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Open Access Special Issue

Effect on training and sleep patterns of male combat athletes during Ramadan

  • Hakan Akdeniz1,*,
  • Müge Sarper Kahveci2
  • Sabriye Karadenizli Taskin3
  • Muhammet Eyüp Uzuner1
  • Behçet Kocoglu4

1Department of Recreation, Faculty of Sport Sciences, Kocaeli University, 41001 Kocaeli, Turkey

2Department of Physical Education, Faculty of Sport Sciences, Kocaeli University, 41001 Kocaeli, Turkey

3Department of Physiology, Faculty of Medicine, Kocaeli University, 41001 Kocaeli, Turkey

4Faculty of Sport Sciences, Health Sciences Institute, Kocaeli University, 41001 Kocaeli, Turkey

DOI: 10.22514/jomh.2024.119 Vol.20,Issue 7,July 2024 pp.149-156

Submitted: 15 March 2024 Accepted: 10 May 2024

Published: 30 July 2024

(This article belongs to the Special Issue Physical activity, exercise, and athletic performance for men's health)

*Corresponding Author(s): Hakan Akdeniz E-mail: hakan.akdeniz@kocaeli.edu.tr

Abstract

During the sacred period known as Ramadan in the Islamic faith, abstaining from food and drink is observed from dawn until dusk. This fasting practice can lead to alterations in the circadian rhythm due to sudden shifts in dietary habits and sleep patterns. Given that changes in circadian rhythm can impact sleep patterns, a relational survey model was implemented in this investigation. Data collection involved the utilization of the Pittsburgh Sleep Quality Index (PSQI) alongside a sociodemographic survey. A total of seventy-three athletes willingly participated in the study. Statistical analysis was conducted using SPSS 25.0, employing the Mann-Whitney U test for variables with two parameters and the Kruskall-Wallis H test was for those with three or more parameters. The significance level was established at p ≤ 0.05. Upon comparing the PSQI and its sub-dimensions, a statistically significant difference was observed in relation to age, alterations in mealtimes, changes in appetite, duration of sleep, and time required to fall asleep. Consequently, the data gathered in our study indicates that modifications in eating and sleeping schedules during Ramadan can disrupt the sleep quality of athletes.


Keywords

Circadian rhythm; Combat athlete; Sleep pattern; Training; Ramadan


Cite and Share

Hakan Akdeniz,Müge Sarper Kahveci,Sabriye Karadenizli Taskin,Muhammet Eyüp Uzuner,Behçet Kocoglu. Effect on training and sleep patterns of male combat athletes during Ramadan. Journal of Men's Health. 2024. 20(7);149-156.

References

[1] Akhtar AM, Ghouri N, Chahal CAA, Patel R, Ricci F, Sattar N, et al. Ramadan fasting: recommendations for patients with cardiovascular disease. Heart. 2022; 108: 258–265.

[2] Torlak MS. Hunger, Ramadan and exercise. Ulusal Spor Bilimleri Dergisi. 2017; 1: 66–80.

[3] Lessan N, Ali T. Energy metabolism and intermittent fasting: the Ramadan perspective. Nutrients. 2019; 11: 1192.

[4] Bencharif M, Sersar I, Bentaleb M, Boutata FZ, Benabbas Y. Ramadan fasting and NCDs—an example of diabetes. Frontiers in Nutrition. 2022; 9: 787571.

[5] Akıncı E, Orhan FÖ. Circadian Rhythm Sleep Disorders. Psikiyatride Güncel Yaklaşımlar. 2016; 8: 178–189. (In Turkish)

[6] Selvi Y, Beşiroğlu L, Aydın A. Chronobiology and mood disorders. Current Approaches in Psychiatry. 2011; 3: 368–386. (In Turkish)

[7] Vitaterna MH, Takahashi JS, Turek FW. Overview of circadian rhythms. Alcohol Research & Health. 2001; 25: 85–93.

[8] Walsh NP, Halson SL, Sargent C, Roach GD, Nédélec M, Gupta L, et al. Sleep and the athlete: narrative review and 2021 expert consensus recommendations. British Journal of Sports Medicine. 2020; 3: bjsports-2020-102025.

[9] Saleh Mans KM. Study the effects of Ramadan fasting on the serum glucose and lipid profile among healthy Jordanian students. American Journal of Applied Sciences. 2007; 4: 565–569.

[10] Lamri-Senhadji MY, El Kebir B, Belleville J, Bouchenak M. Assessment of dietary consumption and time-course of changes in serum lipids and lipoproteins before, during and after Ramadan in young Algerian adults. Singapore Medical Journal. 2009; 50: 288–294.

[11] Shephard RJ. The impact of Ramadan of observance upon athletic performance. Nutrients. 2012; 4: 491–505.

