Ramadan and gestational diabetes: maternal and neonatal outcomes.


Journal

Acta diabetologica
ISSN: 1432-5233
Titre abrégé: Acta Diabetol
Pays: Germany
ID NLM: 9200299

Informations de publication

Date de publication:
Jan 2022
Historique:
received: 18 05 2021
accepted: 05 08 2021
pubmed: 25 8 2021
medline: 18 1 2022
entrez: 24 8 2021
Statut: ppublish

Résumé

The impact of Ramadan exposure to Gestational Diabetes Mellitus (GDM) pregnancies is not known. We therefore aimed to assess the association of Ramadan with maternal and neonatal outcomes among pregnant women with GDM. Retrospective cohort study of 345 Muslim women with singleton pregnancies who attended a major Sydney teaching hospital during the period 1989-2010, was undertaken. Exposure to Ramadan was stratified by the: (1) total pregnancy days exposed to Ramadan, (2) duration (hours) of daily fasting and (3) trimester of exposure. Maternal and neonatal outcomes were examined by exposure status, and never exposed pregnancies were comparator in all three analyses. Fasting status was not recorded. We found no significant effect of Ramadan exposure on mean birthweight, macrosomia and maternal outcomes. However, we found a significant trend for increased neonatal hyperbilirubinemia with increasing Ramadan days exposure and later trimester exposure (p Ramadan exposure is associated with reduced neonatal hypoglycaemia, with no effect on birthweight, implying more favourable glycaemic control. However, the fourfold excess of neonatal hyperbilirubinemia indicates a need for further study of Ramadan and GDM.

Identifiants

pubmed: 34427780
doi: 10.1007/s00592-021-01782-y
pii: 10.1007/s00592-021-01782-y
pmc: PMC8758603
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

21-30

Informations de copyright

© 2021. The Author(s).

Références

Alfadhli EM, Osman EN, Basri TH, Mansuri NS, Youssef MH, Assaaedi SA et al (2015) Gestational diabetes among Saudi women: prevalence, risk factors and pregnancy outcomes. Ann Saudi med 35:222–230
doi: 10.5144/0256-4947.2015.222
International Diabetes Federation. Diabetes and Ramadan: Practical Guidelines. Brussels, Belgium: International Diabetes Federation and the DAR International Alliance; 2016.
Mirghani H, Weerasinghe D, Ezimokhai M, Smith J (2003) The effect of maternal fasting on the fetal biophysical profile. Int J Gynecol Obstet 81:17–21
doi: 10.1016/S0020-7292(02)00398-3
Robinson T, Raisler J (2005) Each one is a doctor for herself": Ramadan fasting among pregnant Muslim women in the United States. Ethn Dis 15:S1-99
pubmed: 15787060
Savitri AI, Yadegari N, Bakker J, van Ewijk RJ, Grobbee DE, Painter RC et al (2014) Ramadan fasting and newborn’s birth weight in pregnant Muslim women in The Netherlands. Br J Nutr 112:1503–1509
doi: 10.1017/S0007114514002219
Wu G, Imhoff-Kunsch B, Girard AW (2012) Biological mechanisms for nutritional regulation of maternal health and fetal development. Paediatr perinat epidemiol 26:4–26
doi: 10.1111/j.1365-3016.2012.01291.x
Metzger BE, Buchanan TA, Coustan DR, De Leiva A, Dunger DB, Hadden DR, et al. (2007) Summary and recommendations of the fifth international workshop-conference on gestational diabetes mellitus. Diabetes care 30:S251–S260
Khaled BM, Belbraouet S (2009) Effect of Ramadan fasting on anthropometric parameters and food consumption in 276 type 2 diabetic obese women. Int J Diabetes Dev Ctries 29:62–68
doi: 10.4103/0973-3930.53122
Babineaux SM, Toaima D, Boye KS, Zagar A, Tahbaz A, Jabbar A et al (2015) Multi-country retrospective observational study of the management and outcomes of patients with type 2 diabetes during Ramadan in 2010 (CREED). Diabet Med 32:819–828
doi: 10.1111/dme.12685
Salti I, Benard E, Detournay B, Bianchi-Biscay M, Le Brigand C, Voinet C et al (2004) A population-based study of diabetes and its characteristics during the fasting month of Ramadan in 13 countries: results of the epidemiology of diabetes and Ramadan 1422/2001 (EPIDIAR) study. Diabetes Care 27:2306–2311
doi: 10.2337/diacare.27.10.2306
BaHammam A, Alrajeh M, Albabtain M, Bahammam S, Sharif M (2010) Circadian pattern of sleep, energy expenditure, and body temperature of young healthy men during the intermittent fasting of Ramadan. Appetite 54:426–429
doi: 10.1016/j.appet.2010.01.011
Bahijri S, Borai A, Ajabnoor G, Khaliq AA, AlQassas I, Al-Shehri D et al (2013) Relative metabolic stability, but disrupted circadian cortisol secretion during the fasting month of Ramadan. PloS One 8:e60917
doi: 10.1371/journal.pone.0060917
Ajabnoor GM, Bahijri S, Borai A, et al. (2014) Health impact of fasting in Saudi Arabia during Ramadan: association with disturbed circadian rhythm and metabolic and sleeping patterns. PLoS One 9:e96500
doi: 10.1371/journal.pone.0096500
Vardarli MC, Hammes HP, Vardarli I (2014) Possible metabolic impact of Ramadan fasting in healthy men. Turk J Med Sci 44:1010–1020
doi: 10.3906/sag-1308-30
Awwad J, Usta IM, Succar J, Musallam KM, Ghazeeri G, Nassar AH (2012) The effect of maternal fasting during Ramadan on preterm delivery: a prospective cohort study. BJOG 119:1379–1386
doi: 10.1111/j.1471-0528.2012.03438.x
Arab M, Nasrollahi S (2001) Interrelation of Ramadan fasting and birth weight. Med J Islamic Acad Sci 14:91–95
Petherick ES, Tuffnell D, Wright J (2014) Experiences and outcomes of maternal Ramadan fasting during pregnancy: results from a sub-cohort of the born in Bradford birth cohort study. BMC Pregnancy Childbirth 14:335
doi: 10.1186/1471-2393-14-335
Roseboom TJ, Painter RC, van Abeelen AF, Veenendaal MV, de Rooij SR (2011) Hungry in the womb: what are the consequences? Lessons from the Dutch famine. Maturitas 70:141–145
doi: 10.1016/j.maturitas.2011.06.017
Karateke A, Kaplanoglu M, Avci F, Kurt RK, Baloglu A (2015) The effect of Ramadan fasting on fetal development. Pak J Med Sci 31:1295–1299
doi: 10.12669/pjms.316.8562
Martin FI (1991) The diagnosis of gestational diabetes. Med J Aust. https://doi.org/10.5694/j.1326-5377.1991.tb142140.x
doi: 10.5694/j.1326-5377.1991.tb142140.x
Hoffman L, Nolan C, Wilson JD, Oats JJ, Simmons D (1998) Gestational diabetes mellitus–management guidelines. The Australasian Diabetes in Pregnancy Society. Med J Aust 169:93–97
doi: 10.5694/j.1326-5377.1998.tb140192.x
Beeby PJ, Bhutap T, Taylor LK (1996) New South Wales population-based birthweight percentile charts. J Paediatr Child Health 32:512–518
doi: 10.1111/j.1440-1754.1996.tb00965.x
Feig DS, Corcoy R, Jensen DM, Kautzky-Willer A, Nolan CJ, Oats JJ et al (2015) Diabetes in pregnancy outcomes: a systematic review and proposed codification of definitions. Diabetes/metab Res Rev 31:680–690
doi: 10.1002/dmrr.2640
Kavehmanesh Z, Abolghasemi H (2004) Maternal Ramadan fasting and neonatal health. J Perinatol 24:748–750
doi: 10.1038/sj.jp.7211189
Rashid H, Kagami M, Ferdous F, Ma E, Terao T, Hayashi T et al (2017) Temperature during pregnancy influences the fetal growth and birth size. Trop Med Health 45:1
doi: 10.1186/s41182-016-0041-6
Afandi BO, Hassanein MM, Majd LM, Nagelkerke NJ (2017) Impact of Ramadan fasting on glucose levels in women with gestational diabetes mellitus treated with diet alone or diet plus metformin: a continuous glucose monitoring study. BMJ Open Diabetes Res Care 5:e000470
doi: 10.1136/bmjdrc-2017-000470
Sweeting AN, Ross GP, Hyett J, Molyneaux L, Constantino M, Harding AJ et al (2016) Gestational diabetes mellitus in early pregnancy: evidence for poor pregnancy outcomes despite treatment. Diabetes Care 39:75–81
doi: 10.2337/dc15-0433

