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Chronic lifestyle-related diseases, including poor diet, physical inactivity, and smoking, pose a global health challenge. Motivational Interviewing (MI), a client-centered approach, effectively promotes behavior change. This review examines MI's impact on healthy lifestyle behaviors and its implications for healthcare practice and research. Relevant studies published between 2015 and 2025 were sourced from PubMed, Google Scholar, and ScienceDirect. Inclusion criteria focused on research evaluating the role of MI in promoting healthy behaviors, while studies unrelated to MI were excluded. The selected literature included diverse study designs assessing both the effectiveness and implementation of MI across various health domains. The evidence shows that MI promotes short-term improvements in diet, physical activity, smoking cessation, and treatment adherence. It encourages healthier eating patterns, greater exercise participation, and higher abstinence rates, while also enhancing engagement in psychological therapies. However, effectiveness is highly dependent on practitioner fidelity and demographic tailoring, with outcomes varying by gender, age, and population needs. Despite promising initial results, long-term benefits often decline due to dropout, logistical challenges, and socioeconomic barriers. Digital and hybrid delivery models offer a potential solution, improving accessibility, scalability, and sustained adherence, and represent an important direction for future implementation. MI is a versatile, evidence-based tool for fostering healthy lifestyle behaviors. Its non-confrontational, autonomy-supportive approach aligns well with diverse clinical and public health contexts. Future research should prioritize scalable digital/hybrid models, strategies for sustained outcomes, and implementation science frameworks to address real-world barriers.

Sciatica represents a significant neurological disorder affecting global health systems. This study assessed the prevalence, risk factors, awareness of symptoms and treatment approaches for sciatica in the Jazan Region of Saudi Arabia. A cross-sectional study was conducted among 927 adults in the Jazan Region using a validated questionnaire distributed through digital platforms. The questionnaire assessed demographics, medical history, risk factors, and knowledge of sciatica symptoms and treatment. Data analysis employed descriptive statistics and chi-square tests using R software. The study revealed a sciatica prevalence of 9.9%, with significant associations observed with arthritis, obesity, and family history. Knowledge assessment showed that most participants demonstrated poor understanding of sciatica’s causes and treatments. Arthritis emerged as the strongest risk factor, with 33.3% prevalence among affected individuals. While 83% recognized the superiority of evidence-based treatments over traditional approaches, only 31.1% correctly identified herniated discs as a primary cause. Significant knowledge disparities were observed across demographic groups, with higher awareness among females, younger adults, and those with chronic conditions (all p  < 0.05). The findings highlight substantial knowledge gaps regarding sciatica in the Jazan Region, despite its considerable prevalence. The study underscores the need for targeted educational initiatives, particularly focusing on high-risk groups and preventive strategies. Integration of sciatica awareness programs into primary healthcare services, alongside workplace wellness initiatives, could significantly improve public health outcomes and reduce disease burden.

Chronic neck and shoulder pain (NSP) impairs quality of life (QoL), yet data its impact in the Saudi population remain limited. This study assessed NSP's effect on physical, psychological, social, and environmental QoL among Saudi adults. A cross-sectional study (May-September 2024) in Saudi Arabia used a self-administered Arabic questionnaire covering sociodemographics, NSP features, and QoL (WHOQOL-BREF). Adults ≥18 with self-reported NSP were included; those with cognitive impairments were excluded. This study included 2,171 Saudi adults (mean age: 29 ± 12 years; 54% female). The mean overall QoL score was 69 ± 21.69, with domain-specific means of 65 (physical), 59 (psychological), 60 (social), and 60 (environmental). Combined NSP was significantly associated with reduced QoL, most notably in the physical health (β = -8.14, p < 0.001) and overall QoL (β = -6.83, p < 0.001) domains. Chronic neck pain lasting >1 year significantly reduced QoL in physical (β = -7.69, p<0.05), psychological (β = -6.20, p<0.05), and overall domains (β = -11.33, p<0.05), while pain lasting 6-12 months also negatively impacted QoL (β = -4.42 to -9.18, p<0.05). Similarly, shoulder pain >1 year lowered physical (β = -7.53, p<0.05) and overall QoL (β = -5.13, p<0.05), and pain <6 months affected physical (β = -5.53, p<0.05), social (β = -6.28, p<0.05), and environmental domains (β = -6.07, p<0.05). Depression and anxiety worsened QoL across all domains (β = -4.05 to -10.21, p<0.05). Positive predictors included higher income (β = 5.76 to 9.11, p<0.05), regular exercise (β = 2.29 to 7.23, p<0.05), male gender (β = 3.71, p<0.05), moderate coffee intake (β = 3.74-3.77, p<0.05), and older age (β = 0.23, p<0.05). Conversely, diabetes, high BMI, and rural residence were associated with poorer QoL (β = -0.39 to -8.67, p<0.05). Chronic NSP markedly reduces QoL, especially with prolonged pain and mental health issues. Early care, psychological support, and lifestyle changes are essential for better outcomes. Long-term studies are needed to inform tailored interventions.

