Imperial College London

ProfessorAbbasDehghan

Faculty of MedicineSchool of Public Health

Professor in Molecular Epidemiology
 
 
 
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Contact

 

+44 (0)20 7594 3347a.dehghan CV

 
 
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Location

 

Sir Michael Uren HubWhite City Campus

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Summary

 

Publications

Citation

BibTex format

@article{Al-Jafar:2021:10.1161/JAHA.120.021560,
author = {Al-Jafar, R and Zografou, Themeli M and Zaman, S and Akbar, S and Lhoste, V and Khamliche, A and Elliott, P and Tsilidis, KK and Dehghan, A},
doi = {10.1161/JAHA.120.021560},
journal = {Journal of the American Heart Association},
pages = {1--36},
title = {Effect of religious fasting in Ramadan on blood pressure: results from LORANS (London Ramadan Study) and a meta-analysis.},
url = {http://dx.doi.org/10.1161/JAHA.120.021560},
volume = {10},
year = {2021}
}

RIS format (EndNote, RefMan)

TY  - JOUR
AB - Background Ramadan fasting is practiced by hundreds of millions every year. This ritual practice changes diet and lifestyle dramatically; thus, the effect of Ramadan fasting on blood pressure must be determined. Methods and Results LORANS (London Ramadan Study) is an observational study, systematic review, and meta-analysis. In LORANS, we measured systolic blood pressure (SBP) and diastolic blood pressure (DBP) of 85 participants before and right after Ramadan. In the systematic review, studies were retrieved from PubMed, Embase, and Scopus from inception to March 3, 2020. We meta-analyzed the effect from these studies and unpublished data from LORANS. We included observational studies that measured SBP and/or DBP before Ramadan and during the last 2 weeks of Ramadan or the first 2 weeks of the month after. Data appraisal and extraction were conducted by at least 2 reviewers in parallel. We pooled SBP and DBP using a random-effects model. The systematic review is registered with PROSPERO (International Prospective Register of Systematic Reviews; CRD42019159477). In LORANS, 85 participants were recruited; mean age was 45.6±15.9 years, and 52.9% (n=45) of participants were men. SBP and DBP after Ramadan fasting were lower by 7.29 mm Hg (-4.74 to -9.84) and 3.42 mm Hg (-1.73 to -5.09), even after adjustment for potential confounders. We identified 2778 studies of which 33 with 3213 participants were included. SBP and DBP after/before Ramadan were lower by 3.19 mm Hg (-4.43 to -1.96, I2=48%) and 2.26 mm Hg (-3.19 to -1.34, I2=66%), respectively. In subgroup analyses, lower blood pressures were observed in the groups who are healthy or have hypertension or diabetes but not in patients with chronic kidney disease. Conclusions Our study suggests beneficial effects of Ramadan fasting on blood pressure independent of changes in weight, total body water, and fat mass and supports recommendations for some government
AU - Al-Jafar,R
AU - Zografou,Themeli M
AU - Zaman,S
AU - Akbar,S
AU - Lhoste,V
AU - Khamliche,A
AU - Elliott,P
AU - Tsilidis,KK
AU - Dehghan,A
DO - 10.1161/JAHA.120.021560
EP - 36
PY - 2021///
SN - 2047-9980
SP - 1
TI - Effect of religious fasting in Ramadan on blood pressure: results from LORANS (London Ramadan Study) and a meta-analysis.
T2 - Journal of the American Heart Association
UR - http://dx.doi.org/10.1161/JAHA.120.021560
UR - https://www.ncbi.nlm.nih.gov/pubmed/34619991
UR - https://www.ahajournals.org/doi/10.1161/JAHA.120.021560
UR - http://hdl.handle.net/10044/1/92320
VL - 10
ER -