Publication Name	World Journal of Radiology
Manuscript ID	117162
Country	United States

Category	Radiology, Nuclear Medicine & Medical Imaging
Manuscript Type	Prospective Study
Article Title	Metabolic profiles and hepatic steatosis assessed by controlled attenuation parameter and elastography during Ramadan fasting in San Antonio, United States
Manuscript Source	Invited Manuscript
All Author List	Jazza Jamil, Sabahat Ali, Arif Ahmad, Mohammed Al-Zakwani, Anum Gul, Pir A Shah, Suhaib Haq and Eric Lawitz
Funding Agency and Grant Number
Corresponding Author	Pir A Shah, Department of Medicine, Creighton School of Medicine, 3100 Central Avenue, Phoenix, AZ 85012, United States. pirashah2020@gmail.com
Key Words	Ramadan fasting; Metabolic syndrome; Hepatic steatosis; Liver stiffness measurement; Body mass index; Weight loss; FibroScan; South Asian population
Core Tip	Ramadan fasting is a culturally significant, time-restricted dietary practice whose effects on hepatic steatosis and metabolic health are not well characterized in South Asian populations especially residing in United States. In this prospective observational study of 41 adults in San Antonio, metabolic profiles, body mass index, and liver parameters were measured before and after 30 days of fasting. Hepatic steatosis was quantified by controlled attenuation parameter and fibrosis by elastography. Fasting led to significant reductions in body weight and controlled attenuation parameter-measured steatosis, regardless of baseline body mass index, highlighting the potential radiologic and metabolic benefits of Ramadan fasting.
Citation	Jamil J, Ali S, Ahmad A, Al-Zakwani M, Gul A, Shah PA, Haq S, Lawitz E. Metabolic profiles and hepatic steatosis assessed by controlled attenuation parameter and elastography during Ramadan fasting in San Antonio, United States. World J Radiol 2026; In press

Received	2025-12-01 02:05
Peer-Review Started	2025-12-01 08:59
First Decision by Editorial Office Director	2025-12-05 09:18
Return for Revision	2025-12-05 09:18
Revised	2025-12-09 03:17
Publication Fee Transferred
Second Decision by Editor	2026-01-15 02:33
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-01-15 09:10
Articles in Press	2026-01-15 09:10
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1949-8470 (online)
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/
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