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Effects of home confinement on mental health and lifestyle behaviours during the COVID-19 outbreak: insights from the ECLB-COVID19 multicentre study.
Ammar, A, Trabelsi, K, Brach, M, Chtourou, H, Boukhris, O, Masmoudi, L, Bouaziz, B, Bentlage, E, How, D, Ahmed, M, et al
Biology of sport. 2021;38(1):9-21
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Coronavirus disease 2019 (COVID-19) is an infectious disease caused by the respiratory syndrome coronavirus 2 (SARS-CoV-2). To curb the spread of the 2020 pandemic, social distancing, self-isolation and nationwide lockdown measures were put in place. These measures along with hygiene care are recognized as the most effective ways to curb the spread of disease. However; the weakening of social contacts can result in anxiety, frustration, panic attacks, loss or sudden increase of appetite, insomnia, depression, mood swings, delusions, fear, sleep disorders, and suicidal/domestic violence. The purpose of the study is to provide scientific data to help identify risk factors for the psychosocial strain during the COVID-19 outbreak. The study is an international cross-disciplinary online survey and was circulated in April 2020. 1047 replies were analysed from this preliminary phase. The results show a significant difference in all tested parameters and therefore reveal a large burden for mental wellbeing combined with a tendency towards an unhealthy lifestyle during, compared to before, the confinement enforced by the COVID-19 pandemic. These results highlight the importance for policy makers to consider strategies to promote wellbeing during future confinements.
Abstract
Although recognised as effective measures to curb the spread of the COVID-19 outbreak, social distancing and self-isolation have been suggested to generate a burden throughout the population. To provide scientific data to help identify risk factors for the psychosocial strain during the COVID-19 outbreak, an international cross-disciplinary online survey was circulated in April 2020. This report outlines the mental, emotional and behavioural consequences of COVID-19 home confinement. The ECLB-COVID19 electronic survey was designed by a steering group of multidisciplinary scientists, following a structured review of the literature. The survey was uploaded and shared on the Google online survey platform and was promoted by thirty-five research organizations from Europe, North Africa, Western Asia and the Americas. Questions were presented in a differential format with questions related to responses "before" and "during" the confinement period. 1047 replies (54% women) from Western Asia (36%), North Africa (40%), Europe (21%) and other continents (3%) were analysed. The COVID-19 home confinement evoked a negative effect on mental wellbeing and emotional status (P < 0.001; 0.43 ≤ d ≤ 0.65) with a greater proportion of individuals experiencing psychosocial and emotional disorders (+10% to +16.5%). These psychosocial tolls were associated with unhealthy lifestyle behaviours with a greater proportion of individuals experiencing (i) physical (+15.2%) and social (+71.2%) inactivity, (ii) poor sleep quality (+12.8%), (iii) unhealthy diet behaviours (+10%), and (iv) unemployment (6%). Conversely, participants demonstrated a greater use (+15%) of technology during the confinement period. These findings elucidate the risk of psychosocial strain during the COVID-19 home confinement period and provide a clear remit for the urgent implementation of technology-based intervention to foster an Active and Healthy Confinement Lifestyle AHCL).
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Effects of Ramadan fasting on body composition in athletes: a systematic review.
Aloui, A, Baklouti, H, Souissi, N, Chtourou, H
La Tunisie medicale. 2019;(10):1087-1094
Abstract
PURPOSE In recent decades, the interest for the effects of Ramadan fasting (RF) on health and athletic performance has substantially increased. Moreover, it is widely accepted that body composition is a crucial measure in sport settings to evaluate training programs and optimize nutrition for athletes. This systematic review was conducted to assess the effects of RF on body composition in athletes. DATA SOURCES An electronic database search was performed on the Web of Science and PubMed/MEDLINE databases from inception to March 2019 using a combination of relevant keywords. STUDY ELIGIBILITY CRITERIA RF-related measurements of any body composition indicators in athletes were considered. Only studies published in English language were included. Study appraisal: The quality and validity of the included studies were assessed using "QualSyst". RESULT Twelve studies met the inclusion criteria for this review, which involved a total of 183 participants (12 female and 171 male athletes) of different sport disciplines. Collectively, the analyzed studies indicate that body mass index, body fat, and body fat percentage were generally lower during Ramadan compared to before Ramadan, while lean mass and total body water were unchanged during Ramadan. CONCLUSION Despite the importance of body composition control in sport and exercise settings, there are still many aspects of body composition that should be more thoroughly assessed in athletes during the month of Ramadan. More research, especially well-conducted randomized controlled trials, is needed to evaluate the magnitude of body composition changes in athletes during the holy month.
