Abelleyra Lastoria Diego Agustín, AlSamhori Jehad Feras, Wong Tin Lik, Rashdi Pir Sameeullah Shah, Hing Caroline Blanca, Kellett Catherine
St George's University London, London, SW17 0RE, United Kingdom.
University of Jordan, Áqaba, H2MF+PHC, Jordan.
Heliyon. 2024 Sep 6;10(17):e37567. doi: 10.1016/j.heliyon.2024.e37567. eCollection 2024 Sep 15.
As part of their religious obligation, Muslims abstain from food and drink from dawn until dusk for a 30-day period during Ramadan. Fasting may affect daily functioning, such as increased risk of collision for drivers. A study of the impact of fasting during Ramadan on trauma incidence may allow for the creation of public health campaigns targeting this potential phenomenon. We aimed to determine whether trauma incidence increases during Ramadan, and to characterise the trauma occurring during Ramadan.
Both published and unpublished literature, along with conference proceedings and reference lists from the selected studies, were searched up until the 1 of July 2023. A narrative synthesis was conducted, and the included studies were evaluated using appropriate tools based on their study design.
Seventeen studies (964,631 subjects) were included. There were methodological concerns pertaining to their low level of evidence and risk of bias. Of nine studies reporting on road traffic accidents (RTAs), six found a higher incidence during Ramadan. Road traffic accidents and occupational injuries (OIs) were more likely to occur near or at sunset (marking the end of the fast). Two studies presented conflicting evidence regarding the effect of fasting in Ramadan on sports-associated injuries. Current evidence suggests that falls and violence-related trauma do not occur more frequently during Ramadan, with insufficient evidence to determine the occurrence of other injury mechanisms.
Individuals who fast may be at a higher risk of RTAs and OIs during Ramadan than outside this month. Due to the lack of studies performed in the Americas and Europe, it is unclear whether the findings are applicable to these regions. Current evidence is limited by lack of stratification according to time of trauma occurrence, and high risk of bias.
作为宗教义务的一部分，穆斯林在斋月期间的30天里从黎明到黄昏禁食禁饮。禁食可能会影响日常功能，比如司机发生碰撞的风险增加。一项关于斋月禁食对创伤发生率影响的研究，可能有助于开展针对这一潜在现象的公共卫生运动。我们旨在确定斋月期间创伤发生率是否会增加，并对斋月期间发生的创伤进行特征描述。
检索截至2023年7月1日的已发表和未发表的文献，以及所选研究的会议记录和参考文献列表。进行了叙述性综合分析，并根据纳入研究的设计使用适当工具对其进行评估。
纳入了17项研究（964,631名受试者）。存在与证据水平低和偏倚风险相关的方法学问题。在9项报告道路交通事故（RTA）的研究中，6项发现斋月期间发生率更高。道路交通事故和职业伤害（OI）更有可能在日落附近或日落时发生（标志着禁食结束）。两项研究提供了关于斋月禁食对运动相关损伤影响的相互矛盾的证据。目前的证据表明，斋月期间跌倒和暴力相关创伤并不更频繁发生，确定其他损伤机制的发生情况证据不足。
禁食的人在斋月期间发生道路交通事故和职业伤害的风险可能高于本月之外。由于在美洲和欧洲进行的研究较少，尚不清楚这些发现是否适用于这些地区。目前的证据因缺乏根据创伤发生时间进行分层以及偏倚风险高而受到限制。
