Association between Waist Circumference, Body Mass Index, and Anxiety, in Adult Males with Central Obesity

Ketut Indra Purnomo1,2), Muchsin Doewes2),

Made Kurnia Widiastuti Giri1)

1)Faculty of Sports and Health, Universitas Pendidikan Ganesha, Singaraja

2)Doctoral Program, Faculty of Medicine, Universitas Sebelas Maret



Background: Obesity has become the public health issue of the day. The accumulation of fat in the visceral tissue is known by the waist circumference, while fat accumulation is generally known by body mass index (BMI). There is a wealth of evidence to show that excess weight is an important risk factor in the development of other illnesses, including respiratory disease. It is now known that neuroinflammation is responsible for anxiety disorders. Neuroinflammation can be caused by low-grade chronic inflammation in fat tissue and shifts the balance of inflammatory mediators due to aging. This study aimed to determine the association between waist circumference, BMI, age, and anxiety in adult males with central obesity.

Subjects and Method: This was a cross-sectional study conducted in Singaraja, Bali. A sample of 63 adult males with obesity was selected for this study by purposive sampling. The dependent variable was anxiety. The independent variables were age, waist circumference, and body mass index. Body mass index was measured by anthropometry. Anxiety was measured by Taylor Manifest Anxiety Scale (TMAS). The other variables were collected by questionnaire. The data were analyzed by a multiple linear regression.

Results: Anxiety was positively associated with increasing waist circumference (b= 0.25; 95% CI= 0.09 to 0.41; p = 0.003), older age (b= 0.90; 95% CI= 0.01 to 0.18; p= 0.046), and increasing body mass index (b= 0.21; 95% CI= -0.12 to 0.54; p= 0.208).

Conclusion: Anxiety ispositively associated with waist circumference and age. This study does not show significant association between anxiety and body mass index.

Keywords: anxiety, waist circumference, age, body mass index

Correspondence: Ketut Indra Purnomo. Faculty of Sports and Health, Universitas Pendidikan Ganesha, Singaraja, Bali. Email:


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