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CC BY-NC-ND 4.0 · Ibnosina Journal of Medicine and Biomedical Sciences 2020; 12(04): 240-257
DOI: 10.4103/ijmbs.ijmbs_139_20
Review Article

Ramadan fasting in health and disease (2019): A narrative review

Khawla Ali
1   Department of Medicine, Royal College of Surgeons in Ireland Medical University of Bahrain, Adliya
,
Sara Abdulla
2   Department of Biochemistry, Faculty of Medicine, University of Benghazi, Benghazi
,
Amal Badi
3   Obstetrics and Gynecology Clinic, Medical International Specialist Center, Dubai
,
Khadija Hafidh
4   Department of Medicine, Dubai Medical College, Dubai
5   Department of Diabetes and Endocrinology, Rashid Hospital, DHA, Dubai
,
Salem Beshyah
4   Department of Medicine, Dubai Medical College, Dubai
3   The Endocrinology Department, Mediclinic Airport Road Hospital, Abu Dhabi
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Introduction: Literature on the health aspects of Ramadan fasting (RF) is widespread in many journals, making it less readily available to those interested in the subject. Materials and Methods: This is a narrative, nonsystematic review of international literature from two major online databases (viz., Scopus and PubMed) in 1 year (2019). The search term “RF” was used, and relevant literature was narrated in a concise thematic account excluding diabetes. Results: The publications spanned the fundamental, clinical, ethical, professional, cultural, and advocacy facets of the subject. The publications crossed the conventional disciplinary lines and geographical locations and appeared in journals with different access systems. The content is presented under relevant themes depending on the available literature. Basic coverage included changes in physiology, nutrition, and metabolism during Ramadan. Clinical aspects such as the impact of RF on kidney function, pregnancy outcome, fetal life, structure and function of eyes, and athletes' well-being received comparatively prominent coverage by researchers in 2019. Gut, liver, skin, skeleton, and blood were also covered. Other workers focused on documenting the perception, attitudes, and practices of both patients and health-care professionals during Ramadan. Conclusions: The health aspects of RF received sustained academic interest with a wide spectrum in 2019. We provided a scoping overview to help researchers and clinicians catch up quickly with the state-of-the-art today.

Key-words:

Bibliometric - diabetes - literature - patients' perceptions - pregnancy - professional - Ramadan - research - sports medicine

Financial support and sponsorship

Nil.




