Research Article

Dietary and Lifestyles assessment among Obese Women in Gaza City, Palestine

Marwan O Jalambo*, Basil Kanoa, Mohammed S Ellulu, Smaher Younis and Mueen El-Kariri

Published: 04 December, 2018 | Volume 2 - Issue 1 | Pages: 017-025

Background: The fundamental cause of obesity and overweight is an energy imbalance between calories consumed and calories expended.

Aim: To clarify and figure out food habits and different lifestyle pattern among a sample of Palestinian women attending the nutrition center in the Gaza Strip.

Methods: A cross-sectional study involved 116 women were randomly chosen by purposive census sampling. They aged 25 to 60 years with a diagnosis of obesity. The data collected by interview questionnaire that included social factors, lifestyle habits, and health/disease history.

Results: Age group variable has distributed significantly (p=0.024), (31.0%) of morbid obese were ≥35 years group compared to (13.5%) of morbid obese amongst the younger group. The higher intakes of legumes (OR: 2.134, P=0.003), nuts (OR: 3.917, P=0.019), eggs (OR: 6.840, P=0.009), fast foods (OR: 4.461, P=0.005), and soda drinks (OR: 2.230, P=0.004) were the risk factors linked to the increased risk of morbid obesity. Moreover, the higher intakes of legumes (OR: 8.439, P=0.011), eggs (OR: 6.900, P=0.041), chips (OR: 5.049, P=0.012), sugar (OR: 2.068, P=0.011), and fast foods (OR: 3.029, P=0.025) are risk factors of chronic diseases.

Conclusion: The study identified several lifestyle factors and improper dietary habits associated with obesity among women in Gaza city. There is a great need to change these habits to avoid the increased risk of obesity. Gene-environment interaction can explain the high incidence of obesity. A national plan of action to overcome obesity is urgently needed to reduce its economic and health burden

Read Full Article HTML DOI: 10.29328/journal.niogb.1001009 Cite this Article Read Full Article PDF


