Obesity and the gut microbiota in the Middle East: a cross-cultural study of Lebanese and Emirati adults

Obesity is a growing public health concern in the Middle East and North Africa (MENA) region, yet limited research has explored how gut microbiota varies between Arab populations. This study compared the gut microbiota composition and diversity of Emirati and Lebanese adults with obesity and assessed the role of age and nationality in shaping microbial variation. A total of 43 Emirati and 30 Lebanese individuals with obesity (body mass index (BMI) ≥35 kg/m2) were recruited. Participants provided anthropometric and biochemical data, dietary records, and stool samples for 16S rRNA sequencing. The analysis revealed significantly higher BMI, weight, and fat mass in Emirati participants, while Lebanese individuals reported higher fibre intake. Taxonomic profiling showed higher relative abundances of Pseudomonadota, Mycoplasmatota, Cyanobacteriota, and Lentisphaerota in the Lebanese group, whereas Bacteroidota was more abundant among Emiratis. Lebanese participants also exhibited significantly greater microbial alpha-diversity. Beta-diversity analysis confirmed clear distinctions in microbial community structure between the two groups. Linear Discriminant Analysis Effect Size (LefSe) (LDA score >10log2) and regression models (P < 0.05) identified specific bacterial genera associated with nationality, although these associations were attenuated after adjusting for age. These findings suggest that gut microbiota in Arab populations is influenced by demographic, dietary, and environmental factors, emphasising the need for culturally tailored microbiota-based strategies to manage obesity and related metabolic conditions.