasting time duration, season, and country, using subgroup analysis, and meta-regression. Covariate adjustments were performed to explain the variability of weight change in response to Ramadan fasting. METHODS: CINAHL, Cochrane, EBSCOhost, EMBASE, Google Scholar, ProQuest Medical, PubMed/MEDLINE, ScienceDirect, Scopus, and Web of Science databases were searched from date of inception in 1950 to the end of August 2019. RESULTS: Eighty-five studies, conducted in 25 countries during 1982–2019, were identified. RDIF yielded a significant, but small reduction in body weight (K = 85, number of subjects, N = 4176 (aged 16–80 years), Hedges’ g =− 0.360, 95% confidence interval (CI) − 0.405 to − 0.315, I² = 45.6%), this effect size translates into difference in means of − 1.022 kg (95% CI − 1.164 kg to − 0.880 kg). Regression analysis for moderator covariates revealed that fasting time (min/day) is a significant (P < 0.05) moderator for weight change at the end of Ramadan, while age and sex are not. Variable effects for the season and country were found. CONCLUSION: RDIF may confer a significant small reduction in body weight in non-athletic healthy people aged 16 years and above, directly associated with fasting time and variably correlated with the season, and country.
Studies on the effect of Ramadan diurnal intermittent fasting (RDIF) on body weight have yielded conflicting results. Therefore, we conducted a systematic review and meta-analysis to estimate the effect size of body weight changes in healthy, non-athletic Muslims practicing Ramadan fasting, and to assess the effect of covariates such as age, sex, fasting time duration, season, and country, using subgroup analysis, and meta-regression. Covariate adjustments were performed to explain the variability of weight change in response to Ramadan fasting.PURPOSEStudies on the effect of Ramadan diurnal intermittent fasting (RDIF) on body weight have yielded conflicting results. Therefore, we conducted a systematic review and meta-analysis to estimate the effect size of body weight changes in healthy, non-athletic Muslims practicing Ramadan fasting, and to assess the effect of covariates such as age, sex, fasting time duration, season, and country, using subgroup analysis, and meta-regression. Covariate adjustments were performed to explain the variability of weight change in response to Ramadan fasting.CINAHL, Cochrane, EBSCOhost, EMBASE, Google Scholar, ProQuest Medical, PubMed/MEDLINE, ScienceDirect, Scopus, and Web of Science databases were searched from date of inception in 1950 to the end of August 2019.METHODSCINAHL, Cochrane, EBSCOhost, EMBASE, Google Scholar, ProQuest Medical, PubMed/MEDLINE, ScienceDirect, Scopus, and Web of Science databases were searched from date of inception in 1950 to the end of August 2019.Eighty-five studies, conducted in 25 countries during 1982-2019, were identified. RDIF yielded a significant, but small reduction in body weight (K = 85, number of subjects, N = 4176 (aged 16-80 years), Hedges' g =- 0.360, 95% confidence interval (CI) - 0.405 to - 0.315, I2 = 45.6%), this effect size translates into difference in means of - 1.022 kg (95% CI - 1.164 kg to - 0.880 kg). Regression analysis for moderator covariates revealed that fasting time (min/day) is a significant (P < 0.05) moderator for weight change at the end of Ramadan, while age and sex are not. Variable effects for the season and country were found.RESULTSEighty-five studies, conducted in 25 countries during 1982-2019, were identified. RDIF yielded a significant, but small reduction in body weight (K = 85, number of subjects, N = 4176 (aged 16-80 years), Hedges' g =- 0.360, 95% confidence interval (CI) - 0.405 to - 0.315, I2 = 45.6%), this effect size translates into difference in means of - 1.022 kg (95% CI - 1.164 kg to - 0.880 kg). Regression analysis for moderator covariates revealed that fasting time (min/day) is a significant (P < 0.05) moderator for weight change at the end of Ramadan, while age and sex are not. Variable effects for the season and country were found.RDIF may confer a significant small reduction in body weight in non-athletic healthy people aged 16 years and above, directly associated with fasting time and variably correlated with the season, and country.CONCLUSIONRDIF may confer a significant small reduction in body weight in non-athletic healthy people aged 16 years and above, directly associated with fasting time and variably correlated with the season, and country.
PurposeStudies on the effect of Ramadan diurnal intermittent fasting (RDIF) on body weight have yielded conflicting results. Therefore, we conducted a systematic review and meta-analysis to estimate the effect size of body weight changes in healthy, non-athletic Muslims practicing Ramadan fasting, and to assess the effect of covariates such as age, sex, fasting time duration, season, and country, using subgroup analysis, and meta-regression. Covariate adjustments were performed to explain the variability of weight change in response to Ramadan fasting.MethodsCINAHL, Cochrane, EBSCOhost, EMBASE, Google Scholar, ProQuest Medical, PubMed/MEDLINE, ScienceDirect, Scopus, and Web of Science databases were searched from date of inception in 1950 to the end of August 2019.ResultsEighty-five studies, conducted in 25 countries during 1982–2019, were identified. RDIF yielded a significant, but small reduction in body weight (K = 85, number of subjects, N = 4176 (aged 16–80 years), Hedges’ g =− 0.360, 95% confidence interval (CI) − 0.405 to − 0.315, I2 = 45.6%), this effect size translates into difference in means of − 1.022 kg (95% CI − 1.164 kg to − 0.880 kg). Regression analysis for moderator covariates revealed that fasting time (min/day) is a significant (P < 0.05) moderator for weight change at the end of Ramadan, while age and sex are not. Variable effects for the season and country were found.ConclusionRDIF may confer a significant small reduction in body weight in non-athletic healthy people aged 16 years and above, directly associated with fasting time and variably correlated with the season, and country.
