title: Perceived barriers to healthy eating and physical activity among adolescents in seven Arab countries: a cross-cultural study.
abstract: OBJECTIVE
  To highlight the perceived personal, social, and environmental barriers to healthy eating and physical activity among Arab adolescents.
  
  
  METHODS
  A multistage stratified sampling method was used to select 4698 students aged 15-18 years (2240 males and 2458 females) from public schools. Seven Arab counties were included in the study, namely, Algeria, Jordan, Kuwait, Libya, Palestine, Syria, and the United Arab Emirates. Self-reported questionnaire was used to list the barriers to healthy eating and physical activity facing these adolescents.
  
  
  RESULTS
  It was found that lack of information on healthy eating, lack of motivation to eat a healthy diet, and not having time to prepare or eat healthy food were the main barriers to healthy eating among both genders. For physical activity, the main barriers selected were lack of motivation to do physical activity, less support from teachers, and lack of time to do physical activity. In general, females faced more barriers to physical activity than males in all countries included. There were significant differences between males and females within each country and among countries for most barriers.
  
  
  CONCLUSIONS
  Intervention programmes to combat obesity and other chronic noncommunicable diseases in the Arab world should include solutions to overcome the barriers to weight maintenance, particularly the sociocultural barriers to practising physical activity.
authors.affiliation: Arab Centre for Nutrition, P.O. Box 26923, Manama, Bahrain.
authors.forename: Abdulrahman O
authors.initials: AO
authors.lastname: Musaiger
authors.affiliation: Department of Mathematics, College of Science, Sakhir, Bahrain.
authors.forename: Mariam
authors.initials: M
authors.lastname: Al-Mannai
authors.affiliation: Department of Clinical Nutrition and Dietetics, Faculty of Allied Health Science, The Hashemite University, Zarqa, Jordan.
authors.forename: Reema
authors.initials: R
authors.lastname: Tayyem
authors.affiliation: Department of Nutrition and Health, Ministry of Education, Dubai, UAE.
authors.forename: Osama
authors.initials: O
authors.lastname: Al-Lalla
authors.affiliation: Elia Nutrition and Health Centre, Kuwait, Kuwait.
authors.forename: Essa Y A
authors.initials: EY
authors.lastname: Ali
authors.affiliation: Dietetic Clinic, Damascus, Syria.
authors.forename: Faiza
authors.initials: F
authors.lastname: Kalam
authors.affiliation: Department of Food Science, Faculty of Agriculture, University of Tripoli, Tripoli, Libya.
authors.forename: Mofida M
authors.initials: MM
authors.lastname: Benhamed
authors.affiliation: Faculty of Agriculture, Hebron University, Hebron, Palestine.
authors.forename: Sabri
authors.initials: S
authors.lastname: Saghir
authors.affiliation: Nutrition Department, Makassed Hospital, Jerusalem, Palestine.
authors.forename: Ismail
authors.initials: I
authors.lastname: Halahleh
authors.affiliation: NutriDar, Algiers, Algeria.
authors.forename: Zahra
authors.initials: Z
authors.lastname: Djoudi
authors.affiliation: NutriDar, Algiers, Algeria.
authors.forename: Manel
authors.initials: M
authors.lastname: Chirane
mesh_terms: D000293:Adolescent; D003431:Cross-Cultural Comparison; D015444:Exercise; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D008297:Male; D008877:Middle East; D011795:Surveys and Questionnaires