{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T14:30:27Z","timestamp":1786113027998,"version":"build-2736575974"},"reference-count":51,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100009061","name":"Thai Health Promotion Foundation","doi-asserted-by":"publisher","award":["61-00-1383"],"award-info":[{"award-number":["61-00-1383"]}],"id":[{"id":"10.13039\/501100009061","id-type":"DOI","asserted-by":"publisher"}]},{"award":["61-00-1383"],"award-info":[{"award-number":["61-00-1383"]}],"id":[{"id":"https:\/\/ror.org\/049nwxd40","id-type":"ROR","asserted-by":"publisher"}]},{"name":"Excellent Center of Community Health Promotion, Walailak University, Thailand"},{"id":[{"id":"https:\/\/ror.org\/04b69g067","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int. J. Environ. Res. Public Health","IJERPH"],"abstract":"<jats:p>Geriatric nutritional problems are increasingly characterized by the co-existence of undernutrition and obesity, yet community-level evidence from Southern Thailand remains limited. Grounded in the social determinants of health (SDH) framework, this cross-sectional study examines the prevalence and independent predictors of BMI categories and abdominal obesity among 13,458 community-dwelling older adults across 20 sub-districts in Southern Thailand. Anthropometric measurements and structured interview data were analyzed using chi-square tests and multinomial logistic regression, with normal weight as the reference category. Overall, 50.3% of participants were overweight or obese, 40.5% had abdominal obesity, and 7.7% were underweight. Advancing age, continued employment, and asthma were independently associated with higher odds of underweight, whereas abdominal obesity was the strongest predictor of elevated BMI categories, increasing the odds of overweight, obesity Class I, and obesity Class II. Female sex, literacy, dyslipidemia, hypertension, and diabetes were also associated with excess BMI categories. Moderate, regular physical activity was a protective factor. These findings support risk-stratified community interventions that integrate BMI with WC screening and address regional occupational, behavioral, clinical, and food culture determinants of nutritional health in older adults.<\/jats:p>","DOI":"10.3390\/ijerph23081025","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T16:48:08Z","timestamp":1785948488000},"page":"1025","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nutritional Status, Abdominal Obesity, and Predictors of BMI Categories Among Community-Dwelling Older Adults in Southern Thailand: A Cross-Sectional Study"],"prefix":"10.3390","volume":"23","author":[{"given":"Urai","family":"Jaraeprapal","sequence":"first","affiliation":[{"name":"School of Nursing, The Excellence Center of Community Health Promotion, Walailak University, 222 Thaiburi, Thasala District, Nakhon Si Thammarat 80160, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pornchanuch","family":"Chumpunuch","sequence":"additional","affiliation":[{"name":"School of Nursing, The Excellence Center of Community Health Promotion, Walailak University, 222 Thaiburi, Thasala District, Nakhon Si Thammarat 80160, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthit","family":"Boonrodchu","sequence":"additional","affiliation":[{"name":"School of Nursing, The Excellence Center of Community Health Promotion, Walailak University, 222 Thaiburi, Thasala District, Nakhon Si Thammarat 80160, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3817-5741","authenticated-orcid":false,"given":"Uraiwan","family":"Pantong","sequence":"additional","affiliation":[{"name":"School of Nursing, The Excellence Center of Community Health Promotion, Walailak University, 222 Thaiburi, Thasala District, Nakhon Si Thammarat 80160, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8506-5812","authenticated-orcid":false,"given":"Ladda","family":"Thiamwong","sequence":"additional","affiliation":[{"name":"College of Nursing, University of Central Florida, Orlando, FL 32816, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"100585","DOI":"10.1016\/j.puhip.2025.100585","article-title":"Global prevalence of obesity in the older adults: A meta-analysis","volume":"9","author":"Khaleghi","year":"2025","journal-title":"Public Health Pract."},{"key":"ref_2","first-page":"e984","article-title":"Obesity and cardiovascular disease: A scientific statement from the American Heart Association","volume":"143","author":"Poirier","year":"2021","journal-title":"Circulation"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1038\/s41367-020-0019-z","article-title":"Obesity Programs of Nutrition Research Group. Sleep disturbances: One of the culprits of obesity-related cardiovascular risk?","volume":"10","author":"Muscogiuri","year":"2020","journal-title":"Int. J. Obes. Suppl."