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Licensed Unlicensed Requires Authentication Published by De Gruyter September 4, 2015

Obesity and public health in the Kingdom of Saudi Arabia

  • Erica DeNicola , Omar S. Aburizaiza , Azhar Siddique , Haider Khwaja and David O. Carpenter EMAIL logo

Abstract

Overweight and obesity are now a global epidemic, with more than one in five people qualifying as obese worldwide. These conditions are accompanied by excessive rates of non-communicable diseases (NCDs) related to overweight, like type 2 diabetes mellitus, hypertension, and cardiovascular diseases. Saudi Arabia, which has become increasingly westernized over the past few decades now has one of the highest prevalence rates of overweight and obesity, even in children. This puts the population at great risk for increased rates of NCD mortality. Competing cultures is partly to blame, as the combination of persisting traditional Saudi cultural practices, modern cultural changes, and economic prosperity has created an obesogenic environment that promotes unhealthy eating, sedentary lifestyles, and weight gain. Overweight and obesity are more prevalent in Saudi women than in Saudi men. Interventions targeting the environment are needed in order to promote greater health through healthy eating decisions and increased physical activity or exercise (especially for women).


Corresponding author: David O. Carpenter, Director, Institute for Health and the Environment, University at Albany SUNY, 5 University Place, A217, Rensselaer, NY 12144, USA, Phone: +518-525-2660, E-mail: ; and Department of Environmental Health Sciences, University at Albany School of Public Health, One University Place, Rensselaer, NY, USA

Acknowledgments

This review was supported by the King Abdulaziz University of Saudi Arabia.

References

1. Nagarajan R. Obese people outnumber the hungry globally. The Times of India. Jan 16, 2014. Available at: http://articles.timesofindia.indiatimes.com/2014-01-16/science/46263373_1_obese-population-oxfam.Search in Google Scholar

2. Al-Rethaiaa AS, Fahmy A-EA, Al-Shwaiyat NM. Obesity and eating habits among college students in Saudi Arabia: a cross sectional study. Nutr J 2010;9:39–48.10.1186/1475-2891-9-39Search in Google Scholar

3. Al-Nuaim AR. Population-based epidemiological study of the prevalence of overweight and obesity in Saudi Arabia, regional variation. Ann Saudi Med 1997;17:195–9.10.5144/0256-4947.1997.195Search in Google Scholar

4. Al-Rukban MO. Obesity among Saudi male adolescents in Riyadh, Saudi Arabia. Saudi Med J 2002;24:27–33.Search in Google Scholar

5. Centers for Disease Control and Prevention. Overweight and obesity. Available at: http://www.cdc.gov/obesity/.Search in Google Scholar

6. Centers for Disease Control and Prevention. About BMI for children and teens. Available at: http://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi.html.Search in Google Scholar

7. World Health Organization. Obesity and overweight. Fact sheet N°311. Available at: http://www.who.int/mediacentre/factsheets/fs311/en/.Search in Google Scholar

8. Abdul Rahim HF, Sibai A, Khader Y, Hwalla N, Fadhil I, et al. Health in the Arab world: a view from within 2 non-communicable diseases in the Arab world. Lancet 2014;383:356–67.10.1016/S0140-6736(13)62383-1Search in Google Scholar

9. Ng SW, Zaghloul S, Ali HI, Harrison G, Popkin BM. The prevalence and trends of overweight, obesity and nutrition-related non-communicable diseases in the Arabian Gulf States. Obes Rev 2011;12:1–13.10.1111/j.1467-789X.2010.00750.xSearch in Google Scholar

10. Swinburn BS, Sacks G, Hall KD, McPherson K, Finegood DT, et al. The global obesity pandemic: shaped by global drivers and local environments. Lancet 2011;378:804–14.10.1016/S0140-6736(11)60813-1Search in Google Scholar