[12] Chaouachi A, Coutts AJ, Chamari K, Wong del P, Chaouachi M, Chtara M, et al. Effect of Ramadan intermittent fasting on aerobic and anaerobic performance and perception on fatigue in male elite judo athletes. The Journal of Strength and Conditioning Research. 2009; 23: 2702–2709.

[13] Brisswalter J, Bouhlel E, Falola JM, Abbiss CR, Vallier JM, Hauswirth C. Effects of Ramadan intermittent fasting on middle-distance running performance in well-trained runners. Clinical Journal of Sport Medicine. 2011; 21: 422–427.

[14] Fenneni MA, Latiri I, Aloui A, Rouatbi S, Saafi MA, Bougmiza I, et al. Effects of Ramadan on physical capacities of North African boys fasting for the first time. Libyan Journal of Medicine. 2014; 9: 25391.

[15] Trabelsi K, Abed K, Treponovski JF, Stannard SR, Ghlissi Z, Ghozzi H, et al. Effects of Ramadan fasting on biochemical and anthropometric parameters in physical active men. Asian Journal of Sports Medicine. 2011; 2: 134–144.

[16] Shiffers SM, Maughan RJ. Water and salt balance in young male football players in training during the holy month of Ramadan. Journal of Sports Sciences. 2008; 26: S47–S54.

[17] Singh R, Hwa OC, Roy J, Jin CW, Ismail SM, Lan MF, et al. Subjective perception of sports performance, training, sleep and dietary patterns of Malaysian junior Muslim athletes during Ramadan intermittent fasting. Asian Journal of Sports Medicine. 2011; 2: 167–176.

[18] Chamari K, Roussi M, Bragazzi NL, Chaouachi A, Abdul RA. Optimizing training and competition during the month of Ramadan: recommendations for a holistic and personalized approach for the fasting athletes. Tunis Med. 2019; 97: 1095–1103.

[19] Tian HH, Aziz AR, Png W, Wahid MF, Yeo D, Constance Png AL. Effects of fasting during Ramadan on cognitive function in Muslim athletes. Asian Journal of Sports Medicine. 2011; 2: 145–153.

[20] Afacan E. Coping strategies that football players use during Ramadan fasting: Turkish super league sample. Progress in Nutrition. 2021; 23: e2021251.

[21] Januszko P, Lange E. Nutrition, supplementation and body mass reduction in combat sports: a review. AIMS Public Health. 2021; 8: 485–498.

[22] Peacock CA, Mena M, Sanders GJ, Silver TA, Kalman D, Antonio J. Sleep data, physical performance, and injuries in preparation for professional mixed martial arts. Sports. 2018; 7: 1.

[23] Peacock CA, French D, Sanders GJ, Ricci A, Stull C, Antonio J. Body mass loss and competition body mass in ultimate fighting championship (UFC) athletes. Journal of Functional Morphology and Kinesiology. 2022; 7: 115.

[24] Souissi N, Chtourou H, Aloui A, Hammouda O, Dogui M, Chaouachi A, et al. Effects of time-of-day and partial sleep deprivation on short-term maximal performances of judo competitors. Journal of Strength and Conditioning Research. 2013; 27: 2473–2480.

[25] Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Research. 1989; 28: 193–213.

[26] Ağargün YM, Kara H, Anlar Ö. Validity and reliability of the Pittsburgh sleep quality index. Türk Psikiyatri Dergisi. 1996; 7: 107–111. (In Turkish)

[27] Abdulkadiroğlu Z, Bayramoğlu F, İlhan Sleep and sleep disorders. Genel Tıp Dergisi. 1997; 7: 161–166. (In Turkish)

[28] Şenol V, Soyuer F, Akça RP, Argün M. The Sleep Quality in Adolescents and the Factors that Affect It. Kocatepe Tıp Dergisi. 2012; 13: 93–104. (In Turkish)

[29] Doherty R, Madigan SM, Nevill A, Warrington G, Ellis JG. The sleep and recovery practices of athletes. Nutrients. 2021; 13: 1330.

[30] Gunn PJ, Middleton B, Davies SK, Revell VL, Skene DJ. Sex differences in the circadian profiles of melatonin and cortisol in plasma and urine matrices under constant routine conditions. Chronobiology International. 2016; 33: 39–50.

[31] Ferracioli-Oda E, Qawasmi A, Bloch MH. Meta-analysis: melatonin for the treatment of primary sleep disorders. PLOS ONE. 2013; 8: e63773.

[32] Nachvak SM, Pasdar Y, Pirsaheb S, Darbandi M, Niazi P, Mostafai R, et al. Effects of Ramadan on food intake, glucose homeostasis, lipid profiles and body composition composition. European Journal of Clinical Nutrition. 2019; 73: 594–600.