Background and objective Zoledronic acid (ZA) has been reported to aid with the formation of new bone, inhibit osteoclastic bone resorption, and improve osteoblast proliferation. This split-mouth randomized clinical research aimed to evaluate the effect of the local application of ZA on bone regeneration after the removal of bilateral mandibular third molars. Methods A randomized, split-mouth study involving 12 patients aged 19-35 years requiring extraction of bilaterally mandibular third molars was conducted. The extraction of mandibular third molars on both sides was conducted in one session for all patients. In each participant, a gelatin sponge (Gelfoam) soaked with ZA was randomly applied to one cavity of the extraction socket. A gelatin sponge soaked with normal saline was applied to the opposite cavity; all patients were blinded as to which socket the drug was applied to. The study was conducted over a period of two months. The changes in bone density (BD) in the socket were assessed through cone-beam CT (CBCT) images; two images were taken for each patient at two different time points: immediately after extraction (T0) and after two months (T1). Results BD values in the socket on both sides of extraction increased from T0 to T1. There were statistically significant differences when comparing the amount of change in radiographic BD from T0 to T1 between the two sides of the extraction (p<0.05); the increase in radial BD between the two different time points was more significant in the ZA group. Conclusions Within the limitation of this study, the local application of ZA radiographically improved bone healing in a statistically significant manner and could be a cost-effective and simple way to activate bone regeneration.

Background and Objectives: Sciatica is a common condition associated with significant pain and reduced quality of life (QoL). However, its impact and associated determinants remain underexplored in Saudi Arabia. Therefore, this study aimed to examine determinants of quality of life among Saudi adults with sciatica. Materials and Methods: A cross-sectional study was conducted in Saudi Arabia between February and March 2024 using an online Arabic questionnaire disseminated via social media. Participants (n = 927) aged ≥18 years completed a 50-item questionnaire covering sociodemographic characteristics, clinical history, lifestyle factors, and the Short Form-12 (SF-12) QoL scale. Results: Of the 927 adults (mean age 30 ± 11 years), 76% (n = 706) were female and 24% (n = 221) male; 10% (n = 92) reported sciatica. Overall, 57% (n = 531) reported good QoL. Multivariate analysis revealed that increasing age (Odds ratio (OR) = 1.04; 95% CI: 1.01–1.07), urban residence (OR = 1.49; 95% CI: 1.11–2.00), and higher income (>15,000 Saudi Arabia Riyal (SAR); OR = 1.53; 95% CI: 1.03–2.27) were associated with better QoL. Conversely, diabetes (OR = 0.42; 95% CI: 0.22–0.79), arthritis (OR = 0.52; 95% CI: 0.32–0.83), and sciatica duration >1 year (OR = 0.29; 95% CI: 0.12–0.69) were associated with poorer QoL. Gender, body mass index (BMI), smoking, and physical activity showed no significant associations. Conclusions: Sciatica, prolonged symptom duration, and comorbidities such as diabetes and arthritis negatively affect QoL in Saudi adults, whereas socioeconomic and demographic factors contribute positively. The results underscore the importance of early intervention and tailored support for sciatica patients with long-standing symptoms or specific comorbidities to improve health outcomes. Longitudinal studies are warranted to assess causality and the impact of interventions.