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1038\/s41366-024-01529-z","article-title":"Obesity pharmacotherapy in older adults: A narrative review of evidence","volume":"49","author":"Henney","year":"2025","journal-title":"Int. J. Obes."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1016\/S0140-6736(22)02612-5","article-title":"Malnutrition in older adults","volume":"401","author":"Dent","year":"2023","journal-title":"Lancet"},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Norman, K., Ha\u00df, U., and Pirlich, M. (2021). Malnutrition in older adults\u2014Recent advances and remaining challenges. Nutrients, 13.","DOI":"10.3390\/nu13082764"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Anantanasuwong, D., Pengpid, S., and Peltzer, K. (2022). Prevalence and associated factors of successful ageing among people 50 years and older in a national community sample in Thailand. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph191710705"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"e009773","DOI":"10.1136\/bmjgh-2022-009773","article-title":"Economic impacts of overweight and obesity: Current and future estimates for 161 countries","volume":"7","author":"Okunogbe","year":"2022","journal-title":"BMJ Glob. Health"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1038\/s41366-023-01398-y","article-title":"Economic costs of obesity: A systematic review","volume":"48","author":"Nagi","year":"2024","journal-title":"Int. J. Obes."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Tremmel, M., Gerdtham, U.G., Nilsson, P.M., and Saha, S. (2017). Economic burden of obesity: A systematic literature review. Int. J. Environ. Res. Public Health, 14.","DOI":"10.3390\/ijerph14040435"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1159\/000521729","article-title":"Obesity in older adults and associations with cardiovascular structure and function","volume":"15","author":"Tan","year":"2022","journal-title":"Obes. Facts"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1016\/j.clnesp.2025.03.051","article-title":"The association between body mass index, waist circumference and waist-to-hip ratio with all-cause mortality in older adults: A systematic review","volume":"67","author":"Ortiz","year":"2025","journal-title":"Clin. Nutr. ESPEN"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"2794","DOI":"10.1016\/j.numecd.2022.07.023","article-title":"Status and transition of normal-weight central obesity and the risk of cardiovascular diseases: A population-based cohort study in China","volume":"32","author":"Ren","year":"2022","journal-title":"Nutr. Metab. Cardiovasc. Dis."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1016\/j.jamda.2019.12.012","article-title":"Asian Working Group for Sarcopenia: 2019 consensus update on sarcopenia diagnosis and treatment","volume":"21","author":"Chen","year":"2020","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_15","first-page":"411","article-title":"Detecting sarcopenia in obesity: Emerging new approaches","volume":"27","author":"Cappellari","year":"2024","journal-title":"Curr. Opin. Clin. Nutr. Metab. Care"},{"key":"ref_16","first-page":"211","article-title":"The social determinants of health influencing obesity for the aged in the Pakpoon community context: A qualitative study","volume":"9","author":"Chumpunuch","year":"2022","journal-title":"Int. J. Nurs. Sci."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"861","DOI":"10.35755\/jmedassocthai.2022.09.13596","article-title":"Prevalence and risk factors of overweight and obesity and physical activity patterns among elderly individuals in Southern Thailand: A community cross-sectional study","volume":"105","author":"Sukchan","year":"2022","journal-title":"J. Med. Assoc. Thai."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Guglielmi, V., Dalle Grave, R., Leonetti, F., and Solini, A. (2024). Female obesity: Clinical and psychological assessment toward the best treatment. Front. Endocrinol., 15.","DOI":"10.3389\/fendo.2024.1349794"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Koceva, A., Herman, R., Janez, A., Rakusa, M., and Jensterle, M. (2024). Sex- and gender-related differences in obesity: From pathophysiological mechanisms to clinical implications. Int. J. Mol. Sci., 25.","DOI":"10.3390\/ijms25137342"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1080\/03670244.2019.1675654","article-title":"Is nutrition knowledge related to diet quality and obesity?","volume":"59","author":"Akkartal","year":"2020","journal-title":"Ecol. Food Nutr."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1097","DOI":"10.1007\/s40615-023-01589-3","article-title":"Race, educational attainment, and sustained high body mass index over 24 years of follow-up in middle-aged and older adults","volume":"11","author":"Assari","year":"2024","journal-title":"J. Racial Ethn. Health Disparities"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1451","DOI":"10.1136\/bjsports-2020-102955","article-title":"World Health Organization 2020 guidelines on physical activity and sedentary behaviour","volume":"54","author":"Bull","year":"2020","journal-title":"Br. J. Sports Med."