11. Montiero CA, Moubarac JC, Cannon G, Ng SW, Popkin B. Ultra-processed products are becoming dominant in the global food system. Obes Rev 2013;14:21–8.10.1111/obr.12107Search in Google Scholar PubMed

12. Balbo L. Saudi Arabia’s fast food boom is finger lickin’ awful. Green Prophet. April 19, 2012. Available at: www.greenprophet.com/2012/04/saudi-arabia-fast-food/.Search in Google Scholar

13. Al-Haqwi A, Al-Nasir M, Ahmad N, Masaudi E, Alotaibi S, et al. Obesity and overweight in a major family practice center, central region, Saudi Arabia. Saudi J Obes 2015;3:12.10.4103/2347-2618.158690Search in Google Scholar

14. World Health Organization. Global Health Observatory (GHO) data: overweight and obesity by country. Available at: http://www.who.int/gho/ncd/risk_factors/overweight/en/.Search in Google Scholar

15. Staff writer. Bayer HealthCare supports educational plan on diabetes. Arab News. March 22, 2014. Available at: http://www.arabnews.com/news/543901.Search in Google Scholar

16. Oxfam. The food index, 2014. Available at: http://www.oxfam.org.uk/what-we-do/good-enough-to-eat.Search in Google Scholar

17. Al-Hazzaa HM. Prevalence of physical inactivity in Saudi Arabia: a brief review. E Mediter Health J 2004;10:663–70.10.26719/2004.10.4-5.663Search in Google Scholar

18. Bakhotmah BA. Nutritional knowledge and desire to change of food preferences among Saudi women in Jeddah, Saudi Arabia. Ecol Food Nutr 2012;51:313–28.10.1080/03670244.2012.691388Search in Google Scholar PubMed

19. Sedgwick R. Education in Saudi Arabia. World Education News and Reviews 2001;16. Available at: http://wenr.wes.org/2001/11/wenr-nov-dec-2001-education-in-saudi-arabia/.Search in Google Scholar

20. Al-Nozha MM, Al-Mazrou YY, Al-Maatouq MA, Arafah MR, Khalil MZ, et al. Obesity in Saudi Arabia. Saudi Med J 2005;26:824–9.Search in Google Scholar

21. Al Shehri A, Al Fattani A, Al Alwan I. Obesity among Saudi children. Saudi J Obesity 2013;1(1):3–9.10.4103/2347-2618.119467Search in Google Scholar

22. Al-Othaimeen AI, Al-Nozha M, Osman AK. Obesity: an emerging problem in Saudi Arabia. Analysis of data from the national nutrition survey. E Mediter Health J 2007;13(2):441–8.Search in Google Scholar

23. Naeem Z. Increasing trend of junk food use in Saudi Arabia and health implications. Int J Health Sci 2012;6(1):V–VI.10.12816/0005967Search in Google Scholar

24. Broomhall E. Saudi fast food market to hit $4.5bn by 2015. Arabian Business [20 Feb 2012]. Available at: http://www.google.com/url?sa=t&rct=j&q=&esrc=s&frm=1&source=web&cd=1&ved=0CB4QFjAA&url=http%3A%2F%2Fwww.arabianbusiness.com%2Fsaudi-fast-food-market-hit-4-5bn-by-2015-446129.html&ei=9rVLVbi6Bc7lsASV4IHYCA&usg=AFQjCNFFvMriIp-tDa7EnBs-W2LTCzx39w&sig2=avvUavwkCGmRjIk0gbxfpg.Search in Google Scholar

25. Amin TT, Al-Sultan AI, Ali A. Overweight and obesity and their relation to dietary habits and socio-demographic characteristics among male primary school children in Al-Hassa, Kingdom of Saudi Arabia. Eur J Nutr 2008;47:310–8.10.1007/s00394-008-0727-6Search in Google Scholar

