Insomnia among primary care adult population in Aseer region of Saudi Arabia: gastroesophageal reflux disease and body mass index correlates

Awadalla, Nabil J.; Al-Musa, Hassan M.

doi:10.1080/09291016.2019.1656933

Cited by 9 publications

(6 citation statements)

References 45 publications

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“…The specific reasons for exclusion and the numbers of articles excluded are shown in Figure 1 . Among the included articles, ten studies were conducted in Western countries (26 articles in total), including Albania, 8 , 9 Ireland, 10–16 Australia, 17 , 18 Poland, 19 , 20 the Netherlands, 21 Canada, 22 the United States, 23–29 Norway, 30 Italy, 31 , 32 and the UK; 33 and nine studies were conducted in Eastern countries (46 articles in total), including Pakistan, 34 South Korea, 35–38 Malaysia, 39 Bangladesh, 40 Japan, 41–46 Saudi Arabia, 47 Iran, 48 India, 49–53 and China. 54–79 There were 4 cohort studies, 27 case-control studies, and 41 cross-sectional studies.…”

Section: Resultsmentioning

confidence: 99%

Dietary and Lifestyle Factors Related to Gastroesophageal Reflux Disease: A Systematic Review

Zhang

Hou

Huang

et al. 2021

TCRM

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We performed this review to clarify which dietary and lifestyle factors are related to gastroesophageal reflux disease. Through a systematic search of the PubMed, EMBASE, China National Knowledge Infrastructure (CNKI), and Chinese BioMedical Literature (CBM) databases, we identified articles with clear definitions of GERD, including nonerosive gastroesophageal reflux disease (NERD), reflux esophagitis (RE) and Barrett’s esophagus (BE), that included dietary and lifestyle factors as independent factors affecting the onset of GERD (expressed as odds ratios (ORs) or relative risks (RRs) and 95% confidence intervals (CIs)). Due to heterogeneity among the studies, we used descriptive statistical analyses to analyze and synthesize each outcome based on the disease type. In total, 72 articles were included, conducted in ten Western countries (26 articles in total) and nine Eastern countries (46 articles in total). We categorized dietary factors into 20 items and lifestyle factors into 11 items. GERD is related to many irregular dietary and lifestyle habits (such as a habit of midnight snacking: OR=5.08, 95% CI 4.03–6.4; skipping breakfast: OR=2.7, 95% CI 2.17–3.35; eating quickly: OR=4.06, 95% CI 3.11–5.29; eating very hot foods: OR=1.81, 95% CI 1.37–2.4; and eating beyond fullness: OR=2.85, 95% CI 2.18–3.73). Vegetarian diets (consumption of nonvegetarian food (no/yes); OR=0.34, 95% CI 0.211–0.545) and no intake of meat (OR=0.841, 95% CI 0.715–0.990) were negatively related to GERD, while meat (daily meat, fish, and egg intake: OR=1.088, 95% CI 1.042-1.135) and fat (high–fat diet: OR=7.568, 95% CI 4.557–8.908) consumption were positively related to GERD. An interval of less than three hours between dinner and bedtime (OR=7.45, 95% CI 3.38–16.4) was positively related to GERD, and proper physical exercise (physical exercise >30 minutes (>3 times/week): OR=0.7, 95% CI 0.6–0.9) was negatively correlated with GERD. Smoking (OR=1.19, 95% CI 1.12–1.264), alcohol consumption (OR=1.278, 95% CI 1.207–1.353) and mental state (poor mental state: OR=1.278, 95% CI 1.207–1.353) were positively correlated with GERD. RE (vitamin C: OR=0.46, 95% CI=0.24–0.90) and BE (vitamin C: OR=0.44,95% CI 0.2-0.98; vitamin E: OR=0.46, 95% CI 0.26–0.83) were generally negatively correlated with antioxidant intake. In conclusion, many dietary and lifestyle factors affect the onset of GERD, and these factors differ among regions and disease types. These findings need to be further confirmed in subsequent studies.