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Liu, Y., Mao, S., Xie, W., Qian, G., Wu, X., Xu, H., and Ossowski, Z. (2026). Effect of exercise on abdominal obesity and inflammatory response in the older adults: A systematic review and meta-analysis of randomized controlled trials. Front. Sports Act. Living, 7.","DOI":"10.3389\/fspor.2025.1677087"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1093\/ageing\/afy169","article-title":"Sarcopenia: Revised European consensus on definition and diagnosis","volume":"48","author":"Bahat","year":"2019","journal-title":"Age Ageing"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"990","DOI":"10.1016\/j.clnu.2021.11.014","article-title":"Definition and diagnostic criteria for sarcopenic obesity: ESPEN and EASO consensus statement","volume":"41","author":"Donini","year":"2022","journal-title":"Clin. Nutr."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Kunutsor, S.K., and Laukkanen, J.A. (2025). Cardiometabolic index, BMI, waist circumference, and cardiometabolic multimorbidity risk in older adults. Geriatrics, 11.","DOI":"10.3390\/geriatrics11010004"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1642","DOI":"10.1016\/j.numecd.2022.04.003","article-title":"BMI is dead; long live waist-circumference indices: But which index should we choose to predict cardio-metabolic risk?","volume":"32","author":"Nevill","year":"2022","journal-title":"Nutr. Metab. Cardiovasc. Dis."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"100003","DOI":"10.1016\/j.tjfa.2024.100003","article-title":"Body composition of older adults with normal body mass index: Cross-sectional analysis of the Toulouse Frailty Clinic","volume":"14","author":"Chapelon","year":"2025","journal-title":"J. Frailty Aging"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"P\u00e9rez-Ros, P., Vila-Candel, R., L\u00f3pez-Hern\u00e1ndez, L., and Mart\u00ednez-Arnau, F.M. (2020). Nutritional status and risk factors for frailty in community-dwelling older people: A cross-sectional study. Nutrients, 12.","DOI":"10.3390\/nu12041041"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1048","DOI":"10.1016\/j.gerinurse.2021.06.005","article-title":"Factors associated with nutrition risk among community-dwelling older adults in Thailand","volume":"42","author":"Nawai","year":"2021","journal-title":"Geriatr. Nurs."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Stephenson, S.S., Guligowska, A., Cie\u015blak-Skubel, A., W\u00f3jcik, A., Kravchenko, G., Kostka, T., and So\u0142tysik, B.K. (2023). The relationship between nutritional risk and the most common chronic diseases in hospitalized geriatric population from central Poland. Nutrients, 15.","DOI":"10.3390\/nu15071612"},{"key":"ref_32","unstructured":"World Health Organization Regional Office for the Western Pacific, International Association for the Study of Obesity, and International Obesity Task Force (2000). The Asia-Pacific Perspective: Redefining Obesity and Its Treatment, Health Communications Australia. Available online: https:\/\/iris.who.int\/server\/api\/core\/bitstreams\/53228dc6-9520-421b-b5a2-f826967090cb\/content."},{"key":"ref_33","unstructured":"Kruthkul, K. (2007). Thai People Without Belly Network: Action to Overcome the Obesity and Abdominal Obesity Crisis, War Veterans Organization of Thailand Printing Office. (In Thai)."},{"key":"ref_34","unstructured":"World Health Organization (2020, July 18). Global Recommendations on Physical Activity for Health, Available online: https:\/\/www.who.int\/publications\/i\/item\/9789241599979."},{"key":"ref_35","unstructured":"Walailak University Human Research Ethics Committee; Walailak University: Nakhon Si Thammarat, Thailand. Available online: https:\/\/wuec.wu.ac.th\/."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1111\/ggi.14382","article-title":"Prevalence and correlates of obesity among the oldest old. A systematic review, meta-analysis and meta-regression","volume":"22","author":"Hajek","year":"2022","journal-title":"Geriatr. Gerontol. Int."