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Metaanálisis2021Financiación no declarada

The effects of Ramadan intermittent fasting on liver function in healthy adults: A systematic review, meta-analysis, and meta-regression

Faris M, Jahrami H, Abdelrahim D, Bragazzi N, BaHammam A

Diabetes research and clinical practice · 51 citas

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Cómo se estudió

Diseño
Metaanálisis (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación no declarada

Publicación

Publicado
2021-07-14 · Diabetes Res Clin Pract · vol. 178 · pág. 108951
Editorial
Elsevier BV
Citado
75 citas · más que el 90% de estudios similares · 2.3× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
142 trabajos
Acceso
De pago
Áreas de investigación
Dietary Effects on Health · Liver Disease Diagnosis and Treatment · Enhanced Recovery After Surgery
Palabras clave
Ramadan fasting, intermittent fasting, liver function tests, liver enzymes, aspartate aminotransferase, alanine aminotransferase, gamma-glutamyl transferase, alkaline phosphatase, bilirubin, lactate dehydrogenase, prothrombin time, fasting duration, healthy adults
MeSH
liver, humans, alanine transaminase, aspartate aminotransferases, liver function tests, fasting, adult

5 autores

  • MoezAlIslam E. Faris🇦🇪 · autor de correspondenciaUniversity of Sharjah
  • Haitham Jahrami🇧🇭Ministry of Health; Arabian Gulf University
  • Dana N. Abdelrahim🇯🇴University of Jordan
  • Nicola Luigi Bragazzi🇨🇦York University
  • Ahmed Salem BaHammam🇸🇦King Saud University

Resumen

El texto original del estudio, en el idioma en que se publicó.

Introduction

Growing evidence is suggestive that intermittent fasting likely to improve liver function; however, still the evidences are controversial to draw a definitive conclusion. Therefore, we conducted a systematic review and meta-analysis to estimate the effect size for changes in liver function tests (LFT) in healthy people practicing Ramadan diurnal intermittent fasting (RDIF), and to examine the impact of different covariates using subgroup analysis and meta-regression.

Methods

Scientific databases were searched from date of inception in 1950 to the end of July 2020. The liver function tests searched and analyzed were aspartate transaminase (AST), alanine transaminase (ALT), gamma-glutamyl transferase (GGT), alkaline phosphatase (ALP), bilirubin (BLU), L-lactate dehydrogenase (LDH) and prothrombin time (PT).

Results

Twenty studies (601 adult participants in total, aged 18-57 years) conducted in 10 countries between 1987 and 2020 were identified. RDIF-induced effect sizes for the LFT expressed as standardized mean difference (SMD) [95% confidence interval] were: AST (no. of studies K = 16, number of subjects N = 502, SMD = -0.257 [-0.381, -0.133], I2 = 42%); ALT (K = 16, N = 502, SMD = -0.105 [-0.282, 0.07], I2 = 71%); GGT (K = 2, N = 46, SMD = -0.533 [-0.842, -0.224], I2 = 0%); ALP (K = 10, N = 312, SMD = -0.318 [-0.432, -0.204], I2 = 0.0%); BLU (K = 10, N = 325, SMD = -0.264 [-0.520, -0.007], I2 = 70.1%); LDH (K = 5, N = 145, SMD = -0.041 [-0.380, 0.298], I2 = 72%); PT (K = 2, N = 74, SMD = -0.027 [-0.732, 0.678], I2 = 87%).

Conclusion

RDIF induces significant but small (AST, ALP, BLU) to medium (GGT) positive changes on LFT, and may confer a transient, short-term protection against fatty liver disease in healthy subjects.

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