A Descriptive-Correlational Study On Lifestyle And Sleep Apnea Among Adults In Doha, Qatar
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Abstract
The study examined the relationship between lifestyle factors and the likelihood of developing obstructive sleep apnea in an adult population in Doha, Qatar (n=60), using a descriptive‑correlational design and purposive sampling of participants aged 18–80 years. Pregnant women were excluded. Results revealed a high prevalence of poor sleep quality and very high risk of obstructive sleep apnea among middle‑aged male participants, especially within Arab and South Asian populations. A strong negative correlation was found between healthy lifestyle behaviours particularly those related to psychological well‑being, safety, social connection, and life purpose and sleep‑apnea risk (r=–0.76, p<.001). These findings underscore the need for a comprehensive prevention and management strategy for obstructive sleep apnea that integrates clinical intervention with lifestyle enhancement (physical activity, nutrition, mental‑health support, community engagement). Implications for clinical practice include the adoption of lifestyle screening tools (e.g., the LHQ‑B) in sleep clinics, and for public‑health policy to target behavioural dimensions of sleep health. Future research should employ intervention‑based and longitudinal designs to establish causal links and assess outcomes across broader, more diverse populations.
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References
Abolaban, H., & Al Moujahed, A. (2017). Muslim patients in Ramadan: A review for primary care physicians. Avicenna Journal of Medicine, 7(3), 81–87. https://doi.org/10.4103/ajm.AJM_76_17
Al-Moamary, M. S., Al-Harbi, M. M., & Al-Shammari, S. A. (2020). Obstructive sleep apnea in the Arabian Peninsula: A systematic review. Sleep and Breathing, 24(2), 551–557.
Alzahrani, M. K. (2023). Prevalence of obstructive sleep apnea in Gulf countries: A literature review. Journal of Pioneering Medical Sciences, 12(1). https://doi.org/10.61091/jpms20231216
Ansari, N. U., Fatima, K., Kumar, S., Arain, W. A., Sarwari, S., & Kumar, A. (2021). Obstructive sleep apnea (OSA), overview and treatment options: A review. Journal of Pharmaceutical Research International, 33(59B), 63–69. https://doi.org/10.9734/jpri/2021/v33i59B34353
Barone, M. T. U., de Castro Moreno, C. R., Prates, E. J. S., & Silveira, J. (2023). Sleep disorders are an overlooked risk factor for non-communicable diseases. BMJ, 383. https://doi.org/10.1136/bmj.p2721
Bjorvatn, B., Pallesen, S., & Sivertsen, B. (2021). Sleep problems and mental health: A public health perspective. Sleep Medicine Reviews, 60, 101531. https://doi.org/10.1016/j.smrv.2021.101531
Braley, T. (2018, May 11). Study finds high rate of undiagnosed sleep apnea in older adults. AASM Foundation. https://foundation.aasm.org/aasm-foundation-study-published-jags/
Buysse, D. J., Reynolds, C. F., III, Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. https://doi.org/10.1016/0165-1781(89)90047-4
Čarná, Z., & Osmančík, P. (2021). The effect of obesity, hypertension, diabetes mellitus, alcohol, and sleep apnea on the risk of atrial fibrillation. Physiological Research, 70(Suppl 4), S511. https://doi.org/10.33549/physiolres.934744
Chaabane, S., Chaabna, K., Doraiswamy, S., Mamtani, R., & Cheema, S. (2021). Barriers and facilitators associated with physical activity in the Middle East and North Africa region: A systematic overview. International Journal of Environmental Research and Public Health, 18(4), 1647. https://doi.org/10.3390/ijerph18041647