Studies on the effect of Ramadan diurnal intermittent fasting (RDIF) on body weight have yielded conflicting results. Therefore, we conducted a systematic review and meta-analysis to estimate the effect size of body weight changes in healthy, non-athletic Muslims practicing Ramadan fasting, and to assess the effect of covariates such as age, sex, fasting time duration, season, and country, using subgroup analysis, and meta-regression. Covariate adjustments were performed to explain the variability of weight change in response to Ramadan fasting. CINAHL, Cochrane, EBSCOhost, EMBASE, Google Scholar, ProQuest Medical, PubMed/MEDLINE, ScienceDirect, Scopus, and Web of Science databases were searched from date of inception in 1950 to the end of August 2019. Eighty-five studies, conducted in 25 countries during 1982-2019, were identified. RDIF yielded a significant, but small reduction in body weight (K = 85, number of subjects, N = 4176 (aged 16-80 years), Hedges' g =- 0.360, 95% confidence interval (CI) - 0.405 to - 0.315, I  = 45.6%), this effect size translates into difference in means of - 1.022 kg (95% CI - 1.164 kg to - 0.880 kg). Regression analysis for moderator covariates revealed that fasting time (min/day) is a significant (P < 0.05) moderator for weight change at the end of Ramadan, while age and sex are not. Variable effects for the season and country were found. RDIF may confer a significant small reduction in body weight in non-athletic healthy people aged 16 years and above, directly associated with fasting time and variably correlated with the season, and country.
Purpose Studies on the effect of Ramadan diurnal intermittent fasting (RDIF) on body weight have yielded conflicting results. Therefore, we conducted a systematic review and meta-analysis to estimate the effect size of body weight changes in healthy, non-athletic Muslims practicing Ramadan fasting, and to assess the effect of covariates such as age, sex, fasting time duration, season, and country, using subgroup analysis, and meta-regression. Covariate adjustments were performed to explain the variability of weight change in response to Ramadan fasting. Methods CINAHL, Cochrane, EBSCOhost, EMBASE, Google Scholar, ProQuest Medical, PubMed/MEDLINE, ScienceDirect, Scopus, and Web of Science databases were searched from date of inception in 1950 to the end of August 2019. Results Eighty-five studies, conducted in 25 countries during 1982–2019, were identified. RDIF yielded a significant, but small reduction in body weight ( K  = 85, number of subjects, N  = 4176 (aged 16–80 years), Hedges’ g =− 0.360, 95% confidence interval (CI) − 0.405 to − 0.315, I 2  = 45.6%), this effect size translates into difference in means of − 1.022 kg (95% CI − 1.164 kg to − 0.880 kg). Regression analysis for moderator covariates revealed that fasting time (min/day) is a significant ( P  < 0.05) moderator for weight change at the end of Ramadan, while age and sex are not. Variable effects for the season and country were found. Conclusion RDIF may confer a significant small reduction in body weight in non-athletic healthy people aged 16 years and above, directly associated with fasting time and variably correlated with the season, and country.
Author Alsibai, Joud
Jahrami, Haitham A.
Faris, Mo’ez Al-Islam E.
Clark, Cain C. T.
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  fullname: Jahrami, Haitham A.
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– sequence: 2
  givenname: Joud
  surname: Alsibai
  fullname: Alsibai, Joud
  organization: Department of Clinical Nutrition and Dietetics, College of Health Sciences, Research Institute for Medical and Health Sciences (RIMHS), University of Sharjah
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  givenname: Cain C. T.
  surname: Clark
  fullname: Clark, Cain C. T.
  organization: Centre for Sport, Exercise and Life Sciences, Coventry University
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  givenname: Mo’ez Al-Islam E.
  surname: Faris
  fullname: Faris, Mo’ez Al-Islam E.
  email: mfaris@sharjah.ac.ae, moezfaris@hotmail.com
  organization: Department of Clinical Nutrition and Dietetics, College of Health Sciences, Research Institute for Medical and Health Sciences (RIMHS), University of Sharjah
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32157368$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
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Tue Jul 01 02:53:37 EDT 2025
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Issue 6
Keywords Obesity
Body weight
Diurnal intermittent fasting
Systematic review
Ramadan
Caloric restriction
Meta-analysis
Language English
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Snippet Purpose Studies on the effect of Ramadan diurnal intermittent fasting (RDIF) on body weight have yielded conflicting results. Therefore, we conducted a...
Studies on the effect of Ramadan diurnal intermittent fasting (RDIF) on body weight have yielded conflicting results. Therefore, we conducted a systematic...
PurposeStudies on the effect of Ramadan diurnal intermittent fasting (RDIF) on body weight have yielded conflicting results. Therefore, we conducted a...
PURPOSE: Studies on the effect of Ramadan diurnal intermittent fasting (RDIF) on body weight have yielded conflicting results. Therefore, we conducted a...
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SubjectTerms Body size
Body weight
Chemistry
Chemistry and Materials Science
confidence interval
Diurnal
Fasting
Meta-analysis
Nutrition
Obesity
Ramadan
regression analysis
Review
Systematic review
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  providerName: Springer Nature
Title A systematic review, meta-analysis, and meta-regression of the impact of diurnal intermittent fasting during Ramadan on body weight in healthy subjects aged 16 years and above
URI https://link.springer.com/article/10.1007/s00394-020-02216-1
https://www.ncbi.nlm.nih.gov/pubmed/32157368
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