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Table 1 Characteristics of included studies

From: The effect of Ramadan fasting during pregnancy on perinatal outcomes: a systematic review and meta-analysis

Authors

Year

Location and study period

Total pregnancies

Cases

Controls

Primary outcomes

Secondary outcomes

Trimester of fasting

Length and duration of fasting (days and average hours/day)

Risk of bias (ROBINS-I)

Alwasel

2011

Saudi Arabia, August 2000–April 2009

17,626

13,220

4406

BW, PW

1st, 2nd, 3rd

n/a

Moderate

Arab

2001

Iran, 1999

4343

3086

1257

SGA

BW, LBW

n/a

1 to 20+ days n/a

Moderate

Awwad

2012

Lebanon, September 2008

402

201

201

PTB

BW, LBW

1st, 2nd, 3rd

22 +/− 9 days n/a

Low

Azizi

2004

Iran, April–September 2001

191

98

93

BW

3rd

28 +/− 2 days 13 h20 min

Low

Bayoglu Tekin

2016

Turkey, June–July 2014

48

23

25

BW

3rd

18.2 +/− 2 days 17.24 h

Low

Daley

2017

United Kingdom, March 2007 – December 2010

5156

479

4677

PTB

BW, LBW

1st

n/a

Moderate

Hefni

1993

Egypt, 1991

322

167

155

BW, SB

3rd

n/a > 10 h

Low

Hızlı

2012

Turkey, August–September 2010

110

56

54

BW

3rd

12.9 +/− 2.5 days 15.3 h (12–19)

Low

Karateke

2016

Turkey, June–July 2014

240

120

120

BW, LBW

1st, 2nd, 3rd

n/a n/a

Low

Kavehmanesh

2004

Iran, January–September 2000

539

284

255

PTB

BW

n/a

24 +/− 9 days 13 h

Low

Makvandi

2013

Iran, 2013

300

150

150

BW, LBW

3rd

16.6+/−13.2 days n/a

Low

Malhotra

1989

United Kingdom, April–May 1987

22

11

11

SGA

BW, CA, NND, PW

3rd

n/a 7 h

Moderate

Naderi

2004

Iran, November 2001

101

51

50

BW

n/a

20+ days n/a

Low

Ozturk

2011

Turkey, September 2008

72

42

30

PTB

2nd

10+ days Approximately 12 h

Low

Petherick

2014

United Kingdom, October–December 2010

300

128

172

PTB

BW, GD, Hyp, LBW

1st, 2nd, 3rd

1–29 days Up to 18 h

Moderate

Rezk

2016

Egypt, June–July 2015

450

210

240

BW

3rd

30 days 12-16 h

Low

Sakar

2016

Turkey, August–October 2013

338

168

170

BW, PW

3rd

25.17 +/− 5.44 days n/a

Low

Sarafraz

2014

Iran, 2008

293

200

93

BW

1st, 2nd, 3rd

1 to 20+ days n/a

Low

Savitri

2018

Indonesia, July 2012 – July 2014

139

110

29

BW

1st, 2nd, 3rd

1–30 days n/a

Moderate

Seckin

2014

Turkey, July–August 2013

169

82

87

BW

3rd

23 +/− 3.6 days 18.7 h (17–20)

Low

Shahgheibi

2005

Iran, (dates unknown)

163

63

100

BW, LBW

3rd

10 to 20+ days n/a

Low

Ziaee

2010

Iran, October 2004

189

123

66

BW, LBW

1st, 2nd, 3rd

1 to 20+ days 13 h

Low

  1. Primary outcomes: SGA small for gestational age, PTB preterm birth. Secondary outcomes, BW birth weight, CA congenital abnormalities, GD gestational diabetes, Hyp hypertension, LBW low birth weight, NND neonatal death, PW placental weight, SB stillbirth