Background/Objectives: Eustachian Tube Dysfunction (ETD) is a prevalent condition affecting middle ear pressure regulation, yet nationwide epidemiological data in Saudi Arabia remain limited. This study aimed to assess the prevalence of ETD and identify its associated factors among Saudi adults using a validated screening tool. Methods: A nationwide cross-sectional study was conducted between June 2024 and March 2025 among 1124 Saudi adults (aged ≥ 18 years) across five geographic regions. ETD was assessed using the validated Arabic version of the seven-item Eustachian Tube Dysfunction Questionnaire (ETDQ-7), with scores ≥ 14.5 indicating dysfunction. Data on demographic, anthropometric, clinical, and lifestyle characteristics were collected via an online questionnaire. Multiple linear regression analysis identified independent predictors of ETDQ-7 scores, with statistical significance set at p < 0.05. Results: The prevalence of ETD was 33.9% (95% CI: 31.1–36.8%), substantially higher than the 7% self-reported rate. Of affected participants, 29.6% had mild-to-moderate ETD and 4.3% had severe dysfunction. Multivariable regression analysis identified four significant independent predictors: higher body mass index (BMI) (β = 0.08; 95% CI: 0.03–0.16; p = 0.049), family history of hearing loss (β = 1.87; 95% CI: 0.90–2.83; p < 0.001), prior bariatric bypass surgery (β = 14.37; 95% CI: 3.33–25.41; p = 0.011), and allergies (β = 3.19; 95% CI: 2.30–4.07; p < 0.001). No significant associations were found with demographic factors, smoking, or other comorbidities. Conclusions: ETD affects approximately one-third of Saudi adults, with significant underdiagnosis. Obesity, genetic predisposition, bariatric surgery, and allergic conditions represent key modifiable and non-modifiable risk factors. These findings support implementing routine ETDQ-7 screening in primary care and targeted interventions for high-risk populations.

(1) Background: Obesity, a poor diet, and inactivity are major health issues among Saudi youth. However, satisfaction with unhealthy lifestyles could impede change. This study assessed lifestyle factors and related satisfaction among Saudi university students. (2) Methods: In this cross-sectional study, 1957 students at Jazan University completed surveys on demographics, physical activity, dietary habits, and 10-point satisfaction scales for weight, activity, and diet. Chi-squared tests and logistic regression were used to analyze the associations between behaviors and satisfaction. (3) Results: Overweight/obesity prevalence was 25.45%, and only 26.67% of the subjects met activity guidelines. Many of them exhibited poor dietary habits. Despite unhealthy behaviors, some expressed high satisfaction, especially regarding their diets. Subjects with a normal BMI had the highest weight satisfaction. Activity satisfaction increased with higher activity levels. Dietary satisfaction was minimally impacted by healthfulness. Males and higher incomes were correlated with greater satisfaction. (4) Conclusions: A concerning paradox exists between unhealthy lifestyles and satisfaction among Saudi university students, particularly regarding their diets. Multicomponent interventions informed by behavior change theories and employing motivational techniques are urgently needed to address this disconnect and facilitate positive behavior change.

