Comparative Analysis of Dietary Fat Intake among Female University Students in Riyadh: A Cross-Sectional Assessment of Health Sciences versus Non-Health Sciences Disciplines
Background: In the global burden of non-communicable diseases, the top slot among them all is occupied by various cardiovascular diseases (CVD), which also claim primacy in mortality rates. Generally speaking, the pathophysiological pathway frequently involves either (or a combination of) elevated serum cholesterol levels, predominantly attributed to dietary patterns characterized by extremely high levels of saturated and trans-fat consumption. Day-to-day nutritional epidemiology among university students suggests that they represent a crucial demographic for the study of preventive interventions. Objective: This in-depth study and investigation were specifically aimed to quantitatively assess and compare prevailing patterns of dietary fat consumption between female students enrolled in health sciences and non-health sciences programs at major universities in Riyadh, Saudi Arabia. Methodology: This cross-sectional study was comprised of 434 Saudi female university students (age range: 18 - 25 years), utilizing a validated Block Dietary Fat Screener accompanied by anthropometric measurements and comprehensive demographic data collection. The sampling methodology consisted of a snowball technique that was spread across three major academic institutions in Riyadh. Results: Statistical analysis revealed a significant association between academic specialization and patterns of dietary fat consumption (p = 0.012). Paradoxically, students of health science exhibited a higher prevalence of very high fat intake (41.9%) compared with their non-health sciences counterparts (27.6%). Surprisingly, anthropometric stratification revealed that it was the underweight students who demonstrated very high levels of fat consumption. A notable socioeconomic gradient was observed, with students from households earning 15,000 - 20,000 SR monthly showing the highest prevalence of very high-fat consumption (47.1%), although this association did not achieve statistical significance (p = 0.104). Conclusion: These findings challenge the conventional assumption that health sciences education correlates with superior dietary behaviors. The data suggests a critical need for enhanced education in nutrition, as well as intervention using various behavioral programs across all academic disciplines, particularly those addressing the disconnect between nutritional knowledge and dietary practices among students of health sciences. Future longitudinal studies are warranted in order to elucidate the temporal relationship between academic
References
[1]
Olvera, L.E., Ballard, B.D. and Jan, A. (2024) Cardiovascular Disease. StatPearls.
[2]
Mathers, C.D. and Loncar, D. (2006) Projections of Global Mortality and Burden of Disease from 2002 to 2030. PLOS Medicine, 3, e442. https://doi.org/10.1371/journal.pmed.0030442
[3]
Aljefree, N. and Ahmed, F. (2015) Prevalence of Cardiovascular Disease and Associated Risk Factors among Adult Population in the Gulf Region: A Systematic Review. Advances in Public Health, 2015, Article ID: 235101. https://doi.org/10.1155/2015/235101
[4]
Alshaikh, M.K., Filippidis, F.T., Baldove, J.P., Majeed, A. and Rawaf, S. (2016) Women in Saudi Arabia and the Prevalence of Cardiovascular Risk Factors: A Systematic Review. Journal of Environmental and Public Health, 2016, Article ID: 7479357. https://doi.org/10.1155/2016/7479357
[5]
Baig, M., Gazzaz, Z.J., Gari, M.A., Alattallah, H.G., AlJedaani, K.S., Mesawa, A.T., et al. (1969) Prevalence of Obesity and Hypertension among University Students’ and Their Knowledge and Attitude Towards Risk Factors of Cardiovascular Disease (CVD) in Jeddah, Saudi Arabia. Pakistan Journal of Medical Sciences, 31, 816-820. https://doi.org/10.12669/pjms.314.7953
[6]
McGuire, S. (2014) Centers for Disease Control and Prevention. 2013. Strategies to Prevent Obesity and Other Chronic Diseases: The CDC Guide to Strategies to Support Breastfeeding Mothers and Babies. Atlanta, GA: U.S. Department of Health and Human Services, 2013. Advances in Nutrition, 5, 291-292. https://doi.org/10.3945/an.114.005900
