Factors associated with the combination of general and abdominal obesity in middle-aged and older Korean women: a cross-sectional study

ABSTRACT

Objectives@#To identify factors associated with general and abdominal obesity in middle-aged and older Korean women based on the biopsychosocial model. @*Methods@#Data from 4,076 women aged ≥45 years who participated in the Korea National Health and Nutrition Examination Survey from 2015 to 2020 were analyzed. Complex sampling analysis was performed using IBM SPSS ver. 26.0. @*Results@#The combination of general and abdominal obesity was positively associated with age≥65 years, postmenopausal status, and without breastfeeding experience among biomedical factors; depressive symptoms and prolonged (≥8 hours a day) sedentary behavior amongpsychosocial factors; and an educational level lower than middle or high school graduation andthe first and second income quantiles among biosocial factors. @*Conclusion@#Healthcare providers in communities and public societies should screen for risk factors for the combination of general and abdominal obesity while considering non-modifiable biomedical (e.g., age) and biosocial factors (e.g., educational level). In addition, intervention strategies should be developed by considering modifiable psychosocial factors such as sedentary behavior.