Publication History

Received: 11 November 2020

Accepted: 13 November 2020

Article published online:
14 July 2022

© 2020. The Libyan Authority of Scientific Research and Technologyand the Libyan Biotechnology Research Center. All rights reserved. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License,permitting copying and reproductionso long as the original work is given appropriate credit. Contents may not be used for commercial purposes, oradapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Beshyah SA. Fasting during the month of Ramadan for people with diabetes: Medicine and Fiqh united at last. Ibnosina J Med Biomed Sci 2009;1:58-60.
  • 2 Sherif IH, Lakhdar AA. Ramadan fasting and the medical patient: Consensus is welcome, but more evidence is needed. Ibnosina J Med Biomed Sci 2010;2:237-93.
  • 3 Khalil AB, Lakhdar AA, Benbarka MM, Sherif IH. Research and Ramadan fasting: Not too much of a good thing! Ibnosina J Med Biomed Sci 2018;10:35-6.
  • 4 Beshyah SA, Hajjaji IM, Ibrahim WH, Deeb A, El-Ghul EM, Akkari KB, et al. The year in Ramadan fasting research (2017): A narrative review. Ibnosina J Med Biomed Sci 2018;10:39-53.
  • 5 Beshyah SA, Badi A, El-Ghul AM, Ghabroun A, Doughman KK, Eledrisis MS. Special communication: The year in Ramadan fasting and health. Ibnosina J Med Biomed Sci 2019;11:151-70.
  • 6 Beshyah SA, Ali KF, Hafidh K, Hajjaji IM. Ramadan fasting and diabetes 2019: The year in review. Diabetes Res Clin Pract 2020:108593. doi: 10.1016/j.diabres.2020.108593. Epub ahead of print.
  • 7 Akın S, Özer FF, Şahin GG, Özer NT. Effects of Ramadan fasting on lean body mass in the older people. Eur Geriatr Med 2020;11:163-8.
  • 8 Rahbar AR, Safavi E, Rooholamini M, Jaafari F, Darvishi S, Rahbar A. Effects of intermittent fasting during Ramadan on insulin-like growth factor-1, interleukin 2, and lipid profile in healthy Muslims. Int J Prev Med 2019;10:7.
  • 9 Alzoughool F, Al Hourani H, Atoum M, Abdelgader R, Alanagreh L. Irisin, leptin and adiponectin levels are reduced significantly during fasting. Mediterr J Nutr Metab 2019;12:389-96.
  • 10 Culha C, Gorar S, Aral Y. Circulating obestatin levels during Ramadan fasting in normal weight and obese subjects. Kuwait Med J 2019;51:335-40.
  • 11 Manjunath G, Aravindhakshan R, Varghese S. Effect of fasting during Ramadan on thermal stress parameters. East Mediterr Health J 2019;25:34-9.
  • 12 Ahmed OA. Effect of Ramadan fasting on red and white blood cell parameters in healthy females. Gazi Med J 2019;30:1-3.
  • 13 Razzak AR, Mohamed MW, Alshaiji AF, Qareeballa AA, Bagust J, Docherty S. Is spatial orientation affected by Ramadan fasting? Nutr Food Sci 2019;49:464-75.
  • 14 Iqbal M, Jamea AA, Alonso AM, Al-Regaiey KA, Bashir S. Cortical thickness, neurocognitive, and body composition effects of fasting during Ramadan. J Res Med Sci 2019;24:50.
  • 15 Nachvak SM, Pasdar Y, Pirsaheb S, Darbandi M, Niazi P, Mostafai R, et al. Effects of Ramadan on food intake, glucose homeostasis, lipid profiles and body composition. Eur J Clin Nutr 2019;73:594-600.
  • 16 Ben Jemaa H, Mahjoub F, Berriche O, Gammoudi A, Chaabouni S, Jamoussi H. Impacts of nutritional education before Ramadan fasting on dietary intake, weight and body composition in diabetic patients. Tunis Med 2019;97:1139-45.
  • 17 Das A, Hasmat N, Ghosh KS, Sahu S. Effects of Ramadan intermittent fasting and pattern of nutrients intake on BMI and MUAC of a population consisting of Indian Muslims. Biol Rhythm Res 2019. DOI: 10.1080/09291016.2019.1700328.
  • 18 Paoli A, Tinsley G, Bianco A, Moro T. The influence of meal frequency and timing on health in humans: The role of fasting. Nutrients 2019;11:719.
  • 19 Pak M, Buyukuslu N. The gender differentiation affects the nutritional status and biochemical characteristics during Ramadan fasting. Kuwait Med J 2019;51:172-80.
