Patterns of Beverage Consumption Among Saudi Residents and Associated Demographic Factors: A Nationwide Survey
Abstract
1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Sample Size
2.3. Sample Recruitment
2.4. Measurements and Variable Definitions
2.4.1. Arabic Beverage Frequency Questionnaire (ABFQ)
2.4.2. Information on General Characteristics
2.5. Statistical Analysis
3. Results
3.1. General Characteristics
3.2. Beverages Total Intake
3.3. Energy Consumption
3.4. Pattern of Consumption
3.5. Factors Associated with Beverages Total Intake
3.5.1. Socio-Demographic Factors
3.5.2. Health Behaviors
3.5.3. Health Status
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
NCD | Non-communicable diseases |
MENA | Middle East and North Africa |
SSB | Sugar-sweetened beverages |
ABFQ | Arabic Beverage Frequency Questionnaire |
BMI | Body mass index |
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Variables | Unweighted—n (%) | Weighted—n (%) * | |
---|---|---|---|
Overall | 4385 (100%) | 4385 (100%) | |
Socio-demographics | |||
Age—Mean (SD) | 36.1 (11.3) | 36.1 (11.1) | |
Age | 18–29 | 1339 (30.5%) | 1097 (31%) |
30–44 | 2042 (46.5%) | 1712 (48.4%) | |
45–59 | 911 (20.7%) | 641 (18.1%) | |
+60 | 104 (2.4%) | 88 (2.5%) | |
Gender | Male | 1992 (45.3%) | 2861 (65.2%) |
Female | 2404 (54.7%) | 1525 (34.8%) | |
Regions | Riyadh | 492 (11.2%) | 1217 (27.8%) |
Eastern | 327 (7.4%) | 711 (16.2%) | |
Al Bahah | 398 (9.1%) | 44 (1%) | |
Al-Jawf | 291 (6.6%) | 73 (1.7%) | |
Northern border | 190 (4.3%) | 45 (1%) | |
Najran | 312 (7.1%) | 72 (1.6%) | |
Qassim | 265 (6%) | 177 (4%) | |
Medina | 483 (11%) | 281 (6.4%) | |
Tabuk | 308 (7%) | 112 (2.6%) | |
Jazan | 309 (7%) | 176 (4%) | |
Hail | 305 (6.9%) | 97 (2.2%) | |
Asir | 363 (8.3%) | 262 (6%) | |
Makkah | 353 (8%) | 1119 (25.5%) | |
Education | High school and less | 1045 (23.8%) | 991 (22.6%) |
Diploma or bachelor | 2806 (63.8%) | 2758 (62.9%) | |
Post-graduate | 545 (12.4%) | 637 (14.5%) | |
Marital status | Single | 1381 (31.4%) | 1456 (33.2%) |
Married | 2771 (63%) | 2755 (62.8%) | |
Divorced/widow | 244 (5.6%) | 175 (4%) | |
Health behaviors | |||
Regular physical activity | Yes | 1175 (26.7%) | 1288 (29.4%) |
No | 3221 (73.3%) | 3098 (70.6%) | |
Fruit and vegetable consumption | Never | 94 (2.1%) | 87 (2%) |
Monthly | 1104 (25.1%) | 1113 (25.4%) | |
Weekly | 2042 (46.5%) | 2116 (48.2%) | |
Daily | 1156 (26.3%) | 1070 (24.4%) | |
Health status | |||
BMI | Underweight | 204 (4.6%) | 163 (3.7%) |
Normal weight | 1502 (34.2%) | 1475 (33.6%) | |
Overweight | 1664 (37.9%) | 1712 (39%) | |
Obese | 1026 (23.3%) | 1036 (23.6%) | |
Presence of chronic diseases (Yes) | 958 (21.8%) | 1013 (23.1%) | |
