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1 "Abdominal obesity"
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Original Article
Factors associated with the combination of general and abdominal obesity in middle-aged and older Korean women: a cross-sectional study
Jin Suk Ra
Osong Public Health Res Perspect. 2023;14(5):379-387.   Published online September 20, 2023
DOI: https://doi.org/10.24171/j.phrp.2023.0089
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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 among psychosocial factors; and an educational level lower than middle or high school graduation and the 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.

PHRP : Osong Public Health and Research Perspectives