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Updated: Jan 16, 2026

Dynamic Digital Biomarkers of Motor and Cognitive Function in Parkinson's Disease
Published on: July 24, 2019
Conceptualizing a Personalized Care Pathway for Parkinson's Disease Using Wearable Sensors in Muslim Patients: The
Vinod Metta1,2, Huzaifa Ibrahim3, Haidar Dafsari4
1Department of Neurosciences, Institute of Psychiatry, Psychology & Neuroscience, King's College London; Parkinson's Foundation Centre of Excellence, King's College Hospital, London, UK.
Objective:
Parkinson's disease (PD) affects approximately 2% of individuals over the age of 60. With more than two billion Muslims observing Ramadan, individuals with PD encounter specific challenges, such as deteriorating motor skills, sleep disturbances, and an increased risk of falls during fasting.
Methods:
Our study focused on 75 patients with idiopathic PD divided into two groups: the Ramadan Regime group, which consisted of 50 patients whose medication was adjusted to twice daily at Suhoor and Iftar, and the Nontreatment group, which included 25 patients who abstained from medication for religious reasons. Both groups were instructed to wear a Parkinson's KinetiGraph (PKG) wrist device.
Results:
The study findings revealed that motor function worsened in the Nontreatment group (p<0.001) but improved in the Ramadan Regime group (p=0.007). Daytime sleepiness also significantly increased in the Nontreatment group (p<0.001).
Conclusion:
Overall, the findings suggest that the Ramadan regime significantly enhances patient health and quality of life.
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