[33] Bahammam A, Almeneessier A, Sharif M, Bahammam S, Nashwan S, Pandi Perumal S, et al. The influence of intermittent fasting on the circadian pattern of melatonin while controlling for caloric intake, energy expenditure, light exposure, and sleep schedules: a preliminary report. Annals of Thoracic Medicine. 2017; 12: 183–190.

[34] Cain SW, Dennison CF, Zeitzer JM, Guzik AM, Khalsa SB, Santhi N, et al. Sex differences in phase angle of entrainment and melatonin amplitude in humans. Journal of Biological Rhythms. 2010; 25: 288–296.

[35] Van Reen E, Sharkey KM, Roane BM, Barker D, Seifer R, Raffray T, et al. Sex of college students moderates associations among bedtime, time in bed, and circadian phase angle. Journal of Biological Rhythms. 2013; 28: 425–431.

[36] El-Jaziz A, Lotfi S. Chronotype, aerobic performance, and sleep quality of young athletes before and during Ramadan observance. Sleep Medicine Research. 2023; 14: 98–104.

[37] Trabelsi K, Ammar A, Glenn JM, Boukhris O, Khacharem A, Bouaziz B, et al. Does observance of Ramadan affect sleep in athletes and physically active individuals? A systematic review and meta-analysis. Journal of Sleep Research. 2022; 31: e13503.

[38] Karakuş S, Kahraman Y. Sleep and Performance. In Karakus, S. (Ed.), Egzersiz ve Toplum Sağlığı -1 (pp. 49-59). 1st edn. Duvar Yayınları: Izmir. 2023.

[39] Sargent C, Lastella M, Halson SL, Roach GD. The impact of training schedules on the sleep and fatigue of elite athletes. Chronobiology International. 2014; 31: 1160–1168.

[40] Reilly T, Edwards B. Altered sleep-wake cycles and physical performance in athletes. Physiology & Behavior. 2007; 90: 274–284.

[41] Ulusoy Y. Effect of Sleep on Exercise Performance: The Relationship Between Sleep, Nutrition and Recovery. Çanakkale Onsekiz Mart Üniversitesi Spor Bilimleri Dergisi. 2020; 3: 1–22. (In Turkish)

[42] Meckel Y, Ismaeel A, Eliakim A. The effect of the Ramadan fast on physical performance and dietary habits in adolescent soccer players. European Journal of Applied Physiology. 2008; 102: 651–657.

[43] Zerguini Y, Kirkendall D, Junge A, Dvorak J. Impact of Ramadan on physical performance in professional soccer players. British Journal of Sports Medicine. 2007; 41: 398–400.

[44] Chennaoui M, Desgorces F, Drogou C, Boudjemaa B, Tomaszewski A, Depiesse F, et al. Effects of Ramadan fasting on physical performance and metabolic, hormonal, and inflammatory parameters in middle-distance runners. Applied Physiology, Nutrition, and Metabolism. 2009; 34: 587–594.

[45] Brini S, Castillo D, Raya-González J, Castagna C, Bouassida A, Khalifa R, et al. Basketball-specific small-sided games training during Ramadan intermitting fasting: do changes in body composition, sleep habits, and perceived exertion affect technical performance? International Journal of Environmental Research and Public Health. 2021; 18: 12008.

[46] Reyner LA, Horne JA. Sleep restriction and serving accuracy in performance tennis players, and effects of caffeine. Physiology & Behavior. 2013; 120: 93–96.

[47] Andrade A, Bevilacqua GG, Casagrande PDO, Brandt R, Coimbra D. Prevalence of poor sleep quality in athletes before competition. The Physician and Sportsmedicine. 2021; 49: 137–142.

[48] Fullagar HH, Skorski S, Duffield R, Hammes D, Coutts AJ, Meyer T. Sleep and athletic performance: the effects of sleep loss on exercise performance, and physiological and cognitive responses to exercise. Sports Medicine. 2015; 45: 161–186.

[49] Jones JJ, Kirschen GW, Kancharla S, Hale L. Association between late-night tweeting and next-day game performance among professional basketball players. Sleep Health. 2019; 5: 68–71.

[50] Chase JD, Roberson PA, Saunders MJ, Hargens TA, Womack CJ, Luden ND. One night of sleep restriction following heavy exercise impairs 3-km cycling time-trial performance in the morning. Applied Physiology, Nutrition, and Metabolism. 2017; 42: 909–915.

[51] Qasrawi SO, Pandi-Perumal SR, BaHammam AS. The effect of intermittent fasting during Ramadan on sleep, sleepiness, cognitive function, and circadian rhythm. Sleep and Breathing. 2017; 21: 577–586.

