Cargando…
Predictors of Ramadan fasting during pregnancy
Although the health effects of Ramadan fasting during pregnancy are still unclear, it is important to identify the predictors and motivational factors involved in women’s decision to observe the fast. We investigated these factors in a cross sectional study of 187 pregnant Muslim women who attended...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Atlantis Press
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320461/ https://www.ncbi.nlm.nih.gov/pubmed/28065259 http://dx.doi.org/10.1016/j.jegh.2016.06.002 |
_version_ | 1783551246383185920 |
---|---|
author | van Bilsen, Lily A. Savitri, Ary I. Amelia, Dwirani Baharuddin, Mohammad Grobbee, Diederick E. Uiterwaal, Cuno S.P.M. |
author_facet | van Bilsen, Lily A. Savitri, Ary I. Amelia, Dwirani Baharuddin, Mohammad Grobbee, Diederick E. Uiterwaal, Cuno S.P.M. |
author_sort | van Bilsen, Lily A. |
collection | PubMed |
description | Although the health effects of Ramadan fasting during pregnancy are still unclear, it is important to identify the predictors and motivational factors involved in women’s decision to observe the fast. We investigated these factors in a cross sectional study of 187 pregnant Muslim women who attended antenatal care visits in the Budi Kemuliaan Hospital, Jakarta, Indonesia. The odds of adherence to fasting were reduced by 4% for every week increase in gestational age during Ramadan [odds ratio (OR) 0.96; 95% confidence interval (CI) 0.92, 1.00; p = 0.06] and increased by 10% for every one unit increase of women’s prepregnancy body mass index (BMI) (OR 1.10; 95% CI 0.99, 1.23; p = 0.08). Nonparticipation was associated with opposition from husbands (OR 0.34; 95% CI 0.14, 0.82; p = 0.02) and with women’s fear of possible adverse effects of fasting on their own or the baby’s health (OR 0.47; 95% CI 0.22, 1.01; p = 0.05 and OR 0.43; 95% CI 0.21, 0.89; p = 0.02, respectively), although they were attenuated in multivariable analysis. Neither age, income, education, employment, parity, experience of morning sickness, nor fasting during pregnancy outside of Ramadan determined fasting during pregnancy. Linear regression analysis within women who fasted showed that the number of days fasted were inversely associated with women’s gestational age, fear of possible adverse effects of fasting on their own or the fetal health, and with opposition from husbands. In conclusion, earlier gestational age during Ramadan, husband’s opinion and possibly higher prepregnancy BMI, influence women’s adherence to Ramadan fasting during pregnancy. Fear of adverse health effects of Ramadan fasting is common in both fasting and non-fasting pregnant women. |
format | Online Article Text |
id | pubmed-7320461 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Atlantis Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-73204612020-07-28 Predictors of Ramadan fasting during pregnancy van Bilsen, Lily A. Savitri, Ary I. Amelia, Dwirani Baharuddin, Mohammad Grobbee, Diederick E. Uiterwaal, Cuno S.P.M. J Epidemiol Glob Health Article Although the health effects of Ramadan fasting during pregnancy are still unclear, it is important to identify the predictors and motivational factors involved in women’s decision to observe the fast. We investigated these factors in a cross sectional study of 187 pregnant Muslim women who attended antenatal care visits in the Budi Kemuliaan Hospital, Jakarta, Indonesia. The odds of adherence to fasting were reduced by 4% for every week increase in gestational age during Ramadan [odds ratio (OR) 0.96; 95% confidence interval (CI) 0.92, 1.00; p = 0.06] and increased by 10% for every one unit increase of women’s prepregnancy body mass index (BMI) (OR 1.10; 95% CI 0.99, 1.23; p = 0.08). Nonparticipation was associated with opposition from husbands (OR 0.34; 95% CI 0.14, 0.82; p = 0.02) and with women’s fear of possible adverse effects of fasting on their own or the baby’s health (OR 0.47; 95% CI 0.22, 1.01; p = 0.05 and OR 0.43; 95% CI 0.21, 0.89; p = 0.02, respectively), although they were attenuated in multivariable analysis. Neither age, income, education, employment, parity, experience of morning sickness, nor fasting during pregnancy outside of Ramadan determined fasting during pregnancy. Linear regression analysis within women who fasted showed that the number of days fasted were inversely associated with women’s gestational age, fear of possible adverse effects of fasting on their own or the fetal health, and with opposition from husbands. In conclusion, earlier gestational age during Ramadan, husband’s opinion and possibly higher prepregnancy BMI, influence women’s adherence to Ramadan fasting during pregnancy. Fear of adverse health effects of Ramadan fasting is common in both fasting and non-fasting pregnant women. Atlantis Press 2016 2016-06-30 /pmc/articles/PMC7320461/ /pubmed/28065259 http://dx.doi.org/10.1016/j.jegh.2016.06.002 Text en © 2016 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Article van Bilsen, Lily A. Savitri, Ary I. Amelia, Dwirani Baharuddin, Mohammad Grobbee, Diederick E. Uiterwaal, Cuno S.P.M. Predictors of Ramadan fasting during pregnancy |
title | Predictors of Ramadan fasting during pregnancy |
title_full | Predictors of Ramadan fasting during pregnancy |
title_fullStr | Predictors of Ramadan fasting during pregnancy |
title_full_unstemmed | Predictors of Ramadan fasting during pregnancy |
title_short | Predictors of Ramadan fasting during pregnancy |
title_sort | predictors of ramadan fasting during pregnancy |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320461/ https://www.ncbi.nlm.nih.gov/pubmed/28065259 http://dx.doi.org/10.1016/j.jegh.2016.06.002 |
work_keys_str_mv | AT vanbilsenlilya predictorsoframadanfastingduringpregnancy AT savitriaryi predictorsoframadanfastingduringpregnancy AT ameliadwirani predictorsoframadanfastingduringpregnancy AT baharuddinmohammad predictorsoframadanfastingduringpregnancy AT grobbeediedericke predictorsoframadanfastingduringpregnancy AT uiterwaalcunospm predictorsoframadanfastingduringpregnancy |