Sleep Quality in an Asthmatic Adult Population in Saudi Arabia: A Cross-Sectional Study

Tareq F Alotaibi,1,2 Saleh S Algarni,1,2 Mohammed M Alqahtani,1,2 Hassan Y Aljohani,1,2 Taha T Ismaeil,1,2 Mobarak K Alqahtani,1,2 Riyadh Abdullah Alotaibi,1,2 Abdullah H Alateeq,1,2 Fahad Saad Al-dawsari,1,2 Mansour M Alotaibi,3 Mohammed F Alshahrani,4 Turki M Alanazi,5,6 Abdullah M Alanazi1,2 1Department of Respiratory Therapy, College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; 2King Abdullah International Medical Research Center, Riyadh, Saudi Arabia; 3Northern Border University, Department of Physical Therapy, Arar, Saudi Arabia; 4Respiratory Department, Security Forces Hospital, Riyadh, Saudi Arabia; 5Department of Respiratory Therapy, King Saud Bin Abdulaziz University for Health Sciences, Al Ahsa, Saudi Arabia; 6King Abdullah International Medical Research Center, Al Ahsa, Saudi ArabiaCorrespondence: Tareq F Alotaibi, Email [email protected] & Aims: Asthma is a chronic disorder affecting health-related quality of life. This study aimed to explore differences in sleep quality based on individual characteristics, such as smoking habits and asthma.Methods: This cross-sectional study included Saudi citizens aged ≥ 18 years. A questionnaire was used to collect information regarding demographics, sleep quality, smoking history, and physical activity.Results: We included 489 participants (male, 58%), divided into three main groups for analysis: (1) individuals with asthma (n=52), smokers (n=104), and controls (n=333). In total, 71.15% (n=37) of individuals with asthma and 64.4% (n=67) of the smokers had sleep difficulties. Furthermore, 61.5% (n=32) of individuals with asthma and 56.7% (n=59) of smokers were found to be insufficiently active. Additionally, 15.4% (n=8) of individuals with asthma and 15.4% of smokers (n=16) were moderately active. Finally, 23.1% (n=12) of individuals with asthma and 27.9% (n=29) of smokers were active. The questionnaire also revealed that 57.7% (n=282) of respondents had poor sleep quality, with a significantly higher rate among individuals with asthma (71.15%; n=37; mean ± SD: 10 ± 3.57) compared to that among non-asthmatics (50%; n=245; mean ± SD: 6.58 ± 3.61; P=0.027).Conclusion: Asthma has a significant impact on sleep quality and physical activity levels. Poor sleep quality adversely affects the quality of life, suggesting that increased public awareness of these risk factors is crucial.Keywords: asthma, smoking, adults, quality of life, sleep