Study2022Open access

Time-restricted feeding and cognitive function in sedentary and physically active elderly individuals: Ramadan diurnal intermittent fasting as a model

Boujelbane MA, Trabelsi K, Jahrami HA, Masmoudi L, Ammar A, Khacharem A, Boukhris O, Puce L, Garbarino S, Scoditti E, Khanfir S, Msaad A, Msaad A, Akrout S, Hakim A, Bragazzi NL, Bryk K, Glenn JM, Chtourou H

Frontiers in nutrition · 16 citations

Review labels

Author industry ties

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Controlled clinical trial (classified by our AI screen)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
Authors
At least one author declares a financial tie to industry

Based on full-text disclosure statement.

Publication

Published
2022-11-09 · Front Nutr · vol. 9 · p. 1041216
Publisher
Frontiers Media
Cited
30 citations · more than 92% of similar papers · 2.8× the field average
Impact
Top 10% most cited in its field
References
149 works
Access
Open access (journal) · CC-BY
Research areas
Dietary Effects on Health · Genetics, Aging, and Longevity in Model Organisms · Enhanced Recovery After Surgery
Keywords
Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, Cognition, Medicine, Sedentary behavior, Effects of sleep deprivation on cognitive performance, Insomnia, Excessive daytime sleepiness, Physical therapy, Psychology, Physical activity, Sleep quality, Sleep disorder, Psychiatry, Polysomnography, Apnea

19 authors

From TN, BH, DE, FR, IT, CA, US

  • Mohamed Ali BoujelbaneUniversity of Sfax; Institut Supérieur du Sport et de l’Éducation Physique de Sfax
  • Khaled TrabelsiUniversity of Sfax; Institut Supérieur du Sport et de l’Éducation Physique de Sfax
  • Haitham JahramiMinistry of Health; Arabian Gulf University
  • Liwa MasmoudiUniversity of Sfax; Institut Supérieur du Sport et de l’Éducation Physique de Sfax
  • Achraf AmmarJohannes Gutenberg University Mainz; Université Paris Nanterre
  • Aïmen KhacharemUniversité Paris-Est Créteil; Université Polytechnique Hauts-de-France

Abstract

Objectives

This study aimed to investigate the effects of Ramadan diurnal intermittent fasting (RDIF) on cognitive performance, sleep quality, daytime sleepiness, and insomnia in physically active and sedentary elderly individuals.

Methods

A total of 58 participants (62.93 ± 3.99 years) were assigned to one of the following two groups: a sedentary group (control group) who observed Ramadan (n = 32) and a physically active group (n = 26) who continued to train while observing Ramadan. Participants were assessed 2 weeks before Ramadan and during the fourth week of Ramadan. On each occasion, participants completed a digital assessment of their cognitive performance and responded to the Pittsburgh sleep quality index (PSQI), the insomnia severity index (ISI) and the Epworth sleepiness scale (ESS) questionnaires to assess sleep parameters.

Results

Compared to before Ramadan, performance in executive function (p = 0.035), attention (p = 0.005), inhibition (p = 0.02), associative memory (p = 0.041), and recognition memory (p = 0.025) increased significantly during Ramadan in the physically active group. For the sedentary group, associative learning performance decreased (p = 0.041), whilst performances in the remaining domains remained unchanged during Ramadan. Global PSQI, ISI, and ESS scores indicated both groups suffered from poor sleep quality and excessive daytime sleepiness, with significantly higher negative effects of RDIF observed in the sedentary group.

Conclusion

Older adults who continue to train at least three times per week during Ramadan may improve their cognitive performance, despite the impairment of sleep quality. Future studies in older adults during Ramadan including objective measures of sleep (e.g., polysomnography, actigraphy) and brain function (e.g., functional magnetic resonance imaging) are warranted.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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