It is one of the most enduring of UAE myths: the ‘Dubai stone’, where those who
move to Dubai pile on the pounds due to an unhealthy diet, lack of exercise and
an immersion into the service culture so beloved in the region.
While there are no statistics to back up these claims, the transitory nature of
expatriates here making such assertions unreliable, there is concrete data about
the poor health of UAE nationals.
In the most recent World Health Organisation (WHO) study, the UAE was ranked as
the eighteenth most overweight nation in the world. If you take the South
Pacific island nations off the list, the UAE comes in at number ten.
The statistics are startling: 68 percent of those 15 years and above being
overweight or obese. In the same study it was calculated that 70.8 percent of
UAE men over 30 years and 77.8 percent of UAE women over 30 years were at an
unhealthy weight. In the Middle East, only Kuwait ranks higher in the global
obesity rates. So just why are we so fat?
Moderation is clearly not a Dubai trait. This is a city where it takes 20
minutes to get through to a bank, but less than a minute to call, and order, a
fast food delivery. In a city of haves and have-nots, bad dietary choices are
the one common denominator: from the calorie-laden brunches that take place
every Friday to the street-side stalls selling fatty, buttery food, Dubai is a
city that loves to eat, and eat a lot.
And it seems a city whose rapid growth has been as pronounced on the city’s
waistlines as it has on its skyline. According to Peta Picton, a nutrionist at
the Dubai Physiotherapy Clinic, this growth is part of the problem. “Locals have
gone from a healthy traditional diet to a western diet with more fats and sugar
intake.” As the city has gotten bigger, so the option of walking has shrunk.
“Unlike the west, where you can do things like walk your kids to school or to
the corner store, it’s not possible with the heat and distances in Dubai.”
The WHO backs up Picton’s view, citing a shift in dietary trends and a decrease
in physical activity as the main reasons for the UAE’s growing obesity problem.
This is an issue that affects everyone — a 2005 study from the Ministry of
Health revealing that 20 percent of children in the UAE are at risk of being
overweight.
This is a real issue — and ads targeting children are commonplace in the UAE
market. Ugar Sugar Works (USW), an Indian-based sugar manufacturer, has recently
launched a boat-shaped sugar product — Filmu Shakkar — that the company claims
can be used as “energising candies for children”. “It’s sugar in a different
shape,” says Picton. She felt it was a major concern that it was being marketed
at children. “As a mother myself, obviously, I wouldn’t encourage my kids to eat
sugar as a snack.” Niraj Shirgaokar, USW’s vice-president justifies marketing it
as candy. “It’s not only sugar, it’s got a good amount of glucose which is used
for having [sic] energy.” Glucose is a form of monosaccharide (or simple sugar)
and is used it as a source of energy but it is however, still sugar. “The
parents have to decide how much of it to give, too much will be obviously bad
because it’s sugar but it’s just like any chocolate or candy, it’s for the
parents to decide the amounts” says Shirgaokar.
The role of parents is crucial, and not just in terms of filtering out
questionable marketing campaigns. Dr Rajendra Joshi, a pediatrician with the
Prime Healthcare Group says 20 percent of UAE children are obese and another 30
percent are at risk. He believes parents have a defining role to play in whether
their children are obese or not. “The risks of obesity start during pregnancy
and expectant mothers should not gain excessive weight. After delivery, children
who are on a scheduled feeding of every two to three hours develop higher fat
cells and tend to be overweight later in life.”
He attributes obesity to genetics, poor diet and lack of exercise. “Children
born to obese parents are at double the risk of being obese. I’ve been in Dubai
for more than ten years. Babies who were brought to me at that ten years ago
because they weren’t gaining weight are now very overweight children,” he says.
A lack of awareness campaigns for healthy eating in the UAE the world is another
contributing factor according to Picton, however the country is slowly beginning
to create such initiatives. Dr Joshi feels most school cafeterias sell too much
junk food to students.
A study will be carried out this spring in collaboration with the Ministry of
Education and will be extended across the emirate and then nationwide in the
autumn. A sample of 320 students — half male and half female — will keep food
diaries recording everything they consume. The results will be utilised when
forming the foundation of a national anti-obesity strategy. This is a hopeful
beginning to curb obesity here.
For now, Dubai is still ignoring the health risks involved with weightgain and
obesity. USW has already made deals in the UAE with Spinneys, Geant Hypermarket,
United Hypermarket, Ansar Mall, Union Co-operative Society and Hyper Panda. By
2010-2011, the company expects their sugar production to exceed 20,000 tons per
day. It’s a case of supply and demand — if the company can profit from such high
production numbers, people are well on their way to eating themselves into a
sugary grave.
Fittingly, for a city that lives the fast food life, the measures taken to
offset weight gain are often equally quick. Dr Faruq Badiuddin, a consultant
surgeon at Dubai’s Wellness Medical Centre performs weight loss surgeries.
“Obesity is global now. The Middle East has taken over the west in terms of
incidences of obesity,” he says. Out of the four surgeries offered, the most
popular is laparoscopic gastric banding. A band is placed around the top portion
of the stomach using laparoscopy to make the patient feel full after a small
amount of food. The surgery is one and a half to two hours long. After a day in
the hospital, “patients are usually up and about after about a week, doing
whatever they normally do,” says Dr Faruq.
After surgery, patients are on a liquid diet for two weeks, slowly
re-introducing solids. It takes about a month before they are back on regular
food. An emerging favourite surgery is the Laparoscopic Sleeve Gastrectomy,
otherwise known as Gastric Stapling.
Dr Faruq sees all types of people. The most common reasons patients seek his
help are risk of diabetes, cardiovascular disease, hypertension, arthritis,
sleep apnea, psychological problems, the socio-cultural impact of being obese
and discrimination in employment opportunities. Being overweight is not just a
superficial issue. In 2002, 66 percent of deaths in the UAE were related to
chronic diseases. Of these, 38 percent were from cardiovascular disease and
three percent from diabetes. Both of these chronic ailments are linked with
overweight and obesity. A study by the American Heart Association shows that 75
percent of hypertension is directly attributed to obesity. Being on the plump
side can also lead to cancers such as endometrial, breast and colon. Patients
“must meet the criteria for surgery [if risk of being overweight outweigh the
risks of surgery] and then they must deserve the surgery,” comments Faruq.
Services such as Dr Faruq’s look set to gain popularity in the coming years if
the WHO statistics turn out to be accurate. It predicts that by 2015, 78 percent
of UAE men and 81 percent of women will be overweight. It’s a bleak prediction
and one that is set to become reality unless the UAE takes as much interest in
its waistline as it does in its skyline.