Purpose: To assess the prevalence of dyslipidemia and its determinants among adults in the Jazan region of Saudi Arabia. Methods: This data was collected during interviews utilizing a structured questionnaire. The questionnaire measured the demographics, diagnosis with dyslipidemia, and distribution of dyslipidemia determinants among the sample, including dietary habits and lifestyle practices. A chi-square test was used to examine the statistical difference between the characteristics of individuals who had reported checking their lipid profile to those who reported never performing a lipid profile check-up among participants not diagnosed with dyslipidemia. Results: The current study included a total of 244 participants. The median age of the participants was 27 years, most participants were female (66.8%), and about 59% had a university education or above. Approximately 40% of the participants had ever had their lipid profile checked, 20.1% of the participants had been diagnosed with dyslipidemia, and 20.9% had family history of dyslipidemia. Most of the undiagnosed participants (79.9%) had more than one risk factor for developing dyslipidemia. All the participants without a dyslipidemia diagnosis had not been meeting the recommended levels of physical activity, and more than half consumed a high-fat diet. The results of the inferential analysis indicate that among those who had not been diagnosed with dyslipidemia, participants who were older than 27 years, male, unemployed, married, had a university education or above, and a minimum monthly income of 5000 Saudi Arabia Riyals were more likely to check their lipid profile compared to other groups (p-values <0.05). Conclusion: The findings suggest that most of the participants who had not been diagnosed with dyslipidemia are at high risk of developing dyslipidemia. About 60% of the participants had never checked their lipid profile, suggesting a need to promote routine lipid profile check-ups among individuals at high-risk for dyslipidemia. Keywords: dyslipidemia, check-up, determinants, lipid, adult population, Saudi Arabia

Dysmenorrhea, or painful menstruation, is one of the most prevalent conditions among adolescents and young females globally, significantly affecting academic performance, quality of life, and social interactions. Despite its high prevalence, dysmenorrhea has been rarely investigated in Saudi Arabia, resulting in a scarcity of national data. This study aimed to evaluate the prevalence, severity, and determinants of dysmenorrhea among females in Saudi Arabia. This cross-sectional, questionnaire-based study included 1026 participants recruited from various regions of Saudi Arabia using a convenience sampling technique. Data collection was conducted using a validated, self-administered online questionnaire. Descriptive and inferential statistics were utilized to evaluate the prevalence, severity, and associated symptoms of dysmenorrhea. Additionally, multiple logistic regression was employed to identify the determinants of dysmenorrhea within the sample. The analysis was performed using R software. The prevalence of dysmenorrhea among the sample was 87%, with a mean pain score of 6 ± 2.2. Common menstrual cycle-associated symptoms included mood swings (79%), abdominal bloating (60%), diarrhea (32%), and constipation (26%). Factors associated with an increased risk of dysmenorrhea included Saudi nationality (OR = 1.96, p = 0.032), employment (OR = 1.75, p = 0.034), and a history of gynecological surgeries (OR = 1.81, p = 0.045). Conversely, multiparity was associated with a reduced risk of dysmenorrhea (OR = 0.36, p = 0.046). Dysmenorrhea is highly prevalent among Saudi women and is accompanied by significant menstrual symptoms that adversely affect quality of life. Understanding its determinants and associated symptoms is essential for improving management strategies and mitigating its impact on women’s lives.

Hepatitis B virus (HBV) remains a significant diagnostic and public health challenge worldwide. Despite widespread vaccination, underdiagnosis persists among adults in Saudi Arabia. This study estimated HBV prevalence and identified sociodemographic, clinical, and behavioral predictors relevant to improving targeted diagnostic screening. : A cross-sectional study of 1196 Saudi adults aged ≥18 years was conducted between September 2024 and February 2025 using a structured questionnaire. Data on demographics, clinical history, and behavioral exposures were analyzed using chi-square tests and multivariate logistic regression to identify independent determinants of HBV infection. : The study included 1196 adults (60.0% female, mean age 31 ± 12 years). HBV prevalence was 2.0% (95% CI: 1.3-3.0%). Independent predictors included divorced/widowed marital status (OR = 3.99, = 0.023), diabetes mellitus (OR = 3.59, = 0.039), family history of HBV (OR = 2.55, < 0.001), and massage exposure (OR = 3.99, = 0.025). No significant associations were found with gender, education, or transfusion history. : HBV infection persists among high-risk Saudi adults despite immunization success. Integrating HBV testing into diabetes care, premarital and household screening, and regulation of personal care services may enhance early diagnosis and advance national elimination goals.