TY - JOUR
T1 - Effects of the COVID-19 pandemic on sleep health among Middle Eastern and North African (MENA) populations
T2 - a systematic review of the literature
AU - Al-Ajlouni, Yazan A.
AU - Al Ta'Ani, Omar
AU - Shamaileh, Ghaith
AU - Mushasha, Rand
AU - Makarem, Nour
AU - Duncan, Dustin T.
N1 - Publisher Copyright:
© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2022/12/7
Y1 - 2022/12/7
N2 - Objectives This study sought to conduct a systematic review of the literature on the impact of the COVID-19 pandemic on sleep health among Middle Eastern and North African (MENA) populations, understudied geographic regions including with regards to sleep health. Setting A systematic literature search of studies published from inception to 27 March 2022 was conducted on multiple databases using developed keywords. Participants Studies were included if they (1) investigated one or more aspects/dimensions of sleep health as an outcome (eg, sleep duration, sleep quality, sleep problems); (2) measured the impact of a COVID-19 pandemic-related domain (eg, impact of quarantine, work from home, lifestyle changes); (3) focused on at least one MENA region population; (4) were peer-reviewed; (5) included ≥100 participants; (6) were written in English and (7) had full-text article publicly available. Primary and secondary outcomes measured Primary outcomes were sleep duration, sleep quality and sleep problems. Results In line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, 164 studies were included for data extraction. The Newcastle-Ottawa scale for cross-sectional studies was used to assess the quality of the studies. Overall, the COVID-19 pandemic significantly impacted sleep duration, sleep quality and presence and severity of sleep disorders in MENA populations, including adults, children, students, healthcare workers and people with chronic illnesses. The directionality and strength of associations, as well as the determinants of sleep health, varied by subpopulations. Conclusions Longitudinal studies are needed to understand the longer-term impact of the COVID-19 pandemic on the sleep health of MENA populations. Sleep health interventions and policy measures should be tailored to the need of each subpopulation. PROSPERO registration number CRD42022321128.
AB - Objectives This study sought to conduct a systematic review of the literature on the impact of the COVID-19 pandemic on sleep health among Middle Eastern and North African (MENA) populations, understudied geographic regions including with regards to sleep health. Setting A systematic literature search of studies published from inception to 27 March 2022 was conducted on multiple databases using developed keywords. Participants Studies were included if they (1) investigated one or more aspects/dimensions of sleep health as an outcome (eg, sleep duration, sleep quality, sleep problems); (2) measured the impact of a COVID-19 pandemic-related domain (eg, impact of quarantine, work from home, lifestyle changes); (3) focused on at least one MENA region population; (4) were peer-reviewed; (5) included ≥100 participants; (6) were written in English and (7) had full-text article publicly available. Primary and secondary outcomes measured Primary outcomes were sleep duration, sleep quality and sleep problems. Results In line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, 164 studies were included for data extraction. The Newcastle-Ottawa scale for cross-sectional studies was used to assess the quality of the studies. Overall, the COVID-19 pandemic significantly impacted sleep duration, sleep quality and presence and severity of sleep disorders in MENA populations, including adults, children, students, healthcare workers and people with chronic illnesses. The directionality and strength of associations, as well as the determinants of sleep health, varied by subpopulations. Conclusions Longitudinal studies are needed to understand the longer-term impact of the COVID-19 pandemic on the sleep health of MENA populations. Sleep health interventions and policy measures should be tailored to the need of each subpopulation. PROSPERO registration number CRD42022321128.
KW - COVID-19
KW - Public health
KW - SLEEP MEDICINE
UR - http://www.scopus.com/inward/record.url?scp=85145511920&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85145511920&partnerID=8YFLogxK
U2 - 10.1136/bmjopen-2022-066964
DO - 10.1136/bmjopen-2022-066964
M3 - Article
C2 - 36600378
AN - SCOPUS:85145511920
SN - 2044-6055
VL - 12
JO - BMJ open
JF - BMJ open
IS - 12
M1 - e066964
ER -