Cardiovascular diseases such as stroke and atherosclerosis | 62 (1.4%) | 74 (1.7%) | |
Hypertension | 248 (5.6%) | 256 (5.8%) | |
Diabetes | 304 (6.9%) | 335 (7.6%) | |
Respiratory diseases such as asthma and chronic obstructive pulmonary disease | 127 (2.9%) | 145 (3.3%) | |
Cancer | 21 (0.5%) | 26 (0.6%) | |
Osteoporosis | 47 (1.1%) | 30 (0.7%) | |
Alzheimer | 5 (0.1%) | 6 (0.1%) | |
Other chronic diseases | 343 (7.8%) | 382 (8.7%) | |
Presence of a health condition that requires fluid restriction during the last month (Yes) | 901 (20.5%) | 846 (19.3%) | |
Arthritis | 112 (2.5%) | 128 (2.9%) | |
Heart diseases, such as heart failure | 58 (1.3%) | 61 (1.4%) | |
Internal disease or constipation | 298 (6.8%) | 271 (6.2%) | |
Surgery | 45 (1%) | 50 (1.1%) | |
Kidney disease, such as kidney failure and dialysis | 14 (0.3%) | 22 (0.5%) | |
Cold or gastrointestinal illness or diarrhea | 226 (5.1%) | 215 (4.9%) | |
Urinary tract infection/kidney stones | 183 (4.2%) | 150 (3.4%) | |
Other health conditions that require fluid restriction during the last month | 168 (3.8%) | 169 (3.9%) |
Beverages | mL/Day | |
---|---|---|
Median (Range Width) | Mean (SD) | |
Water | 990 (3200) | 1147.2 (687) |
Sweetened tea | 28 (455) | 80.89 (113.3) |
Regular soft drinks | 22.1 (284) | 45.9 (65.7) |
Saudi coffee | 18 (240) | 39.1 (50.8) |
Unpackaged 100% fresh fruit juice | 15.7 (90) | 17.9 (19.6) |
Full-fat buttermilk (Laban) | 13.4 (144) | 20.8 (28.9) |
Full-fat milk | 9.075 (200) | 29.2 (49.4) |
Packaged 100% fresh fruit juice | 7.755 (64.8) | 9.4 (12.2) |
Black or filtered coffee with milk | 0 (2400) | 22.12 (102.6) |
Packaged iced tea | 0 (1065) | 18.5 (78.3) |
Sweetened energy drink | 0 (2000) | 18.4 (78.6) |
Unsweetened tea | 0 (144) | 15.5 (34.8) |
Skimmed-fat milk | 0 (1100) | 13.6 (72.2) |
Skimmed-fat buttermilk (Laban) | 0 (1080) | 11 (65.7) |
Diet energy drink | 0 (1200) | 9.6 (58.9) |
Unsweetened black or filtered coffee | 0 (99.4) | 7 (18.8) |
Flavored coffee with milk, like cappuccino | 0 (49.7) | 6.8 (12.2) |
Packaged fruit drinks or nectars | 0 (44.1) | 6.7 (10) |
Sport drink | 0 (1100) | 6.3 (45.8) |
Diet soft drinks | 0 (28) | 2.2 (5.7) |
Low-fat milk | 0 (20) | 1.4 (4) |
Unsweetened Turkish coffee or espresso | 0 (16.8) | 1.1 (2.7) |
Flavored malt drink | 0 (15.7) | 1.1 (3.2) |
Unpackaged 100% fresh vegetable juice | 0 (15.7) | 0.9 (2.8) |
Packaged fruit juice with milk | 0 (14.9) | 0.8 (2.5) |
Low-fat buttermilk (Laban) | 0 (13.4) | 0.7 (2.4) |
Saudi coffee with milk | 0 (7) | 0.4 (1.4) |
Sweetened Turkish coffee or espresso | 0 (0) | 0 (0) |
Beverages | kcal/day | |
---|---|---|
Median (Range Width) | Mean (SD) | |