26. Rahal M. What are Saudi consumers hungry for? A look at search trends in the Kingdom [infographic]. Wamda [30 Oct 2013]. Available at: http://www.wamda.com/2013/10/saudi-consumers-hungry-search-trends-kingdom-infographic.Search in Google Scholar

27. Jeeran. Insights on Saudi consumers. Available at: http://www.wamda.com/2013/10/saudi-consumers-hungry-search-trends-kingdom-infographic.Search in Google Scholar

28. FAOSTAT. Country profile: Saudi Arabia. Available at: http://faostat.fao.org/CountryProfiles/Country_Profile/Direct.aspx?lang=en&area=194.Search in Google Scholar

29. Halverson N. What California can learn from Saudi Arabia’s water mystery. Reveal News. [22 April 2015]. https://www.revealnews.org/article/what-california-can-learn-from-saudi-arabias-water-mystery/.Search in Google Scholar

30. Drewes JE, Garduño CPR, Amy GL. Water reuse in the kingdom of Saudi Arabia – status, prospects and research needs. Wat Sci Tech Wat Supply 2012;12(6):926–36.10.2166/ws.2012.063Search in Google Scholar

31. DeNicola E, Aburizaiza OS, Siddique A, Khwaja H, Carpenter DO. Climate change and water scarcity: the case of Saudi Arabia. Ann Global Health 2015. In press.10.1016/j.aogh.2015.08.005Search in Google Scholar

32. Chatham House. Energy, environment and resources summary: global food insecurity and implications for Saudi Arabia. Available at: http://www.chathamhouse.org/sites/files/chathamhouse/public/Research/Energy,%20Environment%20and%20Development/290413summary.pdf.Search in Google Scholar

33. AlQuaiz AM, Kazi A, Tayel S, Shaikh SA, Al-Sharif A, et al. Prevalence and factors associated with low bone mineral density in Saudi women: a community based survey. BMC Musculoskeletal Dis 2014;15:5.10.1186/1471-2474-15-5Search in Google Scholar

34. Rasheed P. Overweight status: body image and weight control beliefs and practices among female college students. Ann Saudi Med 1999;19(4):365–9.10.5144/0256-4947.1999.365Search in Google Scholar

35. Midhet FM, Sharaf FK. Impact of health education on lifestyles in central Saudi Arabia. Saudi Med J 2011;31(1):71–6.Search in Google Scholar

36. Alqout O, Reynolds F. Experiences of obesity among Saudi Arabian women contemplating bariatric surgery: an interpretive phenomenological analysis. J Health Psychol 2014;19(5):664–77.10.1177/1359105313476977Search in Google Scholar

37. Rasheed P. Perception of body weight and self-reported eating and exercise behaviour among obese and non-obese women in Saudi Arabia. Public Health 1998;112:409–14.10.1016/S0033-3506(98)00288-1Search in Google Scholar

38. Bakhotmah BA. The puzzle of self-reported weight gain in a month of fasting (Ramadan) among a cohort of Saudi families in Jeddah, Western Saudi Arabia. Nutrition J 2011;10:84.10.1186/1475-2891-10-84Search in Google Scholar PubMed PubMed Central

39. El-Hazmi MAF, Warsy AS. A comparative study of prevalence of overweight and obesity in children in different provinces of Saudi Arabia. J Tropical Pediatr 2002;48:172–7.10.1093/tropej/48.3.172Search in Google Scholar PubMed

40. Al-Mohaimeed A, Ismail MS, Dandash K, Ahmed SM, Al-Harbi M. Progressive changes in overweight and obesity during the early years of schooling among children in a central region of Saudi Arabia. Food Public Health 2012;2(5):159–67.10.5923/j.fph.20120205.07Search in Google Scholar

41. Al-Nuaim AA, Al-Nakeeb Y, Lyons M, Al-Hazzaa HM, Nevill A, et al. The prevalence of physical activity and sedentary behaviors relative to obesity among adolescents from Al-Ahsa, Saudi Arabia: rural versus urban variations. J Nutr Metabol 2012;2012:9.10.1155/2012/417589Search in Google Scholar PubMed PubMed Central

