Dr. Abdulrahman Musaiger

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Obesity, Physical Activity and Diet in the Eastern Mediterranean

DR ABDULLRAHMAN MUSAIGER

Head, Arab Center for Nutrition

BAHRAIN

Prevalence of Overweight among Preschool Children

Arab

Prevalence of Overweight among Preschool

Children (1992 – 1997)

Asia de Onis and Blössner

(2000)

%

Summary of Prevalence of Overweight and

Obesity in the Middle East Countries

Age group

Preschool children (<6 yr)

School children (6 – 10 yr)

Adolescents (11 – 18 yr)

Adults

Men

Women

Musaiger (2007)

% of Overweight and Obesity

4 - 8

10 - 25

15 - 45

30 - 60

35 - 75

Life Cycle of Overweight and Obesity in the EMR

Pregnancy

(gain weight more than average)

Infancy:

(3-7%)

Childhood and adolescence:

(10-45%)

Higher risk of obesity, hypertension, micronutrient inadequacies, unhealthy eating patterns , and lifestyles

Adulthood:

(30-75%)

Higher chronic disease risks, micronutrient inadequacies, unhealthy eating patterns , and lifestyles

Prevalence of Low Physical Activity according to the Stepwise Survey in some Arab Countries

Physical Activity of Saudi Adults Using

International Physical Activity Questionnaire

(IPAQ) (N=1616)

Al-Hazza (2007)

Summary of Barriers to Physical Activity among Bahraini Adults (N = 426)

% Type Barriers

Major barriers

Lack of resources

Lack of energy

Lack of time

Lack of motivation

Moderate barriers

Social influence

Minor barriers

Fear of injury

Lack of skill

62

56

54

48

17

8

6

Environment

Individual

Individual

Individual

Environment

Individual

Individual

Percent Increase of Daily per Capita Dietary

Energy in some Middle East Countries (1971-2005)

(1971 as a base)

FAO (Food Balance sheet, 1971-

2005)

Prevalence of Low Intake of Fresh Fruit and

Vegetables in some Arab Countries according to the STEPwise Survey

(Daily intake ≤5 serving/day)

Contribution (%) of Nutrients to Daily Energy

Supply (DES) in the Middle East Countries

Nutrients

Carbohydrates

Fats

Proteins

Low income countries

Intermediate income countries

55 – 75 60 – 70

15 – 20

10 – 12

20 – 25

10 – 11

Complex carbohydrates 60 – 70 50 – 60

Sugar 3 – 12 9 – 12

Animal fat

Cereals

Musaiger (2004)

4 – 7 4 – 10

60 – 80 45 – 65

High income countries

59 – 60

29 – 35

10 – 12

45 – 50

10 – 15

11 – 15

35 – 40

CONCLUSION

• Obesity has been become an endemic in most countries of the Region

• Change in dietary habits and lack of physical activity are the main factors responsible for high prevalence of obesity and NCD

• Environmental and cultural factors should also be taken in consideration in any intervention programme to prevent NCD

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