Letter to the Editor
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 6, 2023; 11(31): 7738-7740
Published online Nov 6, 2023. doi: 10.12998/wjcc.v11.i31.7738
Do not forget diet and exercise during Ramadan
Ioannis Ilias, Athanasios Tselebis
Ioannis Ilias, Department of Endocrinology, Diabetes and Metabolism, “Elena Venizelou” Hospital, Athens GR-11521, Greece
Athanasios Tselebis, Department of Psychiatry, “Sotiria” General Chest Diseases Hospital, Athens GR-11527, Greece
Author contributions: Ilias I and Tselebis Adesigned this research work; Ilias I and Tselebis A performed the research; Ilias I and Tselebis A analyzed the data; Ilias I and Tselebis A wrote the paper.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ioannis Ilias, MD, PhD, Consultant Physician-Scientist, Department of Endocrinology, Diabetes and Metabolism, “Elena Venizelou” Hospital, No. 2 Elena Venizelou Square, Athens GR-11521, Greece. iiliasmd@yahoo.com
Received: September 13, 2023
Peer-review started: September 13, 2023
First decision: September 19, 2023
Revised: September 19, 2023
Accepted: October 17, 2023
Article in press: October 17, 2023
Published online: November 6, 2023
Processing time: 53 Days and 23.3 Hours
Abstract

We conducted an analysis of internet search trends spanning from January 2022 to June 2023 in the ten most populous Muslim countries. Our study focused on key terms, including the prominent GLP1 analog "ozempic™", as well as "diet", "exercise", and "diabetes". The findings revealed a substantial increase in searches for the GLP1 analog in eight countries. Concurrently, searches for "diet" and "exercise" predominantly exhibited a decline in nine and four countries, respectively. Notably, searches for "diabetes" displayed positive trends in only two countries. These patterns indicate a growing reliance on pharmaceutical interventions for managing diabetes and weight, often to the detriment of diet and exercise. Healthcare professionals and clinicians in Muslim countries should emphasize the importance of maintaining dietary and exercise regimens for patients with diabetes, even during the observance of Ramadan.

Keywords: Diet, Exercise, Diabetes, Internet, Ramadan

Core Tip: An analysis of internet searches in ten populous Muslim countries revealed a notable rise in searches for a popular GLP1 analog. Meanwhile, searches for "diet" and "exercise" were mostly declining. This trend implies a growing preference for pharmaceutical solutions over diet and exercise in the management of diabetes or obesity, suggesting the need for healthcare professionals in Muslim countries to emphasize the importance of diet and exercise, including during Ramadan.