Review Article

Prevalence of Obesity and Overweight among Adults in the Middle East Countries from 2000 to 2020: A Systematic Review and Meta-Analysis

Table 1

Summary of included studies in the meta-analysis.

Authors/year of publicationSettingSamplingObesityOverweight
CountryRural/urbanMethodAgeN.MenN. femaleN. totalSex/settingPrevalence95% CIPrevalence95% CI

Gunaid et al., 2012 [15]YemenURandom sample≥2091915812500FM8.87.7–1023.522–25.2
M2.51.6–3.71815.5–20.4
F12.510.8–14.126.824.6–28.9
Janghorbani et al., 2007 [16]IranStratified probability cluster15–6545,08244,32289,404FM17.617.3–17.832.231.9–32.5
M10.910.5–113231.5–32.4
F24.524–24.832.432.0–32.9
Kelishadi et al. 2007 [17]IranR, U15–64451134434489 532FM28.628.3–28.910.810.6–11
Djalalinia et al. 2020 [18]IranR, USystematic random sampling cluster≥181408015,04429,124FM22.722.2–23.236.636.0–37.1
M15.314.7–15.938.337.4–39.1
F29.829.0–30.53534.2–35.8
U24.123.4–24.738.437.7–39.1
R19.518.6–20.432.131.1–33.1
Ali AL-Nooh et al. 2014 [19]BahrainCensus39.16414981139FM38.735.7–41.539.736.8–42.5
M36.933.2–40.842.939.0–46.8
F40.736.4–45.223.419.8–27.4
Al-Ansari et al. 2000 [20]BahrainUVolunteered17–38238406644FM96.9–11.418.115.2–21.3
M11.17.6–1617.613.0–23
F7.65.2–10.618.514.8–22.6
Nitzan Kaluski et al. 2007 [21]IsraeliRandom sample25–64137114102781FM22.821.2–24.462.160.3–63.9
M19.917.8–22.165.763.0–68.1
F25.723.4–2858.856.1–61.3
Fraser et al., 2008 [22]IsraeliR, UConvenience, cluster random sample35–64962FM21.418.8–24.1
Shabu, 2019 [23]IraqUMultistage sampling≥1836311171480FM40.938.2–43.333.430.9–35.8
AL-Tawil et al., 2005 [24]IraqUConvenience sample≥18200F2519.1–31.63932.2–46.1
Ali Mansour et al. 2012 [25]IraqUSimple random population-based≥1814,42514,68229,107FM23.823.3–24.231.330.7–31.8
M18.618.0–19.331.730.9–32.4
F28.828.0–29.530.830.1–31.6
Wafaa et al., 2013 [26]IraqUProbably62.5 ± 82.1322178500FM7.85.6–10.535.831.5–40.1
M8.15.3–11.631.626.6–37
F7.33.9–12.143.335.8–50.8
U6.64.4–9.237.132.6–41.7
R209.5–34.622.211.2–37
Jasim et al., 2018 [27]IraqURandomly440F35.230.7–39.834.530.1–39.1
Hayyawi et al., 2016 [28]IraqUCensus>19623FM29.425.8–33.114.311.6–17.2
Al-Yasseri et al., 2019 [29]IraqUConvenience sample50.2 ± 8.455145200FM81.575.4–86.6
M78.164.9–88.1
F82.775.6–88.5
Al-Kilani et al., 2011 [30]OmanUVoluntary basis18–25101101202FM1.490.3–4.226.720.7–33.4
Louay et al., 2015 [31]OmanUCensus18–2443183226FM7.84.1–11.229.223.3–35.6
M2411.7–38.63924.9–55.5
F3.21.2–72720.5–33.8
Barakat et al., 2009 [32]OmanRRandomly selected≥20236643879FM22.920.1–25.732.329.2–35.5
M8.95.5–13.230.124.3–36.3
F2824.5–31.633.129.4–36.9
Tengfei et al., 2020 [33]OmanRVoluntarily16–805546771231FM67.865.1–70.4
M24.620.9–28.2
F24.721.2–28.6
Abdeen et al., 2011 [34]PalestineR, URandomly18–64172516533378FM24.422.9–25.93836.3–39.6
M17.515.7–19.340.337.9–42.6
F31.529.2–33.735.533.2–37.8
Abdul-Rahim et al., 2001 [35]PalestineU30–65190295485FM4136.6–45.5
M3023.5–37
F4943.3–55
El Kishawi et al., 2014 [36]PalestineR, UMultistage sampling18–50_357_F29.4242.7–34.433.429.5–39.6
U3122.1–412617.7–35.7
R209.0–35.647.531.5–63.8