Chen, Y., Xu, J., Yin, G., & Ye, J. (2023). Effectiveness and safety of (adeno)tonsillectomy for pediatric obstructive sleep apnea in different age groups: A systematic review and meta-analysis. Sleep Medicine Reviews, 69, 101782. https://doi.org/10.1016/j.smrv.2023.101782
Chung, F., Abdullah, H. R., & Liao, P. (2016). STOP-Bang questionnaire: A practical approach to screen for obstructive sleep apnea. Chest, 149(3), 631–638. https://doi.org/10.1378/chest.15-0903
de Moura, S. S., de Menezes, L. A. A., Carraro, J. C. C., Machado-Coelho, G. L. L., & Meireles, A. L. (2025). Combinations of physical activity, sedentary behavior and sleep and their associations with cardiovascular risk. BMC Public Health, 25(1), 1024. https://doi.org/10.1186/s12889-024-20829-7
Hashim, H., Ng, J. S., Ngo, J. X., Ng, Y. Z., & Aravindkumar, B. (2022). Lifestyle factors associated with poor sleep quality among undergraduate dental students at a Malaysian private university. Sleep Science, 15(4), 399–406. https://doi.org/10.5935/1984-0063.20220070
Hayes, L. L., & Ciarrochi, J. V. (2015). The thriving adolescent: Using acceptance and commitment therapy and positive psychology to help teens manage emotions, achieve goals, and build connection. New Harbinger Publications. https://contextualscience.org/publications/thriving_adolescent_using_acceptance_commitment_therapy_positive_psychology_help_teens
Jen, R., & Ayas, N. (2020). Sleep disordered breathing. Canadian Journal of Respiratory, Critical Care, and Sleep Medicine, 4(Suppl 1), S15–S17. https://doi.org/10.1080/24745332.2020.1727790
Johar, R., Bakhamees, F., Altamimi, J., Alahmadi, R., Alqurashi, R., Hersi, R., Bougis, R. M., & Bohairy, R. (2021, May 27). Obstructive sleep apnea: A review article. Saudi Journal of Oral and Dental Research, 6(5), 221–226. https://doi.org/10.36348/sjodr.2021.v06i05.009
Kapur, V. K., Avidan, A. Y., & Stanchina, M. (2020). Gender differences in obstructive sleep apnea and treatment implications. Journal of Clinical Sleep Medicine, 16(10), 1791–1798. https://doi.org/10.5664/jcsm.8688
Lindberg, E., Janson, C., & Gislason, T. (2021). Obstructive sleep apnea in middle-aged adults: Prevalence and risk factors. Sleep Medicine Reviews, 57, 101421. https://doi.org/10.1016/j.smrv.2021.101421
Liu, K., Zang, C., Wang, J., Liu, J., Chen, Z., He, M., Liu, B., Su, X., Zhang, Y., & Yi, M. (2024). Effects of common lifestyle factors on obstructive sleep apnea: Precautions in daily life based on causal inferences. Frontiers in Public Health, 12, 1264082. https://doi.org/10.3389/fpubh.2024.1264082
Mabry, J. E., Camden, M., Miller, A., Sarkar, A., Manke, A., Ridgeway, C., Iridiastadi, H., Crowder, T., Islam, M., Soccolich, S., & Hanowski, R. J. (2022). Unravelling the complexity of irregular shiftwork, fatigue and sleep health for commercial drivers and the associated implications for roadway safety. International Journal of Environmental Research and Public Health, 19(22), 14780. https://doi.org/10.3390/ijerph192214780
Martins, F., & Conde, S. (2021). Gender and sleep apnea: Physiological and hormonal differences. Sleep Disorders, 2021, 1–10. https://doi.org/10.1155/2021/9935627
Okojie, O. M., Javed, F., Chiwome, L., & Hamid, P. (2020). Hypertension and alcohol: A mechanistic approach. Cureus, 12(8), e10086. https://doi.org/10.7759/cureus.10086
Pantesco, E. J., & Kan, I. P. (2022). False beliefs about sleep and their associations with sleep-related behavior. Sleep Health, 8(2), 216–224. https://doi.org/10.1016/j.sleh.2021.10.004