Regular soft drinks | 12 (154) | 25 (36) |
Sweetened tea | 11 (187) | 33 (46) |
Full-fat buttermilk (Laban) | 8 (85) | 12 (17) |
Unpackaged 100% fresh fruit juice | 8 (45) | 9 (10) |
Full-fat milk | 6 (125) | 18 (31) |
Packaged 100% fresh fruit juice | 4 (30) | 4 (6) |
Black or filtered coffee with milk | 0 (304) | 3 (13) |
Skimmed-fat milk | 0 (571) | 7 (37) |
Packaged iced tea | 0 (380) | 7 (28) |
Skimmed-fat buttermilk (Laban) | 0 (411) | 4 (25) |
Beverages | Pattern of Consumption—n (%) | |||
---|---|---|---|---|
Never | Monthly | Weekly | Daily | |
Unpackaged 100% fresh fruit juice | 1189 (27.1%) | 2018 (46%) | 903 (20.6%) | 275 (6.3%) |
Unpackaged 100% fresh vegetable juice | 3369 (76.8%) | 649 (14.8%) | 254 (5.8%) | 114 (2.6%) |
Packaged 100% fresh fruit juice | 1827 (41.7%) | 1548 (35.3%) | 768 (17.5%) | 243 (5.5%) |
Packaged fruit drinks or nectars | 2238 (51%) | 1229 (28%) | 707 (16.1%) | 211 (4.8%) |
Packaged fruit juice with milk | 3517 (80.2%) | 584 (13.3%) | 179 (4.1%) | 107 (2.4%) |
Full-fat milk | 1692 (38.6%) | 1199 (27.3%) | 961 (21.9%) | 534 (12.2%) |
Low-fat milk | 3174 (72.4%) | 617 (14.1%) | 384 (8.8%) | 211 (4.8%) |
Skimmed-fat milk | 3829 (87.3%) | 267 (6.1%) | 190 (4.3%) | 98 (2.2%) |
Full-fat buttermilk (Laban) | 1431 (32.6%) | 1410 (32.2%) | 1100 (25.1%) | 444 (10.1%) |
Low-fat buttermilk (Laban) | 3315 (75.6%) | 563 (12.8%) | 348 (7.9%) | 160 (3.6%) |
Skimmed-fat buttermilk (Laban) | 3958 (90.2%) | 209 (4.8%) | 130 (3%) | 88 (2%) |
Regular soft drinks | 1165 (26.6%) | 1277 (29.1%) | 1270 (29%) | 673 (15.3%) |
Diet soft drinks | 2854 (65.1%) | 743 (17%) | 562 (12.8%) | 226 (5.1%) |
Packaged iced tea | 3450 (78.7%) | 567 (12.9%) | 280 (6.4%) | 89 (2%) |
Unsweetened tea | 2280 (52%) | 637 (14.5%) | 720 (16.4%) | 749 (17.1%) |
Sweetened tea | 1465 (33.4%) | 658 (15%) | 929 (21.2%) | 1335 (30.4%) |
Saudi coffee | 1022 (23.3%) | 751 (17.1%) | 1101 (25.1%) | 1512 (34.5%) |
Saudi coffee with milk | 3207 (73.1%) | 386 (8.8%) | 411 (9.4%) | 381 (8.7%) |
Unsweetened Turkish coffee or espresso | 2590 (59.1%) | 708 (16.1%) | 537 (12.2%) | 550 (12.6%) |
Sweetened Turkish coffee or espresso | 3445 (78.5%) | 497 (11.3%) | 253 (5.8%) | 191 (4.4%) |
Unsweetened black or filtered coffee | 2456 (56%) | 605 (13.8%) | 586 (13.4%) | 739 (16.9%) |
Black or filtered coffee with milk | 3684 (84%) | 339 (7.7%) | 224 (5.1%) | 139 (3.2%) |
Flavored coffee with milk, like cappuccino | 2304 (52.5%) | 1197 (27.3%) | 628 (14.3%) | 258 (5.9%) |
Flavored malt drink | 3066 (69.9%) | 884 (20.2%) | 337 (7.7%) | 99 (2.3%) |
Sweetened energy drink | 3333 (76%) | 637 (14.5%) | 302 (6.9%) | 113 (2.6%) |