Stene et al., 2001 [37]PalestineR30–65209269478FM29.225.2–33.536.432.0–40.8
M18.813.6–24.639.733.0–46.6
F37.531.7–43.633.828.2–39.8
Damiri et al., 2017 [38]PalestineU2 stages stratified random sampling18–24352498850FM5.23.8–720.918.2–23.8
M9.16.3–12.527.222.6–32.2
F2.61.4–4.416.413.3–20
El Kishawi et al., 2016 [39]PalestineU18–50_357_F29.625.0–34.7__
Weiderpass et al., 2019 [40]KuwaitiRandom sampling18–69138122083589FM40.338.6–423735.4–38.7
M36.533.9–39.14239.3–44.6
F4442.3–46.532.530.6–34.5
Al Rashdan and Al Nesef 2010 [41]KuwaitiRandom sample20–6591813622280FM47.545.3–49.580.478.7–82
M39.236.0–42.4__
F5350.3–55.6__
AlMajed et al., 2011 [42]KuwaitiURandomly17–24173311484FM19.816.3–23.630.626.5–34.9
Raman et al., 2012 [43]KuwaitiUConvenience sample≥20432FM20.817.1–24.939.835.1–44.6
Al-Asi 2003 [44]Kuwaiti<403282FM27.425.9–28.947.946.2–49.7
Badr et al., 2012 [45]KuwaitiUA multistage cluster sampling>5094813952443FM45.643.6–47.635.633.7–37.5
M30.227.2–33.245.642.3–48.8
F55.552.8–57.929.226.8–31.5
Alkazemi et al., 2019 [46]KuwaitiUConvenience sample21.57 + 1.99193422615FM15.712.9–18.922.719.5–26.2
M23.817.7–30.628.722.2–35.9
F12.10.9–15.719.916.0–24.1
Al-Isa, 2004 [47]KuwaitiSystematic random sampling>20485F19.716.2–23.641.236.6–45.8
Zaghloul et al., 2013 [48]KuwaitiUsing stratified sampling, randomly≥194695801049FM43.140.0–46.133.130.2–36
Adel Bakir et al., 2017 [49]SyriaURandomly18–60923F43.440.2–46.631.328.3–34.4
Fouad, 2006 [50]SyriaStratified, cluster sampling, randomly18–6591911172038FM38.236.0–40.331.829.8–33.9
M28.425.5–31.43733.8–40.2
F46.243.3–49.227.625.0–30.3
Andreou et al., 2012 [51]CyprusUStratified random sample18–804855161001FM2926.2–31.93633.0–39.1
M28.827.0–35.446.942.2–51.3
F2724.8–33.12623.6–31.8
Heracldes et al., 2015 [52]CyprusStratifying sampling24–65139316283021FM18.817.4–20.2
M21.519.4–23.7
F16.517.2–21.4
Abu-Zaiton and Fawwaz 2013 [53]JordanMultistage cluster sampling>184971120FM8.34.0–14.721.6714.6–30.11
Suleiman et al., 2009 [54]JordanUMultistage cluster sampling17–284287911219FM10.18.5–1228.526.0–31.1
M8.86.3–11.923.319.4–27.6
F10.88.7–13.231.328.1–34.7
Atoom, 2018 [55]JordanMultistage random16–46570M16.813.8–20.136.332.3–40.4
Khader et al., 2009 [56]JordanUSystematic random18–70168172340FM30.525.7–35.733.828.8–39.1
Matalqah et al., 2019 [57]JordanUConvenience sampling>18605310915FM2320.2–25.6
Ahmad et al., 2006 [58]JordanRProportional sampling technique20–25233F6.83.9–10.92721.4–33.2
Khamaiseh et al., 2015 [59]JordanURandom sampling18–2454123177FM14.79.8–20.749.141.5–56.7
M11.14.1–22.657.443.2–70.7
F16.210.2–23.945.536.5–54.7
Abu Ghazaleh and Budair 2013 [60]JordanU43.2496233848346FM42.341.2–43.325.724.8–26.7
M52.650.9–54.333.632.0–35.2
F51.750.0–53.429.928.4–31.5
Alarjan et al., 2015 [61]JordanR, URandomly285463748FM118.8–13.436.933.4–40.4
M15.411.4–20.147.741.8–53.6
F8.25.8–1130.226.0–34.6
Mowafi et al., 2013 [62]EgyptUStratified random sample≥22182317233993FM32.330.8–33.732.831.4–34.3
M23.821.9–25.841.939.6–44.2
F49.647.2–5231.829.6–34
Abdel Sadek et al., 2016 [63]EgyptUMultistage stratified random sampling17–27842FM6.65.0–8.528.825.8–32
