Fostering active living and healthy eating through understanding physical activity and dietary behaviours of Arabic-speaking adults: A cross-sectional study from the Middle East

Objectives Physical inactivity and unhealthy diets increase the risk for diabetes, cardiovascular diseases and cancer. Many people in Qatar are sedentary and consume diets high in fats, salt and sugar. The purpose of this study was to determine physical activity levels, food habits and understand the variables that might predict physical activity and healthy eating behaviours among Arabic-speaking adults living in the State of Qatar. Setting A cross-sectional community-based survey was conducted with 1606 Arab adults ≥18 years of age from March 2013 to June 2015. Using a non-probability sampling technique, participants were recruited from three universities and five primary healthcare centres in Qatar. Participants were interviewed using a structured survey questionnaire. The survey included questions regarding demography, clinical characteristics and the participant's daily dietary practice. Physical activity level was assessed by the Arabic version of the International Physical Activity Questionnaire. Statistical analysis was performed using SPSS V.22.0. Results Of 1606 participants, 50.1% were men and 49.9% were women. The participants' mean (SD) body mass index was 28.03 (5.85) Kg/m 2. Two-thirds of the participants were either overweight (36.4%) or obese (33.6%). Within the 7 days prior to completing the questionnaire, 64% and 39.9% of study participants did not engage in vigorous or moderate physical activity, respectively. Within the 7 days prior to completing the questionnaire, the mean (SD) time for vigorous physical activity was 31.12 (59.28) min, 46.87 (63.01) min for moderate physical activity, and 42.01 (47.04) min for walking. One-third of the participants consumed fresh fruits and vegetables once or more daily, and fish, beef or chicken 2-4 times weekly. One quarter of the participants ate pasta, cakes or pastries 2-4 times weekly, and 40.6% of them ate white bread daily. Conclusions Participants exhibited insufficient physical activity and poor dietary habits. There is a need for a nationwide health promotion programme to promote a healthier lifestyle. The information from this study can inform public health policies, programmes and services in Qatar and other Middle Eastern countries.