42. Al-Hazzaa HM, Abahussain NA, Al-Sobayel HI, Qahwaji DM, Musaiger AO. Lifestyle factors associated with overweight and obesity among Saudi adolescents. BMC Public Health 2012;12:354–64.10.1186/1471-2458-12-354Search in Google Scholar PubMed PubMed Central

43. Mahfouz AA, Shatoor AS, Khan MY, Daffalla AA, Mostafa OA, et al. Nutrition, physical activity, and gender risks for adolescent obesity in southwestern Saudi Arabia. Saudi J Gastroenterol 2011;17(5):318–22.10.4103/1319-3767.84486Search in Google Scholar PubMed PubMed Central

44. El Mouzan MI, Foster PJ, Al Herbish AS, Al Salloum AA, Al Omer AA, et al. Prevalence of overweight and obesity in Saudi children and adolescents. Ann Saudi Med 2010;30(3):203–9.10.4103/0256-4947.62833Search in Google Scholar PubMed PubMed Central

45. Wang SS. As world’s kids get fatter, doctors turn to the knife. Sochi2014 Middle East News [14 Feb 2014]. Available at: http://www.wsj.com/articles/SB10001424052702304851104579360992538215578.Search in Google Scholar

46. Katz DL. Childhood obesity: just cut it out. U.S. News [18 Feb 2014]. Available at: http://health.usnews.com/health-news/blogs/eat-run/2014/02/18/childhood-obesity-just-cut-it-out.Search in Google Scholar

47. Farooqi S, O’Rahilly S. Genetics of obesity in humans. Endocr Rev 2006;27(7):710–8.10.1210/er.2006-0040Search in Google Scholar PubMed

48. El-Hazmi MAF, Al-Swailem AR, Warsy AS, Al-Swailem AM, Sulaimani R, et al. Consanguinity among the Saudi Arabian population. J Med Genet 1995;32:623–6.10.1136/jmg.32.8.623Search in Google Scholar PubMed PubMed Central

49. World Health Organization. Noncommunicable diseases (NCDs) country profiles, 2014. Available at: http://www.who.int/nmh/countries/sau_en.pdf.Search in Google Scholar

50. World Health Organization. Saudi Arabia: WHO statistical profile. Country statistics and global health estimates by WHO and UN partners. Available at: http://www.who.int/gho/countries/sau.pdf?ua=1.Search in Google Scholar

51. Kumosani TA, Alama MN, Iyer A. Cardiovascular diseases in Saudi Arabia. PROM 2011;1:1–6.Search in Google Scholar

52. Sabra AA, Taha AZ, Al-Sebiany AM, Al-Kurashi NY, Zubier AG. Coronary heart disease risk factors: prevalence and behavior among male university students in Dammam City, Saudi Arabia. J Egypt Public Health Assoc 2007;82(1–2):21–42.Search in Google Scholar

53. Centers for Disease Control and Prevention. High blood pressure. Available at: http://www.cdc.gov/bloodpressure/.Search in Google Scholar

54. Saeed AA, Al-Hamdan NA, Bahnassy AA, Abdalla AM, Abbas MAF, et al. Prevalence, awareness, treatment, and control of hypertension among Saudi adult population: a national survey. Int J Hypertens 2011;2011:8.10.4061/2011/174135Search in Google Scholar PubMed PubMed Central

55. Al-Nozha MM, Abdullah M, Arafah MR, Khalil MZ, Khan NB, et al. Hypertension in Saudi Arabia. Saudi Med J 2007;28(1):77–84.Search in Google Scholar

56. Al-Baghli NA, Al-Ghamdi AJ, Al-Turki KA, Al Elq AH, El-Zubaier AG, et al. Prevalence of diabetes mellitus and impaired fasting glucose levels in the eastern province of Saudi Arabia: results of a screening campaign. Singapore Med J 2010;51(12):923–30.Search in Google Scholar

