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Predicting relationship of eating behavior, physical activity and smoking with type II diabetes and related comorbidities among Saudi citizens: cross-sectional observational study

  • Syed Wasif GillaniEmail author
  • Mohi Iqal Mohammad Abdul
  • Irfan Altaf Ansari
  • Hisham A. Zaghloul
  • Syed Ata-ur-Rehman
  • Mirza R. Baig
Original Article
  • 21 Downloads

Abstract

The aim of the study was to investigate the correlation pattern of social habits and cardiovascular risk assessment with disease history (e.g., obesity, T2DM and HPT) among free-living citizens of Saudi Arabia. Cross-sectional observational study design was used to collect the data among the citizens of Saudi Arabia. Convenient sampling technique was used to contact over 1163 free-living individuals. A self-administered questionnaire containing 49 items divided into following three sections was used to measure the correlation. Logistic regression analysis was used to predict the response. Sixty-seven percent (n = 725) of the respondents (male n = 419 (57.79%) vs. female n = 306 (42.21%), respectively; p > 0.01) perceived unhealthy nutritional habits. Also, a total of 785 (72.55%) participants (436 (55.54%) vs 349 (44.56%); males vs. females; p > 0.05) responded insufficient daily physical activity. Leisure time and uncontrolled eating were independently associated with BMI (S.E − 0.13, 95% CI − 1.81 to − 0.11, p = 0.035; and S.E 0.31, 95% CI 0.23 to 0.45, p < 0.001, respectively). T2DM showed significant independent association with leisure time, uncontrolled eating, and the Framingham risk (S.E − 0.25, 95% CI − 1.27 to − 0.14, p = 0.022; S.E 0.49, 95% CI 0.21 to 0.97, p < 0.001, and S.E − 0.17, 95% CI − 0.87 to − 0.13, p < 0.001, respectively). Study concluded a strong inverse correlation pattern between the level of physical activity (leisure time) with BMI, T2DM, obesity, and HPT. Uncontrolled eating behavior showed significant effect on BMI, obesity, and T2DM. However, HPT was significantly associated with work time (PA) and the Framingham risk assessment score.

Keywords

Physical inability Eating behavior Type 2 diabetes mellitus Obesity Cross-section observational study 

Abbreviations

T2DM

type II diabetes mellitus

HPT

hypertension

HLP

high lipid profile

PA

physical activity

BMI

body mass index

BQ

Baecke Physical Activity Questionnaire

TFEQ-R18

Three-Factor Eating Questionnaire

Notes

Acknowledgements

We acknowledge the efforts of the nursing staff for arranging patients’ records and managing the schedule follow-ups. We also express our gratitude to the college of pharmacy administration for continued support on administrative approvals.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethics approval

The study protocol and instruments were approved by Taibah University Research Ethics committee and the Health Commission of Saudi Arabia. All procedures performed in this study were in accordance with the ethical standards of the Taibah University research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Participants who were interested to participate in this study were required to sign a research informed consent form. Participants, who were illiterate, acquired an impartial witness to explain the study protocol before participation.

