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Updated: Sep 5, 2025

Author Spotlight: Studying the Impact of Maternal Dietary Deficiencies on Long-Term Offspring Health Outcomes
Published on: June 28, 2024
In utero Ramadan exposure and child nutrition
Hoi Chu1,2, Srinivas Goli3,4, Anu Rammohan1
1Business School, The University of Western Australia, Perth, WA, Australia.
Insights
Maternal Ramadan fasting during pregnancy did not significantly impact child nutrition. This large-scale study found no negative associations between in utero Ramadan exposure and child stunting or underweight.
Area of Science:
- Global Health
- Maternal and Child Nutrition
- Demography
Background:
- Understanding the effects of maternal religious practices during pregnancy on child development is crucial.
- Ramadan fasting is a significant religious observance with potential implications for maternal health and fetal development.
- Previous research on Ramadan fasting's impact on child nutrition is limited and inconclusive.
Purpose of the Study:
- To empirically analyze the association between in utero exposure to Ramadan fasting and child nutrition outcomes.
- To investigate potential negative effects on child stunting and underweight.
- To provide robust evidence using a large, international dataset.
Main Methods:
- Utilized data from 759,799 children across 103 Demographic and Health Surveys (DHS) in 56 countries (2003-2020).
- Employed an intent-to-treat framework, treating Ramadan exposure as a natural experiment.
- Compared stunting and underweight rates in children aged 0-5 years exposed in utero to Ramadan fasting versus unexposed children.
Main Results:
- No significant evidence of a negative association between in utero Ramadan exposure and child nutrition (stunting and underweight).
- A potential exception was observed for stunting in Muslim children exposed during the first trimester.
- Overall, findings suggest Ramadan fasting in utero does not generally harm child nutritional status.
Conclusions:
- In utero exposure to Ramadan fasting is not significantly associated with negative child nutrition outcomes.
- The study provides reassurance regarding the safety of maternal Ramadan fasting for child development.
- Further research may explore specific subgroups or gestational periods if needed.
Abstract:
In this study, we empirically analyse whether in utero exposure to the Ramadan fasting period is negatively associated with child nutrition. The data for the analyses come from a retrospective assessment of 759,799 children from 103 Demographic and Health Surveys (DHS) across 56 countries during 2003-2020. Considering the month-long Ramadan exposure as a natural experiment, we implement an intent-to-treat framework, comparing stunting and underweight among children aged 0-5 years who were exposed to Ramadan fasting at any time in utero with those who were not exposed. Our findings do not show significant evidence to conclude that in utero exposure to the Ramadan fasting period is negatively associated with child nutrition. On the contrary, except for stunting in Muslim children who had in utero exposure to Ramadan fasting during the first months of pregnancy, we find no significant association between in utero exposure to Ramadan fasting and child stunting and underweight. Our main results are robust to multiple robustness checks.
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