Southwestern Saudi Arabia Research Articles

Nutritional Status and Its Associated Factors in Children Under 5 Years of Age in the Aseer Region, Southwestern Saudi Arabia

Nutritional Status and Its Associated Factors in Children Under 5 Years of Age in the Aseer Region, Southwestern Saudi Arabia

Assessment of natural enemies of honeybee (Apis mellifera jemenitica) in the Asir region, Southwestern, Saudi Arabia

The occurrence and status of natural enemies of honey bee Apis mellifera (Hymenoptera: Apidae) in the southwestern region of Saudi Arabia was conducted during 2019 and 2020. The existence of natural enemies, particularly pests and predators, is one of the most significant problem for beekeepers in the Asir region. A total of 78 apiaries were selected from two different geographical locations (Sarat and Tihama) in the Asir region. Honey bee colonies were attacked by 17 pests and predators species in the Tihama region, compared to 15 in Sarwat mountain region of southwestern Saudi Arabia. In order of significance, wasp (Philanthus triangulum), bee-eating bird (Merops apiaster), Varroa-mite (Varroa destructor), wax moth (Achroia grisella), and spider (Misumena sp.) are the most prevalent pests that inflict major harm to apiaries in southwestern Saudi Arabia. There were also some other pests and predators that had insignificant effect on bees. Generally, the recorded natural enemy’s incidences usually occurred in the months of September-October and December to February.

Effects of a Home-Based Physical Activity Program on Blood Biomarkers and Health-Related Quality of Life Indices in Saudi Arabian Type 2 Diabetes Mellitus Patients: A Randomized Controlled Trial.

The purpose of this study was to undertake a randomized control trial examining the effects of a 12-week home-based physical activity program on Saudi Arabian adults with type 2 diabetes. Sixty-four patients with type 2 diabetes mellitus were recruited from the Jazan Diabetes and Endocrinology Center, located in the Jazan region of southwestern Saudi Arabia. Patients were randomly assigned to either control, i.e., usual care (males = 46.9% and females = 53.1%, age = 45.88 ± 8.51 years, mass = 76.30 ± 15.16 kg, stature = 160.59 ± 8.94 cm, body mass index (BMI) = 29.73 ± 6.24 kg/m2, years since diagnosis = 8.12 ± 6.22 years) or a home-based physical activity (males = 50% and females = 50%, age = 42.07 ± 9.72 years, mass = 74.58 ± 13.67 kg, stature = 158.94 ± 9.38 cm, BMI = 29.44 ± 4.38 kg/m2, years since diagnosis = 12.17 ± 8.38 years) trial arms. The home-based physical activity group was required to undertake aerobic training by increasing their habitual step count by 2000 steps per day and performing resistance training 3 times per week for 12 weeks. The primary outcome was hemoglobin A1c (HbA1c), and secondary measures of anthropometrics, blood biomarkers, physical fitness, and patient-reported quality of life outcomes pertinent to type 2 diabetes were measured at timepoints, i.e., baseline, 12 weeks, and 24 weeks (follow-up). Intention-to-treat analyses revealed no significant alterations in the primary outcome (control: baseline = 8.71%, 12-weeks = 8.35%, and follow-up = 8.72%; home-based physical activity: baseline = 8.32%, 12-weeks = 8.06%, and follow-up = 8.39%) between trial arms. However, improvements in psychological wellbeing at follow-up measured using the Patient Health Questionnaire-9 were significantly greater in the home-based physical activity group (baseline = 6.84, 12-weeks = 5.96, and follow-up = 5.00) compared to the control (baseline = 6.81, 12-weeks = 5.73, and follow-up = 8.53). No other statistically significant observations were observed. Home-based physical activity is not effective in mediating improvements in HbA1c levels or secondary hematological, blood pressure, anthropometric, or fitness indices. However, given the link between psychological wellbeing and the etiology/progression of disease activity in type 2 diabetes, home-based physical activity may be effective for tertiary disease management. Future trials should examine the efficacy of relative exercise intensities greater than those in the current study.

Health Workers' Knowledge and Attitude towards Monkeypox in Southwestern Saudi Arabia: A Cross-Sectional Study.