  • 20 Ismail S, Manaf RA, Mahmud A. Comparison of time-restricted feeding and Islamic fasting: A scoping review. East Mediterr Health J 2019;25:239-45.
  • 21 Lessan N, Ali T. Energy metabolism and intermittent fasting: The Ramadan perspective. Nutrients 2019;11:E1192.
  • 22 Mirmiran P, Bahadoran Z, Gaeini Z, Moslehi N, Azizi F. Effects of Ramadan intermittent fasting on lipid and lipoprotein parameters: An updated meta-analysis. Nutr Metab Cardiovasc Dis 2019;29:906-15.
  • 23 Karsen H, Güler EA, Binici İ, Taşkıran H, Yıldırım S, Koyuncu İ. Oxidant and antioxidant parameters in people who fast during Ramadan, and those who do not. Afr Health Sci 2019;19:2713-7.
  • 24 Almeneessier AS, BaHammam AA, Alzoghaibi M, Olaish AH, Nashwan SZ, BaHammam AS. The effects of diurnal intermittent fasting on proinflammatory cytokine levels while controlling for sleep/wake pattern, meal composition and energy expenditure. PLoS One 2019;14:e0226034.
  • 25 Mushtaq R, Akram A, Mushtaq R, Khwaja S, Ahmed S. The role of inflammatory markers following Ramadan Fasting. Pak J Med Sci 2019;35:77-81.
  • 26 Mrad S, Rejeb H, Ben Abdallah J, Graiet H, Ben Khelifa M, Abed A, et al. The impacts of Ramadan intermittent fasting on oxidant/antioxidant stress biomarkers of stable chronic obstructive pulmonary disease male patients. Am J Mens Health 2019;13:1557988319848281.
  • 27 Ben Ayed H, Koubaa M, Ben Jemaa M, Hammemi F, Rekik K, Ben Jemaa T, et al. Prognosis of urinary tract infections: Predictive factors and role of Ramadan fasting. Tunis Med 2019;97:1169-76.
  • 28 Faris MA, Jahrami HA, Obaideen AA, Madkour MI. Impact of diurnal intermittent fasting during Ramadan on inflammatory and oxidative stress markers in healthy people: Systematic review and meta-analysis. J Nutr Intermediary Metab 2019;15:18-26.
  • 29 Tashkandi B, Kaur D, Latifi E, Tallman DA, Chinna K, Daud ZAM, et al. Lipids, lipoprotein distribution and nutritional parameters over the Ramadan period in hemodialysis patients. Nutrients 2019;11:2225.
  • 30 Megahed AF, El-Kannishy G, Sayed-Ahmed N. Status of fasting in Ramadan of chronic hemodialysis patients all over Egypt: A multicenter observational study. Saudi J Kidney Dis Transpl 2019;30:339-49.
  • 31 Khazneh E, Qaddumi J, Hamdan Z, Qudaimat F, Sbitany A, Jebrin K, et al. The effects of Ramadan fasting on clinical and biochemical markers among hemodialysis patients: A prospective cohort study. PLoS One 2019;14:e0218745.
  • 32 Dogan I, Eser B, Kayadibi H. The effect of Ramadan fasting on renal functions in patients with chronic kidney disease. Turk J Biochem 2019;44:189-96.
  • 33 Adanan NI, Md Ali MS, Lim JH, Zakaria NF, Lim CTS, Yahya R, et al. Investigating Physical and nutritional changes during prolonged intermittent fasting in hemodialysis patients: A prospective cohort study. J Ren Nutr 2020;30:e15-26.
  • 34 Binsalih S, Al Sayyari RA, Sheikho M, Hejaili FF, Al Sayyari AA. Effect of fasting the whole month of Ramadan on renal function among Muslim patients with kidney transplant: A meta-analysis. Exp Clin Transplant 2019;17:588-93.
  • 35 Ahmad S, Chowdhury TA. Fasting during Ramadan in people with chronic kidney disease: A review of the literature. Ther Adv Endocrinol Metab 2019;10:2042018819889019.
  • 36 Safari K, Piro TJ, Ahmad HM. Perspectives and pregnancy outcomes of maternal Ramadan fasting in the second trimester of pregnancy. BMC Pregnancy Childbirth 2019;19:128.
  • 37 Majid F, Behrman J, Mani S. Short-term and long-term distributional consequences of prenatal malnutrition and stress: Using Ramadan as a natural experiment. BMJ Glob Health 2019;4:e001185.
  • 38 Kunto YS, Mandemakers JJ. The effects of prenatal exposure to Ramadan on stature during childhood and adolescence: Evidence from the Indonesian family life survey. Econ Hum Biol 2019;33:29-39.
