Abstract
[This corrects the article on p. e60917 in vol. 8.].
Highlights
Disruption of feeding and sleep schedules have adverse effects on affect and metabolism [1,2,3,4]
The flattening of the cortisol rhythm is typical of conditions associated with chronic stress or endogenous hypercortisolism and associated with insulin resistance
Modern Ramadan practices in Saudi Arabia are associated with evening hypercortisolism and increased insulin resistance
Summary
Disruption of feeding and sleep schedules have adverse effects on affect and metabolism [1,2,3,4] Both conditions are stressors that influence the stress system and the secretion of its mediators, including corticotropin-releasing hormone, the catecholamines norepinephrine and epinephrine and cortisol, through which they exert damaging effects [5]. Staying up till dawn became a common practice among all age groups and socioeconomic classes, curtailing the duration of sleep and disturbing its quality These stressful changes during the Ramadan are accentuated when it takes place in the summer, when the daylight hours are increased. Practicing Muslims in Saudi Arabia go through strict Ramadan fasting from dawn till sunset for one month yearly. Saliva was collected serially during the day for cortisol determinations
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