57. Fatani HH, Mira SA, El-Zubier AG. Prevalence of diabetes mellitus in rural Saudi Arabia. Diabetes Care 1987;10(2):180–3.10.2337/diacare.10.2.180Search in Google Scholar PubMed

58. Bayer News Channel. Bayer healthcare supports educational program on diabetes in Saudi Arabia. Available at: http://www.bnc.bayer.com/bayer/bnci.nsf/id/Bayer-HealthCare-Supports-Education-Program-on-Diabetes-in-Saudi-Arabia.Search in Google Scholar

59. Al-Daghri NM, Al-Attas OS, Alokail MS, Alkharfy KM, Yousef M, et al. Diabetes mellitus type 2 and other chronic non-communicable diseases in the central region, Saudi Arabia (Riyadh cohort 2): a decade of an epidemic. BMC Med 2011;9:76–81.10.1186/1741-7015-9-76Search in Google Scholar PubMed PubMed Central

60. Alqurashi KA, Aljabri KS, Bokhari SA. Prevalence of diabetes mellitus in a Saudi community. Ann Saudi Med 2011;31(1):19–23.10.4103/0256-4947.75773Search in Google Scholar

61. Khan AR, Wiseberg JA, Lateef ZAA, Khan SA. Prevalence and determinants of diabetic retinopathy in Al Hasa region of Saudi Arabia: primary health care centre based cross-sectional survey, 2007–2009. Middle E Afr J Ophthalmol 2010;17(3):257–63.10.4103/0974-9233.65502Search in Google Scholar

62. McGill A-T, Stewart JM, Lithander FE, Strik CM, Poppitt SD. Relationships of low serum vitamin D3 with anthropometry and markers of the metabolic syndrome and diabetes in overweight and obesity. Nutr J 2008;7:4.10.1186/1475-2891-7-4Search in Google Scholar

63. Thomas J. As the heat begins to rise, so too do rates of depression. The National [23 Mar 2014]. Available at: http://www.thenational.ae/thenationalconversation/comment/as-the-heat-begins-to-rise-so-too-do-rates-of-depression.Search in Google Scholar

64. Vanlint S. Vitamin D and obesity. Nutrients 2013;5:949–56.10.3390/nu5030949Search in Google Scholar

65. Lương KVQ, Nguyễn LTH. Vitamin D and obesity. Med Chem 2012;2:1.Search in Google Scholar

66. Al Frayh AR, Skakoor Z, Gad El Rab MO, Hasnain SM. Increased prevalence of asthma in Saudi Arabia. Ann Allergy Asthma Immunol 2001;86:292–6.10.1016/S1081-1206(10)63301-7Search in Google Scholar

67. Al-Ghobain MO, Al-Hajjaj MS, Al Moamary MS. Asthma prevalence among 16- to 18-year-old adolescents in Saudi Arabia using the ISAAC questionnaire. BMC Public Health 2012;12:239.10.1186/1471-2458-12-239Search in Google Scholar PubMed PubMed Central

68. Hijazi N, Abalkhail B, Seaton A. Diet and childhood asthma in a society in transition: a study in urban and rural Saudi Arabia. Thorax 2000;55:775–9.10.1136/thorax.55.9.775Search in Google Scholar PubMed PubMed Central

69. Delgado J, Barranco P, Quirce S. Obesity and asthma. J Investig Allergol Clin Immunol 2008;18(6):420–5.Search in Google Scholar

70. CIA World Factbook. Saudi Arabia median age. Available at: http://www.indexmundi.com/saudi_arabia/median_age.html.Search in Google Scholar

71. Al-Mukhtar RA. ‘Weighty’ bomb ticking for 50% of women. Arab News [12 Mar 2014]. Available at: http://www.arabnews.com/print/538881.Search in Google Scholar