Diet energy drink | 3947 (90%) | 241 (5.5%) | 137 (3.1%) | 60 (1.4%) |
Sport drink | 4137 (94.3%) | 115 (2.6%) | 91 (2.1%) | 42 (1%) |
Characteristics | Water | 100% Fresh Fruits and Vegetable Juices | Packaged Sugary- Sweetened Beverages (SSB) | Dairy Beverages | Caffeinated Beverages | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|
OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | ||
Age (reference: +60) | 18–29 | 1.1 | 0.7–1.7 | - | - | 4 | 2.6–6.3 | 0.8 | 0.5–1.1 | 1.1 | 0.7–1.6 |
30–44 | 1.0 | 0.7–1.5 | - | - | 2.8 | 1.8–4.3 | 0.9 | 0.6–1.3 | 1.2 | 0.9–1.8 | |
45–59 | 1.3 | 0.8–1.9 | - | - | 1.4 | 0.9–2.2 | 0.8 | 0.5–1.1 | 1 | 0.7–1.5 | |
Gender (reference: Female) | Male | 1.5 | 1.3–1.7 | 1.4 | 1.2–1.5 | 1.6 | 1.4–1.8 | - | - | 1.2 | 1–1.3 |
Region (reference: Riyadh) | Eastern Province | 1.2 | 1–1.4 | 0.9 | 0.7–1 | 0.9 | 0.7–1.1 | 1.1 | 0.9–1.3 | 1 | 0.8–1.2 |
Al Bahah region | 1.2 | 0.6–2.3 | 1 | 0.5–1.8 | 1.2 | 0.6–2.3 | 1.6 | 0.8–2.9 | 0.9 | 0.5–1.7 | |
Al-Jawf region | 0.7 | 0.4–1.1 | 1 | 0.6–1.7 | 1.9 | 1.2–3.2 | 2 | 1.2–3.3 | 2 | 1.2–3.3 | |
Northern border region | 0.7 | 0.4–1.3 | 1 | 0.5–1.9 | 0.9 | 0.5–1.6 | 1 | 0.6–1.9 | 1.4 | 0.8–2.6 | |
Najran region | 0.7 | 0.4–1.1 | 1.1 | 0.7–1.8 | 1.1 | 0.7–1.8 | 1.7 | 1.1–2.8 | 1.5 | 0.9–2.4 | |
Qassim region | 0.7 | 0.5–0.9 | 0.5 | 0.4–0.8 | 0.9 | 0.6–1.2 | 1.4 | 1–1.9 | 1.6 | 1.1–2.2 | |
Medina region | 1 | 0.7–1.3 | 1 | 0.8–1.3 | 0.9 | 0.7–1.2 | 1.3 | 1–1.6 | 1 | 0.7–1.2 | |
Tabuk region | 0.8 | 0.5–1.2 | 0.8 | 0.6–1.2 | 0.9 | 0.6–1.4 | 1.5 | 1–2.2 | 1.3 | 0.8–1.9 | |
Jazan region | 0.6 | 0.5–0.9 | 2.6 | 1.8–3.7 | 3.2 | 2.2–4.7 | 3.6 | 2.5–5.2 | 2.2 | 1.6–3 | |
Hail region | 0.4 | 0.3–0.6 | 0.8 | 0.5–1.2 | 1 | 0.7–1.6 | 1.1 | 0.7–1.7 | 1.7 | 1.1–2.6 | |
Asir region | 0.6 | 0.5–0.8 | 0.8 | 0.6–1 | 1.2 | 0.9–1.5 | 1.7 | 1.3–2.2 | 1.3 | 1–1.6 | |
Makkah Region | 1.4 | 1.1–1.6 | 0.8 | 0.7–1 | 1 | 0.8–1.1 | 1 | 0.9–1.2 | 1 | 0.8–1.2 | |
Education (reference: High school and less) | Diploma or bachelor | 1.4 | 1.2–1.6 | - | - | 0.7 | 0.6–0.9 | 1 | 0.8–1.1 | - | - |
Post-graduate | 1.4 | 1.2–1.8 | - | - | 0.6 | 0.5–0.7 | 0.9 | 0.8–1.2 | - | - | |
Marital status (reference: Single) | Married | 0.6 | 0.5–0.8 | 1 | 0.9–1.2 | 0.9 | 0.7–1 | - | - | 1.3 | 1.1–1.5 |
Divorced/widow | 0.7 | 0.5–1 | 1.3 | 0.9–1.8 | 1.1 | 0.7–1.5 | - | - | 1.7 | 1.2–2.4 |
Characteristics | Water | 100% Fresh Fruits and Vegetable Juices | Packaged Sugary-Sweetened Beverages (SSB) | Dairy Beverages | Caffeinated Beverages | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|
OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | ||
