Does observance of Ramadan affect sleep in athletes and physically active individuals? A systematic review and meta-analysis

Publication type:
Journal article
Metadata:
Autoren
  • Khaled Trabelsi
  • Achraf Ammar
  • Jordan M Glenn
  • Omar Boukhris
  • Aimen Khacharem
  • Bassem Bouaziz
  • Piotr Zmijewski
  • Paola Lanteri
  • Sergio Garbarino
  • Cain CT Clark
  • Karim Chamari
  • Nicola L Bragazzi
  • David Hill
  • Hamdi Chtourou
Autoren-URL
https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=fis-test-1&SrcAuth=WosAPI&KeyUT=WOS:000710294900001&DestLinkType=FullRecord&DestApp=WOS_CPL
DOI
10.1111/jsr.13503
eISSN
1365-2869
Externe Identifier
  • Clarivate Analytics Document Solution ID: 0Y3MI
  • PubMed Identifier: 34693577
ISSN
0962-1105
Ausgabe der Veröffentlichung
3
Zeitschrift
JOURNAL OF SLEEP RESEARCH
Schlüsselwörter
  • athlete
  • daytime sleepiness
  • nap
  • physical activity
  • Ramadan observance
  • sleep-wake patterns
Artikelnummer
ARTN e13503
Datum der Veröffentlichung
2022
Status
Published
Titel
Does observance of Ramadan affect sleep in athletes and physically active individuals? A systematic review and meta-analysis
Sub types
  • Review
Ausgabe der Zeitschrift
31

Data source: Web of Science (Lite)

Other metadata sources:
Abstract
<jats:title>Summary</jats:title><jats:p>The purpose of this systematic review and meta‐analysis is to provide an accurate description of the effect of Ramadan observance on sleep duration, sleep quality, daily nap duration, and daytime sleepiness in athletes and physically active individuals. Five electronic databases (PubMed, Web of Science, Scopus, Wiley, and Taylor and Francis) were used to search for relevant studies conducted with athletes or physically active individuals during Ramadan, published in any language, and available before May 23, 2021. Studies that included assessments of sleep quantity and/or quality, and/or daytime sleepiness, and/or daily naps in athletes and physically active individuals were included. The methodological quality of the studies was assessed using “QualSyst”. Of the 18 papers included in this study (298 participants in total), 14 were of strong quality, two were moderate, and the remaining two were rated as weak. Individuals who continued to train during Ramadan experienced a decrease in sleep duration (number of studies, <jats:italic>K</jats:italic> = 17, number of participants, <jats:italic>N</jats:italic> = 289, <jats:italic>g</jats:italic> = −0.766, 95% confidence interval [CI] −1.199 to −0.333, <jats:italic>p</jats:italic> = 0.001). Additionally, the global score of the Pittsburgh Sleep Quality Index increased from 4.053 (<jats:italic>K</jats:italic> = 5, <jats:italic>N</jats:italic> = 65, 95% CI 3.071–5.034) pre‐Ramadan, to 5.346 (95% CI 4.362–6.333) during Ramadan, indicating a decrease in sleep quality. The duration of daytime naps increased during compared to pre‐Ramadan (<jats:italic>K</jats:italic> = 2, <jats:italic>N</jats:italic> = 31, <jats:italic>g</jats:italic> = 1.020, 95% CI 0.595–1.445, <jats:italic>p</jats:italic> = 0.000), whereas Epworth Sleepiness Scale scores remained unchanged during versus pre‐Ramadan (<jats:italic>K</jats:italic> = 3, <jats:italic>N</jats:italic> = 31, <jats:italic>g</jats:italic> = 0.190, 95% CI −0.139–0.519, <jats:italic>p</jats:italic> = 0.257). In conclusion, individuals who continued to train during Ramadan experienced a decrease in sleep duration, impairment of sleep quality, and increase in daytime nap duration, with no change in daytime sleepiness levels.</jats:p>
Autoren
  • Khaled Trabelsi
  • Achraf Ammar
  • Jordan M Glenn
  • Omar Boukhris
  • Aimen Khacharem
  • Bassem Bouaziz
  • Piotr Zmijewski
  • Paola Lanteri
  • Sergio Garbarino
  • Cain CT Clark
  • Karim Chamari
  • Nicola L Bragazzi
  • David Hill
  • Hamdi Chtourou
DOI
10.1111/jsr.13503
eISSN
1365-2869
ISSN
0962-1105
Ausgabe der Veröffentlichung
3
Zeitschrift
Journal of Sleep Research
Sprache
en
Online publication date
2021
Datum der Veröffentlichung
2022
Status
Published
Herausgeber
Wiley
Herausgeber URL
http://dx.doi.org/10.1111/jsr.13503
Datum der Datenerfassung
2023
Titel
Does observance of Ramadan affect sleep in athletes and physically active individuals? A systematic review and meta‐analysis
Ausgabe der Zeitschrift
31

