{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T04:48:13Z","timestamp":1791953293931,"version":"4.3.4"},"reference-count":36,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T00:00:00Z","timestamp":1790985600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Clin. Med.","JCM"],"abstract":"<jats:p>Objectives: To examine the associations of total, leisure, occupational, and commuting sedentary behavior (SB) with overweight\/obesity among adults in Saudi Arabia and explore whether these associations differ by SB patterns (weekdays vs. weekends) and sex (men vs. women). Methods: This secondary analysis of a web-based, cross-sectional survey included 948 adults living in Saudi Arabia (mean age 29.7 years; 52.1% women; 55.4% with overweight\/obesity). Total and domain-specific SB were estimated using the Arabic version of the Sedentary Behavior Questionnaire. Overweight\/obesity was assessed using body mass index calculated from self-reported height and weight. Adjusted logistic regression models examined the associations of total and domain-specific SB with the odds of overweight\/obesity, with analyses conducted across the week and separately for week-days and weekends and stratified by sex. Results: Higher total and leisure SB across the week and on weekdays were associated with 3.9% to 12.3% higher odds of overweight\/obesity, particularly among men (p &lt; 0.05 for all). However, occupational and commuting SB were not associated with the odds of overweight\/obesity (p &gt; 0.05 for all). Associations were not statistically significant among women (p &gt; 0.05 for all). Conclusions: These findings highlight the potential importance of considering the domain and temporal pattern of SB, as well as sex, when examining its associations with overweight\/obesity among adults in Saudi Arabia. Further longitudinal and intervention studies are needed to establish temporal and causal relationships between the domains of SB and overweight\/obesity in this population.<\/jats:p>","DOI":"10.3390\/jcm15197670","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T10:57:46Z","timestamp":1791197866000},"page":"7670","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Associations of Total, Leisure, Occupational, and Commuting Sedentary Behavior with Overweight\/Obesity Among Adults in Saudi Arabia"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3814-6243","authenticated-orcid":false,"given":"Abdullah Bandar","family":"Alansare","sequence":"first","affiliation":[{"name":"Department of Exercise Physiology, College of Sport Sciences and Physical Activity, King Saud University, Riyadh 11451, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,10,3]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2026, August 13). Obesity and Overweight. Available online: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/obesity-and-overweight."},{"key":"ref_2","first-page":"8074837","article-title":"Prevalence of obesity and overweight among adults in the Middle East countries from 2000 to 2020: A systematic review and meta-analysis","volume":"2022","author":"Kargar","year":"2022","journal-title":"J. Obes."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"e009773","DOI":"10.1136\/bmjgh-2022-009773","article-title":"Economic impacts of overweight and obesity: Current and future estimates for 161 countries","volume":"7","author":"Okunogbe","year":"2022","journal-title":"BMJ Glob. Health"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e006351","DOI":"10.1136\/bmjgh-2021-006351","article-title":"Economic impacts of overweight and obesity: Current and future estimates for eight countries","volume":"6","author":"Okunogbe","year":"2021","journal-title":"BMJ Glob. Health"},{"key":"ref_5","unstructured":"WHO (2021). Obesity and Overweight, World Health Organization."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1186\/s12966-017-0525-8","article-title":"Sedentary behavior research network (SBRN)\u2013terminology consensus project process and outcome","volume":"14","author":"Tremblay","year":"2017","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.clnesp.2022.06.001","article-title":"Sedentary behavior, physical inactivity, abdominal obesity and obesity in adults and older adults: A systematic review and meta-analysis","volume":"50","author":"Silveira","year":"2022","journal-title":"Clin. Nutr. ESPEN"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Alobaid, D.S., and Alansare, A.B. (2025). Associations of mentally active versus passive sedentary behavior with overweight\/obesity in adults: Role of patterns and sex. Healthcare, 13.","DOI":"10.3390\/healthcare13040361"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"2561","DOI":"10.1152\/physrev.00022.2022","article-title":"Physiology of sedentary behavior","volume":"103","author":"Pinto","year":"2023","journal-title":"Physiol. Rev."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"365","DOI":"10.4082\/kjfm.20.0165","article-title":"Sedentary lifestyle: Overview of updated evidence of potential health risks","volume":"41","author":"Park","year":"2020","journal-title":"Korean J. Fam. Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1016\/j.amepre.2011.05.002","article-title":"Sedentary behavior and dietary intake in children, adolescents, and adults: A systematic review","volume":"41","author":"Pearson","year":"2011","journal-title":"Am. J. Prev. Med."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Silva, G.O., Cunha, P.M., Oliveira, M.D., Christofaro, D.G., Tebar, W.R., Gerage, A.M., Kanegusuku, H., Correia, M.A., and Ritti-Dias, R.M. (2023). Patterns of sedentary behavior in adults: A cross-sectional study. Front. Cardiovasc. Med., 10.","DOI":"10.3389\/fcvm.2023.1116499"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Chen, S., Yang, L., Yang, Y., Shi, W., Stults-Kolehmainen, M., Yuan, Q., Wang, C., and Ye, J. (2024). Sedentary behavior, physical activity, sleep duration and obesity risk: Mendelian randomization study. PLoS ONE, 19.","DOI":"10.1371\/journal.pone.0315961"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1","DOI":"10.32604\/ijmhp.2026.078593","article-title":"Associations of Mentally Active Versus Passive Sedentary Behavior with Smartphone Addiction in Adults","volume":"28","author":"Masoud","year":"2026","journal-title":"Int. J. Ment. Health Promot."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1186\/s40537-022-00568-5","article-title":"Sentiment analysis for cruises in Saudi Arabia on social media platforms using machine learning algorithms","volume":"9","author":"Alkhaldi","year":"2022","journal-title":"J. Big Data"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Alaqil, A.I., Gupta, N., Alothman, S.A., Al-Hazzaa, H.M., Stamatakis, E., and del Pozo Cruz, B. (2023). Arabic translation and cultural adaptation of sedentary behavior, dietary habits, and preclinical mobility limitation questionnaires: A cognitive interview study. PLoS ONE, 18.","DOI":"10.1371\/journal.pone.0286375"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1123\/jpah.7.6.697","article-title":"Reliability and validity of the Sedentary Behavior Questionnaire (SBQ) for adults","volume":"7","author":"Rosenberg","year":"2010","journal-title":"J. Phys. Act. Health"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"9363","DOI":"10.1038\/s41598-020-66163-x","article-title":"Physical activity and sedentary behaviour in the Middle East and North Africa: An overview of systematic reviews and meta-analysis","volume":"10","author":"Chaabane","year":"2020","journal-title":"Sci. Rep."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Ammar, A., Salem, A., Zarzissi, S., Abril-Mera, T., Trabelsi, K., Bouaziz, B., Boujelbane, M.A., Kerkeni, M., Masmoudi, L., and Heydenreich, J. (2026). Cross-country variability in Mediterranean lifestyle adherence and its psychosocial and behavioural correlates: Insights from the MEDIET4ALL project across 10 Mediterranean and neighboring countries. Front. Nutr., 13.","DOI":"10.3389\/fnut.2026.1807414"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Su, Y., Li, X., Li, H., Xu, J., and Xiang, M. (2023). Association between sedentary behavior during leisure time and excessive weight in Chinese children, adolescents, and adults. Nutrients, 15.","DOI":"10.3390\/nu15020424"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1016\/j.amepre.2010.05.024","article-title":"Occupational sitting and health risks: A systematic review","volume":"39","author":"Wong","year":"2010","journal-title":"Am. J. Prev. Med."