Saeed Hasan A, Mohsen Ali H, Alqayem Ahmed T, Hasan Sadiq H, Hasan Mohamed M, Alzeera Husain A
College of Medicine, Wenzhou Medical University, Wenzhou, CHN.
College of Medicine, Zhejiang University, Hangzhou, CHN.
Cureus. 2024 Nov 19;16(11):e74038. doi: 10.7759/cureus.74038. eCollection 2024 Nov.
Obesity is a major public health issue associated with a range of comorbid conditions, including sleep disturbances. Poor sleep quality is common in individuals with obesity, yet the factors contributing to this relationship remain underexplored, especially in non-Western populations. This study aimed to investigate sleep quality and its contributing factors among patients with obesity in the eastern region of Saudi Arabia.
A cross-sectional study was conducted in multiple healthcare centers in the eastern region of Saudi Arabia. Two hundred adults (aged 18-65 years) with obesity (BMI ≥30 kg/m²) were recruited through convenience sampling. Data were collected using a structured questionnaire that assessed demographics, sleep patterns, lifestyle factors (e.g., physical activity, dietary habits, electronic device use), and comorbid health conditions. Sleep quality was self-reported using a four-point scale. Statistical analyses, including descriptive statistics and chi-square tests, were used to identify relationships between BMI and sleep quality.
The mean age of participants was 42.5 years (SD = 12.3), with 56% female. Participants reported an average sleep duration of 5.8 hours per night (SD = 1.3). Over 50% of participants experienced poor sleep quality, and 64% reported symptoms of sleep apnea. Increasing BMI was associated with poorer sleep quality, with those in the highest BMI categories (BMI >42 kg/m²) reporting the worst sleep outcomes. Lifestyle factors such as physical inactivity (75%) and caffeine consumption (60.5% within six hours of bedtime) were also significantly associated with poor sleep quality.
Obesity is strongly associated with poor sleep quality in this cohort, with higher BMI and unhealthy lifestyle factors contributing to sleep disturbances. Interventions targeting weight management, physical activity, dietary habits, and sleep hygiene are essential for improving sleep quality and overall health in obese patients. Future research should explore the causal mechanisms between obesity and sleep disturbances and evaluate the effectiveness of integrated obesity and sleep interventions.
肥胖是一个主要的公共卫生问题，与一系列合并症相关，包括睡眠障碍。睡眠质量差在肥胖个体中很常见，但导致这种关系的因素仍未得到充分探索，尤其是在非西方人群中。本研究旨在调查沙特阿拉伯东部地区肥胖患者的睡眠质量及其影响因素。
在沙特阿拉伯东部地区的多个医疗中心进行了一项横断面研究。通过便利抽样招募了200名肥胖成年人（年龄在18 - 65岁之间，BMI≥30kg/m²）。使用结构化问卷收集数据，该问卷评估了人口统计学、睡眠模式、生活方式因素（如体育活动、饮食习惯、电子设备使用）和合并健康状况。睡眠质量通过四点量表进行自我报告。使用包括描述性统计和卡方检验在内的统计分析来确定BMI与睡眠质量之间的关系。
参与者的平均年龄为42.5岁（标准差 = 12.3），女性占56%。参与者报告平均每晚睡眠时间为5.8小时（标准差 = 1.3）。超过50%的参与者睡眠质量差，64%的人报告有睡眠呼吸暂停症状。BMI增加与睡眠质量较差相关，BMI最高类别（BMI>42kg/m²）的参与者睡眠结果最差。缺乏体育活动（75%）和咖啡因摄入（睡前6小时内60.5%）等生活方式因素也与睡眠质量差显著相关。
在该队列中，肥胖与睡眠质量差密切相关，较高的BMI和不健康的生活方式因素导致睡眠障碍。针对体重管理、体育活动、饮食习惯和睡眠卫生的干预措施对于改善肥胖患者的睡眠质量和整体健康至关重要。未来的研究应探索肥胖与睡眠障碍之间的因果机制，并评估综合肥胖和睡眠干预措施的有效性。
