Profile of Non-Communicable Disease Risk Factors Among Employees at a Saudi University

  • Published : 2014.10.11


Background: There is paucity of studies defining the prevalence of non-communicable disease (NCD) risk factors in Saudi Arabia despite the surging epidemic of obesity, change in dietary habits and sedentary lifestyle. Objectives: This cross-sectional study aimed to assess the prevalence of NCDs risk factors among employees at King Faisal University in Al Hassa, Saudi Arabia and to determine the possible correlates for clustering of NCDs risk factors among them. Materials and Methods: All employees were invited to participate; the World Health Organization STEPwise approach was used for data collection which consisted of a personal interview to collect socio-demographic characteristics, NCD history, tobacco use, vegetables and fruit consumption, and physical activity (PA), followed by anthropometric measurements namely weight, height and waist circumference and blood pressure measurements, subjects were finally subjected to biochemical tests with determination of fasting plasma glucose, serum triglycerides, cholesterol and high density lipoproteins. Results: Of the surveyed employees (n=691), daily current smokers accounted for 22.7%. 94.9%, 95.1% and 86% consumed < 5 servings per day of vegetables, fruits and both fruits and vegetables respectively, 73% were physically inactive, 64% were overweight or obese, 22.1% had hypertension, and 21.5% were diabetics. Elevated cholesterol levels were found in 36.6%, low high density lipoproteins in 36.8%, and elevated triglycerides in 36.1%. Only 3% had no NCD risk factors, and 57.6% had ${\geq}3$ factors. Multivariate logistic regression showed that gender (being male, adjusted odds ratio 'aOR'=1.51), aged ${\geq}50$ years (aOR=3.06), < college education (aOR=1.75), current smokers (aOR=2.37), being obese (aOR=6.96) and having a low PA level (aOR=4.59) were the significant positive predictors for clustering of NCD risk factors. Conclusions: Over fifty percent of the studied university's employees had multiple (${\geq}3$) NCD risk factors. Screening and health promotion initiatives should be launched at least targeting the modifiable factors to avert the excessive risk for cardiovascular disease, diabetes mellitus and several types of cancers.