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Repeated-sprint training in the fasted state during Ramadan: morning or evening training?
Aloui, A, Driss, T, Baklouti, H, Jaafar, H, Hammouda, O, Chamari, K, Souissi, N
The Journal of sports medicine and physical fitness. 2018;(7-8):990-997
Abstract
BACKGROUND The present study assessed the optimal moment of the day for repeated-sprint training in the fasted state during Ramadan. METHODS Thirty amateur soccer players were randomly assigned to a morning training group (MTG, training at ~08:00 a.m., N.=10), an evening training group (ETG, training around 06:00 p.m., N.=10), and a control group (N.=10). Training sessions, conducted on alternate days, consisted of 3 sets of 6×40-m shuttle sprints (2×20 m with 180° direction changes). A 20-second passive recovery and a 4-minute passive recovery were allowed between repetitions and sets, respectively. Before and after Ramadan, performance was assessed at both 08:00 a.m. and 06:00 p.m. by Countermovement Jump (CMJ), Repeated-Sprint Test (RST), and Yo-Yo Intermittent Recovery Test Level 1 (YYIRT1). RESULTS After Ramadan, YYIRT1 performances were enhanced for both groups in the morning (7.82% and 6.29% for MTG and ETG, respectively, P<0.05), and in the evening (6.61% and 11.20%, respectively, P<0.05). Relative changes in YYIRT1 (P=0.33) and RST (-2.13% and -3.44% for MTG and ETG, respectively, P=0.49) at the specific time of training were similar for both groups. No differences were observed in CMJ performances before and after Ramadan for any group (P>0.05). CONCLUSIONS Morning or evening repeated-sprint training conducted in the fasted state during Ramadan enhanced soccer-specific endurance similarly.
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Does increasing active warm-up duration affect afternoon short-term maximal performance during Ramadan?
Baklouti, H, Aloui, A, Chtourou, H, Briki, W, Chaouachi, A, Souissi, N
PloS one. 2015;(2):e0116809
Abstract
AIM: The purpose of this study was to examine the effect of active warm-up duration on short-term maximal performance assessed during Ramadan in the afternoon. METHODS Twelve healthy active men took part in the study. The experimental design consisted of four test sessions conducted at 5 p.m., before and during Ramadan, either with a 5-minute or a 15-minute warm-up. The warm-up consisted in pedaling at 50% of the power output obtained at the last stage of a submaximal multistage cycling test. During each session, the subjects performed two vertical jump tests (squat jump and counter movement jump) for measurement of vertical jump height followed by a 30-second Wingate test for measurement of peak and mean power. Oral temperature was recorded at rest and after warming-up. Moreover, ratings of perceived exertion were obtained immediately after the Wingate test. RESULTS Oral temperature was higher before Ramadan than during Ramadan at rest, and was higher after the 15-minute warm-up than the 5-minute warm-up both before and during Ramadan. In addition, vertical jump heights were not significantly different between the two warm-up conditions before and during Ramadan, and were lower during Ramadan than before Ramadan after both warm-up conditions. Peak and mean power were not significantly different between the two warm-up durations before Ramadan, but were significantly higher after the 5-minute warm-up than the 15-minute warm-up during Ramadan. Moreover, peak and mean power were lower during Ramadan than before Ramadan after both warm-up conditions. Furthermore, ratings of perceived exertion were higher after the 15-minute warm-up than the 5-minute warm-up only during Ramadan. CONCLUSION The prolonged active warm-up has no effect on vertical jump height but impairs anaerobic power assessed during Ramadan in the afternoon.