Monkeypox outbreaks in non-endemic countries emphasize the importance of being prepared to prevent its progression to a pandemic. To effectively control monkeypox, healthcare providers must have sufficient knowledge and good attitudes and practices to limit its spread. We initiated this project to assess the factors associated with health workers' knowledge and attitude toward monkeypox in southwestern Saudi Arabia. We included 398 eligible health workers working at various health facilities. Data was collected using an online survey, and participants had an opportunity to consent. We conducted descriptive statistics for all variables and used chi-square statistics, t-test, and multivariate analysis to establish the association between health workers' demographic characteristics and knowledge of monkeypox disease. The mean age was 30.93 ± 8.25 years for the included participants, and most of them were between 22 and 29 years, male, single, nurses, working in government hospitals, and had worked for at least five years. The chi-square and t-test showed that the participants' knowledge level was significantly related to age, marital status, job title, and medical practice. Most of the participants had low knowledge and good attitudes toward monkeypox prevention measures. Multivariate analysis showed that higher knowledge was associated with younger age after controlling all other significant bivariate relationships between knowledge and demographics. This study found low knowledge levels and high good attitude levels of monkeypox among the participants. As such, there is a need to support health workers in understanding monkeypox epidemiology, prevention, and treatment. Therefore, Saudi Arabia will be making significant strides to being well prepared and ready to handle future monkeypox outbreaks.

Knowledge, attitudes, and practices (KAP) during the malaria elimination phase: A household-based cross-sectional survey.

Malaria is a major health problem in Southwestern Saudi Arabia. This study aimed to measure the level of community understanding of malaria transmission, protection, and treatment. A questionnaire-based cross-sectional study enrolled 1070 participants from 2 districts with different malaria prevalence rates in Jazan Province. The response rate was 97.27%. Of the 1070 total; 754 (70.5%) had heard about malaria. Sixty-seven percentage know that fever was the main symptom. Approximately 59.8% did not know that stagnant water is one of the most important locations for mosquito breeding. Nevertheless, we found that 50% of the participants knew that mosquitoes bite at night and 96.9% confirmed that mosquitoes did not bite during the day. The most effective sources of information were distributed leaflets (41.8%) and video awareness (31.9%). The most significant factors affecting participants knowledge were gender, residence, family members, income, and education (P < .05). Knowledge levels were satisfactory in this study, and the majority of participants exhibited adequate attitudes and practices related to malaria prevention. However, knowledge differences were observed with regard to the place of residence. Greater emphasis should be directed towards education programs in malaria-endemic areas to ensure complete eradication of malaria.

Records of little-known Odonata from south-western Saudi Arabia

Records of little-known Odonata from south-western Saudi Arabia

Linguistic Insecurity and Dialect Divergence in Southwestern Saudi Arabia: A Study of the Malki Dialect

Malki is an under-researched Arabic dialect spoken by an isolated speech community in Southwestern Saudi Arabia. The aim of this study is to uncover whether Malki dialect speakers experience linguistic insecurity and do environment, age, and gender as variables affect linguistic confidence? Data was gathered for quantitative analysis via survey on the Malki dialect using a five-point Likert scale. A descriptive statistical analysis and ANOVA test were conducted on 257 surveys, identifying eight groups determined by age and gender. Results showed that more formality of the environment and age of the participant were the most significant variables affecting attitudes about the Malki dialect. The greatest disparity occurred between the oldest age group (51+) and the youngest age group (18-25). Participant gender had no significant effect on linguistic insecurity.

Adverse health events experienced by the recipients of COVID-19 vaccines and the associated factors in southwestern Saudi Arabia

Adverse health events experienced by the recipients of COVID-19 vaccines and the associated factors in southwestern Saudi Arabia

Integrated Geophysical Approach of Groundwater Potential in Wadi Ranyah, Saudi Arabia, Using Gravity, Electrical Resistivity, and Remote-Sensing Techniques

