Nutrition and physical activities are important determinants of healthy lifestyle at all ages. Although a significant body of evidence exists in this field of study for primary school children, the evidence base is limited for preschool children aged 3-4 years old, particularly for Arab countries. Objectives: This study aims to assess and evaluate the nutrition and physical activity policies, strategies, and guidelines, for preschool nurseries in two Eastern Mediterranean countries, Qatar and Lebanon. Methods: The study included desk based research and a 1-1 interview questionnaire with relevant stakeholders, simultaneously in Qatar and Lebanon, during the period between October 2021 to June 2022. The questionnaire consisted of ten questions addressing the nutrition and physical activity policies of preschoolers aged 3-4 years old in Qatar and Lebanon. Results: Although the childhood obesity has been relatively increasing over the past five years in Qatar and Lebanon, this study identified that the policies and practices pertaining nutrition and physical activities for the focused age group 3-4 years old have just recently started to be addressed. In Qatar, there is equal emphasis on nutrition and physical activity guidelines as both unhealthy nutrition and physical inactivity are risk factors for chronic non-communicable diseases. Whereas, in Lebanon, both topics are not considered priorities due to the country’s ongoing emergencies. However, the plan is to establish a roadmap in the near future for improving nutrition by implementing a nutrition strategy to respond to the most urgent needs and gaps in nutrition and health services. Conclusions: The findings of this study reveal that the preschool policies and practices on nutrition and physical activities are variable across Qatar and Lebanon. The implementation and constant monitoring of these preventive strategies are essential to lower the overweight and obesity prevalence in childhood.