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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, Moien A. B. Khan, Ahmed S. Bahammam, Asma Amanatullah, Khaled Obaideen, Teresa Arora, Habiba Ali, Leila Cheikh Ismail, Dana N. Abdelrahim, Mohammed Al-Houqani, Kholoud Allaham, Rand Abdalrazeq, Wahid Sharif Aloweiwi, Somayea Sultana Mim, Ammar Mektebi, Sohrab Amiri, Sahabi Kabir Sulaiman, Syed Fahad Javaid, Mohammad Delwer Hossain Hawlader, Fatimah Isma’Il Tsiga-Ahmed, Iffat Elbarazi, Saskiyanto Manggabarani, Gamechu Atomsa Hunde, Sabrina Chelli, Mitra Sotoudeh, Moezalislam Ezzat Faris, Ramadan Intermittent Fasting Collaborators, Abasi-Okot Akpan Udoyen, Abdelrhman Muwafaq Janem, Abdullah Taha Zayed, Adriana Johny Skafi

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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 …