In order to cope with the rise in human-caused demands, Saudi Arabia is exploring new groundwater sources. The groundwater potential of Wadi Ranyah was studied using a multi-dataset-integrated approach that included time-variable gravity data from the Gravity Recovery and Climate Experiment (GRACE), vertical electrical sounding (VES), and time-domain-electromagnetic (TDEM) data with other related datasets to examine the variations and occurrence of groundwater storage and to define the controlling factors affecting the groundwater potential in Wadi Ranyah in southwestern Saudi Arabia. Between April 2002 and December 2021, the estimated variation in groundwater resources was −3.85 ± 0.15 mm/yr. From 2002 to 2019, the area observed an average yearly precipitation rate of 100 mm. The sedimentary succession and the underlying fractured basement rocks are influenced by the structural patterns that run mainly in three different trends (NW, NE, and NS). The sedimentary cover varies from 0 to 27 m in thickness. The outputs of the electrical sounding revealed four primary geoelectric units in the study area: on top, a highly resistant geoelectrical unit with a resistivity of 235–1020 Ω.m, composed of unsorted, loose, recent sediments; this is followed by a layer of gravel and coarse-grained sands with a resistivity of 225–980 Ω.m; then, a water-bearing unit of saturated sediments and weathered, fractured, basement crystalline rocks with a resistivity of 40–105 Ω.m, its depth varying from 4 to ~9 m; and then the lowest fourth unit composed of massive basement rocks with higher resistivity values varying from 4780 to 7850 Ω.m. The seven built dams store surface-water runoff in the southwestern part of the wadi, close to the upstream section, in addition to the Ranyah dam, as the eighth one is located in the middle of the wadi. The subsurface NW- and NS-trending fault lines impede the groundwater from flowing downstream of the wadi, forming isolated water-bearing grabens. Minimal surface runoff might occur in the northern part of the wadi. The combined findings are beneficial because they provide a complete picture of the groundwater potential of Wadi Ranyah and the controlling structural patterns. Using this integrated technique, the groundwater potential in arid and semiarid regions can now be accurately assessed.

Plant Species as Potential Forage for Honey Bees in the Al-Baha Mountain Region in Southwestern Saudi Arabia.

The contribution of bee forages in the form of nectar, pollen, and propolis to beekeeping development depends on plant species diversity. The data concerning the increase in honey production in southwestern Saudi Arabia, which was unexpected with the deterioration of the vegetation cover, becomes a concrete background for this study, which planned to list the bee plant species contributing as sources of nectar, pollen, and propolis. The sampling method followed a purposive random sampling approach, and 20 × 20 m plots were considered with a total of 450 sample plots. Bee forage plants were identified based on flower morphology and honey bees' actions during floral visits at active foraging hours. A checklist of bee forages containing 268 plants species belonging to 62 families was documented. The number of pollen source plants (122) was more than nectar (92) and propolis (10) source plants. Regarding seasonal distribution, spring and winter were relatively good seasons for honey bees in terms of pollen, nectar, and propolis availability. Generally, this study is an essential step towards understanding, conserving, and rehabilitating plant species providing nectar, forage, and propolis to honey bees in Al-Baha Region of Saudi Arabia.

The emergence of an imported variant of dengue virus serotype 2 in the Jazan region, southwestern Saudi Arabia

BackgroundDengue virus (DENV) infection is a global economic and public health concern, particularly in tropical and subtropical countries where it is endemic. Saudi Arabia has seen an increase in DENV infections, especially in the western and southwestern regions. This study aims to investigate the genetic variants of DENV-2 that were circulating during a serious outbreak in Jazan region in 2019.MethodsA total of 482 serum samples collected during 2019 from Jazan region were tested with reverse transcription-polymerase chain reaction (RT-PCR) to detect and classify DENV; positive samples underwent sequencing and bioinformatics analyses.ResultsOut of 294 positive samples, type-specific RT-PCR identified 58.8% as DENV-2 but could not identify 41.2%. Based on sequencing and bioinformatics analyses, the samples tested PCR positive in the first round but PCR negative in the second round were found to be imported genetic variant of DENV-2. The identified DENV-2 imported variant showed similarities to DENV-2 sequences reported in Malaysia, Singapore, Korea and China. The results revealed the imported genetic variant of DENV-2 was circulating in Jazan region that was highly prevalent and it was likely a major factor in this outbreak.ConclusionsThe emergence of imported DENV variants is a serious challenge for the dengue fever surveillance and control programmes in endemic areas. Therefore, further investigations and continuous surveillance of existing and new viral strains in the region are warranted.

Androctonustihamicus sp. nov. from the Mecca Province, Saudi Arabia (Scorpiones, Buthidae).

We describe and illustrate a new scorpion species, Androctonustihamicussp. nov., from the Mecca Province of southwestern Saudi Arabia. The new species is compared to the genus Androctonus Ehrenberg, 1828, which is distributed throughout the Middle East, and especially to A.australis (Linnaeus, 1758). We provide the molecular phylogeny for this species.

The Association of UCP2-866 G/A Genotype with Autoimmune Hypothyroidism in the Southwestern Saudi Arabia Population.

