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Guembri MA, Racil G, Tounsi M, Aouichaoui C, Russo L, Migliaccio GM, Trabelsi Y, Souissi N, Padulo J. Effects of Ramadan Fasting on Sleep and Physical Fitness among Young Female Handball Players. CHILDREN (BASEL, SWITZERLAND) 2024; 11:954. [PMID: 39201889 PMCID: PMC11352938 DOI: 10.3390/children11080954] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/01/2024] [Revised: 07/30/2024] [Accepted: 08/04/2024] [Indexed: 09/03/2024]
Abstract
OBJECTIVES This study examines the potential impact of Ramadan fasting on sleep patterns and physical fitness in under 14 (U14) and under 17 (U17) female handball players. METHODS For this study, sixty-five female handball players' (U14, n = 33 and U17, n = 32) sleep habits were assessed before (BR) and during the first (R1) and last weeks (R4) of Ramadan using: the Pittsburgh Sleep Quality Index (PSQI), the Insomnia Severity Index (ISI), and the Epworth Sleepiness Scale (ESS). Physical ability tests including balance and jumps were conducted throughout these periods.; Results: During Ramadan, both groups noted significant increases in PSQI and ISI scores during R1 (p < 0.01 and p < 0.05, respectively) and R4 (p < 0.05 and p < 0.05, respectively) compared to before Ramadan (BR). For the U14 group, a significant increase occurred in ESS scores during R1 (p < 0.01) and R4 (p < 0.05), whereas for the U17 group, this increase was limited over the R1 period (p < 0.05). In contrast, for all physical ability parameters, both groups showed no significant difference during R1 and R4; Conclusions: During adolescence, Ramadan fasting may alter sleep patterns in young female athletes but appears to have no effect on their performance in short-duration exercises.
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Affiliation(s)
- Mohamed Alaeddine Guembri
- Research Unit: Physical Activity, Sport and Health, UR18JS01, National Observatory of Sport, Tunis 1003, Tunisia;
| | - Ghazi Racil
- Research Unit (LR 23JS01) “Sport Performance, Health & Society”, Higher Institute of Sport and Physical Education of Ksar Saîd, University of Manouba, Tunis 2010, Tunisia;
| | - Mohamed Tounsi
- Research Laboratory: Exercise Physiology and Physiopathology: From Integrated to Molecular “Biology, Medicine and Health” (LR19ES09), Faculty of Medicine of Sousse, University of Sousse, Sousse 4000, Tunisia; (M.T.); (C.A.); (Y.T.); (N.S.)
| | - Chirine Aouichaoui
- Research Laboratory: Exercise Physiology and Physiopathology: From Integrated to Molecular “Biology, Medicine and Health” (LR19ES09), Faculty of Medicine of Sousse, University of Sousse, Sousse 4000, Tunisia; (M.T.); (C.A.); (Y.T.); (N.S.)
| | - Luca Russo
- eCampus University, 22060 Novedrate, Italy;
| | - Gian Mario Migliaccio
- Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Rome Open University, 00166 Rome, Italy;
- Maxima Performa, Athlete Physiology, Psychology and Nutrition Unit, 20126 Milan, Italy
| | - Yassine Trabelsi
- Research Laboratory: Exercise Physiology and Physiopathology: From Integrated to Molecular “Biology, Medicine and Health” (LR19ES09), Faculty of Medicine of Sousse, University of Sousse, Sousse 4000, Tunisia; (M.T.); (C.A.); (Y.T.); (N.S.)
| | - Nizar Souissi
- Research Laboratory: Exercise Physiology and Physiopathology: From Integrated to Molecular “Biology, Medicine and Health” (LR19ES09), Faculty of Medicine of Sousse, University of Sousse, Sousse 4000, Tunisia; (M.T.); (C.A.); (Y.T.); (N.S.)
| | - Johnny Padulo
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, 20133 Milan, Italy
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Bereuter JP, Geissler ME, Geissler R, Schmidt S, Buck N, Weiß J, Krause-Jüttler G, Weitz J, Distler M, von Bechtolsheim F, Oehme F. Impact of dehydration on laparoscopic performance: a prospective, open-label, randomized cross-over trial. Surg Endosc 2024; 38:1390-1397. [PMID: 38148400 PMCID: PMC10881765 DOI: 10.1007/s00464-023-10644-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2023] [Accepted: 12/03/2023] [Indexed: 12/28/2023]
Abstract
INTRODUCTION During laparoscopic surgery, surgeons may experience prolonged periods without fluid intake, which might impact surgical performance, yet there are no objective data investigating this issue. Therefore, the aim of this study was to elucidate the effect of prolonged dehydration on laparoscopic surgical performance and tissue handling. METHODS A total of 51 laparoscopic novices participated in a single-center, open-label, prospective randomized cross-over trial. All participants were trained to proficiency using a standardized laparoscopic training curriculum. Afterward, all participants performed four different laparoscopic tasks twice, once after 6 h without liquid intake (dehydrated group) and once without any restrictions (control group). Primary endpoints were tissue handling defined by force exertion, task time, and error rate. The real hydration status was assessed by biological parameters, like heart rate, blood pressure, and blood gas analysis. RESULTS 51 laparoscopic novices finished the curriculum and completed the tasks under both hydrated and dehydrated conditions. There were no significant differences in mean non-zero and peak force between the groups. However, dehydrated participants showed significantly slower task times in the Peg transfer task (hydrated: 139.2 s vs. dehydrated: 147.9 s, p = 0.034) and more errors regarding the precision in the laparoscopic suture and knot task (hydrated: 15.7% accuracy rate vs. dehydrated: 41.2% accuracy rate, p < 0.001). CONCLUSION Prolonged periods of dehydration do not appear to have a substantial effect on the fundamental tissue handling skills in terms of force exertion among surgical novices. Nevertheless, the observed impact on speed and precision warrants attention.
