{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T01:26:33Z","timestamp":1791941193314,"version":"4.3.4"},"reference-count":48,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,10,18]],"date-time":"2024-10-18T00:00:00Z","timestamp":1729209600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Abdominal obesity, excess fat around the abdomen, is more harmful than other fat types and is a key diagnostic criterion for metabolic syndrome. It poses a growing global public health concern. This study aimed to assess the prevalence of and determinants of abdominal obesity among adults in southwest Ethiopia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross-sectional study involving 624 adults in Semen Bench district, southwest Ethiopia was conducted from May 23 to June 23, 2022. The data was gathered using questionnaires and anthropometric measurements. The data were analyzed using Stata version 18. A robust Poisson regression was used due to the abdominal obesity prevalence exceeding 10%. Variables with <jats:italic>p<\/jats:italic>-values &amp;lt; 0.25 in the bivariate analysis were included in the multivariable analysis. The adjusted prevalence ratio (APR) and 95% confidence interval were reported to indicate statistical significance and the strength of associations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of abdominal obesity was 18% (95% CI: 15\u201321%). After adjusting for confounding variables, the determinants of abdominal obesity included participants aged 31\u201350 (APR\u2009=\u20093.62, 95% CI: 2.67\u20138.95) and 51\u201365 (APR\u2009=\u20093.24, 95% CI: 2.51\u20138.69), being female (APR\u2009=\u20092.65, 95% CI: 1.63\u20134.98), having a low wealth index (APR\u2009=\u20091.46, 95% CI: 1.19\u20133.76), physical inactivity (APR\u2009=\u20091.39, 95% CI: 1.06\u20134.18), lack of adequate dietary diversity (APR\u2009=\u20093.08, 95% CI: 2.09\u20136.42), and food insecurity (APR\u2009=\u20092.84, 95% CI: 1.82\u20137.68).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The research revealed that 18% of the participants exhibited abdominal obesity. Factors such as advanced age, being female, having a low wealth index, physical inactivity, insufficient dietary diversity, and food insecurity were identified as contributors to abdominal obesity. Therefore, it is crucial to develop targeted interventions to address modifiable factors, as this can also help prevent the onset of non-communicable chronic diseases associated with abdominal obesity.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2024.1400066","type":"journal-article","created":{"date-parts":[[2024,10,18]],"date-time":"2024-10-18T04:46:07Z","timestamp":1729226767000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":6,"title":["Assessment of abdominal obesity prevalence and determinants among adults in southwest Ethiopia: a cross-sectional study"],"prefix":"10.3389","volume":"12","author":[{"given":"Tewodros","family":"Yosef","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asresash","family":"Sebeta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eyob","family":"Tekalign","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Binyam Girma","family":"Sisay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bayu Begashaw","family":"Bekele","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aragaw","family":"Tesfaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nigusie","family":"Shifera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,10,18]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"766","DOI":"10.1016\/S0140-6736(14)60460-8","article-title":"Global, regional, and national prevalence of overweight and obesity in children and adults during 1980\u20132013: a systematic analysis for the global burden of disease study 2013","volume":"384","author":"Ng","year":"2014","journal-title":"Lancet"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"851","DOI":"10.5114\/aoms.2016.58928","article-title":"Obesity and inflammation: the linking mechanism and the complications","volume":"4","author":"Ellulu","year":"2017","journal-title":"Arch Med Sci"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"2410","DOI":"10.1001\/jama.2018.5158","article-title":"Differences in obesity prevalence by demographics and urbanization in US children and adolescents, 2013-2016","volume":"319","author":"Ogden","year":"2018","journal-title":"JAMA"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"e0275014","DOI":"10.1371\/journal.pone.0275014","article-title":"Magnitude and risks of overweight\/obesity among adults in Welkite town, southern Ethiopia: A community based cross-sectional study","volume":"17","author":"Fikre","year":"2022","journal-title":"PLoS One"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1","DOI":"10.7243\/2052-5966-2-2","article-title":"Epidemiology of obesity in developing countries: challenges and prevention","volume":"2","author":"Ellulu","year":"2014","journal-title":"Glob Epidemic Obes"},{"key":"ref6","first-page":"830","article-title":"Association of General Obesity and Abdominal Obesity with the prevalence of urinary incontinence in women: cross-sectional secondary data analysis","volume":"47","author":"Park","year":"2018","journal-title":"Iran J Public Health"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"105737","DOI":"10.1016\/j.jsbmb.2020.105737","article-title":"Abdominal obesity, Adipokines and non-communicable diseases","volume":"203","author":"Dhawana","year":"2020","journal-title":"J Steroid Biochem Mol Biol"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"827","DOI":"10.7326\/M14-2525","article-title":"Normal-weight central obesity: implications for Total and cardiovascular mortality","volume":"163","author":"Sahakyan","year":"2015","journal-title":"Ann Intern Med"},{"key":"ref9","first-page":"970","article-title":"Metabolic mediators of the effects of body-mass index, overweight, and obesity on coronary heart disease and stroke: a pooled analysis of 97 prospective cohorts with 1\u00b78 million participants","volume-title":"Lancet (London, England)","author":"Lu","year":"2014"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1016\/j.mayocp.2013.11.011","article-title":"A pooled analysis of waist circumference and mortality in 650,000 adults","volume":"89","author":"Cerhan","year":"2014","journal-title":"Mayo Clin Proc"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1","DOI":"10.5171\/2015.213083","article-title":"Increasing obesity in Ugandan women due to transition from rural to urban living conditions? 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