[7]
Dhaka, V., Gulia, N., Ahlawat, K.S. and Khatkar, B.S. (2011) Trans Fats—Sources, Health Risks and Alternative Approach—A Review. Journal of Food Science and Technology, 48, 534-541. https://doi.org/10.1007/s13197-010-0225-8
[8]
Jawaldeh, A.A. and Al-Jawaldeh, H. (2018) Fat Intake Reduction Strategies among Children and Adults to Eliminate Obesity and Non-Communicable Diseases in the Eastern Mediterranean Region. Children, 5, Article 89. https://doi.org/10.3390/children5070089
[9]
Laz, T.H., Rahman, M., Pohlmeier, A.M. and Berenson, A.B. (2014) Level of Nutrition Knowledge and Its Association with Weight Loss Behaviors among Low-Income Reproductive-Age Women. Journal of Community Health, 40, 542-548. https://doi.org/10.1007/s10900-014-9969-9
[10]
Yahia, N., Brown, C.A., Rapley, M. and Chung, M. (2016) Level of Nutrition Knowledge and Its Association with Fat Consumption among College Students. BMC Public Health, 16, Article No. 1047. https://doi.org/10.1186/s12889-016-3728-z
[11]
Syed, N.K., Syed, M.H., Meraya, A.M., Albarraq, A.A., Al-kasim, M.A., Alqahtani, S., et al. (2020) The Association of Dietary Behaviors and Practices with Overweight and Obesity Parameters among Saudi University Students. PLOS ONE, 15, e0238458. https://doi.org/10.1371/journal.pone.0238458
[12]
Al-Qahtani, M.H. (2016) Dietary Habits of Saudi Medical Students at University of Dammam. International Journal of Health Sciences, 10, 335-344. https://doi.org/10.12816/0048729
[13]
Chen Yun, T., Ahmad, S.R. and Soo Quee, D.K. (2018) Dietary Habits and Lifestyle Practices among University Students in Universiti Brunei Darussalam. Malaysian Journal of Medical Sciences, 25, 56-66. https://doi.org/10.21315/mjms2018.25.3.6
[14]
Alghadir, A., Iqbal, Z. and A. Gabr, S. (2021) The Relationships of Watching Television, Computer Use, Physical Activity, and Food Preferences to Body Mass Index: Gender and Nativity Differences among Adolescents in Saudi Arabia. International Journal of Environmental Research and Public Health, 18, Article 9915. https://doi.org/10.3390/ijerph18189915
[15]
Mohamed, B.A., Mahfouz, M.S. and Badr, M.F. (2020) Food Selection under Stress among Undergraduate Students in Riyadh, Saudi Arabia. Psychology Research and Behavior Management, 13, 211-221. https://doi.org/10.2147/prbm.s236953
[16]
Shahril, M.R., Wan Dali, W.P.E. and Lua, P.L. (2013) A 10-Week Multimodal Nutrition Education Intervention Improves Dietary Intake among University Students: Cluster Randomised Controlled Trial. Journal of Nutrition and Metabolism, 2013, Article ID: 658642. https://doi.org/10.1155/2013/658642
[17]
Brown, O.N., O’Connor, L.E. and Savaiano, D. (2014) Mobile MyPlate: A Pilot Study Using Text Messaging to Provide Nutrition Education and Promote Better Dietary Choices in College Students. Journal of American College Health, 62, 320-327. https://doi.org/10.1080/07448481.2014.899233
[18]
Stephen, A.M. and Sieber, G.M. (1994) Trends in Individual Fat Consumption in the UK 1900-1985. British Journal of Nutrition, 71, 775-788. https://doi.org/10.1079/bjn19940183
[19]
Mohammadbeigi, A. (2018) Fast Food Consumption and Overweight/Obesity Prevalence in Students and Its Association with General and Abdominal Obesity. Journal of Preventive Medicine and Hygiene, 59, E236-E240. https://doi.org/10.15167/2421-4248/jpmh2018.59.3.830
[20]
Agraib, L.M., Al Hourani, H.M., Al-Shami, I.K., Alkhatib, B.M. and Al-Jawaldeh, A. (2023) Association between Dietary Fatty Acid Patterns and Obesity Indices in Jordanian Adults: A Cross-Sectional Study. Heliyon, 9, e17938. https://doi.org/10.1016/j.heliyon.2023.e17938
[21]
Alamnia, T.T., Sargent, G.M. and Kelly, M. (2023) Dietary Patterns and Associations with Metabolic Risk Factors for Non-Communicable Disease. Scientific Reports, 13, Article No. 21028. https://doi.org/10.1038/s41598-023-47548-0
[22]
Chourdakis, M., Tzellos, T., Pourzitaki, C., Toulis, K.A., Papazisis, G. and Kouvelas, D. (2011) Evaluation of Dietary Habits and Assessment of Cardiovascular Disease Risk Factors among Greek University Students. Appetite, 57, 377-383. https://doi.org/10.1016/j.appet.2011.05.314
