Associations Between Physical Activity, Sedentary Behaviour, Sleep Quality, and Anxiety Among Healthy Pain-Free Adults in Saudi Arabia: An Online Cross-Sectional Survey

Physical activity, sedentary behaviour, sleep quality, and anxiety are interrelated factors that play a critical role in physical and mental health. However, limited evidence exists on their associations within the Saudi Arabian context. This study aimed to investigate the relationships between phys...

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Main Authors: Mansour Abdullah Alshehri, Areej Ali Alzylai, Joree Abdulrahman Alshehri, Lana Zaid Alsharif, Wafa Saleem Almalki, Hammad S. Alhasan, Ammar S. Fadil, Moayad Saleh Subahi, Hosam Alzahrani
Format: Article
Language:English
Published: MDPI AG 2025-06-01
Series:Sports
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Online Access:https://www.mdpi.com/2075-4663/13/7/196
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author Mansour Abdullah Alshehri
Areej Ali Alzylai
Joree Abdulrahman Alshehri
Lana Zaid Alsharif
Wafa Saleem Almalki
Hammad S. Alhasan
Ammar S. Fadil
Moayad Saleh Subahi
Hosam Alzahrani
author_facet Mansour Abdullah Alshehri
Areej Ali Alzylai
Joree Abdulrahman Alshehri
Lana Zaid Alsharif
Wafa Saleem Almalki
Hammad S. Alhasan
Ammar S. Fadil
Moayad Saleh Subahi
Hosam Alzahrani
author_sort Mansour Abdullah Alshehri
collection DOAJ
description Physical activity, sedentary behaviour, sleep quality, and anxiety are interrelated factors that play a critical role in physical and mental health. However, limited evidence exists on their associations within the Saudi Arabian context. This study aimed to investigate the relationships between physical activity, sedentary behaviour, sleep quality, and anxiety symptoms among healthy, pain-free adults in Saudi Arabia. A cross-sectional online survey was conducted between December 2024 and April 2025 using validated Arabic versions of the Global Physical Activity Questionnaire (GPAQ), the Brief Pittsburgh Sleep Quality Index (B-PSQI), and the Generalised Anxiety Disorder-7 (GAD-7). The data were analysed using descriptive statistics and multivariable linear regression models. A total of 185 participants (mean age = 33.99 ± 12.57 years; 69.73% female) were included. The average total physical activity was 1730.02 ± 2109.24 MET min/week, and the mean sedentary time was 6.77 ± 4.69 h/day. No significant associations were found between physical activity and either sleep quality or anxiety symptoms. Similarly, sedentary behaviour time was not significantly associated with sleep quality or anxiety symptoms. However, poorer sleep quality was significantly associated with higher anxiety levels. These findings highlight the importance of sleep quality in mental health strategies for healthy adults in Saudi Arabia.
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spelling doaj-art-0cc64e1ffe1d48749c9c0b3ee5e8ab862025-08-20T03:32:28ZengMDPI AGSports2075-46632025-06-0113719610.3390/sports13070196Associations Between Physical Activity, Sedentary Behaviour, Sleep Quality, and Anxiety Among Healthy Pain-Free Adults in Saudi Arabia: An Online Cross-Sectional SurveyMansour Abdullah Alshehri0Areej Ali Alzylai1Joree Abdulrahman Alshehri2Lana Zaid Alsharif3Wafa Saleem Almalki4Hammad S. Alhasan5Ammar S. Fadil6Moayad Saleh Subahi7Hosam Alzahrani8Department of Medical Rehabilitation Sciences, Faculty of Applied Medical Sciences, Umm Al-Qura University, Mecca 24382, Saudi ArabiaDepartment of Medical Rehabilitation Sciences, Faculty of Applied Medical Sciences, Umm Al-Qura University, Mecca 24382, Saudi ArabiaDepartment of Medical Rehabilitation Sciences, Faculty of Applied Medical Sciences, Umm Al-Qura University, Mecca 24382, Saudi ArabiaDepartment of Medical Rehabilitation Sciences, Faculty of Applied Medical Sciences, Umm Al-Qura University, Mecca 