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Affiliation(s)
- Jean-Paul Bereuter
- Department of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
| | - Mark Enrik Geissler
- Department of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
| | - Rona Geissler
- Department of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
| | - Sofia Schmidt
- Department of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
| | - Nathalie Buck
- Department of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
| | - Juliane Weiß
- Department of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
| | - Grit Krause-Jüttler
- Department of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
- Centre for Tactile Internet with Human-in-the-Loop (CeTI), Technische Universität Dresden, Dresden, Germany
| | - Jürgen Weitz
- Department of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
- Centre for Tactile Internet with Human-in-the-Loop (CeTI), Technische Universität Dresden, Dresden, Germany
- National Center for Tumor Diseases (NCT), Dresden, Germany
| | - Marius Distler
- Department of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
- Centre for Tactile Internet with Human-in-the-Loop (CeTI), Technische Universität Dresden, Dresden, Germany
| | - Felix von Bechtolsheim
- Department of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
- Centre for Tactile Internet with Human-in-the-Loop (CeTI), Technische Universität Dresden, Dresden, Germany.
| | - Florian Oehme
- Department of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
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Skinner S, Duclos A. Continued Performance Improvement-What Practicing Surgeons Can Learn From Athletes. JAMA Surg 2023; 158:439-440. [PMID: 36857060 DOI: 10.1001/jamasurg.2022.7732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/02/2023]
Abstract
This Viewpoint describes how surgeons can optimize performance with methods for continuous performance improvement used by athletes.
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Affiliation(s)
- Sarah Skinner
- Research on Healthcare Performance (RESHAPE), INSERM, U1290, Université Claude Bernard Lyon 1, Lyon, France.,Health Data Department, Hospices Civils de Lyon, Lyon, France
| | - Antoine Duclos
- Research on Healthcare Performance (RESHAPE), INSERM, U1290, Université Claude Bernard Lyon 1, Lyon, France.,Health Data Department, Hospices Civils de Lyon, Lyon, France
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Li Z, Bo X, Qian C, Chen M, Shao Y, Peng Y, Cai R, Huang X, Wei L, Zhao J, Shi J. Risk factors for musculoskeletal disorders among takeaway riders: Up-to-date evidence in Shanghai, China. Front Public Health 2022; 10:988724. [PMID: 36478725 PMCID: PMC9720113 DOI: 10.3389/fpubh.2022.988724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Accepted: 11/03/2022] [Indexed: 11/22/2022] Open
Abstract
Background Musculoskeletal disorders (MSDs) are common occupational diseases. However, the influencing mechanisms were not clear in the new emerging takeaway rider occupation in the catering industry in China. Methods A cross-sectional study was conducted using a takeaway rider sample from one of the largest e-platforms, the Mei Tuan Company in Shanghai. The chi-square test was used to compare the sex differences in MSDs according to various factors. Binary logistic regressions were then performed to explore the potential risk factors for the occurrence and severity of MSDs adjusted by age, sex and vehicle type. Crude odds ratios (CORs) and adjusted odds ratios (AORs) and their 95% confidence intervals (CIs) for predictors were reported. Results The prevalence of MSDs was found to be 54.9% (n = 361). Shoulders (joint pain: 24.5%, n = 154/629 cases; muscle pain: 29.0%, n = 183/632 cases; muscle numbness: 31.7%, n = 120/379 cases) and neck (joint pain: 17.0%, n = 107/629 cases; muscle pain: 14.1%, n = 89/632 cases; muscle numbness: 15.3%, n = 58/379 cases) were the most affected regions. Irregular meals (often having regular meals: p = 0.03, AOR = 1.89, 95% CI: 1.05-3.39; sometimes: p < 0.01, AOR = 2.54, 95% CI: 1.49-4.34 and seldomly: p < 0.01, AOR = 4.24, 95% CI: 2.28-7.91) were positively associated with the occurrence of MSDs. Work-related factors, including working over 5 years (p = 0.02, AOR = 1.87, 95% CI: 1.10-3.17) and over 51 km of food delivery distance per day (51-75 km: p = 0.02, AOR = 2.13, 95CI%:1.13-4.01; ≥76 km: p < 0.01, AOR = 3.12, 95CI%: 1.44-6.77), were strongly associated with severity. Conclusion MSDs were common among takeaway riders. Personal lifestyles (meal irregularity) were found to predict the occurrence, while work-related factors (longer years of employment and prolonged food delivery distance) were positively associated with severity. Public health efforts should be made to prevent MSDs in this population.
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Affiliation(s)
- Ziyun Li
- Department of Sports Medicine, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China,School of Public Health, Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - Xiaochen Bo
- School of Public Health, Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - Chen Qian
- School of Public Health, Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - Mingyue Chen
- School of Public Health, Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - Yuqing Shao
- School of Public Health, Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - Yuxun Peng
- School of Public Health, Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - Ruian Cai
- School of Public Health, Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - Xiaojing Huang
- School of Management, Xuzhou Medical University, Xuzhou, China,Xiaojing Huang
| | - Lijun Wei
- Shanghai Minhang Wujing Community Healthcare Center, Shanghai, China,Lijun Wei
| | - Jinzhong Zhao
- Department of Sports Medicine, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China,Jinzhong Zhao
| | - Jianwei Shi
- Department of General Practice, Yangpu Hospital, Tongji University School of Medicine, Shanghai, China,Department of Social Medicine and Health Management, School of Public Health, Shanghai Jiaotong University School of Medicine, Shanghai, China,*Correspondence: Jianwei Shi
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