Mohamed Shebl et al., 2015 [64]EgyptU≥605075126FM33.325.1–42.2
Abdel Rahman et al., 2012 [65]EgyptURandom sample≥60112207319FM32.227.1–37.729.424.5–34.8
Genena and Salama, 2017 [66]EgyptURandomly18–26141257389FM11.88.8–15.328.924.4–33.6
M14.18.8–2133.325.6–41.7
F10.57.0–14.926.521.1–32.3
Farrag et al., 2015 [67]EgyptU19.5 ± 2.065611821838FM10.79.3–12.227.825.8–29.9
Mahfouz et al., 2006 [68]EgyptRSystematically random≥6013621 4350FM28.323.6–33.33429.0–39.2
M30.824.7–37.531.125.1–37.9
F24.217.3–32.338.230.0–46.9
Yount and Li, 2011 [69]Egypt15–495015F48.447.0–49.732.531.2–33.9
Sakr et al., 2016 [70]LebanonU16–32140260400FM5.23.2–7.92016.1–24.2
M2.10.4–6.17.13.4–12.7
F31.3–5.9139.2–17.7
Fahs et al., 2017 [71]LebanonR, UStratified cluster, randomly≥451000FM29.126.3–3246.142.9–49.2
U27.622.8–32.748.943.4–54.4
R30.126.3–33.445.140.8–48.5
Naja et al., 2011 [72]LebanonR, U20–5592311252048FM42.340.1–44.556.354.1–58.5
M24.421.7–27.365.762.7–68.9
F20.117.8–22.648.545.5–51.5
Yahia et al., 2008 [73]LebanonURandomly20 ± 1.996124220FM7.24.2–11.52418.6–30.3
M12.56.6–20.837.527.8–47.9
F3.20.8–813.78.1–21.04
Haidar et al., 2016 [74]LebanonURandomly≥18149151300FM2722.0–32.437.632.1–43.4
M26.119.3–3440.932.9–49.2
F27.820.8–35.635.728.1–43.9
Samhat et al., 2020 [75]LebanonURandomly24–45101206307FM19.214.9–2431.626.4–37.1
Delibasi et al., 2007 [76]TurkeyR, URandomly≥188674FM15.614.8–16.31918.1–19.8
Erem et al., 2001 [77]TurkeyURandom cluster sampling≥20132413222646FM17.416.0–18.941.539.6–43.4
M10.58.9–12.346.543.8–49.2
F24.322–26.736.533.9–39.2
D. Yumuk et al., 2005 [78]TurkeyUInvited≥205866700012866FM27.426.6–28.136.235.3–37
M16.815.8–17.838.737.4–39.9
F36.235.1–37.434.132.9–35.2
Akbay et al., 2003 [79]TurkeyUStratified random sampling20–746418551496FM29.326.9–31.638.435.9–40.9
M22.319.1–25.743.239.3–47.1
F34.531.3–37.834.931.6–38.1
Bagriacik et al., 2009 [80]TurkeyURandomly≥206756699813754FM29.528.7–30.239.538.7–40.4
M21.820.8–22.844.843.6–46
F36.935.7–3834.533.4–35.6
Gültekin et al., 2009 [81]TurkeyR, UMultistage18–65105010502100FM2725.1–2934.432.4–36.5
M2017.6–22.53835.0–41
F34.131.2–3730.828.0–33.7
Ardahan and Konal, 2019 [82]TurkeyUVoluntarily51.74 ± 14.745474761023FM30.527.6–33.4
M24.621.1–28.5
F37.132.8–41.7
Arıkan et al., 2014 [83]TurkeyR, UMultistage stratified>15101510232,038FM24.222.4–26.234.332.2–36.4
Delibasi et al., 2007 [76]TurkeyR, URandomly≥188764FM15.614.8–16.31918.1–19.8
Ustu et al., 2012 [84]TurkeyURandom cluster≥18327718855162FM29.528.2–30.73028.7–31.2
M33.631.9–35.227.626.0–29.1
F22.320.4–24.234.132.0–36.3
Yabanci et al., 2010 [85]TurkeyUVoluntarily18–595275391066FM9.77.9–11.634.831.9–37.7
M8.36.1–1140.936.7–45.3
F10.98.4–13.828.724.9–32.7
Ahin et al., 2011 [86]TurkeyURandomly≥201524M16.815–18.838.936.5–41.4
Erem et al., 2004 [87]TurkeyURandom cluster sampling≥20228827285016FM23.522.3–24.736.835.4–38.1
M16.414.9–1846.544.4–48.6
F29.427.6–31.128.626.9–30.3
Dinc et al., 2006 [88]TurkeyURandomly15–491602F31.929.6–34.332.229.9–34.6
Yalcin et al., 2004 [89]TurkeyUMultistage sampling18–659809561936FM27.325.3–29.336.133.9–38.2
