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

IF 2.1 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Osong Public Health and Research Perspectives Pub Date : 2023-10-01 Epub Date: 2023-09-20 DOI:10.24171/j.phrp.2023.0089

Jin Suk Ra

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Abstract

Background: 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.

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韩国中老年女性综合性和腹部肥胖的相关因素：一项横断面研究。

背景：基于生物-心理-社会模型，确定韩国中老年女性全身和腹部肥胖的相关因素。方法：分析2015年至2020年参加韩国国民健康和营养检查调查的4076名年龄≥45岁的女性的数据。结果：在生物医学因素中，普通型和腹部肥胖的组合与年龄≥65岁、绝经后状态和无母乳喂养经验呈正相关；心理社会因素中的抑郁症状和久坐（每天≥8小时）行为；以及低于中学或高中毕业的教育水平以及生物社会因素中的第一和第二收入分位数。结论：社区和公共社会的医疗保健提供者应在考虑不可改变的生物医学因素（如年龄）和生物社会因素（如教育水平）的同时，筛查普通型和腹部型肥胖的风险因素。此外，应通过考虑久坐行为等可改变的心理社会因素来制定干预策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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