ArticlePeerJ2026
The association of BMI, lifestyle behaviors, and knowledge of acute cholecystitis of adults: a cross-sectional study.
Article in PeerJ, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
10 authors.
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Abstract
Objective: Acute cholecystitis is a common biliary disorder with rising prevalence in Saudi Arabia, yet the relationship between body mass index (BMI), lifestyle behaviors, and public knowledge about the condition remains underexplored. This study assessed these associations to inform preventive and educational strategies. Methods: A cross-sectional survey was conducted among 385 adults aged 18-80 years residing in Abha, Saudi Arabia, who voluntarily agreed to participate. Data were collected using a validated, self-administered online questionnaire covering socio-demographics, lifestyle behaviors, and four knowledge domains. Knowledge levels were categorized using a validated scoring system in which correct responses were summed and classified as low, moderate, or high based on predetermined cutoff scores. BMI was calculated from self-reported height and weight. Results: Participants were predominantly female (76.1%), The mean age of participants was 33 ± 14 years, and their mean BMI was 27.5 ± 5 kg/m Conclusion: Adults in Abha generally demonstrate moderate awareness of acute cholecystitis, with notable gaps in dietary risk and prevention knowledge. Higher BMI and healthier lifestyle behaviors are associated with greater knowledge in certain domains. Future studies should employ representative sampling methods and multivariable analytical approaches to better examine independent relationships between lifestyle factors and disease awareness.
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