Ucan and Ovayolu, 2010 [90]TurkeyU≥187498521601FM41.839.4–44.330.528.2–32.8
Kerkadi et al., 2003 [91]UAEU18–25_386_F6.74.4–9.719.415.6–23.7
Kalavathy et al., 2019 [92]UAE_Convenience sampling18–7745292544FM31.427.5–35.536.231.8–40.3
Hajat et al., 2012 [93]UAEU18–7550138FM35.434.6–35.431.931.5–32.3
M31.631.0–32.236.135.4–36.7
F38.337.8–38.928.828.2–29.3
Sulaiman et al., 2017 [94]UAESystematic random sampling≥1822045202724FM32.330.5–34.14341.1–44.9
M31.329.4–33.344.742.6–46.8
F36.132–40.535.131.0–39.4
Sheikh-Ismail et al., 2009 [95]UAEURandom sample20–90724F1613.4–18.92723.8–30.4
Alhakbany et al., 2018 [96]Saudi ArabiaUMultistage stratified cluster sampling14–25454F8.15.8–1121.417.6–25.4
Al-Rethaiaa et al., 2010 [97]Saudi ArabiaURandomly14–24357M15.712.0–19.821.817.6–26.5
Al-Baghli et al., 2008 [98]Saudi ArabiaInvited≥309994695905195874FM43.843.5–4435.134.9–35.3
M36.135.8–36.440.340.0–40.6
F51.851.5–52.129.629.3–29.9
Al-Qahtani, 2019 [99]Saudi ArabiaUVoluntary9497321681FM27.625.4–29.838.335.9–40.7
M26.223.1–28.840.237.1–43.4
F29.124.7–31.435.430.5–37.5
Alsaif et al., 2002 [100]Saudi ArabiaR, UA multistage stratified cluster sampling30–70161316483261FM39.637.9–41.336.635.0–38.3
M29.927.7–32.241.939.4–44.3
F49.146.7–51.531.529.3–33.8
Horaib et al., 2013 [101]Saudi ArabiaMultistage stratified random34.12 ± 7.2510,229FM2928.1–29.940.839.9–41.8
Baig et al., 2015 [102]Saudi ArabiaU22.40 ± 3.90610M18.515.5–21.829.826.2–33.6
Al-Ghamdi et al., 2018 [103]Saudi ArabiaR, UMultistage sampling≥183816381019FM27.524.8–30.426.624.0–29.5
M36.231.3–41.232.227.6–37.2
F22.419.2–25.823.320.1–26.8
Alharthi et al., 2017 [104]Saudi ArabiaUConvenience sampling20–40387120507FM29.525.6–33.736.632.4–41
Balgoon et al., 2019 [105]Saudi ArabiaU18–25164F149.1–20.317.612.1–24.4
Al-Raddadi et al., 2019 [106]Saudi ArabiaUStratified cluster sampling≥186677521419FM35.232.7–37.732.429.9–34.9
M34.831.1–38.53531.4–38.8
F35.632–393026.7–33.4
Tabrizi et al., 2017 [107]IranUMultistage stratified cluster sampling15–65136814502818FM2422.4–25.639.637.7–41.4
GHaderian et al., 2018 [108]IranURandom cluster sampling≥20118713882575FM26.525.1–28.539.337.4–41.3
M18.416.2–20.74138.2–43.8
F3431.5–36.537.935.4–40.5
Rezaeian and Salem 2007 [109]IranURandom sample>30316440756FM11.59.3–1438.234.7–41.8
M3.81.9–6.537.331.9–42.9
F1713.6–20.838.834.2–43.5
Ayatollahi and Ghoreshizadeh 2010 [110]IranURandom multistage sample25–55114111412282FM16.515–18.140.238.2–42.3
M10.58.8–12.539.236.2–42.1
F22.521.1–2541.438.2–43.9
Nikooyeh et al., 2016 [111]IranURandomly20–60114135249FM33.327.5–39.536.530.5–42.8
M25.417.7–34.438.629.6–48.1
F4031.6–48.734.826.8–43.4
Dastgiri et al., 2006 [112]IranUSimple random≥18132168300FM22.417.0–27.643.337.6–49.1
M1812.5–25.640.932.4–49.8
F2418.5–31.445.237.5–53
Najafi et al., 2020 [113]IranU≥3557,61471,643129,257FM30.4330.1–30.640.7640.4–41
M18.7518.4–1942.9842.5–43.3
F39.8339.4–4038.9838.6–39.3
Marzban et al., 2020 [114]IranUMultistage systematic sampling20–70395395790FM21.5118.7–24.535.4432.1–38.8
M31.627.0–36.452.147.1–57.1
F11.38.4–14.918.715.0–22.9