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Listening to Music during Warming-Up Counteracts the Negative Effects of Ramadan Observance on Short-Term Maximal Performance.
Aloui, A, Briki, W, Baklouti, H, Chtourou, H, Driss, T, Chaouachi, A, Chamari, K, Souissi, N
PloS one. 2015;(8):e0136400
Abstract
AIM: The aim of the present study was to examine whether listening to music during warming-up might influence short-term maximal performance (STMP), cognitive anxiety, self-confidence, and enjoyment during Ramadan, and whether these affects might predict STMP. METHODS Nine male physical education students (age: 21 ± 1.1 years; height: 1.8 ± 0.04 m; body mass: 83 ± 5 kg) volunteered to participate in the present study. A within-subjects design consisted of four experimental sessions: Two sessions occurred one week before Ramadan and two others took place during Ramadan. They were scheduled at 5 p.m. and were conducted as follows: After a 10-minute warm-up either with or without listening to music, each participant performed a 5-m multiple shuttle run test, after which he was asked to answer items intended to assess his affective state during the experimental task. RESULTS Our findings revealed that STMP was lower during Ramadan than before Ramadan in the no-music condition. Additionally, it was found that STMP was higher in the music condition than in the no-music condition during Ramadan, and that STMP measured before Ramadan did not differ from that measured during Ramadan in the music condition. Regarding affects, the findings revealed that enjoyment was lower during Ramadan than before Ramadan in the music condition, and that cognitive anxiety was lower in the music condition than in the no-music condition before Ramadan. Self-confidence was not influenced by the experimental conditions. CONCLUSION This study showed that listening to music during warming-up not only would be beneficial for STMP in Ramadan fasters, but also would counteract the negative effects of Ramadan observance on STMP.
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Effects of Ramadan on physical capacities of North African boys fasting for the first time.
Fenneni, MA, Latiri, I, Aloui, A, Rouatbi, S, Saafi, MA, Bougmiza, I, Chamari, K, Ben Saad, H
The Libyan journal of medicine. 2014;(1):25391
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Abstract
INTRODUCTION Most of the literature related to the effects of Ramadan fasting on physical performance has focused on adults, and only three studies have examined its impact on children's physical performance. AIMS To examine the effects of Ramadan fasting on first-time fasting boys' performance in short-term explosive exercises [vertical and horizontal jump tests (VJT and HJT), 20-m and 30-m sprints and medicine-ball throw (MBT)], as well as in sub-maximal endurance [6-min walking distance (6MWD) measured during the 6-min walk test (6MWT)]. METHODS Eighteen Tunisian boys [mean±standard deviation (SD) of age and body mass (BM): 11.9±0.8 y and 55.4±18.2 kg, respectively] were included. The experimental design comprised four testing phases: 2-weeks before Ramadan (BR), the end of the second week (R2) and the fourth week (R4) of Ramadan, and 10-12 days after the end of Ramadan (AR). At each phase, boys performed two test sessions in the afternoon (15:00-17:00 h) interrupted by 48 h of recovery (first test session: BM, VJT, HJT, and 20-m and 30-m sprint tests; second session: MBT and 6MWT). The study was conducted during the summer of 2012 from July 5 to August 29. RESULTS 6MWDs (m) were significantly shorter during R2 (652±101) and R4 (595±123) compared to BR (697±86) and came back to baseline values AR. BM (kg) mean±SD did not significantly change during R2 (52±15) and during R4 (53±15) compared to BR (55±17), and short-term explosive performances were unchanged throughout the study. CONCLUSION In non-athletic children, first-ever Ramadan fasting impairs sub-maximal aerobic capacity but has no effect on BM or short-term explosive performance.