Clinical Practice Guideline for the Management of Overweight and Obesity in Adults in Saudi Arabia

Alshaikh, Abdulrahman; Al‐Jedai, Ahmed; Alfadda, Assim A.; Alrobayan, Abdulrahman; Bawahab, Abdulwahab; Ouf, Shaza Abou; Sultan, Ali A.; Alhozali, Amani; Bawazeer, Mohammed; Sheshah, Eman; Alqahtani, Fahad; Mosli, Hala H.; Elbadawi, Hussein; AlAmri, Khaled M; Alshali, Khalid Z.; Aldawish, Mohammed; Al-Sofiani, Mohammed E.; Aldahash, Raed; Alfawaz, Rasha; Alamoudi, Reem; Jamal, Wessam; Almudaiheem, Hajer; Issak, Emad R.; Alsifri, Saud

doi:10.4236/ijcm.2022.1312045

Cited by 3 publications

(2 citation statements)

References 227 publications

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“…2) Similarly, an attitude score (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24) was calculated as the sum of the items' scores and was dichotomized into unfavorable (score 8-15) and favorable (≥16).…”

Section: Study Outcomesmentioning

confidence: 99%

“…Pharmacological interventions are considered when diet and physical exercise are insufficient. According to Saudi guidelines 2022, pharmaceutical management of obesity that was recommended by a panel of experts includes the use of liraglutide and orlistat in obese and overweight adults [ 12 ]. Furthermore, bariatric surgery was approved for morbid obesity or type III obesity with comorbidities [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Knowledge and Attitude of the General Population in Saudi Arabia Toward Weight Management Medications (WMMs): A Cross-Sectional Study

Algarni¹,

Algarni²,

AlQarni³

et al. 2023

Cureus

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Background: Over the past decades, the global prevalence of obesity has tripled, with the Kingdom of Saudi Arabia experiencing a notably higher rate of increase. While lifestyle modifications remain the first line of treatment, pharmacological interventions are often employed when dietary and exercise interventions prove insufficient. However, safety concerns, misuse, and limited knowledge about weight management medications (WMMs) pose serious challenges. Objectives: The objectives of this study were to determine the level of knowledge and examine attitudes towards WMMs among the general population, and to explore the factors associated with these knowledge levels and attitude patterns. Methods: A cross-sectional study was conducted among adults from the general population in Saudi Arabia from January 2023 to May 2023. Participants completed a validated, self-administered electronic questionnaire in Arabic language. The questionnaire captured sociodemographic, lifestyle and health data, knowledge about WMMs, and attitudes toward them. The outcome measures included knowledge and attitudes scores. Factors associated with knowledge and attitudes were analyzed using chi-square tests. Statistical significance was determined at a p-value of <0.05. Results: Around 716 respondents were included in the final analysis. Most of the participants acknowledged diet 565 (78.9%) and exercise 621 (86.7%) as effective strategies to lose weight. Only 222 (31.0%) participants recognized pharmaceutical medications as a weight management strategy. Knowledge about specific weight loss medications varied, with the highest recognition for semaglutide (Ozempic®, Novo Nordisk, Bagsværd, Denmark) 236 (33.0%) and liraglutide (Saxenda®, Novo Nordisk, Bagsværd, Denmark) 228 (31.8%), while the other WMMs were not commonly known between participants. Regarding attitudes, the majority disagreed with statements that WMMs are more effective than diet/exercise 413 (57.7%), are safe 405 (56.6%), and are more convenient to use 408 (57.0%). Notably, about three-quarters [534 (74.6%)] of participants agreed that these medications require specialist’s counseling. No correlation was observed between knowledge score and attitude score (Pearson's correlation coefficient r=0.03; p=0.330). Respondents' knowledge about WMMs was significantly influenced by age, monthly income, educational level, psychiatric history, and previous use of WMMs (p<0.05). Adequate knowledge was more prevalent among participants aged 26-35, earning more than 20K SAR monthly, postgraduates, those with a psychiatric history, and past users of WMMs. Attitudes toward WMMs, however, showed no significant association with sociodemographic or health-related factors (p>0.05). However, prior use of WMMs significantly correlated with attitudes (p=0.007), with past users demonstrating more favorable attitudes. Conclusion: This study reveals a limited knowledge and cautious attitude regarding WMMs in the Saudi population, despite the high preval...