  • 39 Makvandi S, Karimi L, Mahdavian M, Bastami A. No differences in hematological parameters of fasting and non-fasting pregnant women three months after Ramadan. Int J Vitam Nutr Res 2018;88:258-62.
  • 40 Savitri AI, Painter RC, Lindeboom M, Roseboom TJ, van Ewijk RJ. Ramadan exposure and birth outcomes: A population-based study from the Netherlands. J Dev Orig Health Dis 2020;11:664-71.
  • 41 Adler-Lazarovits C, Weintraub AY. Physicians' attitudes and views regarding religious fasting during pregnancy and review of the literature. Eur J Obstet Gynecol Reprod Biol 2019;233:76-80.
  • 42 Tith RM, Bilodeau-Bertrand M, Lee GE, Healy-Profitós J, Auger N. Fasting during Ramadan increases risk of very preterm birth among Arabic-speaking women. J Nutr 2019;149:1826-32.
  • 43 Zoukal S, Hassoune S. The effects of Ramadan fasting during pregnancy on fetal development: A general review. Tunis Med 2019;97:1132-8.
  • 44 Omrane A, Kammoun S, Mili H, Khalfallah T, El Mhamdi S, Bouzgarrou L. Does Ramadan fasting affect the physical workload? Tunis Med 2019;97:1146-52.
  • 45 Gueldich H, Zghal F, Borji R, Chtourou H, Sahli S, Rebai H. The effects of Ramadan intermittent fasting on the underlying mechanisms of force production capacity during maximal isometric voluntary contraction. Chronobiol Int 2019;36:698-708.
  • 46 Hsouna H, Abdessalem R, Boukhris O, Trabelsi K, Chtourou L, Tahri N, et al. Short-term maximal performance, alertness, dietary intake, sleep pattern and mood states of physically active young men before, during and after Ramadan observance. PLoS One 2019;14:e0217851.
  • 47 Carling C, Lugier J. Effects of Ramadan fasting on running activity profiles in elite soccer players during an official 90-minute match. J Sports Sci Med 2019;18:387-9.
  • 48 Bouzid MA, Abaïdia AE, Bouchiba M, Ghattassi K, Daab W, Engel FA, et al. Effects of Ramadan fasting on recovery following a simulated soccer match in professional soccer players: A pilot study. Front Physiol 2019;10:1480.
  • 49 Aziz AR, Lim DS, Sahrom S, Che Muhamed AM, Ihsan M, Girard O, et al. Effects of Ramadan fasting on match-related changes in skill performance in elite Muslim badminton players. Sci Sports 2020; 35:308.e1-308.e10.
  • 50 Boukhris O, Hsouna H, Chtourou L, Abdesalem R, BenSalem S, Tahri N, et al. Effect of Ramadan fasting on feelings, dietary intake, rating of perceived exertion and repeated high intensity short-term maximal performance. Chronobiol Int 2019;36:1-0.
  • 51 Fernando HA, Zibellini J, Harris RA, Seimon RV, Sainsbury A. Effect of Ramadan fasting on weight and body composition in healthy non-athlete adults: A systematic review and meta-analysis. Nutrients 2019;11:E478.
  • 52 Chtourou H, Trabelsi K, Boukhris O, Ammar A, Shephard RJ, Bragazzi NL. Effects of Ramadan fasting on physical performances in soccer players: A systematic review. Tunis Med 2019;97:1114-31.
  • 53 Trabelsi K, Shephard RJ, Boukhris O, Ammar A, El-Abed K, Khanfir S, et al. Effects of Ramadan fasting on athletes' hematological indices: A systematic review. Tunis Med 2019;97:1104-13.
  • 54 Aloui A, Baklouti H, Souissi N, Chtourou H. Effects of Ramadan fasting on body composition in athletes: A systematic review. Tunis Med 2019;97:1087-94.
  • 55 Chamari K, Roussi M, Bragazzi NL, Chaouachi A, Abdul RA. Optimizing training and competition during the month of Ramadan: Recommendations for a holistic and personalized approach for the fasting athletes. Tunis Med 2019;97:1095-103.
  • 56 Armstrong BK, Coc IR, Agarwal P, Smith S, Navon S. Association of Ramadan daytime fasting with ocular surface inflammation and dry eye. Int Ophthalmol 2019;39:2857-63.
  • 57 Uyar E, Dogan U, Ulas F, Celebi S. Effect of fasting on choroidal thickness and its diurnal variation. Curr Eye Res 2019;44:695-700.
