斋月对2型糖尿病患者身体活动及睡眠模式的影响：首次使用Fitbit设备的研究
Impact of Ramadan on Physical Activity and Sleeping Patterns in Individuals with Type 2 Diabetes: The First Study Using Fitbit Device.
作者信息
Alghamdi Abdullah S, Alghamdi Khalid A, Jenkins Richard O, Alghamdi Mohammed N, Haris Parvez I
机构信息
Faculty of Health and Life Sciences, De Montfort University, Leicester, UK.
General Directorate of Medical Services of the Interior Ministry, Riyadh, Saudi Arabia.
出版信息
Diabetes Ther. 2020 Jun;11(6):1331-1346. doi: 10.1007/s13300-020-00825-x. Epub 2020 May 4.
INTRODUCTION
The impact of Ramadan fasting, a type of intermittent fasting, on the management of diabetes has not been well investigated. Physical activity, sleep duration, and time of sleep are susceptible to alterations during Ramadan due to the changes in the times and numbers of meals. This study compared physical activity and sleep patterns of individuals with type 2 diabetes mellitus (T2DM) during and after Ramadan using the international physical activity questionnaire (IPAQ) and a Fitbit Flex 2 accelerometer.
METHODS
Saudi individuals (n = 36) with T2DM completed a self-reported questionnaire and wore a Fitbit device for seven consecutive days during and after Ramadan. Fitbit generated weekly step counts, activity intensities, sedentary time, and sleep durations and times. IPAQ was used to estimate the physical activity and sitting time of participants in each period. Sleep patterns were assessed in each period by a self-reported questionnaire.
RESULTS
Both Fitbit and IPAQ indicated a high prevalence of low physical activity among the participants with non-significant variances between the during and after Ramadan periods. Also, a significant short daily total sleeping hours and daily night-time sleeping hours was seen during the Ramadan period. The duration of night-time sleep was observed to be low in each period.
CONCLUSIONS
This is the first study to use a Fitbit device to monitor individuals with T2DM who chose to fast during Ramadan. The study shows a high prevalence of low physical activity among Saudi individuals with T2DM in each period, and short sleep durations in the during Ramadan period compared to after Ramadan period. A high prevalence of short night-time sleep duration and excessive daytime sleeping was observed in both periods and significantly in the during Ramadan period. A larger study is needed in the future covering before, during, and after Ramadan to evaluate the impact of lifestyle changes related to Ramadan fasting on type 2 diabetes.
引言
斋月禁食作为一种间歇性禁食方式，对糖尿病管理的影响尚未得到充分研究。由于进餐时间和次数的变化，斋月期间的身体活动、睡眠时间和睡眠时段容易发生改变。本研究使用国际身体活动问卷（IPAQ）和Fitbit Flex 2加速度计，比较了斋月期间及斋月结束后2型糖尿病（T2DM）患者的身体活动和睡眠模式。
方法
36名沙特T2DM患者完成一份自我报告问卷，并在斋月期间及斋月结束后连续七天佩戴Fitbit设备。Fitbit记录每周步数、活动强度、久坐时间以及睡眠时间和时段。IPAQ用于估计各阶段参与者的身体活动和久坐时间。通过自我报告问卷评估各阶段的睡眠模式。
结果
Fitbit和IPAQ均显示参与者身体活动水平低的患病率很高，斋月期间和斋月结束后之间无显著差异。此外，斋月期间每日总睡眠时间和夜间睡眠时间显著缩短。各阶段夜间睡眠时间均较短。
结论
这是第一项使用Fitbit设备监测斋月期间选择禁食的T2DM患者的研究。该研究表明，沙特T2DM患者各阶段身体活动水平低的患病率很高，与斋月结束后相比，斋月期间睡眠时间较短。两个阶段均观察到夜间睡眠时间短和白天过度嗜睡的患病率很高，且斋月期间尤为显著。未来需要进行一项更大规模的研究，涵盖斋月前、斋月期间和斋月结束后，以评估与斋月禁食相关的生活方式变化对2型糖尿病的影响。
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