Autoimmune hypothyroidism (AHT) is a widespread disease that disproportionately affects women over men. It is characterized by the presence of autoantibodies that lead to the dysfunction of the thyroid gland. The exact cause of this process is unknown; however, some factors, such as genetic factors, may be to blame. The uncoupling protein 2 (UCP2) gene encodes uncoupling protein 2, which has been linked to several pathogeneses; however, the link between UCP2-866 G/A polymorphism and AHT has yet to be investigated. Thus, we investigate the potential relationship between UCP2-866 G/A polymorphism and AHT. A total of 158 subjects participated in this study, they were either control or AHT patient, and genotyping was performed using a polymerase chain reaction. The frequencies of UCP2-866 G/G, G/A, and A/A in the control subject were 34%, 51%, and 15%, respectively, whereas these frequencies in the AHT were 43%, 46%, and 10%. The study concludes a significant relationship between UCP2-866 G/A polymorphism and AHT, with a carrier subject of the -866 A allele being 3 times more likely to suffer from AHT than wild-type carriers in the study population.

Assessment of Parental Knowledge, Awareness, and Perception About Autism Spectrum Disorders in Aseer Region, Southwestern Saudi Arabia.

Autism spectrum disorder (ASD) is a neurodevelopmental condition that affects young children in social relatedness and communication besides other characteristics. A community's awareness and early intervention services in diagnosing and treating autistic children are essential for preventing the expected complications, eg language delay, social interaction, and intellectual ability. To assess the parent's knowledge and perceptions regarding autism and its associated clinical features and effects. A cross-sectional study was conducted targeting all available parents aged 18 years or more living in Aseer region. Data were collected using a self-reported questionnaire from randomly selected parents who attended outpatient clinics at Abha Maternity and Children Hospital and Aseer Central Hospital. Parents' knowledge regarding autism was assessed covering general knowledge, clinical features, social effects, consequences, and curability. A total of 477 parents participated. Parents' ages ranged from 18 to 85 years. 261 (54.7%) parents were male and 216 (45.3%) were females. Nearly 65.6% of parents were university graduates and 28.3% had a secondary level of education. About 50.9% of the parents know that genetics play a major role in causing autism, 69.6% think that most children with autism have special talents or abilities, 64.2% know that delayed language development is one of the main symptoms of autism, 61.2% also know that repetitive movements of the hands and head are a common symptom of autism. About 36.9% of parents think that diagnosing a child with autism will lead to discrimination against the child, 33.3% of parents think that autism is a rare condition in this country compared to the West. The study showed that parents had poor knowledge levels regarding autism and its related clinical features, especially male parents with low levels of education. On the other hand, their perception of the disease and its frequency in the study area was satisfactory.

Assessment of Genetic Diversity of Local Coffee Populations in Southwestern Saudi Arabia Using SRAP Markers

Coffea arabica, a member of the Rubiaceae family, is the most commercially important species of the genus Coffea. It has been grown on the mountain terraces of southwestern Saudi Arabia for centuries. At present, the species is subject to increased genetic erosion due to the abandonment of many gardens by their owners and the increasingly dry climate. The current study was carried out to determine the genetic diversity of 56 local coffee accessions collected from the southern regions of Saudi Arabia using 30 sequence-related amplified polymorphism (SRAP) markers. Six SRAP markers showed polymorphism among the 56 accessions. A total of 1125 bands, with an average of 187.5, was produced from all six SRAP primers. The polymorphic information content (PIC) ranged from 74.8 to 97.7, with an average of 91.4 for all studied SRAP markers. The high polymorphism percentage seen in this study, along with the high number of alleles produced and the high PIC values of the primers used, demonstrate that the SRAP approach was an effective molecular technique for assessing genetic diversity in the studied populations. The structural analysis showed a sharp peak, with no ambiguity, demonstrating the highest delta K value at K = 3 and K = 6, and the coffee accessions could be grouped into three and six main populations, respectively. The PCoA, cluster analysis, and structural population analysis results suggest considerable genetic diversity among coffee populations growing on the southwestern mountain terraces of Saudi Arabia. The 56 accessions were segregated into five groups, mostly according to geographic distribution. The accessions from the southern districts of Jazan region mostly clustered in groups 2 and 4, while the accessions from the northern districts of Al-Baha and Assir regions formed separate groups. Based on these analyses, accessions KSA1R, KSA6R, KSA21, KSA25, KSA37, KSA38, KSA42, KSA59, KSA60, KSA62, and KSA63 were the most divergent. The genotypes should be conserved for use in coffee-breeding programs to improve the agronomic value of the crop, broaden the genetic base of C. arabica in Saudi Arabia and increase environmental resilience. Additional molecular and functional genomics studies are necessary to further elucidate how this germplasm has evolved and enhance the value of local Arabica coffee diversity in the Kingdom.