Practicing physical activity regularly for 3 months or more (reference: No) | Yes | 1.5 | 1.3–1.8 | - | - | 0.8 | 0.7–1 | 1.3 | 1.1–1.5 | 0.9 | 0.8–1 |
Fruit and vegetable consumption (reference: Never) | monthly | 1.5 | 0.9–2.3 | 1.5 | 0.9–2.5 | 1.4 | 0.9–2.2 | 1.9 | 1.1–3.1 | - | - |
weekly | 2.1 | 1.3–3.3 | 3.6 | 2.2–5.9 | 1.2 | 0.8–1.9 | 2.8 | 1.7–4.5 | - | - | |
daily | 2.6 | 1.6–4.1 | 4.2 | 2.6–7 | 1.2 | 0.7–1.7 | 3.1 | 1.9–5.1 | - | - |
Characteristics | Water | 100% Fresh Fruits and Vegetable Juices | Packaged Sugary-Sweetened Beverages (SSB) | Dairy Beverages | Caffeinated Beverages | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|
OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | ||
BMI (reference: Underweight) | Normal weight | 1.2 | 0.8–1.7 | 1.3 | 0.9–1.9 | 1.1 | 0.8–1.5 | - | - | - | - |
Overweight | 1.6 | 1.2–2.3 | 1.3 | 0.9–1.8 | 1 | 0.7–1.4 | - | - | - | - | |
Obese | 2 | 1.4–2.8 | 1 | 0.7–1.4 | 1.1 | 0.8–1.6 | - | - | - | - | |
Presence of chronic diseases (reference: Yes) | No | 0.9 | 0.7–1 | - | - | 1.3 | 1.1–1.5 | 1.2 | 1.1–1.4 | - | - |
Presence of a health condition that requires fluid restriction during the last month (reference: Yes) | No | - | - | 1.3 | 1.1–1.5 | 1 | 0.8–1.2 | - | - | - | - |
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Alnafisah, R.Y.; Aldhirgham, T.M.; Alammari, N.S.; Alhadhrami, N.A.; Alsaaydan, S.A.; Alamri, S.M.; Alshamari, M.; Alamri, E.; BinRowiah, M.; Alomari, R.A.; et al. Patterns of Beverage Consumption Among Saudi Residents and Associated Demographic Factors: A Nationwide Survey. Nutrients 2025, 17, 2182. https://doi.org/10.3390/nu17132182
Alnafisah RY, Aldhirgham TM, Alammari NS, Alhadhrami NA, Alsaaydan SA, Alamri SM, Alshamari M, Alamri E, BinRowiah M, Alomari RA, et al. Patterns of Beverage Consumption Among Saudi Residents and Associated Demographic Factors: A Nationwide Survey. Nutrients. 2025; 17(13):2182. https://doi.org/10.3390/nu17132182
Chicago/Turabian StyleAlnafisah, Ruyuf Y., Tahrir M. Aldhirgham, Nouf S. Alammari, Nahlah A. Alhadhrami, Safaa Abdelaziz Alsaaydan, Sarah M. Alamri, Mona Alshamari, Eman Alamri, Majed BinRowiah, Reem Ali Alomari, and et al. 2025. "Patterns of Beverage Consumption Among Saudi Residents and Associated Demographic Factors: A Nationwide Survey" Nutrients 17, no. 13: 2182. https://doi.org/10.3390/nu17132182
APA StyleAlnafisah, R. Y., Aldhirgham, T. M., Alammari, N. S., Alhadhrami, N. A., Alsaaydan, S. A., Alamri, S. M., Alshamari, M., Alamri, E., BinRowiah, M., Alomari, R. A., & Alqahtani, A. S. (2025). Patterns of Beverage Consumption Among Saudi Residents and Associated Demographic Factors: A Nationwide Survey. Nutrients, 17(13), 2182. https://doi.org/10.3390/nu17132182