Obesity

The effect of Ramadan fasting on anthropometric and body composition of healthy adults within different time points: A systematic review and meta-analysis

Int J Obes (Lond)Published Systematic review and meta-analysis of prospective observational studies

Authors' conclusion

During Ramadan, anthropometric and body composition changes are transient and elicit only a short-term effect.

Study context

Population
Healthy adults; studies conducted in 21 countries between 1987 and 2024
Participants
2,857 adults54 studies
Comparison
Before vs during and after Ramadan fasting
Outcome
Anthropometric and body composition parameters: weight, BMI, waist circumference (WC), hip circumference (HC), WHR, absolute fat mass (FM), fat percentage (FP), fat-free mass (FFM), total body water (TBW)
Follow-up
Different time points during and after RF
Methodological detailspre- and post-test design, Searched MEDLINE, Web of Science, Embase, CINAHL Complete, ProQuest and Scopus
  • Pre- and post-test design
  • Searched MEDLINE, Web of Science, Embase, CINAHL Complete, ProQuest and Scopus

Pooled result

As reported in the abstract

Anthropometric and body composition · during and after RF
  • Significant reduction in weight and BMI, starting within the second and third week of Ramadan fasting (RF), peaking in the first week after RF, gradually returning to pre-Ramadan value in the weeks afterward
  • Waist circumference (WC), hip circumference (HC) and waist-to-hip ratio (WHR) significantly alleviated within the last week of RF, and the first week post-RF for HC
  • Significant but small reduction of absolute fat mass (FM) and fat percentage (FP) within the third and fourth week of RF
  • Fat-free mass (FFM) and total body water (TBW) not affected

Original publication

The effect of Ramadan fasting on anthropometric and body composition of healthy adults within different time points: A systematic review and meta-analysis. Int J Obes (Lond). Published 12 April 2025. doi:10.1038/s41366-025-01785-7

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