  1. Gonçalves JT, Silveira MF, Campos MC, Costa LH. Overweight and obesity and factors associated with menopause. Ciencia & saude coletiva. 2016; 21: 1145-1156. Ref.: https://goo.gl/SWb4VB
  2. Hassan NE, Wahba SA, El-Masry SA, Elhamid ER, Boseila SA, et al. Eating Habits and Lifestyles among a Sample of Obese Working Egyptian Women. Open Access Maced J Med Sci. 2015; 3: 12-17. Ref.: https://goo.gl/hm8Dxf
  3. Popkin BM. The nutrition transition and obesity in the developing world. J Nutr. 2001; 131: 871S-873S. Ref.: https://goo.gl/8msHxs
  4. Eckel RH, York DA, Rössner S, Hubbard V, Caterson I, et al. prevention conference VII. Obesity, a worldwide epidemic related to heart disease and stroke: executive summary. Circulation. 2004; 110: 2968-2975. Ref.: https://goo.gl/kRAZJ2
  5. Hill JO, Peters JC. Environmental contributions to the obesity epidemic. Science. 1998; 280: 1371-1374. Ref.: https://goo.gl/kRAZJ2
  6. Popkin BM, Doak CM. The obesity epidemic is a worldwide phenomenon. Nutrition reviews. 1998; 56: 106-114. Ref.: https://goo.gl/tCvevJ
  7. Giles-Corti B, Macintyre S, Clarkson JP, Pikora T, Donovan RJ. Environmental and lifestyle factors associated with overweight and obesity in Perth, Australia. Am J Health Promot. 2003; 18: 93-102. Ref.: https://goo.gl/SXHUU7
  8. Kanoa BJ, Abu-Nada OS, El-Sakka MA. Weight Reduction Perception and Practice among Female Students in Al-Azhar University-Gaza, Palestine. Turkish Journal of Public Health. 2008; 6: 47. Ref.: https://goo.gl/ECT43j
  9. Merchant AT, Dehghan M, Behnke-Cook D, Anand SS. Diet, physical activity, and adiposity in children in poor and rich neighbourhoods: a cross-sectional comparison. Nutr J. 2007; 6: 1. Ref.: https://goo.gl/fKP6xy
  10. Rodríguez-Martín A, Novalbos Ruiz JP, Martínez Nieto JM, Escobar Jiménez L. Life-style factors associated with overweight and obesity among Spanish adults. Nutr Hosp. 2009; 24: 144-151. Ref.: https://goo.gl/NJbpZC
  11. Abrantes MM, Lamounier JA, Colosimo EA. Overweight and obesity prevalence in Northeast and Southeast Regions of Brazil. Rev Assoc Med Bras. 2003; 49: 162-166. Ref.: https://goo.gl/A69U7q
  12. Prentice AM, Jebb SA. Fast foods, energy density and obesity: a possible mechanistic link. Obes Rev. 2003; 4: 187-194. Ref.: https://goo.gl/aMfSXi
  13. Koh-Banerjee P, Chu NF, Spiegelman D, Rosner B, Colditz G, et al. Prospective study of the association of changes in dietary intake, physical activity, alcohol consumption, and smoking with 9-y gain in waist circumference among 16 587 US men. Am J Clin Nutr. 2003; 78: 719-727. Ref.: https://goo.gl/8j6xjR
  14. Gutiérrez-Fisac JL, Banegas Banegas JR, Artalejo FR, Regidor E. Increasing prevalence of overweight and obesity among Spanish adults, 1987–1997. Int J Obes Relat Metab Disord. 2000; 24: 1677. Ref.: https://goo.gl/aCsFUq
  15. Rodríguez Artalejo F, López García E, Gutiérrez-Fisac JL, Banegas Banegas JR, Lafuente Urdinguio PJ, et al. Changes in the prevalence of overweight and obesity and their risk factors in Spain, 1987–1997. Prev Med. 2002; 34: 72-81. Ref.: https://goo.gl/P5TtsM
  16. Petersen L, Schnohr P, Sørensen TI. Longitudinal study of the long-term relation between physical activity and obesity in adults. Int J Obes Relat Metab Disord. 2004; 28: 105. Ref.: https://goo.gl/CN7Bk2
  17. Katzmarzyk PT, Janssen I, Ardern CI. Physical inactivity, excess adiposity and premature mortality. Obesity reviews. 2003; 4: 257-290. Ref.: https://goo.gl/eW8vPP
  18. Akbartabartoori M1, Lean ME, Hankey CR. The associations between current recommendation for physical activity and cardiovascular risks associated with obesity. Eur J Clin Nutr. 2008; 62: 1. Ref.: https://goo.gl/JGHEor
  19. Global strategy on diet, physical activity and health. 2004; Ref.: https://goo.gl/W2thzP
  20. Tohill BC. Dietary intake of fruit and vegetables and management of body weight. 2005; WHO. Ref.: https://goo.gl/oCJxqH
  21. Ledoux TA, Hingle MD, Baranowski T. Relationship of fruit and vegetable intake with adiposity: a systematic review. Obes Rev. 2011; 12: Ref.: https://goo.gl/iogKKA
  22. Abudayya AH, Stigum H, Shi Z, Abed Y, Holmboe-Ottesen G. Sociodemographic correlates of food habits among school adolescents (12–15 year) in North Gaza Strip. BMC Public Health. 2009; 9: 185. Ref.: https://goo.gl/y5TaLr