Patient Satisfaction and Its Predictors With Perioperative Anesthesia Care at Two General Hospitals in Southwestern Saudi Arabia.

Introduction Patient satisfaction is one of the most crucial quality assessment and improvement indicators in anesthesia. Different factors reflect satisfaction such as postoperative pain, procedure duration, patient-physician relationship, inpatient services, and waiting time. A high level of satisfaction can lead to better outcomes in many ways, such as decreasing future surgeries fear and strengthening the healthcare system trust among the population. Therefore, this study aimed to evaluate the satisfaction level and its predictors with perioperative anesthesia care among patients subjected to different surgeries in two general hospitals in southwestern Saudi Arabia. Methodology A cross-sectional study was conducted among patients admitted to different surgical specialties at two general hospitals in Al-Qunfudhah governorate in October 2022. Data were collected through interviews with postoperative patients and checking their medical data from the patient's medical reports. However, all surgical patients aged more than 18 consider as inclusion. In contrast, intensive care unit (ICU) admission, local anesthesia, refusal to participate, and cognitive and communication impairment aretheexclusion. Perioperative patient satisfaction was assessed using the Leiden Perioperative Care Patient Satisfaction Questionnaire (LPPSq). Results Eighty-three of 201 patients were included in the final analysis. The overall level of patient satisfaction concerning perioperative anesthetic care was calculated to be 73.5%. Hospital setting, admission type, BMI, and smoking were statistically associated with perioperative anesthesia patient satisfaction. Additionally, the most frequently reported unpleasant anesthetic side effect was shivering, followed by postoperative pain at a frequency of 42 (50.6%) and 37 (44.6%), respectively. Conclusion A moderate level of patient satisfaction concerning perioperative anesthetic care was detected. Smoking, BMI, admission type, and hospital setting were significantly associated predictors for patients' satisfaction. In order to present a complete picture, we recommend that future research concentrate on additional elements of patient satisfaction, particularly operating room turnover and standards for discharge. Additionally, we propose a routine evaluation before patients' discharge when patients are altering and oriented. Periodic evaluation and enhancement of patient satisfaction with perioperative anesthetic care should be employed and promoted.

A two phase escarpment evolution of the Red Sea margin of southwestern Saudi Arabia. Insights from low-temperature apatite thermochronology

Rifting of the Red Sea resulted in the formation of one of the highest escarpments on our planet: the Great Escarpment of southwestern Saudi Arabia. Published low-temperature geochronology ages are around the Paleogene-Neogene transition, but geomorphic features like the height, the steepness and the preservation of the escarpment may indicate a younger aspect to the exhumation history. Here we use apatite fission track (AFT) and (U-Th-Sm)/He (AHe) cooling ages in combination with a geomorphic analysis of the region from Jeddah to Jizan to test this idea. Pooled AFT ages range from 352.1±17.6 to 13.2±1.7 Ma (1σ). The base of the AFT partial annealing zone prior to rock uplift is at ∼200 m elevation in most of the studied area, but track length data show that the amount of exhumation is insufficient to affect all coastal plain samples. Consistent with earlier estimates in the literature, the total amount of rock uplift is estimated to be ∼4 km. Single grain AHe ages range from 264.5±19.6 to 2.8±0.3 Ma (1σ) and do not have a clear trend with distance from the escarpment. Overall, the distribution of data appears to indicate widespread downwearing of the elevated topography around the rift flank. In contrast, geomorphic analysis that indicates escarpment retreat including a flexural uplift response. We suggest that the conflict between geomorphological and geochronological data can be resolved by invoking a two-stage erosion model. The first stage involved dome-shaped rift flank uplift since initiation of the Afar plume, downwearing of this topography and cooling recorded by the AFT ages. The second stage involved the massive erosion that excavated the present day Saudi escarpment and reset the AHe ages. We suggest that this second stage is related to the formation of oceanic lithosphere since 13 Ma in the Red Sea, associated downwarping of the margin and flexural updoming of the eastern rift flank. The consequential orographic precipitation initiated asymmetric erosion and formation of a retreating escarpment. This model is consistent with the large age difference between Miocene AFT and Pliocene AHe ages and the geomorphic metrics.