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"155533","DOI":"10.1016\/j.metabol.2023.155533","article-title":"Epidemiology of sarcopenia: Prevalence, risk factors, and consequences","volume":"144","author":"Yuan","year":"2023","journal-title":"Metabolism"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.afos.2025.05.001","article-title":"Sarcopenic obesity in the Asia-Pacific region: Epidemiology, risk factors, and management","volume":"11","author":"Huang","year":"2025","journal-title":"Osteoporos. Sarcopenia"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Muhammad, T., Boro, B., Kumar, M., and Srivastava, S. (2022). Gender differences in the association of obesity-related measures with multi-morbidity among older adults in India: Evidence from LASI, Wave-1. BMC Geriatr., 22.","DOI":"10.1186\/s12877-022-02869-z"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1007\/s40520-025-03106-4","article-title":"Weight of time: Exploring the link between obesity and aging","volume":"37","author":"Ragusa","year":"2025","journal-title":"Aging Clin. Exp. Res."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"e13366","DOI":"10.1111\/obr.13366","article-title":"The nutrition transition to a stage of high obesity and noncommunicable disease prevalence dominated by ultra-processed foods is not inevitable","volume":"23","author":"Popkin","year":"2022","journal-title":"Obes. Rev."},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Wang, L., Ren, J., Chen, J., Gao, R., Bai, B., An, H., Cai, W., and Ma, A. (2022). Lifestyle choices mediate the association between educational attainment and BMI in older adults in China: A cross-sectional study. Front. Public Health, 10.","DOI":"10.3389\/fpubh.2022.1000953"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1016\/j.puhe.2024.10.037","article-title":"Sugar-sweetened beverage consumption in Thailand: Determinants and variation across socioeconomic status","volume":"237","author":"Thiboonboon","year":"2024","journal-title":"Public Health"},{"key":"ref_44","doi-asserted-by":"crossref","unstructured":"Harnirattisai, T., Vuthiarpa, S., Pawloski, L.R., Curtin, K.M., Blackwell, E., Nguyen, J., and Bourgeois, S.M. (2024). Nutritional health risk (food security) in Thai older adults and related factors. Nutrients, 16.","DOI":"10.3390\/nu16162703"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.clnesp.2022.06.001","article-title":"Sedentary behavior, physical inactivity, abdominal obesity and obesity in adults and older adults: A systematic review and meta-analysis","volume":"50","author":"Silveira","year":"2022","journal-title":"Clin. Nutr. ESPEN"},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Yang, M., Zhang, Y., Zhao, W., Ge, M., Sun, X., Zhang, G., and Dong, B. (2023). Individual and combined associations of body mass index and waist circumference with components of metabolic syndrome among multiethnic middle-aged and older adults: A cross-sectional study. Front. Endocrinol., 14.","DOI":"10.3389\/fendo.2023.1078331"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"10220","DOI":"10.1038\/s41598-024-60172-w","article-title":"Four-years change of BMI and waist circumference are associated with metabolic syndrome in middle-aged and elderly Chinese","volume":"14","author":"Zhang","year":"2024","journal-title":"Sci. Rep."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1007\/s12603-009-0171-1","article-title":"Caregiver\u2019s education level, not income, as determining factor of dietary intake and nutritional status of individuals cared for at home","volume":"13","author":"Correa","year":"2009","journal-title":"J. Nutr. Health Aging"},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Stratidaki, E., Mechili, E.A., Ouzouni, C., Patelarou, A.E., Giakoumidakis, K., Laliotis, A., and Patelarou, E. (2024). A study of factors contributing to the nutritional status of elderly people receiving home care. Nutrients, 16.","DOI":"10.3390\/nu16183135"},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"Liampeng, S., Wongkliawrian, N., Junlawakkananon, S., Prapaso, A., Panichnantho, N., Kiengsiri, S., Sirisereewan, M., Rungrotchanarak, O., Mahapol, V., and Boonsawat, T. (2023). Effect of the weight-loss program using daily self-weighing combined with personalized counseling led by village health volunteers in adults with obesity in a rural community, Thailand: A randomized controlled trial. BMC Prim. Care, 24.","DOI":"10.1186\/s12875-023-02178-3"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"21501319241240355","DOI":"10.1177\/21501319241240355","article-title":"Integrated care model by the village health volunteers to prevent and slow down progression of chronic kidney disease in a rural community, Thailand","volume":"15","author":"Theeranut","year":"2024","journal-title":"J. Prim. Care Community Health"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/23\/8\/1025\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T16:49:08Z","timestamp":1785948548000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/23\/8\/1025"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,5]]},"references-count":51,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026,8]]}},"alternative-id":["ijerph23081025"],"URL":"https:\/\/doi.org\/10.3390\/ijerph23081025","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,5]]}}}