Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
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 Publisher



Khan MAB1 ; Bahammam AS2 ; Amanatullah A3 ; Obaideen K4 ; Arora T5 ; Ali H1 ; Ismail LC6 ; Abdelrahim DN7 ; Alhouqani M8 ; Allaham K9 ; Abdalrazeq R10 ; Aloweiwi WS11 ; Mim SS12 ; Mektebi A13, 34 Show All Authors
Authors
  1. Khan MAB1
  2. Bahammam AS2
  3. Amanatullah A3
  4. Obaideen K4
  5. Arora T5
  6. Ali H1
  7. Ismail LC6
  8. Abdelrahim DN7
  9. Alhouqani M8
  10. Allaham K9
  11. Abdalrazeq R10
  12. Aloweiwi WS11
  13. Mim SS12
  14. Mektebi A13, 34
  15. Amiri S14
  16. Sulaiman SK15
  17. Javaid SF16
  18. Hawlader MDH17
  19. Tsigaahmed FI18
  20. Elbarazi I19
  21. Manggabarani S20
  22. Hunde GA21
  23. Chelli S22
  24. Mitra M23
  25. Faris ME6
  26. Udoyen AOA24
  27. Janem AM25
  28. Zayed AT26
  29. Skafi AJ27
  30. Elmoghazy AA28
  31. Nawaz AD29
  32. Alkaabi AJ30
  33. Sabri ANBM31
  34. Humanhoveidaei A32
  35. Attia AN33
  36. Zadjali AMA35
  37. Riahi A36
  38. Hadi AJ37
  39. Dubey AR38
  40. Iqbal A39
  41. Ali BJE40
  42. Jamal BYR41
  43. Hajjar BM42
  44. Madekwe CC43
  45. Purnamasari CB44, 45
  46. Saeed DQMA46
  47. Shah DM47
  48. Ibrahim D48
  49. Khadri D49
  50. Alfahdi EY50
  51. Mazrouei FA51, 52
  52. Radhi FM53
  53. Aljanabi FY53
  54. Zaabi FASA51, 52
  55. Hanifa FAM54
  56. Ridha FM55
  57. Momand FA56
  58. Hasan F57
  59. Gerges FM58
  60. Firmansyah FF59
  61. Wijaya FP60
  62. Nagy HB61
  63. Kiwan H62
  64. Din IKSE63
  65. Hasan IH64
  66. Samhouri JF65
  67. Sannah K62
  68. Rahman L66
  69. Munir M67
  70. Bendak M68
  71. Elsayed MS69
  72. Morgom MM70
  73. Alassadi MS71
  74. Gounni M72
  75. Aldafas MA73
  76. Jarrah MM74
  77. Shahrour M41
  78. Wardak ME75
  79. Pourfridoni M76
  80. Haider MZ77
  81. Chakir M78
  82. Abueissa MA79
  83. Shaban MAA80, 81
  84. Mohammed MMH82
  85. Ahmed MSE83
  86. Khan MD84
  87. Amer MS85
  88. Shah M86
  89. Ghenimi NG87
  90. Mahmood N88
  91. Afifi NM89
  92. Mahmood NO90
  93. Kanjo NA92
  94. Abughosh RZ91
  95. Yassa RR92
  96. Gizi RRTM93
  97. Heidarisoureshjani R94
  98. Riyaz R95
  99. Tareen R96
  100. Khan SA97
  101. Qureshi SK98
  102. Albadani SMAM46
  103. Ataallah SN99
  104. Alwatban SM100, 101, 102
  105. Kamal SM103
  106. Noori SUH104
  107. Okafor SJ105
  108. Lydia T106
  109. Habsi TAA107
  110. Ashok T108
  111. Benti TD109
  112. Ahmed WN110
  113. Giacaman YW111
  114. Kareem YA112
  115. Rabeea ZSA113
Show Affiliations
Authors Affiliations
  1. 1. College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
  2. 2. Department of Internal Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia
  3. 3. Knowledge and Research Support Services Department, University of Management and Technology, Lahore, Pakistan
  4. 4. Sustainable Energy and Power Systems Research Centre, RISE, University of Sharjah, Sharjah, United Arab Emirates
  5. 5. Department of Psychology, Zayed University, Abu Dhabi, United Arab Emirates
  6. 6. Department of Clinical Nutrition and Dietetics, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
  7. 7. Sharjah Institute for Medical and Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
  8. 8. Internal Medicine College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
  9. 9. Department of Neurology, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates
  10. 10. Faculty of Medicine, Mansoura University, Mansoura, Egypt
  11. 11. School of Medicine, The University of Jordan, Amman, Jordan
  12. 12. Chattogram International Medical College and Hospital, Chattogram, Bangladesh
  13. 13. Faculty of Medicine, Kutahya Health Sciences University, Kutahya, Turkey
  14. 14. Medicine, Quran and Hadith Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
  15. 15. Department of Internal Medicine, Yobe State University Teaching Hospital, Damaturu, Nigeria
