Obesity in Lebanon: A National Problem

Obesity is a major health problem, because of its relationship with serious medical illnesses and significant economic consequences. This article explores various factors and variables affecting the prevalence of obesity in Lebanon, to focus public health initiatives and medical interventions in the management of obesity. This study interviewed 593 subjects, of more than 20 years, from all governorates of Lebanon. The interview covered personal and demographic data, awareness, knowledge, attitude and practices towards obesity including diet and physical activity. Males’ and females’ percentages were 51.6% and 48.4%, respectively, and a young population profile was with 52.8% less than 40 years of age. The BMI index showed that 52.77% were obese with 70.6% males and 34.27% females. The great majority were educated. TV was the most used media outlet, 79.61% watching daily between 1 - 4 hours. Obesity was considered as the most important health problem by 27.6% and ranking the 5th after cancer, cardiovascular, smoking and HIV/AIDS. About two thirds considered it a risk factor for hypertension and type 2 diabetes mellitus and 80.27% for cardiovascular diseases. Interventions should include changes in diet habits whereby, approximately one third (33.5%) drink carbonated beverages on a daily basis and 50.76% eat fast food, with a lack of awareness about daily calories intake by 75.38%. About half of the population (56.32%) walks daily for 20 minutes. Most people favored behavioral and lifestyle modifications in management rather than medications and surgery (67.79%). This study provides baseline data regarding several aspects of an obesogenic environment, a major risk factor for several diseases including hypertension, diabetes and other non-communicable diseases. After describing the factors and variables affecting the prevalence of obesity, some suggestions for appropriate interventions are included, with the hope of reducing the health burden of obesity in Lebanon.