Endocrine Abstracts

Introduction: Fasting during Ramadan very often requires a change in lifestyle for patients and adaptation is not easy in individuals with type 2 diabetes (T2D). Physical activity, sleep duration and sleep time are subject to change during Ramadan, due to changes in the number and times of meals.

Study Objectives: This study aims to assess the physical activity and sleep patterns of T2DM patients during Ramadan.

Material and Methods: We assessed physical activity using the IPAQ questionnaire and the impact on sleep patterns (quality and quantity) during the month of Ramadan using the PSQI form and a sleep quality rating scale ranging from 1 to 10. Data analysis was done with SPSS software version 25.

Results: Fifty patients were enrolled in our study, all T2DM, 80% of whom were on ODA during the month of Ramadan over a period of 29 days. The average age was 60.4 years, our study included 34 women for 16 men with a sex ratio M/F of 0.47. By making an average distribution over 24 hours, the average duration of sports activity is 47 minutes (±7 minutes), that of night prayers is 1 h20 mn (±10 minutes), the average duration of household chores is 3 hours (±23 minutes), daily shopping takes an average of 1 hour. There is a significant reduction in the total number of hours of sleep and The average total sleep duration is 4 hours 35 min (±28 min). Only 15 patients (30%) took an average nap of 52 minutes. Nighttime sleep quality was observed to be low in this period, with 38 patients or 76% reporting early morning awakening and 22 patients (44%) reporting sleep-onset insomnia. hours of nighttime sleep during the period of Ramadan with a shift in the sleep slice. The overall assessment of sleep quality (night and nap) remains fairly good at 20% (n=10); Somewhat poor in 70% (n=35); very bad in either 10% of patients or n=5.

Conclusions: Our study shows a high prevalence of low physical activity among people with T2DM during Ramadan, and short sleep durations during Ramadan compared to the period outside Ramadan. A larger study is needed in the future covering before, during and after Ramadan to assess the impact of lifestyle changes related to fasting during Ramadan in type 2 diabetics.