{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T04:10:39Z","timestamp":1788667839472,"version":"build-2803163510"},"reference-count":34,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:00:00Z","timestamp":1788393600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Nutr Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Managing type 2 diabetes becomes more difficult during fasting Ramadan. Alterations in meal timing, food choices, and medication schedules can increase the risk of glycemic complications. Although pre-Ramadan education is strongly recommended, there are still few culturally tailored interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study assessed the impact of a culturally appropriate pre-Ramadan nutritional education program on diabetes-related knowledge and practices for self-management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A one-group, pretest\u2013posttest quasi-experimental study was carried out in Egypt. A sample of 53 adults with type 2 diabetes was included. A culturally suitable intervention based on the guidelines of the International Diabetes Federation and Diabetes and Ramadan Alliance was specified. Data collection at baseline, after Ramadan, 3 months, and 6 months was conducted using a structured assessment questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Summary<\/jats:title>\n                    <jats:p>\n                      Female participants were 64.2%, and the average age was 52.2\u2009\u00b1\u20097.8 years. The mean total knowledge score rose from 26.3\u2009\u00b1\u20098.4 at baseline to 35.2\u2009\u00b1\u20096.9 (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001) after 6 months. Ramadan-specific knowledge increased significantly, from 8.6\u2009\u00b1\u20093.3 to 11.0\u2009\u00b1\u20091.8 (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and nutritional knowledge scores rose from 7.2\u2009\u00b1\u20093.1 to 9.5\u2009\u00b1\u20092.9 (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Improvements in self-management practices were observed, including better identification of hypoglycemic symptoms (77.4\u201398.1%). Self-reported medication adherence rose from 41.5% to 71.7%. Among Egyptian adults with type 2 diabetes, a culturally tailored, Ramadan-focused diabetes education program greatly and sustainably boosted knowledge and self-management practices. Healthy fasting behaviors are improved by including religious and cultural contexts in diabetes education.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02601060261485646","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T03:05:06Z","timestamp":1788491106000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Influence of a culturally adapted pre-Ramadan nutrition education intervention on diabetes-related knowledge and self-management practices among Egyptian adults with type 2 diabetes: A single-group pretest\u2013posttest study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-2888-2115","authenticated-orcid":false,"given":"Naqaa","family":"Alomari","sequence":"first","affiliation":[{"name":"Department of Nutrition, High Institute of Public Health, Alexandria University, Alexandria, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dalia","family":"Tayel","sequence":"additional","affiliation":[{"name":"Department of Nutrition, High Institute of Public Health, Alexandria University, Alexandria, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doaa","family":"Tawfik","sequence":"additional","affiliation":[{"name":"Department of Nutrition, High Institute of Public Health, Alexandria University, Alexandria, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,3]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2021.718978"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.endmts.2023.100156"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-443-22106-4.00031-0"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3728"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.2147\/DMSO.S241496"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcdhc.2023.1132489"},{"key":"e_1_3_4_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/20420188241236289"},{"issue":"10","key":"e_1_3_4_9_1","first-page":"1139","article-title":"Impacts of nutritional education before Ramadan fasting on dietary intake, weight and body composition in diabetic patients","volume":"97","author":"Ben Jemaa H","year":"2019","unstructured":"Ben Jemaa H, Mahjoub F, Berriche O, et al. (2019) Impacts of nutritional education before Ramadan fasting on dietary intake, weight and body composition in diabetic patients. La Tunisie Medicale 97(10): 1139\u20131145. 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International Diabetes Federation. https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/35914061."},{"key":"e_1_3_4_22_1","article-title":"Fasting and feasting safely with type 2 diabetes in the month of Ramadan","volume":"28","author":"Mehar S","year":"2024","unstructured":"Mehar S (2024) Fasting and feasting safely with type 2 diabetes in the month of Ramadan. Journal of Diabetes Nursing 28: JDN318. https:\/\/diabetesonthenet.com\/journal-diabetes-nursing\/safe-fasting-ramadan\/.","journal-title":"Journal of Diabetes Nursing"},{"key":"e_1_3_4_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-025-06000-w"},{"issue":"1","key":"e_1_3_4_24_1","first-page":"128","article-title":"Effect of repeated structured diabetes education on lifestyle knowledge and self-care diabetes management in kidney transplant patients with posttransplant diabetes","volume":"22","author":"Othman N","year":"2024","unstructured":"Othman N, Al-Otaibi T, Halim MA, et al. (2024) Effect of repeated structured diabetes education on lifestyle knowledge and self-care diabetes management in kidney transplant patients with posttransplant diabetes. 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