Arab Journal of Nutrition and Exercise

ISSN: 2518-6590

Groundbreaking research on nutrition, physical activity, and public health from across the Arab world.

“Slow and Steady Wins the Race.” Combating Obesity and Cardiovascular Disease Through Healthy Lifestyle Behaviors: A Case Report

Published date: Sep 10 2025

Journal Title: Arab Journal of Nutrition and Exercise

Issue title: AJNE: Vol 8, No 1 (2025)

Pages: 43 - 53

DOI: 10.18502/ajne.v8i1.17763

Authors:

Reimara Valkreimara.valk@gmail.comDepartment of Management, Faculty of Business Administration, American University in Dubai

Haitham S. Solhhsolh@aud.eduDepartment of Mathematics, Faculty of Arts and Sciences, American University in Dubai

James P. Hammilltesel100@gmail.comHealth Coach, American University in Dubai

Abstract:

Background: Obesity is a neuroendocrine disease with a complex and multifactorial etiology and pathogenesis related to genetic, biological, psychosocial, sociocultural, economic, and environmental factors. Obesity and related cardiometabolic disorders are highly prevalent in the United Arab Emirates (UAE). One in 4 adults in the UAE are living with obesity, which poses significant individual and economic burdens. Hence, obesity and its comorbidities are a great public health concern.

Aim: This case report aims to discuss an illustrative case of a UAE resident who, in 2013, at the age of 38, suffered from a heart attack. At the time, he was morbidly obese. This case report touches upon unhealthy lifestyle behaviors of our illustrative case subject that contributed to the ontogeny of obesity and the associated adverse cardiometabolic outcomes.

Methods: PubMed, Scopus, Embase, Science Direct, Web of Science, and Pro-Quest databases were searched for relevant articles on obesity, cardiovascular disease and lifestyle behavioral modifications.

Results: This case report illustrates how lifestyle changes and adopting healthy habits can reverse obesity and restore cardiometabolic health. This case report underlines the importance of adopting healthy habits with a focus on diet, intermittent and prolonged fasting, and physical activity as potent lifestyle interventions to promote effective weight management and improve cardiometabolic health.

Conclusion: Practical, clinically meaningful personalized lifestyle interventions tailored to an individual’s health goals and requirements are most effective in enacting behavioral changes for combating obesity and promoting cardiometabolic health.

Keywords: obesity, cardiovascular disease, nutrition, intermittent fasting, physical activity, lifestyle behavioral change

References:



[1] Ferri Antonio GC, Ramos da Silva AS, De Freitas EC, Pauli JR. Time-restricted feeding and weight loss in obesity: A mini review on the impacts on skeletal muscle mass. Obesities. 2023;3:218–224. https://doi.org/10.3390/obesities3030018

[2] Powell-Wiley TM, Poirier P, Burke LE, Després JP, Gordon-Larsen P, Lavie CJ, et al.; American Heart Association Council on Lifestyle and Cardiometabolic Health; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; Council on Epidemiology and Prevention; and Stroke Council. Obesity and cardiovascular disease: a scientific statement from the American Heart Association. Circulation. 2021 May;143(21):e984–1010.

[3] Heindel JJ, Lustig RH, Howard S, Corkey BE. Obesogens: A unifying theory for the global rise in obesity. Int J Obes (Lond). 2024 Apr;48(4):449–460.

[4] Philippou C, Andreou E. Integration of healthy eating habits and physical activity through nutrition care process to tackle the obesity epidemic: A narrative review of the evidence. AJNE [Internet]. 2022 Jan;6(1):29–57. [cited 2024 Oct 26].

[5] Mamdouh H, Hussain HY, Ibrahim GM, Alawadi F, Hassanein M, Zarooni AA, et al. 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. BMJ Open. 2023 Jan;13(1):e062053.

[6] Dicken SJ, Batterham RL. The role of diet quality in mediating the association between ultra-processed food intake, obesity and health-related outcomes: A review of prospective cohort studies. Nutrients. 2021 Dec;14(1):23.

[7] Gupta A, Osadchiy V, Mayer EA. Brain-gut-microbiome interactions in obesity and food addiction. Nat Rev Gastroenterol Hepatol. 2020 Nov;17(11):655–672.

[8] Radwan H, Ballout RA, Hasan H, Lessan N, Karavetian M, Rizk R. The epidemiology and economic burden of obesity and related cardiometabolic disorders in the United Arab Emirates: A systematic review and qualitative synthesis. J Obes. 2018 Dec;2018:2185942.

[9] Ghader N, Al-Yateem N, Dalibalta S, Razzak HA, Rahman SA, Al Matrooshi F, et al. Cardiovascular health research priorities in the United Arab Emirates. Front Public Health. 2023 Mar;11:1130716.

[10] World Obesity Federation. Global Obesity Observatory United Arab Emirates. 2024 https://data.worldobesity.org/country/united-arab-emirates-225/#data_overview

[11] Abusnana S, Fargaly M, Alfardan SH, Al Hammadi FH, Bashier A, Kaddaha G, et al. Clinical practice recommendations for the management of obesity in the United Arab Emirates. Obes Facts. 2018;11(5):413–428.

[12] Kazim MN, AbouMoussa TH, Al-Hammadi FA, Ali AA, Abedini FM, Ahmad FS, et al. Population awareness of cardiovascular disease risk factors and health care seeking behavior in the UAE. Am J Prev Cardiol. 2021 Sep;8:100255.

[13] Mason AE, Hecht FM. Overeating behaviour and cardiometabolic health. In: Bergeron N, Siri-Tarino PW, Bray GA, Krauss RM, editors. Nutrition and cardiometabolic health. London, UK: Routledge Taylor & Francis Group; 2018. pp. 24–41.

[14] Schoonbee J, Dauser C, Bikman B. Metabolic Health. Tackling wellbeing from the inside out. Swiss Re Report. Zürich, Switzerland. 2023.

[15] Silverii GA, Cresci B, Benvenuti F, Santagiuliana F, Rotella F, Mannucci E. Effectiveness of intermittent fasting for weight loss in individuals with obesity: A meta-analysis of randomized controlled trials. Nutr Metab Cardiovasc Dis. 2023 Aug;33(8):1481–1489.

[16] Dong TA, Sandesara PB, Dhindsa DS, Mehta A, Arneson LC, Dollar AL, et al. Intermittent fasting: A heart healthy dietary pattern? Am J Med. 2020 Aug;133(8):901–907.

[17] Schübel R, Nattenmüller J, Sookthai D, Nonnenmacher T, Graf ME, Riedl L, et al. Effects of intermittent and continuous calorie restriction on body weight and metabolism over 50 wk: A randomized controlled trial. Am J Clin Nutr. 2018 Nov;108(5):933–945.

[18] Arnett DK, Blumenthal RS, Albert MA, Buroker AB, Goldberger ZD, Hahn EJ, et al. 2019 ACC/AHA guideline on the primary prevention of cardiovascular disease: A report of the American College of Cardiology/American Heart Association.