Evidence map›Paper›PMID 40109797›Full record

ReviewCureus2025

Impact of Ramadan Fasting on Patients with Epilepsy: A Systematic Review.

Mohamed Mahdaoui, Yahya Naji, Mohamed Chraa, Najib Kissani, Nissrine Louhab

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Mohamed MahdaouiNeurology, Mohammed VI University Hospital, Marrakesh, MAR.
Yahya NajiNeurology, Faculty of Medicine and Pharmacy of Agadir, Ibn Zohr University, Agadir, MAR.
Mohamed ChraaNeurology, Mohammed VI University Hospital, Marrakesh, MAR.
Najib KissaniNeurology, Hopital Razi, Marrakesh, MAR.
Nissrine LouhabNeurology, Mohammed VI University Hospital, Marrakesh, MAR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ramadan fasting, a religious practice observed by Muslims worldwide, involves abstaining from food, drink, and other specified activities from dawn to sunset. For patients with epilepsy (PWE), fasting during Ramadan presents unique challenges due to potential disruptions in medication schedules, changes in sleep patterns, and alterations in diet, which can influence seizure control. This literature review synthesizes current research on the impact of Ramadan fasting on seizure frequency, quality of life (QoL), and physiological changes in PWE. The review also examines existing clinical guidelines for managing epilepsy during Ramadan and identifies significant gaps in the literature that warrant further investigation. Through a systematic search of three electronic databases, namely PubMed, ScienceDirect, and Google Scholar, relevant studies were identified and analyzed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The review reveals a complex relationship between fasting and epilepsy, with some patients experiencing stable or improved seizure control, while others face increased seizure risk. Medication adherence, sleep disruption, and individual patient characteristics are critical in determining outcomes. The findings underscore the importance of personalized care strategies for PWE who wish to fast during Ramadan, including pre-Ramadan consultations, tailored medication regimens, and ongoing monitoring throughout the fasting period. Despite the progress made in understanding the effects of Ramadan fasting on epilepsy, significant gaps remain. The review highlights the need for future studies to assess the long-term impact of fasting, research on diverse patient populations, and the development of evidence-based clinical guidelines. Addressing these gaps is essential to improve the management of epilepsy during Ramadan and ensure that patients can safely observe their religious practices while maintaining optimal seizure control.

Indexed as

epilepsyepilepsy educationketogenic dietsramadan fastingrisk of seizure

Identifiers

PMID40109797
PMCPMC11921822

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.