Noncommunicable Diseases in Saudi Arabia

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Prevalence and Risk Factors of NCDs in Saudi Arabia  | 39

efforts intended to prevent and encourage quitting the use of shisha, electronic cigarettes, and smokeless tobacco. An unhealthy diet, insufficient physical activity, and obesity are interlinked risk factors that need to be tackled simultaneously. Only a small ­percentage of Saudi Arabia’s population meets dietary recommendations. Low consumption of whole grains, nuts, seeds, fruits, and vegetables is related to the development of NCDs. The share of Saudis who engage in any type of regular physical activity is small. Lifestyle factors—including long commutes, sedentary office jobs, and various sedentary habits—have contributed to physical inactivity. All of these factors have contributed to the increase in the prevalence of overweight and obesity among both children and adults. Saudi Arabia currently has one of the most obese populations in the world. Overweight and obesity are among the most significant health determinants in Saudi Arabia and need to be strongly targeted. Cultural and weather-appropriate, multiple-level interventions to increase physical activity and improve dietary habits should target both the general population and specific high-risk groups. Screening efforts are needed to detect borderline and undiagnosed diabetes, hypertension, and hypercholesterolemia at early stages. Elevated blood glucose, high blood pressure, and abnormal blood lipids often remain undiagnosed in Saudi Arabia. Regardless of their expected increase with age, it is important to diagnose these conditions and start treatment early in life. Prolonged undiagnosed diabetes, hypertension, and hypercholesterolemia can have multiple negative effects, including complications, increased use of health care, and related costs. The population older than 35 years of age is at higher risk of having undetected biological risk factors, which makes it possible to target a single group and maximize benefits by simultaneously screening for the three risk factors. The screening campaigns need to be coupled with intensive programs to control diabetes, hypertension, and hypercholesterolemia as well as with programs to monitor adherence to treatment at primary health care facilities.

REFERENCES Basulaiman, M., C. El Bcheraoui, M. Tuffaha, M. Robinson, F. Daoud, S. Jaber, S. Mikhitarian, et al. 2014. “Hypercholesterolemia and Its Associated Risk Factors: Kingdom of Saudi Arabia, 2013.” Annals of Epidemiology 24 (11): 801–08. doi: 10.1016/j.annepidem.2014.08.001. El Bcheraoui, C., M. Basulaiman, M. A. Al-Mazroa, M. Tuffaha, F. Daoud, S. Wilson, M. Y. Al Saeedi, et al. 2015. “Fruit and Vegetable Consumption among Adults in Saudi Arabia, 2013.” Nutrition and Dietary Supplements 7 (February): 41–49. doi: 10.2147/NDS.S77460. El Bcheraoui, C., M. Basulaiman, M. Tuffaha, F. Daoud, M. Robinson, S. Jaber, S. Mikhitarian, et al. 2013. “Status of the Diabetes Epidemic in the Kingdom of Saudi Arabia, 2013.” International Journal of Public Health 59 (6): 1011–21. doi: 10.1007/s00038-014-0612-4. El Bcheraoui, C., Z. A. Memish, M. Tuffaha, F. Daoud, M. Robinson, S. Jaber, S. Mikhitarian, et al. 2014. “Hypertension and Its Associated Risk Factors in the Kingdom of Saudi Arabia, 2013: A National Survey.” International Journal of Hypertension 2014: Art. 564679. doi: 10.1155/2014/564679. GASTAT (General Authority for Statistics). 2017a. Bulletin of Household Sports Practice Survey. Riyadh: GASTAT. https://www.stats.gov.sa/sites/default/files/ bulletin_of_household​ _sports_practice_survey_2017_en.pdf. GASTAT (General Authority for Statistics). 2017b. Household Health Survey. Riyadh: GASTAT. https://www.stats.gov.sa/sites/default/files/household_health_survey_2017_1.pdf.


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9.2 Focus on three levels of prevention in the master plan

2min
page 226

sector

1min
page 228

Methodological approach Identification of stakeholders influencing and participating in

4min
pages 236-237

in Saudi Arabia

2min
page 241

diets in Saudi Arabia

2min
page 240

9.5 Benefits of targeting settings

1min
page 231

Prioritizing prevention over treatment

2min
page 225

References

30min
pages 208-218

plans

1min
page 223

Cost-effectiveness of screening

2min
page 198

Effectiveness of interventions to increase screening uptake

2min
page 201

8.6 Cost-effectiveness of screening

4min
pages 202-203

Diseases

1min
page 222

Cost-effectiveness of screening promotion interventions Information gaps, policy recommendations, and future research

2min
page 204

8.3 Recommendations regarding screening in comparative countries

4min
pages 196-197

Effectiveness of screening

2min
page 195

United States

2min
page 193

Screening in Saudi Arabia

2min
page 192

7.17 Evidence on cost-effectiveness of diet-related interventions

5min
pages 166-167

7.16 Evidence on cost-effectiveness of tobacco control interventions

3min
page 165

Cost-effectiveness of population-wide interventions

1min
page 164

7.13 Evidence on effectiveness of setting nutrition standards

2min
page 159

7.10 Evidence on effectiveness of BOP and FOP labeling

3min
page 157

e-cigarettes

2min
page 155

7.6 Evidence of effectiveness of e-cigarette tax

2min
page 154

Saudi Arabia

2min
page 152

Conclusions

1min
page 131

Saudi Arabia

2min
page 150

Saudi Arabia

2min
page 151

Noncommunicable Diseases

5min
pages 143-144

Plan

1min
page 128

Methodology

2min
page 124

References

17min
pages 116-122

Annex 5B: Methodology for estimating the impact of NCDs on HCI

2min
page 115

Annex 5A: Approaches to estimating the economic burden of NCDs

2min
page 114

North Africa

5min
pages 104-105

5.4 NCDs and human capital: Transmission mechanisms

15min
pages 107-112

Conclusions

2min
page 113

Summary and conclusions Annex 4A: Methodology for estimating the economic impact

2min
page 96

Economic burden using the value of a statistical life method Economic burden using the economic growth approach

5min
pages 93-94

References

4min
pages 61-62

3A.2 Adjusted decrease in salt intake and changes to systolic blood pressure in Saudi Arabia, by gender 3A.3 Prevalence estimates for overweight and obesity in Saudi Arabia, by age and

2min
page 78

Economic burden using the cost-of-illness method

2min
page 89

3 Disease prevalence in the employed working-age population in

3min
page 26

3.1 Years of life lost, years lost due to disability, and healthy life expectancy

3min
page 64

and 2019

1min
page 39

3.2 Definition of risk factors for at-risk populations

5min
pages 67-68

Conclusions

2min
page 76
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