Data source: Crossref

Abstract
The purpose of this systematic review and meta-analysis is to provide an accurate description of the effect of Ramadan observance on sleep duration, sleep quality, daily nap duration, and daytime sleepiness in athletes and physically active individuals. Five electronic databases (PubMed, Web of Science, Scopus, Wiley, and Taylor and Francis) were used to search for relevant studies conducted with athletes or physically active individuals during Ramadan, published in any language, and available before May 23, 2021. Studies that included assessments of sleep quantity and/or quality, and/or daytime sleepiness, and/or daily naps in athletes and physically active individuals were included. The methodological quality of the studies was assessed using "QualSyst". Of the 18 papers included in this study (298 participants in total), 14 were of strong quality, two were moderate, and the remaining two were rated as weak. Individuals who continued to train during Ramadan experienced a decrease in sleep duration (number of studies, K = 17, number of participants, N = 289, g = -0.766, 95% confidence interval [CI] -1.199 to -0.333, p = 0.001). Additionally, the global score of the Pittsburgh Sleep Quality Index increased from 4.053 (K = 5, N = 65, 95% CI 3.071-5.034) pre-Ramadan, to 5.346 (95% CI 4.362-6.333) during Ramadan, indicating a decrease in sleep quality. The duration of daytime naps increased during compared to pre-Ramadan (K = 2, N = 31, g = 1.020, 95% CI 0.595-1.445, p = 0.000), whereas Epworth Sleepiness Scale scores remained unchanged during versus pre-Ramadan (K = 3, N = 31, g = 0.190, 95% CI -0.139-0.519, p = 0.257). In conclusion, individuals who continued to train during Ramadan experienced a decrease in sleep duration, impairment of sleep quality, and increase in daytime nap duration, with no change in daytime sleepiness levels.
Addresses
  • Research Laboratory: Education, Motricity, Sport and Health, EM2S, LR19JS01, University of Sfax, Sfax, Tunisia.
Autoren
  • Khaled Trabelsi
  • Achraf Ammar
  • Jordan M Glenn
  • Omar Boukhris
  • Aimen Khacharem
  • Bassem Bouaziz
  • Piotr Zmijewski
  • Paola Lanteri
  • Sergio Garbarino
  • Cain CT Clark
  • Karim Chamari
  • Nicola L Bragazzi
  • David Hill
  • Hamdi Chtourou
DOI
10.1111/jsr.13503
eISSN
1365-2869
Externe Identifier
  • PubMed Identifier: 34693577
Open access
false
ISSN
0962-1105
Ausgabe der Veröffentlichung
3
Zeitschrift
Journal of sleep research
Schlüsselwörter
  • Humans
  • Disorders of Excessive Somnolence
  • Fasting
  • Sleep
  • Islam
  • Athletes
Sprache
eng
Medium
Print-Electronic
Online publication date
2021
Paginierung
e13503
Datum der Veröffentlichung
2022
Status
Published
Publisher licence
CC BY-NC-ND
Datum der Datenerfassung
2021
Titel
Does observance of Ramadan affect sleep in athletes and physically active individuals? A systematic review and meta-analysis.
Sub types
  • Meta-Analysis
  • Systematic Review
  • Review
  • Journal Article
Ausgabe der Zeitschrift
31

Data source: Europe PubMed Central

Abstract
The purpose of this systematic review and meta-analysis is to provide an accurate description of the effect of Ramadan observance on sleep duration, sleep quality, daily nap duration, and daytime sleepiness in athletes and physically active individuals. Five electronic databases (PubMed, Web of Science, Scopus, Wiley, and Taylor and Francis) were used to search for relevant studies conducted with athletes or physically active individuals during Ramadan, published in any language, and available before May 23, 2021. Studies that included assessments of sleep quantity and/or quality, and/or daytime sleepiness, and/or daily naps in athletes and physically active individuals were included. The methodological quality of the studies was assessed using "QualSyst". Of the 18 papers included in this study (298 participants in total), 14 were of strong quality, two were moderate, and the remaining two were rated as weak. Individuals who continued to train during Ramadan experienced a decrease in sleep duration (number of studies, K = 17, number of participants, N = 289, g = -0.766, 95% confidence interval [CI] -1.199 to -0.333, p = 0.001). Additionally, the global score of the Pittsburgh Sleep Quality Index increased from 4.053 (K = 5, N = 65, 95% CI 3.071-5.034) pre-Ramadan, to 5.346 (95% CI 4.362-6.333) during Ramadan, indicating a decrease in sleep quality. The duration of daytime naps increased during compared to pre-Ramadan (K = 2, N = 31, g = 1.020, 95% CI 0.595-1.445, p = 0.000), whereas Epworth Sleepiness Scale scores remained unchanged during versus pre-Ramadan (K = 3, N = 31, g = 0.190, 95% CI -0.139-0.519, p = 0.257). In conclusion, individuals who continued to train during Ramadan experienced a decrease in sleep duration, impairment of sleep quality, and increase in daytime nap duration, with no change in daytime sleepiness levels.
Date of acceptance
2021
Autoren
  • Khaled Trabelsi
  • Achraf Ammar
  • Jordan M Glenn
  • Omar Boukhris
  • Aimen Khacharem
  • Bassem Bouaziz
  • Piotr Zmijewski
  • Paola Lanteri
  • Sergio Garbarino
  • Cain CT Clark
  • Karim Chamari
  • Nicola L Bragazzi
  • David Hill
  • Hamdi Chtourou
Autoren-URL
https://www.ncbi.nlm.nih.gov/pubmed/34693577
DOI
10.1111/jsr.13503
eISSN
1365-2869
Ausgabe der Veröffentlichung
3
Zeitschrift
J Sleep Res
Schlüsselwörter
  • Ramadan observance
  • athlete
  • daytime sleepiness
  • nap
  • physical activity
  • sleep-wake patterns
  • Athletes
  • Disorders of Excessive Somnolence
  • Fasting
  • Humans
  • Islam
  • Sleep
Sprache
eng
Country
England
Paginierung
e13503
Datum der Veröffentlichung
2022
Status
Published
Datum, an dem der Datensatz öffentlich gemacht wurde
2022
Titel
Does observance of Ramadan affect sleep in athletes and physically active individuals? A systematic review and meta-analysis.
Sub types
  • Journal Article
  • Meta-Analysis
  • Review
  • Systematic Review
Ausgabe der Zeitschrift
31

Data source: PubMed

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