  • 58 Ekici Gok Z, Gunduz A, Cankaya C. Effect of fasting on contrast sensitivity in healthy males. J Ophthalmic Vis Res 2019;14:315-20.
  • 59 Duru Z. The effect of voluntary fasting and dehydration on posterior ocular structures. Cutan Ocul Toxicol 2019;38:190-5.
  • 60 Rimmani HH, Rustom LB, Rahal MA, Shayto RH, Chaar H, Sharara AI. Dexlansoprazole is effective in relieving heartburn during the fasting month of Ramadan. Dig Dis 2019;37:188-93.
  • 61 Ebrahimi S, Gargari BP, Aliasghari F, Asjodi F, Izadi A. Ramadan fasting improves liver function and total cholesterol in patients with nonalcoholic fatty liver disease. Int J Vitam Nutr Res 2020;90:95-102.
  • 62 Özkul C, Yalınay M, Karakan T. Islamic fasting leads to an increased abundance of Akkermansia muciniphila and Bacteroides fragilis group: A preliminary study on intermittent fasting. Turk J Gastroenterol 2019;30:1030-5.
  • 63 Jarrar AH, Beasley JM, Ohuma EO, Ismail CL, Qeshta DA, Mohamad MN, et al. Effect of high fiber cereal intake on satiety and gastrointestinal symptoms during Ramadan. Nutrients 2019;11:E939.
  • 64 Ben Fraj S, Miladi A, Guezguez F, Ben Rejeb M, Bouguila J, Gargouri I, et al. Does Ramadan fasting affect spirometric data of healthy adolescents? Clin Med Insights Pediatr 2019;13:1179556519862280.
  • 65 Mohammad Y, Dubaybo B, Yusuf MO. How to manage asthma during Ramadan? Tunis Med 2019;97:1073-6.
  • 66 Bragazzi NL, Sellami M, Salem I, Conic R, Kimak M, Pigatto PD, et al. Fasting and its impact on skin anatomy, physiology, and physiopathology: A comprehensive review of the literature. Nutrients 2019;11:E247.
  • 67 Damiani G, Mahroum N, Pigatto PD, Pacifico A, Malagoli P, Tiodorovic D, et al. The safety and impact of a model of intermittent, time-restricted circadian fasting (“Ramadan Fasting”) on hidradenitis suppurativa: Insights from a multicenter, observational, cross-over, pilot, exploratory study. Nutrients 2019;11:E1781.
  • 68 Damiani G, Watad A, Bridgewood C, Pigatto PD, Pacifico A, Malagoli P, et al. The impact of Ramadan fasting on the reduction of PASI score, in moderate-to-severe psoriatic patients: A real-life multicenter study. Nutrients 2019;11:E277.
  • 69 Setyopranoto RI, Hadi H, Wirohadidjojo YW. The effect of Ramadan fasting on sebum production: Association with nutritional intakes and sleeping pattern. Bangladesh J Med Sci 2019;18:546-51.
  • 70 Adawi M, Damiani G, Bragazzi NL, Bridgewood C, Pacifico A, Conic RR, et al. The impact of intermittent fasting (Ramadan fasting) on psoriatic arthritis disease activity, enthesitis, and dactylitis: A multicentre study. Nutrients 2019;11:E601.
  • 71 Zghal Mghaieth F, Bonkano A, Boudiche S, Ayari J, Ben Mansour N, Rekik B, et al. Oral anticoagulation therapy using acenocoumarol during the month of Ramadan: A comparative study between fasting and non-fasting patients. Tunis Med 2019;97:1177-86.
  • 72 Ghiasian M, Mansour M, Moradian N. Prognosis of fasting in patients with cerebral venous thrombosis using oral contraceptives. Iran J Neurol 2019;18:82-4.
  • 73 Dabbous Z, Alowainati B, Darwish S, Ali H, Farook S, Al Malaheem M, et al. A prospective study comparing two-time points of thyroid hormone replacement during the holy month of Ramadan. Int J Endocrinol 2019;2019:9843961. doi: 10.1155/2019/9843961. PMID: 31428148; PMCID: PMC6681581.
  • 74 Faris MA, Jahrami HA, Alsibai J, Obaideen AA. Impact of Ramadan diurnal intermittent fasting on metabolic syndrome components in healthy, non-athletic Muslim people aged over 15 years: A systematic review and meta-analysis. Br J Nutr 2019:1-51. doi: 10.1017/S000711451900254X. Epub ahead of print. PMID: 31581955.
  • 75 Beltaief K, Bouida W, Trabelsi I, Baccouche H, Sassi M, Dridi Z, et al. Metabolic effects of Ramadan fasting in patients at high risk of cardiovascular diseases. Int J Gen Med 2019;12:247-54.