Patients' Opinions Toward Healthcare Quality and Improvement in Aseer Health: A Cross-Sectional Study.

Introduction Population health is crucial to government planning. The 2030 national vision is transforming all Saudi sectors. The health sector revolution intends to boost life expectancy by reducing mortality due toroad traffic accidents and morbidity due to chronic illness. Health services will change from treatment-basedto person-centered and preventive care, empower the population, increase access to healthcare and improve service quality by offering high customer satisfaction. This study establishes a baseline assessment for public awareness, behavior, healthcare access, and quality. Method A cross-sectional study was conducted in the Aseer region in southwestern Saudi Arabia in 2022, September and October. Using the Aseer region's2.1 million people to calculate the sample needed, the minimal sample size was 664. The study used cluster random sampling and a structured self-administered questionnaire to meet health transformation strategy requirements. All study variables underwent descriptive and bivariateanalysis. Result The survey received 1,381 responses, with 97.2% of participants being Saudi and 84.4% being male. 312 (22.6%) of participants self-reported their health status as weak; 615 (44.5%) self-reported as having a good health status; and 667 (48.3%) reported having high knowledge. 740 people (53.6%) said that health was very important in their daily lives. The evaluation rate for Ministry of Health services in primary healthcare centers was 585 (42.4%) medium and 398 (28.8%) media for inpatient services. Evaluation for surgical procedure availability was 388 (28.1%) media. The results showedthere is a statistically significant relationship (p-value < 0.05) between health status and age, gender, knowledge, and the importance of a healthy lifestyle. And there is a statistically significant relationship between the availability and quality of the health service profile, including inpatient, outpatient, and virtual care. Nationality appears to be statistically insignificant. Conclusion Health promotion is effective because people are health conscious. The importance of health and lifestyle presents a tremendous opportunity to incorporate health into all policies and improve the availability of healthy lifestyle options and surroundings to support healthy behaviors that will reduce preventable disease and risk mortality and morbidity. Health status was also linked to healthcare availability and quality.

Additions to the chigger mite fauna (Acariformes: Trombiculidae) of Saudi Arabia, with the description of a new species

Collections of chigger mites from murid rodents were performed in two bordering provinces of southwestern Saudi Arabia, Al Bahah and ‘Asir. A total of 561 chiggers belonging to 19 species were collected in 2020 and 2021 from 54 rodents of two species, Acomys dimidiatus (Cretzchmar) and Mus musculus L. One new species is described: Odontacarus thesigeri n. sp. Five species are recorded in Saudi Arabia for the first time: Microtrombicula abyssinica (Radford, 1947), Microtrombicula felis (Vercammen-Grandjean, 1965), Microtrombicula saperoi (Radford, 1954), Schoengastiella hypoderma Vercammen-Grandjean, 1956, and Schoutedenichia originalis Kudryashova, 1976. Among them, M. abyssinica and M. saperoi, are re-described based on type specimens and new materials.

Nutritional Status and Its Associated Factors in Children Under 5 Years of Age in the Aseer Region, Southwestern Saudi Arabia

Background: Despite progress in several health markers for under-five children, malnutrition continues to be a major health indicator and the chief cause of death in several countries. The manifestations of undernutrition, including stunting, underweight, and wasting, are major concerns worldwide. The present study aimed to explore stunting, wasting, and underweight in under-five children. Materials and Methods: This cross-sectional study was conducted in children who had medical files in three selected Primary Health Care Centers of the Aseer Region. Anthropometric variables, including age, weight, and height, were assessed using the World Health Organization guidelines. Results: The study included 664 children. The overall prevalence of wasting, underweight, stunting, and thinness was 17.8%, 20.5%, 30.3%, and 18.4%, respectively. Living in rural areas and at sea level were significant associated factors for overall stunting and living at sea level was the only significant associated factor for severe stunting. Conclusion: Malnutrition levels among under-five children in the Aseer Region continue to be a public health issue and are higher than the levels observed in other regions of Saudi Arabia. Governmental and nongovernmental stakeholders should collaborate to develop short- and long-term programs addressing the major determinants of childhood malnutrition and its associated health effects.