References

  1. 1.
    Florencia A, Alex B, Ho CN, Gisela D, Sheree D, Trisha D, et al. IDF diabetes atlas: sixth edition. 6th ed. Basel: International Diabetes Federation; 2013.Google Scholar
  2. 2.
    Naeem Z. Burden of diabetes mellitus in Saudi Arabia. Int J Health Sci (Qassim). 2015;9(3):70–4.Google Scholar
  3. 3.
    Al-Nozha MM, Al-Maatouq MA, Al-Mazrou YY, Al-Harthi SS, Arafah MR, Khalil MZ, et al. Diabetes mellitus in Saudi Arabia. Saudi Med J. 2004;25(11):1603–10.Google Scholar
  4. 4.
    Alqurashi KA, Aljabri KS, Bokhari SA. Prevalence of diabetes mellitus in a Saudi community. Ann Saudi Med. 2011;31(1):19–23.CrossRefGoogle Scholar
  5. 5.
    Al-Hazzaa HM, Abahussain NA, Al-Sobayel HI, Qahwaji DM, Musaiger AO. Physical activity, sedentary behaviors and dietary habits among Saudi adolescents relative to age, gender and region. Int J Behav Nutr Phys Act. 2011;8:140.CrossRefGoogle Scholar
  6. 6.
    Al-Hazzaa HM, Abahussain NA, Al-Sobayel HI, Qahwaji DM, Alsulaiman NA, Musaiger AO. Prevalence of overweight, obesity, and abdominal obesity among urban Saudi adolescents: gender and regional variations. J Health Popul Nutr. 2014;32(4):634–45.Google Scholar
  7. 7.
    Baecke JA, Burema J, Frijters JE. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr. 1982;36(5):936–42.CrossRefGoogle Scholar
  8. 8.
    Stunkard AJ, Messick S. The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. J Psychosom Res. 1985;29(1):71–83.CrossRefGoogle Scholar
  9. 9.
    de Lauzon B, Romon M, Deschamps V, Lafay L, Borys JM, Karlsson J, et al. The Three-Factor Eating Questionnaire-R18 is able to distinguish among different eating patterns in a general population. J Nutr. 2004;134(9):2372–80.CrossRefGoogle Scholar
  10. 10.
    D’Agostino RB, Pencina MJ, Massaro JM, Coady S. Cardiovascular disease risk assessment: insights from Framingham. Glob Heart. 2013;8(1):11–23.  https://doi.org/10.1016/j.gheart.2013.01.001.CrossRefGoogle Scholar
  11. 11.
    TS S. The obesity epidemic—effect of physical activity. Sport and Science. 2009;6:70–8.Google Scholar
  12. 12.
    Adulmohsen HA, Nasser AA, Abdalla AS. The prevalence of physical activity and its socioeconomic correlates in kingdom of Saudi Arabia: a cross-sectional population based national survey. J Taibah Univ Med Sci. 2015;10(2):208–15.Google Scholar
  13. 13.
    Packer N, Hoffman-Goetz L, Ward G. Does physical activity affect quality of life, disease symptoms and immune measures in patients with inflammatory bowel disease? A systematic review. J Sports Med Phys Fitness. 2010;50(1):1–18.Google Scholar
  14. 14.
    Al-Hazzaa HM. Prevalence of physical inactivity in Saudi Arabia: a brief review. East Mediterr Health J. 2004;10(4e5):663–70.Google Scholar
  15. 15.
    Westerterp KR. Physical activity, food intake, and body weight regulation: insights from doubly labelled water studies. Nutr Rev. 2010;68(3):148–54.CrossRefGoogle Scholar
  16. 16.
    Tuomilehto J, Lindstrom J, Eriksson JG, et al. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med. 2001;344(18):1343–50.CrossRefGoogle Scholar
  17. 17.
    Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002;346(6):393–403.CrossRefGoogle Scholar
  18. 18.
    Temelkova-Kurktschiev T. Physical activity in the prevention and treatment of cardiovascular disease. Diabetes Stoffwechsel Herz. 2007;5:335–41.Google Scholar
  19. 19.
    Kurktschiev D, Lasavičiūtė S, Vaklinova I, et al. Relationship between physical activity, obesity and type 2 diabetes mellitus. Sport Sci. 2008;6:46–53.Google Scholar
  20. 20.
    Temelkova-Kurktschiev T, Kurktschiev D, Vladimirova-Kitova L, et al. High prevalence of metabolic syndrome in populations at high and low cardiovascular risk in Bulgaria. J Diabetol. 2010;1:2.CrossRefGoogle Scholar

Copyright information

© Research Society for Study of Diabetes in India 2018

Authors and Affiliations

  • Syed Wasif Gillani
    • 1
    Email author
  • Mohi Iqal Mohammad Abdul
    • 2
  • Irfan Altaf Ansari
    • 3
  • Hisham A. Zaghloul
    • 1
  • Syed Ata-ur-Rehman
    • 4
  • Mirza R. Baig
    • 5
  1. 1.Department of Clinical and Hospital Pharmacy, College of PharmacyTaibah UniversityAl-Madinah Al MunawarrahKingdom of Saudi Arabia
  2. 2.Department of Pharmacology, College of PharmacyTaibah UniversityAl-Madinah Al MunawarrahKingdom of Saudi Arabia
  3. 3.Department of Pathology, College of MedicineTaibah UniversityAl-Madinah Al MunawarrahKingdom of Saudi Arabia
  4. 4.Department of Pharmaceutics, College of PharmacyTaibah UniversityAl-Madinah Al MunawarrahKingdom of Saudi Arabia
  5. 5.Dubai Pharmacy CollegeDubaiUnited Arab Emirates

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