[23]
Al-Otaibi, H.H. and Basuny, A.M. (2015) Fast Food Consumption Associated with Obesity/Overweight Risk among University Female Student in Saudi Arabia. Pakistan Journal of Nutrition, 14, 511-516. https://doi.org/10.3923/pjn.2015.511.516
[24]
Bergström, M., Håkansson, A., Blücher, A. and Andersson, H.S. (2020) From Carbohydrates to Fat: Trends in Food Intake among Swedish Nutrition Students from 2002 to 2017. PLOS ONE, 15, e0228200. https://doi.org/10.1371/journal.pone.0228200
[25]
Llanaj, E., Ádány, R., Lachat, C. and D’Haese, M. (2018) Examining Food Intake and Eating Out of Home Patterns among University Students. PLOS ONE, 13, e0197874. https://doi.org/10.1371/journal.pone.0197874
[26]
Deliens, T., Verhoeven, H., De Bourdeaudhuij, I., Huybrechts, I., Mullie, P., Clarys, P., et al. (2018) Factors Associated with Fruit and Vegetable and Total Fat Intake in University Students: A Cross‐Sectional Explanatory Study. Nutrition & Dietetics, 75, 151-158. https://doi.org/10.1111/1747-0080.12399
[27]
Vidal, E.J., Alvarez, D., Martinez-Velarde, D., Vidal-Damas, L., Yuncar-Rojas, K.A., Julca-Malca, A., et al. (2018) Perceived Stress and High Fat Intake: A Study in a Sample of Undergraduate Students. PLOS ONE, 13, e0192827. https://doi.org/10.1371/journal.pone.0192827
[28]
Cheikh Ismail, L., Hashim, M., H. Jarrar, A., N. Mohamad, M., T. Saleh, S., Jawish, N., et al. (2019) Knowledge, Attitude, and Practice on Salt and Assessment of Dietary Salt and Fat Intake among University of Sharjah Students. Nutrients, 11, Article 941. https://doi.org/10.3390/nu11050941
[29]
Block, G., Gillespie, C., Rosenbaum, E.H. and Jenson, C. (2000) A Rapid Food Screener to Assess Fat and Fruit and Vegetable Intake. American Journal of Preventive Medicine, 18, 284-288. https://doi.org/10.1016/s0749-3797(00)00119-7
[30]
Ibrahim, N.K., Mahnashi, M., Al-Dhaheri, A., Al-Zahrani, B., Al-Wadie, E., Aljabri, M., et al. (2014) Risk Factors of Coronary Heart Disease among Medical Students in King Abdulaziz University, Jeddah, Saudi Arabia. BMC Public Health, 14, Article No. 411. https://doi.org/10.1186/1471-2458-14-411
[31]
Macaninch, E., Buckner, L., Amin, P., Broadley, I., Crocombe, D., Herath, D., et al. (2020) Time for Nutrition in Medical Education. BMJ Nutrition, Prevention & Health, 3, 40-48. https://doi.org/10.1136/bmjnph-2019-000049
[32]
Abdulghani, H.M., AlKanhal, A.A., Mahmoud, E.S., Ponnamperuma, G.G. and Alfaris, E.A. (2011) Stress and Its Effects on Medical Students: A Cross-Sectional Study at a College of Medicine in Saudi Arabia. Journal of Health, Population and Nutrition, 29, 516-522. https://doi.org/10.3329/jhpn.v29i5.8906
[33]
Majeed, F. (2015) Association of BMI with Diet and Physical Activity of Female Medical Students at the University of Dammam, Kingdom of Saudi Arabia. Journal of Taibah University Medical Sciences, 10, 188-196. https://doi.org/10.1016/j.jtumed.2014.11.004
[34]
Houston, D.K., Ding, J., Lee, J.S., Garcia, M., Kanaya, A.M., Tylavsky, F.A., et al. (2011) Dietary Fat and Cholesterol and Risk of Cardiovascular Disease in Older Adults: The Health ABC Study. Nutrition, Metabolism and Cardiovascular Diseases, 21, 430-437. https://doi.org/10.1016/j.numecd.2009.11.007
[35]
Abdel-Megeid, F.Y., Abdelkarem, H.M. and El-Fetouh, A.M. (2011) Unhealthy Nutritional Habits in University Students Are a Risk Factor for Cardiovascular Diseases. Saudi Medical Journal, 32, 621-627. http://europepmc.org/abstract/MED/21666946
[36]
Araujo, M.C., Verly Junior, E., Junger, W.L. and Sichieri, R. (2013) Independent Associations of Income and Education with Nutrient Intakes in Brazilian Adults: 2008-2009 National Dietary Survey. Public Health Nutrition, 17, 2740-2752. https://doi.org/10.1017/s1368980013003005
[37]
Mozafarinia, M., Heidari-Beni, M., Abbasi, B. and Kelishadi, R. (2022) Association between Dietary Fat Quality Indices with Anthropometric Measurements in Children and Adolescents. BMC Pediatrics, 22, Article No. 244. https://doi.org/10.1186/s12887-022-03307-0