TY - JOUR
T1 - Examination of sleep in relation to dietary and lifestyle behaviors during Ramadan
T2 - A multi-national study using structural equation modeling among 24,500 adults amid COVID-19
AU - Ramadan Intermittent Fasting Collaborators
AU - Khan, Moien A.B.
AU - Bahammam, Ahmed S.
AU - Amanatullah, Asma
AU - Obaideen, Khaled
AU - Arora, Teresa
AU - Ali, Habiba
AU - Ismail, Leila Cheikh
AU - Abdelrahim, Dana N.
AU - Al-Houqani, Mohammed
AU - Allaham, Kholoud
AU - Abdalrazeq, Rand
AU - Aloweiwi, Wahid Sharif
AU - Mim, Somayea Sultana
AU - Mektebi, Ammar
AU - Amiri, Sohrab
AU - Sulaiman, Sahabi Kabir
AU - Javaid, Syed Fahad
AU - Hawlader, Mohammad Delwer Hossain
AU - Tsiga-Ahmed, Fatimah Isma’Il
AU - Elbarazi, Iffat
AU - Manggabarani, Saskiyanto
AU - Hunde, Gamechu Atomsa
AU - Chelli, Sabrina
AU - Mitra, M.
AU - Faris, Moez Al Islam Ezzat
AU - Udoyen, Abasi Okot Akpan
AU - Janem, Abdelrhman Muwafaq
AU - Zayed, Abdullah Taha
AU - Skafi, Adriana Johny
AU - Elmoghazy, Ahmed Ashraf
AU - Nawaz, Ahmed Daniyal
AU - AlKaabi, Ahmed Juma
AU - Sabri, Amalin Najiha Binti Mohd
AU - Human-Hoveidaei, Amir
AU - Attia, Amir N.
AU - Zadjali, Amna Mohammed Al
AU - Riahi, Anis
AU - Hadi, Anto Jamma
AU - Dubey, Ashish Ramesh
AU - Iqbal, Ayesha
AU - Ali, Bachar Jalal El
AU - Jamal, Bakri Yahia Roumi
AU - Hajjar, Baraa Moujahed
AU - Madekwe, Chika Chizitelu
AU - Purnamasari, Cicih Bhakti
AU - Saeed, Dawlah Qasem Murshed Ahmed
AU - Shah, Dhaval Maunishkumar
AU - Ibrahim, Dima
AU - Khadri, Diyae
AU - Ghenimi, Nadirah Ghenimi
N1 - Publisher Copyright:
Copyright © 2023 Khan, BaHammam, Amanatullah, Obaideen, Arora, Ali, Cheikh Ismail, Abdelrahim, Al-Houqani, Allaham, Abdalrazeq, Aloweiwi, Mim, Mektebi, Amiri, Sulaiman, Javaid, Hawlader, Tsiga-Ahmed, Elbarazi, Manggabarani, Hunde, Chelli, Sotoudeh, Faris and Ramadan Intermittent Fasting Collaborators.
PY - 2023
Y1 - 2023
N2 - Background: Of around 2 billion Muslims worldwide, approximately 1.5 billion observe Ramadan fasting (RF) month. Those that observe RF have diverse cultural, ethnic, social, and economic backgrounds and are distributed over a wide geographical area. Sleep is known to be significantly altered during the month of Ramadan, which has a profound impact on human health. Moreover, sleep is closely connected to dietary and lifestyle behaviors. Methods: This cross-sectional study collected data using a structured, self-administered electronic questionnaire that was translated into 13 languages and disseminated to Muslim populations across 27 countries. The questionnaire assessed dietary and lifestyle factors as independent variables, and three sleep parameters (quality, duration, and disturbance) as dependent variables. We performed structural equation modeling (SEM) to examine how dietary and lifestyle factors affected these sleep parameters. Results: In total, 24,541 adults were enrolled in this study. SEM analysis revealed that during RF, optimum sleep duration (7–9 h) was significantly associated with sufficient physical activity (PA) and consuming plant-based proteins. In addition, smoking was significantly associated with greater sleep disturbance and lower sleep quality. Participants that consumed vegetables, fruits, dates, and plant-based proteins reported better sleep quality. Infrequent consumption of delivered food and infrequent screen time were also associated with better sleep quality. Conflicting results were found regarding the impact of dining at home versus dining out on the three sleep parameters. Conclusion: Increasing the intake of fruits, vegetables, and plant-based proteins are important factors that could help improve healthy sleep for those observing RF. In addition, regular PA and avoiding smoking may contribute to improving sleep during RF.
AB - Background: Of around 2 billion Muslims worldwide, approximately 1.5 billion observe Ramadan fasting (RF) month. Those that observe RF have diverse cultural, ethnic, social, and economic backgrounds and are distributed over a wide geographical area. Sleep is known to be significantly altered during the month of Ramadan, which has a profound impact on human health. Moreover, sleep is closely connected to dietary and lifestyle behaviors. Methods: This cross-sectional study collected data using a structured, self-administered electronic questionnaire that was translated into 13 languages and disseminated to Muslim populations across 27 countries. The questionnaire assessed dietary and lifestyle factors as independent variables, and three sleep parameters (quality, duration, and disturbance) as dependent variables. We performed structural equation modeling (SEM) to examine how dietary and lifestyle factors affected these sleep parameters. Results: In total, 24,541 adults were enrolled in this study. SEM analysis revealed that during RF, optimum sleep duration (7–9 h) was significantly associated with sufficient physical activity (PA) and consuming plant-based proteins. In addition, smoking was significantly associated with greater sleep disturbance and lower sleep quality. Participants that consumed vegetables, fruits, dates, and plant-based proteins reported better sleep quality. Infrequent consumption of delivered food and infrequent screen time were also associated with better sleep quality. Conflicting results were found regarding the impact of dining at home versus dining out on the three sleep parameters. Conclusion: Increasing the intake of fruits, vegetables, and plant-based proteins are important factors that could help improve healthy sleep for those observing RF. In addition, regular PA and avoiding smoking may contribute to improving sleep during RF.
KW - Ramadan
KW - diet
KW - fasting
KW - intermittent fasting
KW - lifestyle and behavior
KW - sleep
UR - http://www.scopus.com/inward/record.url?scp=85150919975&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85150919975&partnerID=8YFLogxK
U2 - 10.3389/fnut.2023.1040355
DO - 10.3389/fnut.2023.1040355
M3 - Article
AN - SCOPUS:85150919975
SN - 2296-861X
VL - 10
JO - Frontiers in Nutrition
JF - Frontiers in Nutrition
M1 - 1040355
ER -
