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Background <p>The prevalence of overweight and obesity has increased globally after COVID-19, including in Jordan. This study aimed to assess the prevalence of overweight and obesity among Jordanian adults using multiple anthropometric indicators.</p> Methods <p>A cross-sectional study was conducted among 2,633 adults aged 18–65 (1,027 males; 1,606 females). Trained nutritionists collected anthropometric and body composition measurements, including body weight, height, waist circumference (WC), body mass index (BMI), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR) using a structured survey. Obesity was calculated using both global and Jordan-specific cut-offs.</p> Results <p>The prevalence of overweight and obesity varied by indicator, ranging from 41.7% (WHtR using Jordan-specific cut-offs) to 72.9% (body fat percentage). BMI-defined obesity affected 70–73% of both sexes. Central obesity was more prevalent in females (46.9–73.2%) compared to males (38.8–65.3%). Females had significantly higher odds of central obesity (OR = 2.23–2.48), whereas males showed higher odds when obesity was assessed using WHR, WHtR, and body-fat measures. Trends from 2009 to 2024 indicate persistently high prevalence rates, with slight declines in BMI- and WHtR-based obesity, while central obesity remained elevated, particularly among females.</p> Conclusion <p>Obesity remains highly prevalent among Jordanian adults, with notable sex-specific differences, especially in central adiposity. Public health interventions should target high-risk groups and incorporate multiple anthropometric indicators along with sex- specific prevention and surveillance strategies.</p>

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Overweight and obesity in Jordanian adults before and after COVID-19: a multi-index comparison

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月21日

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  • Buthaina Alkhatib,
  • Lana M. Agraib,
  • Islam Al-Shami,
  • Ahmad Suleiman Aslaih,
  • Asem Shawabkeh

摘要

Background

The prevalence of overweight and obesity has increased globally after COVID-19, including in Jordan. This study aimed to assess the prevalence of overweight and obesity among Jordanian adults using multiple anthropometric indicators.

Methods

A cross-sectional study was conducted among 2,633 adults aged 18–65 (1,027 males; 1,606 females). Trained nutritionists collected anthropometric and body composition measurements, including body weight, height, waist circumference (WC), body mass index (BMI), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR) using a structured survey. Obesity was calculated using both global and Jordan-specific cut-offs.

Results

The prevalence of overweight and obesity varied by indicator, ranging from 41.7% (WHtR using Jordan-specific cut-offs) to 72.9% (body fat percentage). BMI-defined obesity affected 70–73% of both sexes. Central obesity was more prevalent in females (46.9–73.2%) compared to males (38.8–65.3%). Females had significantly higher odds of central obesity (OR = 2.23–2.48), whereas males showed higher odds when obesity was assessed using WHR, WHtR, and body-fat measures. Trends from 2009 to 2024 indicate persistently high prevalence rates, with slight declines in BMI- and WHtR-based obesity, while central obesity remained elevated, particularly among females.

Conclusion

Obesity remains highly prevalent among Jordanian adults, with notable sex-specific differences, especially in central adiposity. Public health interventions should target high-risk groups and incorporate multiple anthropometric indicators along with sex- specific prevention and surveillance strategies.