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Sleep Disruptions and Associated Risk Factors Among Iranians During Ramadan Amid Covid-19 Pandemic: A Nationwide Cross-Sectional Study Publisher Pubmed



Amiri S1 ; Pourfridoni M2 ; Heidarisoureshjani R3 ; Sotoudeh M4 ; Faris ME5 ; Albalushi AG6 ; Alsaedi F6 ; Khan SA7 ; Khan MAB8
Authors
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Authors Affiliations
  1. 1. Medicine, Quran and Hadith Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
  2. 2. Jiroft University of Medical Sciences, Jiroft, Iran
  3. 3. School of Nursing Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Iranshahr University of Medical Sciences, Iranshahr, Iran
  5. 5. Department of Clinical Nutrition and Dietetics, College of Health Sciences, Sharjah Institute for Medical and Health Sciences (RIMHS), University of Sharjah, Sharjah, United Arab Emirates
  6. 6. Ambulatory Health Services, Abu Dhabi, United Arab Emirates
  7. 7. Birat Medical College Teaching Hospital, Morang, Nepal
  8. 8. Department of Family Medicine, Health and Wellness Research Group, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates

Source: Medicine (United States) Published:2024


Abstract

The global COVID-19 pandemic has disrupted daily routines and heightened stress levels worldwide, impacting various aspects of health, including sleep. This cross-sectional study conducted in Iran aimed to investigate the impact of Ramadan Intermittent Fasting (RIF) during the pandemic on sleep disturbances and associated risk factors in adults aged ≥ 18 years. Data was collected from Iranian participants observing RIF. A structured electronic questionnaire, translated into Persian, gathered information on sociodemographics, dietary habits, sleep parameters, physical activity, and more. The study assessed sleep quality, duration, and disturbances and conducted a thorough analysis to identify risk factors associated with sleep disruptions. The study revealed that 48% of the participants experienced sleep disturbances during RIF, with 21% reporting poor sleep quality and 46% having unusual sleep duration. Various factors were associated with an elevated risk of sleep disruptions, including body mass index, place of residence, income levels, cohabitation status, family history of obesity, hypertension, diabetes, heart disease, personal history of obesity, weight fluctuations, Shisha smoking, and unemployment. The results highlight the critical importance of health promotion strategies tailored to cultural contexts. This study advocates for enhanced health education initiatives focusing on sleep hygiene and stress management, especially during periods of significant lifestyle alterations like Ramadan amid a global pandemic. Such initiatives are vital in mitigating sleep disturbances and promoting overall well-being in populations facing unique health challenges. © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.
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