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The presentation is in 2 parts

Overall review of nutrition and NCD in Saudi Arabia

Regulation for training and reg is tration for health profes s ionals

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Role of Nutrition & Food Habits in the NCD

Abdulaziz Al Othaimeen, Ph.D.Nutrition Senior Scientist

Research CentreKing Faisal Specialist Hospital &

Research Centre

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The sources of the information

Dietary Fats & Breast Cancer (Case Control Study)

Prostates Carcinoma: A Nutritional Disease in Saudi Arabia?

Food Habits, Nutritional Status & Disease Patterns in Saudi Arabia

Nutritional Value of Saudi Dishes National Nutrition Survey

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Nutrients Intake of Saudis(From Various Food Groups)

0

50

100

150

200

250

300

DairyProducts

MeatPoultry

Vegetables Fruits Sweets

Fat

Protein

CHO

Fiber

So ur c es : Adapted & mo dif ied f r o m “ Eval uat io n o f t he Nut r it io nal S t atus o f t he Peo pl e o f S audi Ar abia. Final Repo r t ” KACST (1 9 9 2 ) and KFSH&RC (1 9 9 9 )

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Fats Intake

The fat consumption over 120 grams per person per days.50% of it is from meat and dairy products.

Total daily caloric intake 2,786 caloriesFat contribution of about 40%.

The percentage of saturated fat 50% of the total fat intake.

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Per Capita Intake of Energy, Protein & Fats of Selected Countries

40.4%163.5109.03644U.S.A.

39.4%140.789.43218United Kingdom

39.6%132.7110.32786Saudi Arabia

37.7%136.7100.53266Norway

38.9%152.6103.53528Germany Federal Republic

(Proportio n of energyintake

Fat

( )gProte in

( )g Energy

( / )kCal DayCountry

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Obesity Prevalence (% BMI > 30)

15.7 %Farasan

16.4 %Jeddah

19.3 %Makkah

23.9 %Al Tail

15.1 %Al Medina

16.2 %Asir

11.7 %Jizan

27.7 %Eastern Region

25.2 %Tabok

33.9 %Hail

21.7 %Riyadh

26.5 %Al Qassim

% > 30BMIRegion

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Lipid Profile of Breast Cancer Cases and Controls

01.5

(SD=0.97)1.8

(SD=1.05) Mean

Triglyceride

0.6205.0

(SD=1.1)5.1

(SD=1.2) Mean

Choles tero l

-P valueControlsCas es

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From this pre liminary analys is , the re is a s ignificant association be twe e n

Breas t Cancer: Family History of Breast CancerTriglyceride

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Incidence of Prostate Cancer by World Region

92.39

49.7

42.35

39.55

34.7

31.03

29.68

14.08

8.51

5.86

5.13

4.53

3.1

1.08

0 20 40 60 80 100

North American

Australia/NZ

Caribbean

Western europe

Northern Europe

Southern Africa

Middle Africa

Eastern Europe

Japan

S.E. Asia

Northern Africa

S. Central Asia

**SAUDI ARABIA

China

Adapted & mo dif ied f r o m Par king et al , CA Canc er J Cl in 4 9 :3 3 -6 4 , 1 9 9 9

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Discussion

These conflicting findings attributed to:The population age difference:

• Onl y 1 2 % o f S audi po pul at io n is o ver 5 0 year s o f ag e

Other possible causes for the difference maybe related to under diagnosis, genetic, racial, environmental and hormonal factors.

Saudi Diet includes protective agents such as tomatoes, tea, dates, rice and grain products.

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Balanced Food System

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PERSPECTIVE ON

Saudi Council for Health Specialties

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Abdulaziz Al Othaimeen, Ph.D

ChairmanScientific Board for Applied Medical Specialist

Saudi Council for Health Specialties

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Introduction

The Saudi Council for Health Specialties is a scientific body having a corporate entity.