  • 76 Faris MA, Madkour MI, Obaideen AK, Dalah EZ, Hasan HA, Radwan H, et al. Effect of Ramadan diurnal fasting on visceral adiposity and serum adipokines in overweight and obese individuals. Diabetes Res Clin Pract 2019;153:166-75.
  • 77 Madkour MI, El-Serafi AT, Jahrami HA, Sherif NM, Hassan RE, Awadallah S, et al. Ramadan diurnal intermittent fasting modulates SOD2, TFAM, Nrf2, and sirtuins (SIRT1, SIRT3) gene expressions in subjects with overweight and obesity. Diabetes Res Clin Pract 2019;155:107801. doi: 10.1016/j.diabres.2019.107801. Epub 2019 Jul 26. PMID: 31356832.
  • 78 Tabrizi N, Karimi N. Clinical epidemiologic study of admissions due to neurologic diseases during and after Ramadan fasting, Sari, Iran. J Mazandaran Univ Med Sci 2019;29:117-25.
  • 79 Kamel WA, Al Hashel JY, Damier P. How do Parkinson's disease patients manage Ramadan fasting? An observational study. Rev Neurol 2019;175:560-3.
  • 80 Laatar R, Baccouch R, Borji R, Kachouri H, Rebai H, Sahli S. Ramadan fasting effects on postural control in the elderly: A comparison between fallers and non-fallers. J Relig Health 2019;58:28-40.
  • 81 Düzçeker Y, Akgül S, Durmaz Y, Yaman M, Örs S, Tüzün Z, et al. Is Ramadan fasting correlated with disordered eating behaviours in adolescents? Eat Disord 2019;13:1-14.
  • 82 Briki W, Aloui A, Bragazzi NL, Chamari K. The buffering effect of Ramadan fasting on emotions intensity: A pilot study. Tunis Med 2019;97:1187-91.
  • 83 Pourabbasi A, Ebrahimnegad Shirvani MS, Shams AH. Does Islamic fasting affect cognitive functions in adolescents? A systematic review. J Pak Med Assoc 2019;69:1164-9.
  • 84 Boukhris O, Trabelsi K, Shephard RJ, Hsouna H, Abdessalem R, Chtourou L, et al. Sleep patterns, alertness, dietary intake, muscle soreness, fatigue, and mental stress recorded before, during and after Ramadan observance. Sports (Basel) 2019;7:E118.
  • 85 Almeneessier AS, BaHammam AA, Olaish AH, Pandi-Perumal SR, Manzar MD, BaHammam AS. Effects of diurnal intermittent fasting on daytime sleepiness reflected by EEG absolute power. J Clin Neurophysiol 2019;36:213-9.
  • 86 Faris MA, Jahrami HA, Alhayki FA, Alkhawaja NA, Ali AM, Aljeeb SH, et al. Effect of diurnal fasting on sleep during Ramadan: A systematic review and meta-analysis. Sleep Breath 2019;24:771-82.
  • 87 Trabelsi K, Ammar A, Zlitni S, Boukhris O, Khacharem A, El-Abed K, et al. Practical recommendations to improve sleep during Ramadan observance in healthy practitioners of physical activity. Tunis Med 2019;97:1077-86.
  • 88 Amin ME, Abdelmageed A. Clinicians' perspectives on caring for Muslim patients considering fasting during Ramadan. J Relig Health 2019;59:1370-87.
  • 89 Amin ME, Abdelmageed A, Farhat MJ. Communicating with clinicians on fasting during Ramadan: The patients' perspective. J Relig Health. 2019. doi: 10.1007/s10943-019-00910-x. Epub ahead of print. PMID: 31485879.
  • 90 Ben Saida IB, Kallel H, Chaouch S, Toumi R, Zarrougui W, Boussarsar M. Impacts of Ramadan on intensive care unit admission patterns and outcomes. Tunis Med 2019;97:1153-9.
  • 91 Riccò M, Garbarino S, Bragazzi NL. Migrant workers from the eastern-Mediterranean region and occupational injuries: A retrospective database-based analysis from North-Eastern Italy. Int J Environ Res Public Health 2019;16:E673.
  • 92 Kankou J, Bouchaud O, Lele N, Guiguet M, Spire B, Carrieri MP, et al. Factors associated with virological rebound in HIV-positive Sub-Saharan Migrants living in France after traveling back to their native country: ANRS-VIHVO 2006–2009 study. J Immigr Minor Health 2019;21:1342-8.
  • 93 Haq H, Khan RA, Yasmin R. Healthcare needs of the Muslim patient community in the undergraduate medical curriculum-Are they there? Pak J Med Sci 2019;35:836-41.