Auteurs

Turki Abdullah AlMogbel (TA)

Sydney Medical School, The University of Sydney, Sydney, Australia. dr.turkialmogbel@gmail.com.
Department of Endocrinology, The RPAH Diabetes Centre, Royal Prince Alfred Hospital, Sydney, Australia. dr.turkialmogbel@gmail.com.
Diabetes and Endocrinology Center, King Fahd Specialist Hospital, Buraydah, Saudi Arabia. dr.turkialmogbel@gmail.com.

Glynis Ross (G)

Sydney Medical School, The University of Sydney, Sydney, Australia.
Department of Endocrinology, The RPAH Diabetes Centre, Royal Prince Alfred Hospital, Sydney, Australia.

Ted Wu (T)

Department of Endocrinology, The RPAH Diabetes Centre, Royal Prince Alfred Hospital, Sydney, Australia.

Lynda Molyneaux (L)

Department of Endocrinology, The RPAH Diabetes Centre, Royal Prince Alfred Hospital, Sydney, Australia.

Maria Ines Constantino (MI)

Sydney Medical School, The University of Sydney, Sydney, Australia.
Department of Endocrinology, The RPAH Diabetes Centre, Royal Prince Alfred Hospital, Sydney, Australia.

Margaret McGill (M)

Sydney Medical School, The University of Sydney, Sydney, Australia.
Department of Endocrinology, The RPAH Diabetes Centre, Royal Prince Alfred Hospital, Sydney, Australia.

Anna Jane Harding (AJ)

Department of Endocrinology, The RPAH Diabetes Centre, Royal Prince Alfred Hospital, Sydney, Australia.

Christine Pech (C)

Department of Endocrinology, The RPAH Diabetes Centre, Royal Prince Alfred Hospital, Sydney, Australia.

Abdullah A Alrasheed (AA)

Sydney Medical School, The University of Sydney, Sydney, Australia.
Department of Endocrinology, The RPAH Diabetes Centre, Royal Prince Alfred Hospital, Sydney, Australia.
Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Jencia Wong (J)

Sydney Medical School, The University of Sydney, Sydney, Australia.
Department of Endocrinology, The RPAH Diabetes Centre, Royal Prince Alfred Hospital, Sydney, Australia.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH