{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T17:45:50Z","timestamp":1791999950961,"version":"4.4.0"},"reference-count":47,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T00:00:00Z","timestamp":1708387200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Deanship of Scientific Research at King Khalid University","award":["GRP\/161\/44"],"award-info":[{"award-number":["GRP\/161\/44"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: Healthy eating is a crucial approach to improving overall health, encompassing a well-balanced diet of natural and fresh foods, plenty of fruits and vegetables, and foods rich in minerals and vitamins. This study aimed to assess the prevalence of obesity and associated dietary habits among medical students at King Khalid University, Aseer, Saudi Arabia. Materials and Methods: This observational cross-sectional study was conducted through face-to-face interviews. A structured predesigned questionnaire was used to collect data. Results: A total of 540 medical students were included; 43.3% of participants were aged 20\u201322 years, 24.8% were in the 3rd year, and 82.0% had an average income level. Of them, 21.9% were overweight and 14.6% were obese. There was a significant association between obesity and grade (p = 0.004). Significant differences were observed between males and females in adding sugar to beverages, the frequency of eating out, cooking meat, and drinking water (p &lt; 0.05). The predictors of obesity were being male (OR = 3.5, 95% CI [1.6\u20137.8], p = 0.002), age (OR = 1.8, 95% CI [1.1\u20133.0, p = 0.019], being at grade 2 (OR = 38.8, 95% CI [4.0\u2013375.8], p = 0.002), having grilled meat (OR = 0.42, 95% CI, [0.20\u20130.99], p = 0.048), using artificial sweeteners [OR = 0.24, 95% CI [0.08\u20130.73], p = 0.012], and drinking sparkling bottled water (OR 8.6, 95% CI [1.2 333\u201363.8], p = 0.034). Conclusions: The study revealed a high prevalence of obesity and overweight among medical students of both sexes. It recommends education on healthy eating habits, balanced nutrition, and regular physical activity, as well as gender-specific health initiatives, nutritional counseling, and the inclusion of physical activity.<\/jats:p>","DOI":"10.3390\/medicina60030347","type":"journal-article","created":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T04:04:14Z","timestamp":1708401854000},"page":"347","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Prevalence of Obesity and Associated Dietary Habits among Medical Students at King Khalid University, Southwestern Saudi Arabia"],"prefix":"10.3390","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4974-6431","authenticated-orcid":false,"given":"Ahmed A.","family":"Mahfouz","sequence":"first","affiliation":[{"name":"Department of Family and Community Medicine, College of Medicine, King Khalid University, Abha 61421, Saudi Arabia"},{"name":"Department of Epidemiology, High Institute of Public Health, Alexandria University, Alexandria 61421, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2248-8620","authenticated-orcid":false,"given":"Safar Abadi","family":"Alsaleem","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, College of Medicine, King Khalid University, Abha 61421, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed Abadi","family":"Alsaleem","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, College of Medicine, King Khalid University, Abha 61421, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7611-706X","authenticated-orcid":false,"given":"Ramy Mohamed","family":"Ghazy","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, College of Medicine, King Khalid University, Abha 61421, Saudi Arabia"},{"name":"Tropical Health Department, High Institute of Public Health, Alexandria University, Alexandria 61421, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,2,20]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2013). Global Action Plan for the Prevention and Control of Noncommunicable Diseases 2013\u20132020, World Health Organization."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"884","DOI":"10.1093\/aje\/kww145","article-title":"Population Attributable Risk of Modifiable and Nonmodifiable Breast Cancer Risk Factors in Postmenopausal Breast Cancer","volume":"184","author":"Tamimi","year":"2016","journal-title":"Am. J. Epidemiol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1616","DOI":"10.2105\/AJPH.2016.303316","article-title":"Diet, Lifestyle, Biomarkers, Genetic Factors, and Risk of Cardiovascular Disease in the Nurses\u2019 Health Studies","volume":"106","author":"Yu","year":"2016","journal-title":"Am. J. Public Health"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Kolb, H., and Martin, S. (2017). Environmental\/lifestyle factors in the pathogenesis and prevention of type 2 diabetes. BMC Med., 15.","DOI":"10.1186\/s12916-017-0901-x"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Cena, H., and Calder, P.C. (2020). Defining a Healthy Diet: Evidence for the Role of Contemporary Dietary Patterns in Health and Disease. Nutrients, 12.","DOI":"10.3390\/nu12020334"},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Kabir, A., Miah, S., and Islam, A. (2018). Factors influencing eating behavior and dietary intake among resident students in a public university in Bangladesh: A qualitative study. PLoS ONE, 13.","DOI":"10.1371\/journal.pone.0198801"},{"key":"ref_7","first-page":"216","article-title":"Eating behaviors of university students","volume":"100","author":"Hernandez","year":"2016","journal-title":"Am. J. Public Health"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1093\/tropej\/fmm089","article-title":"Obesity and Related Behaviors among Adolescent School Boys in Abha City, Southwestern Saudi Arabia","volume":"54","author":"Mahfouz","year":"2007","journal-title":"J. Trop. Pediatr."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1186\/1479-5868-8-140","article-title":"Physical activity, sedentary behaviors and dietary habits among Saudi adolescents relative to age, gender and region","volume":"8","author":"Abahussain","year":"2011","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"181","DOI":"10.3923\/pjn.2014.181.190","article-title":"Nutrition and Food Consumption Patterns in the Kingdom of Saudi Arabia","volume":"13","author":"Adam","year":"2014","journal-title":"Pak. J. Nutr."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"e13448","DOI":"10.1111\/obr.13448","article-title":"Prevalence, risk factors, and interventions for obesity in Saudi Arabia: A systematic review","volume":"23","author":"Salem","year":"2022","journal-title":"Obes. Rev."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1515\/ijamh-2013-0331","article-title":"Prevalence of health behaviors and their associated factors among a sample of university students in India","volume":"26","author":"Peltzer","year":"2014","journal-title":"Int. J. Adolesc. Med. Health"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1186\/s12937-018-0398-y","article-title":"Dietary patterns of university students in the UK: A cross-sectional study","volume":"17","author":"Sprake","year":"2018","journal-title":"Nutr. J."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"714493","DOI":"10.3389\/fnut.2021.714493","article-title":"Relationship Between Nutrition Knowledge and Dietary Intake: An Assessment Among a Sample of Italian Adults","volume":"8","author":"Scalvedi","year":"2021","journal-title":"Front. Nutr."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1186\/1475-2891-4-4","article-title":"Nutritional knowledge, food habits and health attitude of Chinese university students\u2014A cross sectional study","volume":"4","author":"Sakamaki","year":"2005","journal-title":"Nutr. J."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Quek, T.T.-C., Tam, W.W.-S., Tran, B.X., Zhang, M., Zhang, Z., Ho, C.S.-H., and Ho, R.C.-M. (2019). The Global Prevalence of Anxiety Among Medical Students: A Meta-Analysis. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16152735"},{"key":"ref_17","unstructured":"Zierle-Ghosh, A., and Jan, A. (2021). Physiology, Body Mass Index, Stat Pearls Publishing."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1159\/000375143","article-title":"The Global Burden of Obesity and the Challenges of Prevention","volume":"66","author":"Seidell","year":"2015","journal-title":"Ann. Nutr. Metab."},{"key":"ref_19","first-page":"e43918","article-title":"Examining the Impact of Socioeconomic Factors and Lifestyle Habits on Obesity Prevalence Among Male and Female Adolescent Students in Asser, Saudi Arabia","volume":"15","author":"Alshaikh","year":"2023","journal-title":"Cureus"},{"key":"ref_20","first-page":"7401930","article-title":"Prevalance of overweight, obesity and diabetes in undergraduate medical students at Qassim University","volume":"17","author":"Alharbi","year":"2022","journal-title":"Rev. Latinoam. De Hipertens."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1528","DOI":"10.12669\/pjms.326.10492","article-title":"Frequency of obesity and comorbidities in medical students","volume":"32","author":"Mehmood","year":"2016","journal-title":"Pak. J. Med. Sci."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"206","DOI":"10.4103\/2230-8210.176357","article-title":"High prevalence of preobesity and obesity among medical students of Lahore and its relation with dietary habits and physical activity","volume":"20","author":"Assir","year":"2016","journal-title":"Indian J. Endocrinol. Metab."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"74","DOI":"10.18203\/issn.2454-2156.IntJSciRep20150206","article-title":"Prevalence of overweight and obesity among medical students and their knowledge, attitude and practices about obesity","volume":"1","author":"Deotale","year":"2015","journal-title":"Int. J. Sci. Rep."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"105","DOI":"10.21608\/mjmr.2022.166298.1195","article-title":"The risk of Obesity in relation to dietary habits among medical students at Minia University: Faculty of medicine, Minia, Egypt","volume":"33","author":"Raouf","year":"2022","journal-title":"Minia J. Med. Res."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"104007","DOI":"10.1016\/j.amsu.2022.104007","article-title":"Prevalence of obesity and its association with fast-food consumption and physical activity: A cross-sectional study and review of medical students\u2019 obesity rate","volume":"79","author":"Alhashemi","year":"2022","journal-title":"Ann. Med. Surg."},{"key":"ref_26","first-page":"99","article-title":"Prevalence of Overweight and Obesity and its relation to Diet and Physical Activity among Medical Students in Accra, Ghana","volume":"35","author":"Agyei","year":"2022","journal-title":"Afr. J. Health Sci."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Pellegrini, M., Ponzo, V., Rosato, R., Scumaci, E., Goitre, I., Benso, A., Belcastro, S., Crespi, C., De Michieli, F., and Ghigo, E. (2020). Changes in Weight and Nutritional Habits in Adults with Obesity during the \u201cLockdown\u201d Period Caused by the COVID-19 Virus Emergency. Nutrients, 12.","DOI":"10.3390\/nu12072016"},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Masood, M., Aggarwal, A., and Reidpath, D.D. (2019). Effect of national culture on BMI: A multilevel analysis of 53 countries. BMC Public Health, 19.","DOI":"10.1186\/s12889-019-7536-0"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1038\/s41598-021-04706-6","article-title":"Perception of body size and body dissatisfaction in adults","volume":"12","author":"Gruszka","year":"2022","journal-title":"Sci. Rep."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1007\/s13679-020-00398-7","article-title":"Socioeconomics of Obesity","volume":"9","author":"Anekwe","year":"2020","journal-title":"Curr. Obes. Rep."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"e21016","DOI":"10.1097\/MD.0000000000021016","article-title":"The association of obesity with health insurance coverage and demographic characteristics: A statewide cross-sectional study","volume":"99","author":"Mylona","year":"2020","journal-title":"Medicine"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"11795514211056307","DOI":"10.1177\/11795514211056307","article-title":"A Community Pharmacy-Based Intervention in the Matrix of Type 2 Diabetes Mellitus Outcomes (CPBI-T2DM): A Cluster Randomized Controlled Trial","volume":"14","author":"Mohamed","year":"2021","journal-title":"Clin. Med. Insights Endocrinol. Diabetes"},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Jacobs, J., Strugnell, C., Allender, S., Orellana, L., Backholer, K., Bolton, K.A., Fraser, P., Le, H., Brown, A.D., and Nichols, M. (2021). The impact of a community-based intervention on weight, weight-related behaviours and health-related quality of life in primary school children in Victoria, Australia, according to socio-economic position. BMC Public Health, 21.","DOI":"10.1186\/s12889-021-12150-4"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"961","DOI":"10.4103\/jfmpc.jfmpc_1749_20","article-title":"Prevalence of overweight and obesity and their associated factors among health sciences college students, Saudi Arabia","volume":"10","author":"Makkawy","year":"2021","journal-title":"J. Fam. Med. Prim. Care"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"19","DOI":"10.4103\/sjmms.sjmms_417_22","article-title":"Prevalence of obesity among children and adolescents in Saudi Arabia: A multicenter population-based study","volume":"11","author":"Alghnam","year":"2023","journal-title":"Saudi J. Med. Med. Sci."},{"key":"ref_36","first-page":"25","article-title":"A review of prevalence of obesity in Saudi Arabia","volume":"2","year":"2016","journal-title":"J. Obes. Eat Disord."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"e019862","DOI":"10.1136\/bmjopen-2017-019862","article-title":"Income and obesity: What is the direction of the relationship? A systematic review and meta-analysis","volume":"8","author":"Kim","year":"2018","journal-title":"BMJ Open"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"12","DOI":"10.36348\/sjnhc.2022.v05i02.001","article-title":"Association between Stress and Obesity among Female Student during COVID 19 Pandemic at Health Colleges in Qassim University","volume":"5","author":"Qalawa","year":"2022","journal-title":"Saudi J. Nurs. Health Care"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"516","DOI":"10.3329\/jhpn.v29i5.8906","article-title":"Stress and Its Effects on Medical Students: A Cross-sectional Study at a College of Medicine in Saudi Arabia","volume":"29","author":"Abdulghani","year":"2011","journal-title":"J. Health Popul. Nutr."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"765","DOI":"10.3945\/ajcn.113.082826","article-title":"Low-calorie sweeteners and body weight and composition: A meta-analysis of randomized controlled trials and prospective cohort studies","volume":"100","author":"Perez","year":"2014","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1894","DOI":"10.1038\/oby.2008.284","article-title":"Fueling the Obesity Epidemic? Artificially Sweetened Beverage Use and Long-term Weight Gain","volume":"16","author":"Fowler","year":"2008","journal-title":"Obesity"},{"key":"ref_42","first-page":"101","article-title":"Gain weight by \u201cgoing diet?\u201d Artificial sweeteners and the neurobiology of sugar cravings: Neuroscience 2010","volume":"83","author":"Yang","year":"2010","journal-title":"Yale J. Biol. Med."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"598340","DOI":"10.3389\/fnut.2020.598340","article-title":"The Impact of Artificial Sweeteners on Body Weight Control and Glucose Homeostasis","volume":"7","author":"Pang","year":"2021","journal-title":"Front. Nutr."},{"key":"ref_44","doi-asserted-by":"crossref","unstructured":"Kmietowicz, Z. (2023). Artificial Sweeteners Do Not Aid Weight Loss or Improve Health, Says WHO, British Medical Journal Publishing Group.","DOI":"10.1136\/bmj.p1112"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1017\/S0954422417000178","article-title":"Determinants of takeaway and fast food consumption: A narrative review","volume":"31","author":"Janssen","year":"2017","journal-title":"Nutr. Res. Rev."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1111\/j.1753-4887.2011.00459.x","article-title":"Association between eating out of home and body weight","volume":"70","author":"Bezerra","year":"2012","journal-title":"Nutr. Rev."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1016\/j.orcp.2017.02.001","article-title":"Carbon dioxide in carbonated beverages induces ghrelin release and increased food consumption in male rats: Implications on the onset of obesity","volume":"11","author":"Eweis","year":"2017","journal-title":"Obes. Res. Clin. Pract."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/60\/3\/347\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:02:29Z","timestamp":1760104949000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/60\/3\/347"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,20]]},"references-count":47,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,3]]}},"alternative-id":["medicina60030347"],"URL":"https:\/\/doi.org\/10.3390\/medicina60030347","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,20]]}}}