Perceived Stress, Sleep Quality, and Their Impact on Glycemic Control among Type 2 Diabetes Patients in Riyadh: Cross-Sectional Evidence.
- 1Endocrine clinic Al-diriyah hospital (Riyadh third cluster), Riyadh, Saudi Arabia, [email protected].
- 2College of Medicine, Almaarefa University, Riyadh, Saudi Arabia.
- 3College of Medicine, Shaqraa University, Riyadh, Saudi Arabia.
Abstract
Objective
The aim of this study was to investigate the relationship between perceived stress and sleep quality with glycemic blood levels in T2DM patients in Riyadh.Subject and methods
This cross-sectional study evaluated a total of 309 patients diagnosed with type 2 diabetes mellitus in Riyadh, Saudi Arabia. The study comprised an initial validation and Arabic translation phase involving 160 participants, followed by an analytical phase focusing on 149 adult patients. To investigate the impact of psychosocial and metabolic factors on glycemic control (hemoglobin A1c [HbA1c]), data were collected using the Pittsburgh Sleep Quality Index (PSQI) and the Perceived Stress Scale (PSS-10), alongside clinical metrics such as body mass index (BMI) and dyslipidemia extracted from medical records. A multivariable linear regression model was utilized to identify independent factors associated with glycemic regulation within the local population.Results
The multivariable regression model demonstrated robust explanatory power (adjusted R2 = 0.726, p < 0.001). Traditional risk factors, specifically elevated BMI (β = 0.448, p < 0.001) and dyslipidemia (β = 0.304, p < 0.001), were significantly associated with higher HbA1c levels. Notably, poor sleep quality emerged as a significant independent factor associated with elevated HbA1c (β = 0.261, p < 0.001), whereas perceived stress did not exhibit a significant correlation. Conversely, physical activity demonstrated a significant protective effect, correlating with lower HbA1c (β = -0.271, p < 0.001).Conclusion
Poor sleep quality, rather than perceived psychological stress, is a primary factor independently associated with hyperglycemia in this patient cohort. These findings suggest that standard diabetes care should integrate formal sleep assessments alongside patient care management.
Related
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- Chronic Proton Pump Inhibitor Use and Glycemic Control in Older Adults with Type 2 Diabetes Mellitus: A Retrospective Cross-Sectional Study
- The correlation between risk perception and glycemic management decision-making behavior in pregnant women with gestational diabetes: a cross-sectional study
- Red Cell and Platelet Indices as Biomarkers of Poor Glycemic Control in Patients With Type 2 Diabetes: A Case‐Control Study
BibTeX
@article{almutairi2026perceived,
title = {{Perceived Stress, Sleep Quality, and Their Impact on Glycemic Control among Type 2 Diabetes Patients in Riyadh: Cross-Sectional Evidence.}},
author = {Reem Almutairi and Abdullah Khattab and Amen Bawazir and Meshal Aljarboua and Abdullah Aljarboua and Dhafer Alshabawi},
journal = {Medical principles and practice : international journal of the Kuwait University, Health Science Centre},
year = {2026},
month = oct,
doi = {10.1159/mpp/adpag019},
url = {https://europepmc.org/article/MED/42862788},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Perceived Stress, Sleep Quality, and Their Impact on Glycemic Control among Type 2 Diabetes Patients in Riyadh: Cross-Sectional Evidence.
AU - Reem Almutairi
AU - Abdullah Khattab
AU - Amen Bawazir
AU - Meshal Aljarboua
AU - Abdullah Aljarboua
AU - Dhafer Alshabawi
PY - 2026
DA - 2026/10/12
JO - Medical principles and practice : international journal of the Kuwait University, Health Science Centre
DO - 10.1159/mpp/adpag019
UR - https://europepmc.org/article/MED/42862788
AB - Objective The aim of this study was to investigate the relationship between perceived stress and sleep quality with glycemic blood levels in T2DM patients in Riyadh.Subject and methods This cross-sectional study evaluated a total of 309 patients diagnosed with type 2 diabetes mellitus in Riyadh, Saudi Arabia. The study comprised an initial validation and Arabic translation phase involving 160 participants, followed by an analytical phase focusing on 149 adult patients. To investigate the impact of psychosocial and metabolic factors on glycemic control (hemoglobin A1c [HbA1c]), data were collected using the Pittsburgh Sleep Quality Index (PSQI) and the Perceived Stress Scale (PSS-10), alongside clinical metrics such as body mass index (BMI) and dyslipidemia extracted from medical records. A multivariable linear regression model was utilized to identify independent factors associated with glycemic regulation within the local population.Results The multivariable regression model demonstrated robust explanatory power (adjusted R2 = 0.726, p < 0.001). Traditional risk factors, specifically elevated BMI (β = 0.448, p < 0.001) and dyslipidemia (β = 0.304, p < 0.001), were significantly associated with higher HbA1c levels. Notably, poor sleep quality emerged as a significant independent factor associated with elevated HbA1c (β = 0.261, p < 0.001), whereas perceived stress did not exhibit a significant correlation. Conversely, physical activity demonstrated a significant protective effect, correlating with lower HbA1c (β = -0.271, p < 0.001).Conclusion Poor sleep quality, rather than perceived psychological stress, is a primary factor independently associated with hyperglycemia in this patient cohort. These findings suggest that standard diabetes care should integrate formal sleep assessments alongside patient care management.
SN - 1011-7571
SN - 1423-0151
ER -