AUTHOR=Abdelaziz Enas Mahrous , Elsharkawy Nadia Bassuoni , Mohamed Sayeda Mohamed TITLE=Health Promoting Lifestyle Behaviors and Sleep Quality Among Saudi Postmenopausal Women JOURNAL=Frontiers in Public Health VOLUME=Volume 10 - 2022 YEAR=2022 URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2022.859819 DOI=10.3389/fpubh.2022.859819 ISSN=2296-2565 ABSTRACT=Background. One of the most effective measures regarding improving women's health is to promote healthy lifestyle behaviors. This study aimed to investigate the relationship between health-promoting behaviors and sleep quality among a sample of Saudi menopausal women. Methods. A descriptive cross-sectional study was used to collect data from 410 Saudi postmenopausal women visiting primary healthcare care centers located in Sakaka, Jouf, Saudi Arabia, using the Menopause Rating Scale (MRS), Health-Promoting Lifestyle Profile II (HPLPII) and Pittsburgh Sleep Quality Index (PSQI). Results. The study findings highlighted that among all the HPLP domains, the highest mean score was observed for spiritual growth (24.00 ± 6.60) whereas the lowest score was observed for physical activity (16.18 ± 1.8). Statistically significant negative relations between the Total score of HPLP and sleep quality score and menopausal symptoms (P< 0.001, p< 0.005) respectively. Total scores of lifestyle, health responsibility, and stress management were significant differences between good and poor sleepers. Being overweight/obese, physically inactive, having a chronic illness and poor sleep quality were predictors influencing health-promoting behavior. Conclusion. HPLP-II was more obvious in the good sleeper in form of health responsibility and stress management. Being overweight and or obese, having a chronic illness, and having poor sleep quality were the significant factors influencing health-promoting behaviors. Designing and performing educational interventional plans are crucial to create motivation toward a healthy lifestyle and improve the quality of their sleep.