24382, Saudi ArabiaDepartment of Medical Rehabilitation Sciences, Faculty of Applied Medical Sciences, Umm Al-Qura University, Mecca 24382, Saudi ArabiaDepartment of Medical Rehabilitation Sciences, Faculty of Applied Medical Sciences, Umm Al-Qura University, Mecca 24382, Saudi ArabiaDepartment of Medical Rehabilitation Sciences, Faculty of Applied Medical Sciences, Umm Al-Qura University, Mecca 24382, Saudi ArabiaDepartment of Medical Rehabilitation Sciences, Faculty of Applied Medical Sciences, Umm Al-Qura University, Mecca 24382, Saudi ArabiaDepartment of Physical Therapy, College of Applied Medical Sciences, Taif University, Taif 21994, Saudi ArabiaPhysical activity, sedentary behaviour, sleep quality, and anxiety are interrelated factors that play a critical role in physical and mental health. However, limited evidence exists on their associations within the Saudi Arabian context. This study aimed to investigate the relationships between physical activity, sedentary behaviour, sleep quality, and anxiety symptoms among healthy, pain-free adults in Saudi Arabia. A cross-sectional online survey was conducted between December 2024 and April 2025 using validated Arabic versions of the Global Physical Activity Questionnaire (GPAQ), the Brief Pittsburgh Sleep Quality Index (B-PSQI), and the Generalised Anxiety Disorder-7 (GAD-7). The data were analysed using descriptive statistics and multivariable linear regression models. A total of 185 participants (mean age = 33.99 ± 12.57 years; 69.73% female) were included. The average total physical activity was 1730.02 ± 2109.24 MET min/week, and the mean sedentary time was 6.77 ± 4.69 h/day. No significant associations were found between physical activity and either sleep quality or anxiety symptoms. Similarly, sedentary behaviour time was not significantly associated with sleep quality or anxiety symptoms. However, poorer sleep quality was significantly associated with higher anxiety levels. These findings highlight the importance of sleep quality in mental health strategies for healthy adults in Saudi Arabia.https://www.mdpi.com/2075-4663/13/7/196physical activitysedentary behaviourGPAQsleep qualityB-PSQIanxiety
spellingShingle Mansour Abdullah Alshehri
Areej Ali Alzylai
Joree Abdulrahman Alshehri
Lana Zaid Alsharif
Wafa Saleem Almalki
Hammad S. Alhasan
Ammar S. Fadil
Moayad Saleh Subahi
Hosam Alzahrani
Associations Between Physical Activity, Sedentary Behaviour, Sleep Quality, and Anxiety Among Healthy Pain-Free Adults in Saudi Arabia: An Online Cross-Sectional Survey
Sports
physical activity
sedentary behaviour
GPAQ
sleep quality
B-PSQI
anxiety
title Associations Between Physical Activity, Sedentary Behaviour, Sleep Quality, and Anxiety Among Healthy Pain-Free Adults in Saudi Arabia: An Online Cross-Sectional Survey
title_full Associations Between Physical Activity, Sedentary Behaviour, Sleep Quality, and Anxiety Among Healthy Pain-Free Adults in Saudi Arabia: An Online Cross-Sectional Survey
title_fullStr Associations Between Physical Activity, Sedentary Behaviour, Sleep Quality, and Anxiety Among Healthy Pain-Free Adults in Saudi Arabia: An Online Cross-Sectional Survey
title_full_unstemmed Associations Between Physical Activity, Sedentary Behaviour, Sleep Quality, and Anxiety Among Healthy Pain-Free Adults in Saudi Arabia: An Online Cross-Sectional Survey
title_short Associations Between Physical Activity, Sedentary Behaviour, Sleep Quality, and Anxiety Among Healthy Pain-Free Adults in Saudi Arabia: An Online Cross-Sectional Survey
title_sort associations between physical activity sedentary behaviour sleep quality and anxiety among healthy pain free adults in saudi arabia an online cross sectional survey
topic physical activity
sedentary behaviour
GPAQ
sleep quality
B-PSQI
anxiety
url https://www.mdpi.com/2075-4663/13/7/196
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