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.

Autor:	Khan MAB; College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates., BaHammam AS; Department of Internal Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia., Amanatullah A; Knowledge and Research Support Services Department, University of Management and Technology, Lahore, Pakistan., Obaideen K; Sustainable Energy and Power Systems Research Centre, RISE, University of Sharjah, Sharjah, United Arab Emirates., Arora T; Department of Psychology, Zayed University, Abu Dhabi, United Arab Emirates., Ali H; College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates., Cheikh Ismail L; Department of Clinical Nutrition and Dietetics, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates., Abdelrahim DN; Sharjah Institute for Medical and Health Sciences, University of Sharjah, Sharjah, United Arab Emirates., Al-Houqani M; Internal Medicine College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates., Allaham K; Department of Neurology, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates., Abdalrazeq R; Faculty of Medicine, Mansoura University, Mansoura, Egypt., Aloweiwi WS; School of Medicine, The University of Jordan, Amman, Jordan., Mim SS; Chattogram International Medical College and Hospital, Chattogram, Bangladesh., Mektebi A; Faculty of Medicine, Kütahya Health Sciences University, Kütahya, Türkiye., Amiri S; Medicine, Quran and Hadith Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran., Sulaiman SK; Department of Internal Medicine, Yobe State University Teaching Hospital, Damaturu, Nigeria., Javaid SF; Department of Psychiatry and Behavioral Science, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates., Hawlader MDH; Department of Public Health, North South University, Dhaka, Bangladesh., Tsiga-Ahmed FI; Department of Community Medicine, Bayero University, Kano, Nigeria., Elbarazi I; Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates., Manggabarani S; Department of Nutrition, Sekolah Tinggi Ilmu Kesehatan Pertamedika, Jakarta, Indonesia., Hunde GA; Faculty of Health Sciences, School of Nursing, Institute of Health, Jimma University, Jimma, Ethiopia., Chelli S; Royal College of Surgeons in Ireland (Bahrain), Al Muharraq, Bahrain., Sotoudeh M; Iranshahr University of Medical Sciences, Iranshahr, Iran., Faris ME; Department of Clinical Nutrition and Dietetics, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.
Jazyk:	angličtina
Zdroj:	Frontiers in nutrition [Front Nutr] 2023 Mar 08; Vol. 10, pp. 1040355. Date of Electronic Publication: 2023 Mar 08 (Print Publication: 2023).
DOI:	10.3389/fnut.2023.1040355
Abstrakt:	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. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (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.)
Databáze:	MEDLINE
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