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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

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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.

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Fig. 1

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

References

  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. Naeem Z. Burden of diabetes mellitus in Saudi Arabia. Int J Health Sci (Qassim). 2015;9(3):70–4.

    Google Scholar 

  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.

    PubMed  Google Scholar 

  4. Alqurashi KA, Aljabri KS, Bokhari SA. Prevalence of diabetes mellitus in a Saudi community. Ann Saudi Med. 2011;31(1):19–23.

    Article  PubMed  PubMed Central  Google Scholar 

  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.

    Article  PubMed  PubMed Central  Google Scholar 

  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.

    PubMed  PubMed Central  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  11. TS S. The obesity epidemic—effect of physical activity. Sport and Science. 2009;6:70–8.

    Google Scholar 

  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. 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.

    CAS  PubMed  Google Scholar 

  14. Al-Hazzaa HM. Prevalence of physical inactivity in Saudi Arabia: a brief review. East Mediterr Health J. 2004;10(4e5):663–70.

    CAS  PubMed  Google Scholar 

  15. Westerterp KR. Physical activity, food intake, and body weight regulation: insights from doubly labelled water studies. Nutr Rev. 2010;68(3):148–54.

    Article  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  18. Temelkova-Kurktschiev T. Physical activity in the prevention and treatment of cardiovascular disease. Diabetes Stoffwechsel Herz. 2007;5:335–41.

    Google Scholar 

  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. 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.

    Article  Google Scholar 

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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.

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Correspondence to Syed Wasif Gillani.

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The authors declare that they have no conflict of interest.

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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.

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Gillani, S.W., Abdul, M.I.M., Ansari, I.A. et al. Predicting relationship of eating behavior, physical activity and smoking with type II diabetes and related comorbidities among Saudi citizens: cross-sectional observational study. Int J Diabetes Dev Ctries 39, 115–122 (2019). https://doi.org/10.1007/s13410-018-0645-y

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