Prevalence and associated risk factors of overweight and obesity among adult population in Dubai: a population-based cross-sectional survey in Dubai, the United Arab Emirates

Objective To study the prevalence of overweight and obesity and determine the associated risk factors among adults in Dubai. Design and setting A cross-sectional survey with a multistage, stratified random sampling design was conducted in the Emirate of Dubai in 2019. Participants The study included 2142 adults aged 18+ years in the Emirate of Dubai. Results The overall prevalence of obesity, which was defined as body mass index (BMI) >= 30kg/m(2), was 17.8%. The highest obesity rates were reported among women (21.6%) and the United Arab Emirates (UAE)-nationals (39.6%). Moreover, 39.8% of the population was overweight (BMI >= 25-29.9kg/m(2)). Multivariate logistic regression showed associations between obesity and age, sex, nationality, hypertension and occupation. Obesity increases with age, with the highest risk at age group 50-59 years (OR 4.30; 95%CI 1.57 to 11.78) compared with the reference group (18-24 years). Females had a higher risk of obesity than males (OR 1.62; 95%CI 1.10 to 2.38). Compared with those in the reference group (Western and others), UAE nationals, other Arabs and Asians were more likely to be obese ((OR 2.08; 95%CI 1.18 to 3.67), (OR 3.61; 95%CI 2.41 to 5.44) and (OR 1.98; 95%CI 1.12 to 3.50), respectively). Clerical and service workers (OR 4.50; 95%CI 2.54 to 8.00) and elementary and unskilled occupation categories (OR 2.57; 95%CI 1.56 to 4.25) had higher risks of obesity than the reference group (professionals), p<0.01). Hypertensive individuals had a higher risk of obesity than normotensive individuals (OR=3.96; p<0.01). Conclusions Obesity and overweight are highly prevalent among adults in Dubai and are remarkably associated with sociodemographic and behavioural risk factors. Comprehensive strategic initiatives are urgently needed to control obesity in the high-risk populations in the Emirate of Dubai.