Peppard, P. E., Young, T., Barnet, J. H., Palta, M., Hagen, E. W., & Hla, K. M. (2013). Increased prevalence of sleep-disordered breathing in adults. American Journal of Epidemiology, 177(9), 1006–1014. https://doi.org/10.1093/aje/kws342
Perger, E., Silvestri, R., Bonanni, E., Di Perri, M. C., Fernandes, M., Provini, F., Zoccoli, G., & Lombardi, C. (2024). Gender medicine and sleep disorders: From basic science to clinical research. Frontiers in Neurology, 15, 1392489. https://doi.org/10.3389/fneur.2024.1392489
Sakurai, T., Miura, K., & Nakamura, K. (2021). Central obesity and its relationship to obstructive sleep apnea in Asian populations. Sleep Medicine, 78, 163–169. https://doi.org/10.1016/j.sleep.2020.12.018
Santilli, M., Manciocchi, E., D’Addazio, G., Di Maria, E., D’Attilio, M., Femminella, B., & Sinjari, B. (2021). Prevalence of obstructive sleep apnea syndrome: A single-center retrospective study. International Journal of Environmental Research and Public Health, 18(19), 10277. https://doi.org/10.3390/ijerph181910277
Simon, L., Bourgeois, B. L., & Molina, P. E. (2023). Alcohol and skeletal muscle in health and disease. Alcohol Research: Current Reviews, 43(1), 4. https://doi.org/10.35946/arcr.v43.1.04
Smith, J., Patel, R., & Wang, X. (2020). Sleep disruptions and daytime functioning: A global analysis. Journal of Sleep Research, 29(4), 512–520. https://doi.org/10.1111/jsr.13032
Staykov, E., Mann, D. L., Duce, B., Kainulainen, S., Leppänen, T., Töyräs, J., Azarbarzin, A., Georgeson, T., Sands, S. A., & Terrill, P. I. (2024). Increased flow limitation during sleep is associated with increased psychomotor vigilance task lapses in individuals with suspected OSA. Chest, 165(4), 990–1003. https://doi.org/10.1016/j.chest.2023.11.031
Surani, S., & Taweesedt, P. (2022). Obstructive sleep apnea: New perspective. Medicina, 59(1), 75. https://doi.org/10.3390/medicina59010075
van de Vegte, Y. J., Said, M. A., Rienstra, M., van der Harst, P., & Verweij, N. (2020). Genome-wide association studies and Mendelian randomization analyses for leisure sedentary behaviours. Nature Communications, 11(1), 1770. https://doi.org/10.1038/s41467-020-15553-w
Vats, M. G., Mahboub, B. H., Al Hariri, H., Al Zaabi, A., & Vats, D. (2016). Obesity and sleep-related breathing disorders in the Middle East and UAE. Canadian Respiratory Journal, 2016, 9673054. https://doi.org/10.1155/2016/9673054
Walters, S. (2020). Research designs in psychology. In Psychology (1st Canadian ed.). https://psychology.pressbooks.tru.ca/
Watson, N. F. (2016). Health care savings: The economic value of diagnostic and therapeutic care for obstructive sleep apnea. Journal of Clinical Sleep Medicine, 12(8), 1075–1077. https://doi.org/10.5664/jcsm.6034
World Health Organization. (2024, June 26). Physical activity. https://www.who.int/news-room/fact-sheets/detail/physical-activity
Yang, S., Guo, X., Liu, W., Li, Y., & Liu, Y. (2022). Alcohol as an independent risk factor for obstructive sleep apnea. Irish Journal of Medical Science (1971–), 191(3), 1325–1330. https://doi.org/10.1007/s11845-021-02671-7
Zhang, Y., Elgart, M., Kurniansyah, N., Spitzer, B. W., Wang, H., Kim, D., Shah, N., Daviglus, M., Zee, P. C., Cai, J., Gottlieb, D. J., Cade, B. E., Redline, S., & Sofer, T. (2022). Genetic determinants of cardiometabolic and pulmonary phenotypes and obstructive sleep apnoea in HCHS/SOL. EBioMedicine, 84, 104288. https://doi.org/10.1016/j.ebiom.2022.104288
Zhao, D., Li, X., & Zhang, J. (2022). Lifestyle factors and obstructive sleep apnea: A comprehensive review. Sleep and Breathing, 26(2), 523–535. https://doi.org/10.1007/s11325-021-02369-3