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Section: Study Outcomesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Knowledge and Attitude of the General Population in Saudi Arabia Toward Weight Management Medications (WMMs): A Cross-Sectional Study

Algarni¹,

Algarni²,

AlQarni³

et al. 2023

Cureus

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The Efficacy of Telehealth Versus In-Person Management Delivery in Adult Patients with Obesity

Alolayan,

Aldisi,

Hussain

et al. 2024

Healthcare

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Background: The effectiveness of telehealth in managing obesity in Saudi patients is still under investigation. This study compared the effectiveness of telehealth and in-person obesity management programs for adults. Methods: This clinical trial involved 62 adults, 29 receiving in-person intervention at the clinic and 33 receiving telehealth via videoconference calls. Anthropometric measurements, biochemical parameters, and dietary and lifestyle habits were assessed at baseline and after 12 weeks. Patients have been educated about goal-setting, healthy eating behaviors, personalized meal plans, and increasing physical activity levels. Results: It showed that 45% and 49% of the in-person and telehealth groups lost more than 5% of their initial body weight. Weight, % body fat, and waist circumference were significantly reduced in the in-person and telehealth groups (p < 0.001). No significant differences between the groups were found in the parameters mentioned above. Within-group analysis showed that light physical activity levels improved in both groups significantly (p < 0.001), and the moderate physical activity level improved significantly among the telehealth group (p < 0.039). No significant differences were observed between the groups regarding physical activity level, blood pressure measurement, and biochemical markers, except for the RBC blood level (p = 0.026). The telehealth group had significantly higher attendance rates for counseling sessions (97% vs. 75% for the in-person group, p < 0.01). Participants’ dropout rates were higher for the in-person group 21%, compared to the telehealth group 13%. Telehealth participants’ satisfaction regarding the benefits of the obesity management program in losing weight was higher at 87% compared to the in-person group at 76%. Conclusions: In conclusion, applying a telehealth obesity management program can support patients struggling with obesity who may have limited access to traditional healthcare services, while ensuring that telehealth care replicates the quality of in-person care.

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Overweight/Obesity in University Students from Mexico: Comparison Using Different Indices

Medrano-Donlucas,

Hernández-Peña,

Juárez-Lozano

et al. 2024

JBM

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The goal was to compare body mass index (BMI), waist circumference (WC), waist to height ratio (WHtR), and relative fat mas (RFM), to identify the best predictor of overweight and obesity in university students from Mexico. This is a cross-sectional survey with 697 university students from northern and central Mexico (448 women, and 249 men aged 18 -19 years). Data was collected during 2018. Overweight and obesity were calculated from those indices and for both, female and male students, the order of correlation between a pair of indices were WHtR vs. RFM > WHtR vs. WC > RFM vs. WC > WHtR vs. BMI > BMI vs. WC > RFM vs. BMI. It is concluded to use the WHtR and the RFM to better predict overweight and obesity in young Mexican university students.

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Clinical Practice Guideline for the Management of Overweight and Obesity in Adults in Saudi Arabia

Cited by 3 publications

References 227 publications

Knowledge and Attitude of the General Population in Saudi Arabia Toward Weight Management Medications (WMMs): A Cross-Sectional Study

Knowledge and Attitude of the General Population in Saudi Arabia Toward Weight Management Medications (WMMs): A Cross-Sectional Study

The Efficacy of Telehealth Versus In-Person Management Delivery in Adult Patients with Obesity

Overweight/Obesity in University Students from Mexico: Comparison Using Different Indices

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