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"J\u00fadice, P.B., Carra\u00e7a, E.V., Santos, I., Palmeira, A.L., Jer\u00f3nimo, F., and Silva, M.N. (2024). Different sedentary behavior domains present distinct associations with eating-related indicators. BMC Public Health, 24.","DOI":"10.1186\/s12889-024-17760-2"},{"key":"ref_23","first-page":"255","article-title":"Implications of sit-stand and active workstations to counteract the adverse effects of sedentary work: A comprehensive review","volume":"52","author":"Karol","year":"2015","journal-title":"Work"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1016\/S2213-8587(16)00053-X","article-title":"Active commuting and obesity in mid-life: Cross-sectional, observational evidence from UK Biobank","volume":"4","author":"Flint","year":"2016","journal-title":"Lancet Diabetes Endocrinol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"e005838","DOI":"10.1136\/bmjgh-2021-005838","article-title":"Active commuting and the risk of obesity, hypertension and diabetes: A systematic review and meta-analysis of observational studies","volume":"6","author":"Wu","year":"2021","journal-title":"BMJ Glob. Health"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"g4887","DOI":"10.1136\/bmj.g4887","article-title":"Associations between active commuting, body fat, and body mass index: Population based, cross sectional study in the United Kingdom","volume":"349","author":"Flint","year":"2014","journal-title":"BMJ"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"423","DOI":"10.3934\/publichealth.2016.3.423","article-title":"Patterns of sedentary behaviour in female office workers","volume":"3","author":"Kirk","year":"2016","journal-title":"AIMS Public Health"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"e12246","DOI":"10.1002\/1348-9585.12246","article-title":"Exposure to prolonged sedentary behavior on weekdays rather than weekends in white-collar workers in comparison with blue-collar workers","volume":"63","author":"Fukushima","year":"2021","journal-title":"J. Occup. Health"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1123\/jpah.2022-0485","article-title":"Associations between type and timing of physical activity and sedentary behavior with mental health in adolescents and young adults","volume":"20","author":"Tuijnman","year":"2023","journal-title":"J. Phys. Act. Health"},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Nicolson, G., Hayes, C., and Darker, C. (2019). Examining total and domain-specific sedentary behaviour using the socio-ecological model\u2013a cross-sectional study of Irish adults. BMC Public Health, 19.","DOI":"10.1186\/s12889-019-7447-0"},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Prince, S.A., Roberts, K.C., Melvin, A., Butler, G.P., and Thompson, W. (2020). Gender and education differences in sedentary behaviour in Canada: An analysis of national cross-sectional surveys. BMC Public Health, 20.","DOI":"10.1186\/s12889-020-09234-y"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1678","DOI":"10.1016\/j.jid.2018.06.165","article-title":"Research techniques made simple: Sample size estimation and power calculation","volume":"138","author":"Schmidt","year":"2018","journal-title":"J. Investig. Dermatol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1186\/s12966-020-00938-3","article-title":"A comparison of self-reported and device measured sedentary behaviour in adults: A systematic review and meta-analysis","volume":"17","author":"Prince","year":"2020","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Marconcin, P., J\u00fadice, P.B., Ferrari, G., Werneck, A., and Marques, A. (2021). Methods of Assessing Sedentary. Sedentary Behaviour A Contemporary View, Intech Open.","DOI":"10.5772\/intechopen.99567"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1007\/s10869-018-09613-8","article-title":"Do not cross me: Optimizing the use of cross-sectional designs","volume":"34","author":"Spector","year":"2019","journal-title":"J. Bus. Psychol."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1038\/ijo.2016.168","article-title":"Associations between self-reported and objectively measured physical activity, sedentary behavior and overweight\/obesity in NHANES 2003\u20132006","volume":"41","author":"Wanner","year":"2017","journal-title":"Int. J. Obes."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/19\/7670\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T04:15:11Z","timestamp":1791951311000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/19\/7670"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,3]]},"references-count":36,"journal-issue":{"issue":"19","published-online":{"date-parts":[[2026,10]]}},"alternative-id":["jcm15197670"],"URL":"https:\/\/doi.org\/10.3390\/jcm15197670","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,3]]}}}