72. Memish ZA, Abdullah AS, Saeedi MY, Salloum RM, Almadani AJ, et al. Brief communication: methods and status of a comprehensive community-based intervention focusing on non-communicable diseases and the major risk factors in the Kingdom of Saudi Arabia. The Crown Health Project. Saudi Med J 2013;34(2):202–3.Search in Google Scholar

73. Mobaraki AEH, Söderfeldt B. Gender inequity in Saudi Arabia and its role in public health. E Mediter Health J 2010;16(1):113–8.10.26719/2010.16.1.113Search in Google Scholar

74. Memish ZA, Saeedi MY, Al Madani AJ, Junod B, Jamo A, et al. Factors associated with public health awareness of the Crown Health Program in the Al-Jouf Region. J Family Community Med 2015;22(1):31–8.10.4103/2230-8229.149586Search in Google Scholar PubMed PubMed Central

75. Seidell JC, Halberstadt J. The global burden of obesity and the challenges of prevention. Ann Nutr Metab 2015;66(Suppl 2): 7–12.10.1159/000375143Search in Google Scholar PubMed

76. Rasooldeen MD. WHO hails health project in Al-Jouf. Arab News [23 May 2015]. Available at: http://www.arabnews.com/saudi-arabia/news/750781.Search in Google Scholar

77. Ministry of Health Kingdom of Saudi Arabia. WHO commends the Health Crown Preventive Program. Ministry News [20 May 2015]. Available at: http://www.moh.gov.sa/en/Ministry/MediaCenter/News/Pages/News-2015-05-20-002.aspx.Search in Google Scholar

78. Ministry of Health. National campaign against overweight and obesity – about the campaign. Ministry of Health, Kingdom of Saudi Arabia: 2012. Available at: http://www.moh.gv.sa/en/HealthAwareness/Campaigns/badana/Pages/default.aspx.Search in Google Scholar

79. Burguera B, Tur JJ, Escudero AJ, Alos M, Pagán A, et al. An intensive lifestyle intervention is an effective treatment of morbid obesity: the TRAMOMTANA study – a two-year randomized controlled clinical trial. Int J Endocrinol 2015;2015:11p.10.1155/2015/194696Search in Google Scholar PubMed PubMed Central

80. Staff writer. Innovative, safe technology for weight loss unveiled in Kingdom. The Saudi Gazette [20 Mar 2014]. Available at: http://www.saudigazette.com.sa/index.cfm?method=home.regcon&contentid=20140320199242.Search in Google Scholar

81. Staff Writer. Fatwa prohibits ‘all you can eat’ offers. Al Arabiya News [13 Mar 2014]. Available at: http://english.alarabiya.net/en/News/middle-east/2014/03/13/Saudi-cleric-declares-open-buffets-as-un-Islamic-.html.Search in Google Scholar

82. The Economist. Segregation in Saudi Arabia: no men allowed! The Economist [28 Feb 2015]. Available at: http://www.economist.com/node/21645231/print.Search in Google Scholar

83. AL Dhaifallah A, Mwanri L, Aljoudi A. Childhood obesity in Saudi Arabia: opportunities and challenges. Saudi J Obesity 2015;3(1):2–7.10.4103/2347-2618.158684Search in Google Scholar

84. Bourke M, Whittaker PJ, Verma A. Are dietary interventions effective at increasing fruit and vegetable consumption among overweight children? A systematic review. J Epidemiol Community Health 2014;68:485–90.10.1136/jech-2013-203238Search in Google Scholar PubMed

85. Al-Almaie S. Knowledge of healthy diets among adolescents in eastern Saudi Arabia. Ann Saudi Med 2005;25(4):294–8.10.5144/0256-4947.2005.294Search in Google Scholar PubMed PubMed Central

Received: 2015-6-10
Accepted: 2015-8-13
Published Online: 2015-9-4
Published in Print: 2015-8-1

©2015 by De Gruyter

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