  16. 16. Department of Psychiatry and Behavioral Science, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
  17. 17. Department of Public Health, North South University, Dhaka, Bangladesh
  18. 18. Department of Community Medicine, Bayero University, Kano, Nigeria
  19. 19. Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
  20. 20. Department of Nutrition, Sekolah Tinggi Ilmu Kesehatan Pertamedika, Jakarta, Indonesia
  21. 21. Faculty of Health Sciences, School of Nursing, Institute of Health, Jimma University, Jimma, Ethiopia
  22. 22. Royal College of Surgeons in Ireland (Bahrain), Al Muharraq, Bahrain
  23. 23. Iranshahr University of Medical Sciences, Iranshahr, Iran
  24. 24. National Pirogov Memorial Medical University, Vinnytsia, Ukraine
  25. 25. Faculty of Medicine, Al Quds University, Jerusalem, Palestine
  26. 26. Faculty of Medicine, Helwan University, Cairo, Egypt
  27. 27. Al-Quds University, Bethlehem, Palestine
  28. 28. Faculty of Medicine, Mansoura University Behbbit, Samannoud, Egypt
  29. 29. Qatar University, Mesaieed, Qatar
  30. 30. Department of Family Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
  31. 31. RCSI-UCD, Ayer Keroh, Malaysia
  32. 32. Iran Sports Medicine Research Center, Neuroscience Institute Sports Medicine Research Center, Neuroscience Institute Tehran University of Medical Sciences, Tehran, Iran
  33. 33. Kasr Alainy Faculty of medicine, Cairo, Egypt
  34. 34. Kutahya Univerity of Health Sciences, kutahya, Turkey
  35. 35. Trinity College Dublin, Dublin, Ireland
  36. 36. University of Tunis El Manar, Medical School of Tunis, Military Hospital of Tunis, Tunis, Tunisia
  37. 37. Department Public Health, Universitas Aufa Royhan Di Kota Padangsidimpuan, Padangsidimpuan, Indonesia
  38. 38. Orenburg state Medical University, Orenburg, Russian Federation
  39. 39. Services Institute of Medical Sciences, Services Hospital Lahore House officer Services Institute of Medical Science, Lahore, Pakistan
  40. 40. Lebanese university, Beirut, Lebanon
  41. 41. University of Aleppo, Aleppo, Syrian Arab Republic
  42. 42. Chemistry department, American University of Beirut, Beirut, Lebanon
  43. 43. Department of Medicine, Vinnytsia National Medical University, Abuja, Nigeria
  44. 44. Dentistry Programme of Mulawarman University Kerayan, Mulawarman University, Samarinda, Indonesia
  45. 45. Dentistry Programme, Mulawarman University Medical Education, Samarinda, Indonesia
  46. 46. Jordan University of Science and Technology, Irbid, Jordan
  47. 47. Sbks Medical College, Ahmedabad, India
  48. 48. Public Health Asharej, Jawarneh MPH UAEU, Al Ain, United Arab Emirates
  49. 49. Faculty of Medicine, Dental Medicine and Pharmacy of Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
  50. 50. College of Medicine, National University for Science and Technology, Seeb, Oman
  51. 51. Ambulatory Healthcare Services, Abu Dhabi, United Arab Emirates
  52. 52. Department of Family Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Abu Dhabi, United Arab Emirates
  53. 53. Dubai Medical College, Dubai, United Arab Emirates
  54. 54. Department of Endocrinology Syria, Faculty of Medicine, Aleppo University Hospital, University of Aleppo, Aleppo, Syrian Arab Republic
  55. 55. Department of surgery, Jaber alahmed hospital, Kuwait City, Kuwait
  56. 56. Spinghar Thoracic Surgery Kabul, Kabul, Afghanistan
  57. 57. College of Food and Agriculture, United Arab Emirates University, Dubai, United Arab Emirates
  58. 58. Alexandria faculty of medicine, General practitioner, Alexandria, Egypt
  59. 59. Department of Nutrition Science, Universitas Muhammadiyah Surakarta, Sukoharjo, Indonesia
  60. 60. Tanjungpura University, Pontianak, Indonesia
  61. 61. MidHudson Family Medicine residency, Institute for family Health Family Medicine, Centerville, United States