  1. Al-Hazzaa H (2007). Health enhancing physical activity among Saudi adults using International Physical Activity Questionnaire (IPAQ). Public Health Nutr, 10, 59-64.
  2. Al-Kaabba AF, Al-Hamdan NA, El Tahir A, et al. (2012). Prevalence and correlates of dyslipidemia among adults in Saudi Arabia: results from a national survey. Endo Metabo Dis, 2, 89-97.
  3. Al-Nozha M, Al-Hazzaa M, Arafah M, et al (2007). Prevalence of physical activity and inactivity among Saudis aged 30-70 years. Saudi Med J, 28, 559-74.
  4. Al-Nozha MM, Abdullah M, Arafah MR, et al (2007a). Hypertension in Saudi Arabia. Saudi Med J, 28, 77-86.
  5. Alegre MM, Knowles MH, Robison RA, O'Neill KL (2013). Mechanics behind breast cancer prevention-focus on obesity, exercise and dietary fat. Asian Pac J Cancer Prev, 14, 2207-12.
  6. Amin TT, Al Khoudair AS, Al Harbi MA, Al Ali AR (2012). Leisure time physical activity in Saudi Arabia: prevalence, pattern and determining factors. Asian Pac J Cancer Prev, 13, 351-60.
  7. Amin TT, Al-Hammam AM, Almulhim NA, et al (2014). Physical activity and cancer prevention: awareness and meeting the recommendations among adult Saudis. Asian Pac J Cancer Prev, 15, 2597-606.
  8. Amin TT, Suleman W, Ali A, Gamal A, Al Wehedy A (2011). Pattern, prevalence, and perceived personal barriers toward physical activity among adult Saudis in Al-Hassa, KSA. Phys Act Health, 8, 775-66.
  9. Bonett DG, Price RM (2002). Statistical inference for a linear function of medians: confidence intervals, hypothesis testing and sample size requirements. Psychol Methods, 7, 370-383.
  10. Burton WN, Chen C-Y, Conti DJ, Schultz AB, Edington DW (2003). Measuring the relationship between employees' health risk factors and corporate pharmaceutical expenditures. J Occup Environ Med, 45, 793-805.
  11. Cogliano VJ, Baan R, Straif K, et al (2011). Preventable exposures associated with human cancers. J Natl Cancer Inst, 103, 1827-39.
  12. Cust AE (2011). Physical activity and gynecologic cancer prevention. Recent Results Cancer Res, 186, 159-85.
  13. da Costa FF, Benedet J, Leal DJ, de Assis MAA (2013). Clustering of risk factors for non- communicable diseases in adults from Florianopolis, SC. Rev. Bras. Epidemiol, 16, 2.
  14. Ekblom-Bak E, Hellenius M-L, Ekblom O, et al (2010). Independent associations of physical activity and cardiovascular fitness with cardiovascular risk in adults. Eur J Cardiovasc Prev Rehabil, 17, 175-82.
  15. FAO/WHO (2006). Technical consultation on national foodbased dietary guidelines. WHO. regional office. Cairo, Egypt. accessed May 2014.
  16. Ferlay J, Shin HR, Bray F, et al (2010). GLOBOCAN 2008, Cancer incidence and mortality worldwide. lyon, France: international agency for research on cancer; 2010. IARC cancer base no. 10. Accessed October 20, 2013.
  17. Jafri H, Karas RH (2010). Baseline and on-treatment highdensity lipoprotein cholesterol and the risk of cancer in randomized controlled trials of lipidaltering therapy. J Am Coll Cardiol, 55, 2846-55.
  18. Katano S, Nakamura Y, Nakamura A, et al (2010). Relationship among physical activity, smoking, drinking and clustering of the metabolic syndrome diagnostic components. J Atheroscler Thromb, 17, 644-61.
  19. Kearney PM, Whelton M, Whelton PK, He J (2004). Worldwide prevalence of hypertension: a systematic review. Hypertension, 22, 11-21.
  20. Kolbe-Alexander TL, Conradie J, Lambert EV (2013). Clustering of risk factors for non-communicable disease and healthcare expenditure in employees with private health insurance presenting for health risk appraisal: a cross-sectional study. BMC Public Health, 13, 1213.
  21. Kruk J, Marchlewicz M (2013). Dietary fat and physical activity in relation to breast cancer among Polish women. Asian Pac J Cancer Prev, 14, 2495-502.
  22. Leitzmann MF (2011). Physical activity and genitourinary cancer prevention. Recent Results Cancer Res, 186, 43-71.
  23. Lim SS, Vos T, Flaxman AD, et al (2012). A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the global burden of disease study. Lancet, 380, 2224-57.
  24. McGuire KA, Janssen I, Ross R (2009): Ability of physical activity to predict cardiovascular disease beyond commonly evaluated cardiometabolic risk factors. Am J Cardiol, 104, 1522-33.
  25. Morrison DS, Parr CL, Lam TH, et al (2013). Behavioral and metabolic risk factors for mortality from colon and rectum cancer: analysis of data from the asia-pacific cohort studies collaboration. Asian Pac J Can Prev, 14, 1083-92.
  26. Moura EC, Malta DC, Morais Neto OL, Monteiro CA (2009). Prevalence and social distribution of risk factors for chronic non-communicable diseases in Brazil. Rev Panam Salud Publica, 26, 17-33.
  27. Muniz LC, Schneider BC, Silva IC, Matijasevich A, Santos IS (2012). Accumulated behavioral risk factors for cardiovascular diseases in Southern Brazil. Rev Saude Publica, 46, 534-571.
  28. Murray CJL, Lopez AD (1996) (eds). The global burden of disease: a comprehensive assessment of mortality and disability from disease, injuries, and risk factors in 1990 and projected to 2020. Boston, mass: harvard school of public health.
  29. Musaiger A, Al-Hazzaa H (2012). Prevalence and risk factors associated with nutrition-related noncommunicable diseases in the Eastern Mediterranean region. Int J Gen Med, 199, 217-29.
  30. Musaiger AO, Al Hazzaa MH, Al-Qahtani A, et al (2011). Strategy to combat obesity and to promote physical activity in Arab countries. Diab Metabol Syndr Obes, 4, 89-101.
  31. Musaiger AO, Takruri HR, Hassan AS, Abu-Tarboush H (2012). Food-based dietary guidelines for the Arab Gulf countries. J Nutri Metabol, 2012, 905303.
  32. Ng SW, Zaghloul S, Ali HI, Harrison G, Popkin BM (2011). The prevalence and trends of overweight, obesity and nutritionrelated non-communicable diseases in the Arabian Gulf States. Obesity Reviews, 12, 1-14.
  33. Pickering TG, Hall JE, Appel L, et al (2005). AHA scientific statement: recommendations for blood pressure measurement in humans and experimental animals part 1: blood pressure measurement in humans: a statement for professionals from the subcommittee of professional and public education of the American heart association council on high blood pressure research. Hypertension, 45, 142-59
  34. Plotnikoff RC, McCargar LJ, Wilson PM, Loucaides CA (2005). Efficacy of an E-mail intervention for the promotion of physical activity and nutrition behavior in the workplace context. Am J Health Promot, 19, 422-9.
  35. Poortinga W (2007). The prevalence and clustering of four major lifestyle risk factors in an English adult population. Prev Med, 44, 124-32.
  36. Ramadan EN, Zakaria AM, Elbosaty LM (2013). Prevalence of hypertension and risk factors among university employees of King Khalid in Bisha. J Am Science, 9, 394-404.
  37. Schuit AJ, van Loon AJ, Tijhuis M, Ocke M (2002). Clustering of lifestyle risk factors in a general adult population. Prev Med, 35, 219-24.
  38. Serxner SA, Gold DB, Grossmeier JJ, Anderson DR (2003). The relationship between health promotion program participation and medical costs: a dose response. J Occup Environ Med, 45, 1196-201.
  39. Thayyil J, Jayakrishnan TT, Raja M, Cherumanalil JM (2012). Metabolic syndrome and other cardiovascular risk factors among police officers. North Am J Med Sciences, 4, 630-7.
  40. WHO (2002). The world health report 2002: reducing risks, promoting healthy life. Switzerland, Geneva, 162, 57-61.
  41. WHO STEPwise Approach to NCD surveillance, countryspecific STANDARD REPORT, Saudi Arabia report (2005).
  42. Wild CP (2012). The role of cancer research in non-communicable disease control. J Natl Cancer Inst JNCI, Commentary, 1-8.
  43. Wiseman M (2008). The second world cancer research fund/American Institute for cancer research expert report. Food, nutrition, physical activity, and the prevention of cancer: a global perspective. Proc Nutr Soc, 67, 253-8.
  44. World cancer research fund/american institute for cancer research (AICR) (2007). food, nutrition, physical activity, and the prevention of cancer: a global perspective. Washington, DC. AICR; 2007.
  45. World Health Organization (2011). Global status report on non-communicable diseases 2010-description of the global burden of NCDs, their risk factors and determinants. Geneva, Switzerland: WHO.
  46. World Health Organization, WHO STEPS instruments and support materials. accessed February 2012.
  47. World Health Organization. Sedentary lifestyle (2001): a global public health problem, Geneva, Switzerland: WHO 2001. available from:

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