Kholoud Hardan-Khalil^1,, Jill Kardously¹, Bana Khalil², Samantha Wee¹

Obesity is a multifactorial chronic disease with significant physical, psychological, and economic consequences. Arab American women (AAW) remain an understudied population whose experiences of body image and obesity are shaped by the intersection of cultural traditions, religious beliefs, family expectations, and Western acculturation pressures, yet limited research addresses these unique influences. Aim: This study aimed to explore the perceived factors influencing body weight and body image among AAW, with attention to daily routines, eating behaviors, and cultural and spiritual practices. Method: A qualitative descriptive design guided by Colaizzi's phenomenological method was used. Fourteen AAW aged 20 and older, residing in Southern California, were recruited via snowball sampling. Semi-structured interviews were conducted via videoconferencing, transcribed, and analyzed through statement-by-statement coding until thematic saturation was achieved. Results: Seven themes emerged: cultural and religious influences on daily routine, eating attitudes and behaviors, healthy body image perspectives, body image concerns, influences on body image, balancing tradition with personal choice and self-care, and holistic well-being. Findings revealed that family obligations, religious practices, community expectations, and exposure to Western beauty ideals collectively shaped participants' perceptions of health, weight, and appearance, often creating tension between traditional and acculturated identities. Conclusion and Implications for Practice: Obesity and body image among AAW cannot be addressed through standardized weight-management approaches alone. Healthcare providers should adopt culturally responsive, patient-centered assessments that incorporate religious and family context, while healthcare systems and policy should promote clinician cultural competence training and improved ethnic data collection to reduce disparities in this underserved population.

Qualitative research, Arab American, women, obesity, body image