Mahmoud Iman F, Mahmoud Khadejah F, Elsahoryi Nour A, Mahmoud Abdullah F, Othman Ghadeer A
Department of Clinical Nutrition and Dietetics, Faculty of Pharmacy and Medical Sciences, University of Petra, Amman, 961343, Jordan.
Department of Community Health Nursing, Faculty of Nursing, Applied Science Private University, Amman, Jordan.
Sci Rep. 2024 Dec 5;14(1):30295. doi: 10.1038/s41598-024-77599-w.
The detrimental health and economic burdens associated with insomnia have led to investigations examining its prevalence and potential predictors to utilize this information in insomnia prevention/treatment. Ethnicity, gender, and lifestyle habits are among the important predictors associated with insomnia. The aim of this study was to examine the prevalence of insomnia and potential predictors of insomnia among Arab men living in Jordan, including Mediterranean diet (MD) adherence. The inclusion criteria of this cross-sectional, correlational study were: (1) being a male; (2) aged 18 and older; and (3) able to read, write, and speak the Arabic language. Online questionnaires were used to assess participants' sociodemographic information, adherence to the MD, physical activity, and insomnia. Results demonstrated that there was a high prevalence of insomnia (53.9%) among the study's participants (N = 529). Moreover, in the unadjusted model, the study revealed that being unemployed (OR = 1.90, p = 0.018), categorized as dehydrated (OR = 1.20, p = 0.020), overweight (OR = 1.30, p = 0.035), sleeping less than 6 hours/day (OR = 2.10, p < 0.001), and having high adherence to the MD (OR = 1.60, p = 0.010) were predictors of insomnia. Meanwhile, the adjusted multivariate logistic regression model indicated that being married (OR = 1.20, p = 0.020) played a significant protective role against developing insomnia among Arab men. While high adherence to MD (OR = 1.642, p = 0.028) and sleeping less than 6 hours/day (OR = 2.760, p < 0.001) were relative risk factors for experiencing insomnia. The high prevalence of insomnia in this population and the identification of possible predictors associated with insomnia, and the unexpected relationship between adherence to the MD and insomnia warrant further in-depth investigations that may help promote the understanding of the factors associated with insomnia and facilitate the development of interventions to target it.
与失眠相关的有害健康和经济负担促使人们展开调查，以研究失眠的患病率及其潜在预测因素，以便将这些信息用于失眠的预防/治疗。种族、性别和生活方式习惯是与失眠相关的重要预测因素。本研究的目的是调查居住在约旦的阿拉伯男性中失眠的患病率及其潜在预测因素，包括对地中海饮食（MD）的依从性。这项横断面相关性研究的纳入标准为：（1）男性；（2）年龄在18岁及以上；（3）能够阅读、书写和说阿拉伯语。通过在线问卷来评估参与者的社会人口学信息、对MD的依从性、身体活动情况以及失眠情况。结果表明，该研究的参与者（N = 529）中失眠的患病率很高（53.9%）。此外，在未调整模型中，该研究显示，失业（OR = 1.90，p = 0.018）、被归类为脱水（OR = 1.20，p = 0.020）、超重（OR = 1.30，p = 0.035）、每天睡眠少于6小时（OR = 2.10，p < 0.001）以及对MD的高依从性（OR = 1.60，p = 0.010）是失眠的预测因素。同时，调整后的多变量逻辑回归模型表明，已婚（OR = 1.20，p = 0.020）对阿拉伯男性预防失眠起着显著的保护作用。而对MD的高依从性（OR = 1.642，p = 0.028）和每天睡眠少于6小时（OR = 2.760，p < 0.001）是失眠的相对风险因素。该人群中失眠的高患病率以及与失眠相关的可能预测因素的确定，以及对MD的依从性与失眠之间出人意料的关系，都需要进一步深入研究，这可能有助于增进对与失眠相关因素的理解，并促进针对失眠的干预措施的制定。