Established 6.2.1413 H. (1993). Administration:

Main office in Riyadh3 Branches:

• Makkah Reg io n: Jeddah• Eas t er n Reg io n: Al Kho bar• As ir Reg io n: Abha

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General Functions

Design, accredit and supervise training programs.

Establish scientific boards. Assess and accredit health establishments for

training purposes and specialization. Supervise examinations in various specialties

and approve their results. Issuance of professional certificates,

diplomas, fellowships and memberships. Coordinate with other councils, societies, and

health colleges inside the Kingdom and abroad.

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General Functions (Continued)

Evaluate and equalize health practice certificates.

Promote research and publication of scientific papers within its field.

Participate in studying and proposing of general plans aiming at development of health manpower.

Hold symposia and conferences. Establish guidelines and standards for health

practice including profession ethics. Approve the establishment of scientific

societies in health specialties.

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Administration

Board of Trustees Secretary General Executive Council Professional

Department Training & Supervision Examination Continuing Medical

Education Accreditation Registration

Supporting Departments Computer Public Relations Finance Administrative

Communications Personnel Affairs Purchasing Maintenance

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Established Scientific Boards & Committees

Internal Medicine Internal Medicine Cardiology Gastroenterology/

Hepatology Nephrology Neurology

OB/Gyne Family Medicine Pediatrics

Pediatrics PICU NICU Pediatric Nephrology

General Surgery General Surgery Neurosurgery Emergency Medicine Pediatric Surgery Plastic & Reconstructive

Surgery Dentistry

Restorative Orthodontics Maxillo-Facial Surgery

Urology Orthopedics

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Established Scientific Boards & Committees (Continued)

Ophthalmology ENT & Head & Neck Surgery Psychiatry Dermatology Anesthesia and Intensive Care Radiology Clinical Pharmacy Nurs ing Applied Medical Sc iences

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Permanent Committees of Scientific Board

Central Training Committee Examination Committee Training & Accreditation Committee Regional Supervisory Committee

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Scientific Board for Applied Medical Sciences (SBAMS)

MISSION: Improve Professional Performance of

Applied Medical Specialist by Classification, Registration and Training to support Medical Team

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Clinical Nutrition Committee Medical Laboratory Physical Therapist Radiology Etc...

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Functions of Scientific Boards

Boards are completely autonomous Formulation of Training Programs Supervision Accreditation Examination Advise SCHS on:

Credentials, Planning, Codes,Establishment of scientific societies,Licensing, etc.

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Essentials of Accreditation

Scientific Activities Capacity Staffing Commitment Teaching Facilities

Audio-Visual Library Space E-learning

Ancillary Services Pathology Laboratory Radiology Blood Banking Physiological

Medical Records Others

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Admission Requirements for Residency

MBBS Internship Passing Selection Exam Sponsor Interview Recommendation For Subspecialty:

completing general subjects

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Professional Registration

AIMS: Ensure appropriate performance of designated

tasks Ascertain validity of certificates and experience Inform practitioners on criteria, ethics of

professional practice in K.S.A. Follow-up the practice of health professionals Ensure compulsory continuing medical education Protect society from unqualified practitioners

(Black List)

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Reviews Interviews Examinations

Pass RegistrationPass

Fail Re-trainingFail

Black List

Procedures of Health Manpower Licensing

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Equalization, Number of Annual Requests

88927TOTAL

6083340145814462181658---- Direct**dec is ions

4505--544106133428---- Other

Specialties

109415233070220275422861600506Technologis ts

31883980541949254518776951503122Nurs es

9189355170114891853264015001651Pharmacis t

504417294210635611135524546Dentis ts

21282590314539463059495326802909Phys ic ians

Total2004*200320022001200019991998Specialty / Year

* Up to March 15, 2004** Graduates of Saudi Institutions and Consultants

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Number of Registered Professionals By Year

41305Total

491491----------Technicals

706706----------Nurs es

715832833933569228----Pharmacis ts

46521411660148797531475Dentis ts

279388769366834063762498482Phys ic ians

Total2004*20032002200120001999Specialty

* Up to March 15, 2004

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