Examination of sleep in relation to dietary and lifestyle behaviors during Ramadan: A multi-national study using structural equation modeling among 24,500 adults amid COVID-19

Frontiers in Nutrition

Nutrition

Somayea Sultana Mim¹  Moien A. B. Khan²  Habiba Ali²  MoezAlIslam Ezzat Faris³  Leila Cheikh Ismail³  Fatimah Isma’il Tsiga-Ahmed⁴  Ahmed S. BaHammam⁵  Sahabi Kabir Sulaiman⁶  Kholoud Allaham⁷  Saskiyanto Manggabarani⁸  Syed Fahad Javaid⁹  Teresa Arora^1,10  Mohammad Delwer Hossain Hawlader^1,11  Gamechu Atomsa Hunde^1,12  Ammar Mektebi^1,13  Rand Abdalrazeq^1,14  Iffat Elbarazi^1,15  Mohammed Al-Houqani^1,16  Mitra Sotoudeh^1,17  Asma Amanatullah^1,18  Sohrab Amiri^1,19  Sabrina Chelli^2,20  Wahid Sharif Aloweiwi^2,21  Dana N. Abdelrahim^2,22  Khaled Obaideen^2,23 

[1] Chattogram International Medical College and Hospital, Chattogram, Bangladesh;College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates;Department of Clinical Nutrition and Dietetics, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates;Department of Community Medicine, Bayero University, Kano, Nigeria;Department of Internal Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia;Department of Internal Medicine, Yobe State University Teaching Hospital, Damaturu, Nigeria;Department of Neurology, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates;Department of Nutrition, Sekolah Tinggi Ilmu Kesehatan Pertamedika, Jakarta, Indonesia;Department of Psychiatry and Behavioral Science, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates;Department of Psychology, Zayed University, Abu Dhabi, United Arab Emirates;Department of Public Health, North South University, Dhaka, Bangladesh;Faculty of Health Sciences, School of Nursing, Institute of Health, Jimma University, Jimma, Ethiopia;Faculty of Medicine, Kütahya Health Sciences University, Kütahya, Türkiye;Faculty of Medicine, Mansoura University, Mansoura, Egypt;Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates;Internal Medicine College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates;Iranshahr University of Medical Sciences, Iranshahr, Iran;Knowledge and Research Support Services Department, University of Management and Technology, Lahore, Pakistan;Medicine, Quran and Hadith Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran;Royal College of Surgeons in Ireland (Bahrain), Al Muharraq, Bahrain;School of Medicine, The University of Jordan, Amman, Jordan;Sharjah Institute for Medical and Health Sciences, University of Sharjah, Sharjah, United Arab Emirates;Sustainable Energy and Power Systems Research Centre, RISE, University of Sharjah, Sharjah, United Arab Emirates;

关键词: sleep;    diet;    lifestyle and behavior;    fasting;    intermittent fasting;    Ramadan;   

DOI  :  10.3389/fnut.2023.1040355

 received in 2022-09-09, accepted in 2023-01-23,  发布年份 2023

来源: Frontiers

【 摘 要 】

BackgroundOf 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.MethodsThis 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.ResultsIn 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.ConclusionIncreasing 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.

【 授权许可】

Unknown   
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.