[52] BaHammam A. Sleep pattern, daytime sleepiness, and eating habits during the month of Ramadan. Sleep and Hypnosis. 2003; 5: 165–174.

[53] Kim TW, Jeong J, Hong S. The impact of sleep and circadian disturbance on hormones and metabolism. International Journal of Endocrinology. 2015; 2015: 591729.

[54] Bahijri S, Borai A, Ajabnoor G, Abdul Khaliq A, AlQassas I, Al-Shehri D, et al. Relative metabolic stability, but disrupted circadian cortisol secretion during the fasting month of Ramadan. PLOS ONE. 2013; 8: e60917.

[55] Tang Z, Liu S, Niu C. Effects of extreme light cycle and density on melatonin, appetite, and energy metabolism of the soft-shelled turtle (Pelodiscus sinensis). Biology. 2022; 11: 965.

[56] Ajabnoor GM, Bahijri S, Shaik NA, Borai A, Alamoudi AA, Al-Aama JY, et al. Ramadan fasting in Saudi Arabia is associated with altered expression of CLOCK, DUSP and IL-1alpha genes, as well as changes in cardiometabolic risk factors. PLOS ONE. 2017; 12: e0174342.

[57] Faris MAE, Jahrami HA, Alhayki FA, Alkhawaja NA, Ali AM, Aljeeb SH, et al. Effect of diurnal fasting on sleep during Ramadan: a systematic review and meta-analysis. Sleep and Breathing. 2020; 24: 771–782.

[58] BaHammam A. Assessment of sleep patterns, daytime sleepiness, and chronotype during Ramadan in fasting and nonfasting individuals. Saudi Medical Journal. 2005; 26: 616–622.

[59] BaHammam AS, Nashwan S, Hammad O, Sharif MM, Pandi-Perumal SR. Objective assessment of drowsiness and reaction time during intermittent Ramadan fasting in young men: a case-crossover study. Behavioral and Brain Functions. 2013; 9: 32.

[60] Taoudi Benchekroun M, Roky R, Toufiq J, Benaji B, Hakkou F. Epidemiological study: chronotype and daytime sleepiness before and during Ramadan. Therapies. 1999; 54: 567–572.

[61] Reilly T, Waterhouse J. Altered sleep-wake cycles and food intake: the Ramadan model. Physiology & Behavior. 2007; 90: 219–228.

[62] Silva A, Andersen ML, De Mello MT, Bittencourt LR, Peruzzo D, Tufik S. Gender and age differences in polysomnography findings and sleep complaints of patients referred to a sleep laboratory. Brazilian Journal of Medical and Biological Research. 2008; 41: 1067–1075.

[63] Ambrogetti A, Olson LG, Saunders NA. Differences in the symptoms of men and women with obstructive sleep apnoea. Australian and New Zealand Journal of Medicine. 1991; 21: 863–866.

[64] Lozo T, Komnenov D, Badr MS, Mateika JH. Sex differences in sleep disordered breathing in adults. Respiratory Physiology & Neurobiology. 2017; 245: 65–75.

[65] Malhotra A, Huang Y, Fogel RB, Pillar G, Edwards JK, Kikinis R, et al. The male predisposition to pharyngeal collapse. American Journal of Respiratory and Critical Care Medicine. 2002; 166: 1388–1395.

[66] Su M, Chiu K, Ruttanaumpawan P, Shiota S, Yumino D, Redolfi S, et al. Difference in upper airway collapsibility during wakefulness between men and women in response to lower-body positive pressure. Clinical Science. 2009; 116: 713–720.

[67] Kasai T, Motwani SS, Elias RM, Gabriel JM, Taranto Montemurro L, Yanagisawa N, et al. Influence of rostral fluid shift on upper airway size and mucosal water content. Journal of Clinical Sleep Medicine. 2014; 10: 1069–1074.

[68] Matsumoto AM, Sandblom RE, Schoene RB, Lee KA, Giblin EC, Pierson DJ, et al. Testosterone replacement in hypogonadal men: effects on obstructive sleep apnoea, respiratory drives, and sleep. Clinical Endocrinology. 1985; 22: 713–721.

[69] White DP, Schneider BK, Santen RJ, McDermott M, Pickett CK, Zwillich CW, et al. Influence of testosterone on ventilation and chemosensitivity in male subjects. Journal of Applied Physiology. 1985; 59: 1452–1457.

[70] Eckert DJ, White DP, Jordan AS, Malhotra A, Wellman A. Defining phenotypic causes of obstructive sleep apnea. Identification of novel therapeutic targets. American Journal of Respiratory and Critical Care Medicine. 2013; 188: 996–1004.

[71] Grossmann M. Low testosterone in men with type 2 diabetes: significance and treatment. The Journal of Clinical Endocrinology and Metabolism. 2011; 96: 2341–2353.


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