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Section: Resultsmentioning

confidence: 99%

Dietary and Lifestyle Factors Related to Gastroesophageal Reflux Disease: A Systematic Review

Zhang

Hou

Huang

et al. 2021

TCRM

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“…Awadalla and Al-Musa reported an internal reliability measure based on the Cronbach’s alpha in a sample of primary care patients from Saudi Arabia. 13 A large-scale study conducted on a nationally representative sample involving 1,000,000 individuals in Taiwan, found that the incidences of adjusted and psychophysiological insomnia were higher in female nurses than other health professionals, and non-health professionals. 16 Nurses have a high prevalence of sleep disorders, including insomnia and associated conditions that predispose them to poor sleep.…”

Section: Introductionmentioning

confidence: 99%

Psychometric Validation of the Athens Insomnia Scale Among Nurses: A Robust Approach Using Both Classical Theory and Rating Scale Model Parameters

Manzar¹,

Albougami²,

Hassen³

et al. 2022

NSS

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Purpose Few studies have investigated the validity of the Athens insomnia scale (AIS) using a robust approach of both classical theory and the rating scale model. Therefore, in this study, we investigated psychometric validation of the AIS using both of these approaches in nurses. Methods Nurses (n= 563, age= 33.2±7.1 years) working in health facilities in Saudi Arabia participated in a cross-sectional study. Participants completed the AIS, socio-demographics tool, and sleep health-related questions. Results Confirmatory factor analysis (CFA) favored a 2-factor structure with both comparative fit index (CFI), and incremental fit index (IFI) having values above 0.95. The 2-factor model had the lowest values of Akaike information criterion (AIC), root mean square error of approximation (RMSEA), χ 2 , and χ 2 /df. This 2-factor structure showed configural invariance (CFI more than 0.95, RMSEA less than 0.08, and Χ 2 /df less than 3), and metric, scalar, and strict invariance (based on Δ CFI ≤-0.01, and Δ RMSEA ≥ 0.015 criteria). No ceiling/floor effects were seen for the AIS total scores. Infit and outfit mean square values for all the items were within the acceptable range (<1.4, >0.6). The threshold estimates for each item were ordered as expected. Cronbach’s α for the AIS tool, factor-1 score, factor-2 score was 0.86, 0.82, and 0.72, respectively. AIS factor scores-1/2 were significantly associated with a habitual feeling of tiredness after usual night sleep (p<0.001), Impairment of daytime socio-occupational functioning (p<0.05), and with a feeling of daytime fatigue, irritability, and restlessness (p<0.05). Conclusion The findings favor the validity of a 2-factor structure of the AIS with adequate item properties, convergent validity, and reliability in nurses.

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“…[ 19 ] The reliability of the Arabic version was examined in a previous study and found acceptable (Cronbach's alpha = 0.77). [ 20 ]…”

Section: Methodsmentioning

confidence: 99%

Sleep hygiene, sleep-related problems, and their relations with quality of life in a primary-care population in southwest Saudi Arabia

Awadalla

Mahfouz

Shehata

et al. 2020

J Family Med Prim Care

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Background: Little is recognized about factors affecting poor sleep hygiene and relations of sleep problems with the quality of life among adults. Aims: To evaluate sleep hygiene, explore its associated factors, assess the prevalence of excessive daytime sleepiness (EDS) and insomnia, and their relations with sleep hygiene. Besides, correlate sleep problems with life quality. Methods: A representative sample of primary healthcare population was surveyed using questionnaires comprising sociodemographic characters, personal lifestyles, validated Arabic versions of Epworth sleepiness scales, Athens insomnia scale, short-form health survey questionnaire (SF-12), and developed Arabic sleep hygiene index (SHI). Results: A total of 401 adults participated in the study. The average SHI score was 17.25 ± 7.33. Poorer sleep hygiene was significantly detected in younger age, unmarried, unemployed, smokers, and energy drinks consumers ( P < 0.05). Positive significant correlations were correlated with cellphone and video-gaming duration. About 56.61% and 39.90% of participants suffered insomnia symptoms and EDS, respectively. Significant poorer SHI was detected among insomnia and EDS sufferers. Negative significant correlations were observed between scores of both components of SF-12 and EDS, insomnia, and SHI. Conclusion: Significant negative associations were detected between SHI, EDS, insomnia, and both components of life quality. The role of sleep hygiene education programs in the promotion of sleep and quality of life need to be considered.

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Insomnia among primary care adult population in Aseer region of Saudi Arabia: gastroesophageal reflux disease and body mass index correlates

Cited by 9 publications

References 45 publications

Dietary and Lifestyle Factors Related to Gastroesophageal Reflux Disease: A Systematic Review

Dietary and Lifestyle Factors Related to Gastroesophageal Reflux Disease: A Systematic Review

Psychometric Validation of the Athens Insomnia Scale Among Nurses: A Robust Approach Using Both Classical Theory and Rating Scale Model Parameters

Sleep hygiene, sleep-related problems, and their relations with quality of life in a primary-care population in southwest Saudi Arabia

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