  23. Musaiger A. Food consumption patterns in the Eastern Mediterranean Region. Food consumption patterns in the Eastern Mediterranean Region. 2011; Ref.: https://goo.gl/NE2RGP
  24. Niemeier HM, Raynor HA, Lloyd-Richardson EE, Rogers ML, Wing RR. Fast food consumption and breakfast skipping: predictors of weight gain from adolescence to adulthood in a nationally representative sample. J Adolesc Health. 2006; 39: 842-849. Ref.: https://goo.gl/n6h1T7
  25. Shan XY, Xi B, Cheng H, Hou DQ, Wang Y, et al. Prevalence and behavioral risk factors of overweight and obesity among children aged 2–18 in Beijing, China. Int J Pediatr Obes. 2010; 5: 383-389. Ref.: https://goo.gl/qJocoQ
  26. Donma MM, Donma O. Beneficial Effects of Poultry Meat Consumption on Cardiovascular Health and the Prevention of Childhood Obesity. Med One. 2017; Ref.: https://goo.gl/p694QP
  27. Ibarrola-Jurado N, Bulló M, Guasch-Ferré M, Ros E, Martínez-González MA, et al. Cross-sectional assessment of nut consumption and obesity, metabolic syndrome and other cardiometabolic risk factors: the PREDIMED study. PloS one. 2013; 8: e57367. Ref.: https://goo.gl/msZRG2
  28. Flores-Mateo G, Rojas-Rueda D, Basora J, Ros E, Salas-Salvadó J. Nut intake and adiposity: meta-analysis of clinical trials–. The Am J Clin Nutr. 2013: 97: 1346-1355. Ref.: https://goo.gl/w6JCD8
  29. Sabaté J. Nut consumption and body weight. Am J Clin Nutr. 2003; 78: 647S-650S. Ref.: https://goo.gl/eiNfny
  30. Natoli S, McCoy P. A review of the evidence: nuts and body weight. Asia Pac J Clin Nutr. 2007; 16: 588-597. Ref.: https://goo.gl/SzXzqX
  31. Mihrete K. Association between fast food consumption and obesity and high blood pressure among office workers. 2011; Walden University. Ref.: https://goo.gl/sFGYSR
  32. Al-Haifi AR 1, Al-Fayez MA, Al-Athari BI, Al-Ajmi FA, Allafi AR, et al. Relative contribution of physical activity, sedentary behaviors, and dietary habits to the prevalence of obesity among Kuwaiti adolescents. Food Nutr Bull. 2013; 34: 6-13. Ref.: https://goo.gl/j5obBW
  33. Washi SA, Ageib MB. Poor diet quality and food habits are related to impaired nutritional status in 13-to 18-year-old adolescents in Jeddah. Nutr Res. 2010; 30: 527-534. Ref.: https://goo.gl/5VGtd7
  34. Andreyeva T, Kelly IR, Harris JL. Exposure to food advertising on television: associations with children's fast food and soft drink consumption and obesity. Econ Hum Biol. 2011; 9: 221-233. Ref.: https://goo.gl/V13tnv
  35. Fraser LK, Edwards KL, Cade JE, Clarke GP. Fast food, other food choices and body mass index in teenagers in the United Kingdom (ALSPAC): a structural equation modelling approach. Int J Obes (Lond). 2011; 35: 1325. Ref.: https://goo.gl/omq7BW
  36. Musaiger AO. Overweight and obesity in eastern mediterranean region: prevalence and possible causes. Journal of obesity. 2011; 2011: Article ID 407237. Ref.: https://goo.gl/9XpRCL
  37. Viuda-Serrano A, González-Millán C, Pérez-González B. Obesity Prevention through Physical Activity in School-Age Children and Adolescents. 2010, Retrieved 29/04/2012. Ref.: https://goo.gl/3DEpU1
  38. Martins ADS/ Atividade física, autoavaliação negativa de saúde e condutas de risco em adolescentes. 2017; Ref.: https://goo.gl/xkyurC
  39. Ellulu MS, Jalambo MO. Gene-environment interaction: The causes of high obesity incidence. Kathmandu Univ Med J. 2017; 57: 90-92. Ref.: https://goo.gl/tYzEZb
  40. Stevenson N. Family Environmental Characteristics Associated with Obesity in African American High School Girls. 2008; Ref.: https://goo.gl/ccdB9n
  41. Elinder LS1, Jansson M. Obesogenic enviromentsaspects on measurement and indicators. Public Health Nutrition. 2008; 12: 307-315. Ref.: https://goo.gl/S9cmXT
  42. Nielsen SJ, Popkin BM. Changes in beverage intake between 1977 and 2001. Am J Prev Med. 2004; 27: 205-210. Ref.: https://goo.gl/F6Vv2z
  43. Bray GA. Soft drink consumption and obesity: it is all about fructose. Curr Opin Lipidol. 2010; 21: 51-57. Ref.: https://goo.gl/hgvyBb
  44. Reducing consumption of sugar-sweetened beverages to reduce the risk of childhood overweight and obesity. 2015; Ref.: https://goo.gl/rBDYUa

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