  62. 62. OnDokuz Mayis University, Samsun, Turkey
  63. 63. Faculty of Medical Sciences, Lebanese university, Beirut, Lebanon
  64. 64. An-Najah National University, Nablus, Palestine
  65. 65. University of Jordan, Amman, Jordan
  66. 66. MPH, North South University, Dhaka, Bangladesh
  67. 67. Aljabili Saglik Bilimleri Universitesi, Istanbul, Turkey
  68. 68. Monash University, Fawkner, Australia
  69. 69. Ain Shams General Hospital House, Khartoum, Sudan
  70. 70. Tripoli central hospital, Tripoli, Libya
  71. 71. Aleppo University Hospital, Aleppo, Syrian Arab Republic
  72. 72. Faculte de Medecine et de Pharmacie de Rabat, Temara, Morocco
  73. 73. NGHA, KAMC, Riyadh, Saudi Arabia
  74. 74. Surgery department, Princess Basma teaching hospital, Irbid, Jordan
  75. 75. Medical Facuilty, Paktia University, Kabul, Afghanistan
  76. 76. Iran Clinical Research Development Center of Imam Khomeini Hospital, Jiroft University of Medical Sciences, Jiroft, Iran
  77. 77. College of Medicine, Qatar University, Doha, Qatar
  78. 78. Faculte de Medecine, de Pharmacie et de Medecine Dentaire de Fes, Fez, Morocco
  79. 79. Kas al aini Clinic, Cairo, Egypt
  80. 80. Department of Physiology, Alzaiem Alazhari University, Khartoum, Sudan
  81. 81. Department of Human Physiology, Alzaiem Alazhari University, Khartoum, Sudan
  82. 82. Ministry of Health Internship, Khartoum, Sudan
  83. 83. Ministry of Health, Khartoum, Sudan
  84. 84. The Department of Statistics, The Islamia University of Bahawalpur, Bahawalpur, Pakistan
  85. 85. College of Medicine, Menoufia University, Al Minufiyah, Egypt
  86. 86. Psychology Department of Behavioral Science, Rehman College of Dentistry, Peshawar, Pakistan
  87. 87. CMHS Family Medicine, UAEU, Al Ain, United Arab Emirates
  88. 88. Healthcare Psychology, Abu Dhabi, United Arab Emirates
  89. 89. ICU department, Alexandria Main University Hospital, Alexandria, Egypt
  90. 90. Mosul medical collage, Mosul, Iraq
  91. 91. Emirates Health Services, Dubai, United Arab Emirates
  92. 92. Faculty of Medicine, Ain Shams University, Cairo, Egypt
  93. 93. Department of Nutrition, Pertamedika College of Health Sciences, Jakarta, Indonesia
  94. 94. School of Nursing and Midwifery, Tehran University of Medical Sciences, Tarbiat Modares University, Tehran, Iran
  95. 95. Shadan Institute of Medical Sciences and Research Centre, Peeramcheru, India
  96. 96. CMH Institute of Medical Sciences, Multan, Pakistan
  97. 97. Birat Medical College and Teaching Hospital Sukhrampur, Krishnanagar, Nepal
  98. 98. Kuwait University, Kuwait City, Kuwait
  99. 99. Alexandria Faculty of Medicine, Alexandria, Egypt
  100. 100. College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
  101. 101. King Abdulaziz Medical City, Ministry National Guard Health Affairs, Riyadh, Saudi Arabia
  102. 102. King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
  103. 103. Nangarhar Medical Faculty, Timergara, Pakistan
  104. 104. Khatam-Al-Nabieen University, Kabul, Afghanistan
  105. 105. University of Debrecen, Debrecen, Hungary
  106. 106. Faculte de medecine d’Alger, Algiers, Algeria
  107. 107. Sultan Qaboos University (Oman), Seeb, Oman
  108. 108. JSS Medical College, Mysore General Medicine, Kannur, India
  109. 109. Jimma University, Jimma, Ethiopia
  110. 110. DNB GEM Hospital General Medicine, Chennai, India
  111. 111. An-Najah National University, Bethlehem, Palestine
  112. 112. MWACP West African College of Physicians, Federal Neuropsychiatric Hospital, Maiduguri, Nigeria
  113. 113. MBBCh Dubai Medical College, Manama, Bahrain

Source: Frontiers in Nutrition Published:2023


Abstract

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. 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.
Other Related Docs