Objectives: This study analyzed the distribution of obesity prevalence and annual weight control attempt rates in Chungcheongbuk-do and examined the potential role of Korean medicine in community-based management. Methods: A cross-sectional descriptive study was conducted using 2024 Community Health Survey data from 14 municipalities in Chungcheongbuk-do. A four-category classification system was developed based on national median values, and indirect age-adjusted obesity rates were calculated using the national aging rate (19.2%). Stratified analyses by urbanization and aging status were performed, with 95% confidence intervals derived by the Wilson score method. Results: The mean obesity prevalence was 34.7% (range: 31.4-40.8%), slightly higher than the national median (34.4%). After age adjustment, urban areas showed higher obesity prevalence (adjusted mean 38.4% vs. 24.6% in rural areas), reversing the pattern observed in the unadjusted analysis. Nine municipalities were classified as high-obesity/low-attempts type. Conclusions: Obesity in Chungcheongbuk-do is influenced not only by individual behaviors but also by demographic and healthcare resource factors. The predominance of “high obesity⋅low attempt” regions, identified through a novel four-category classification system based on national medians, highlights structural barriers to weight management in rural, aging communities. Notably, the obesity paradox in elderly populations suggests the need for age-stratified approaches. Given the high density of Korean medicine institutions in the province (21.7%), evidence-based interventions—including acupuncture (grade A), herbal medicine (grade B), and constitution-based counseling—can provide accessible, integrated obesity management. These approaches may be particularly effective in underserved rural areas, where conventional lifestyle programs show limited success.
서론
대상 및 방법
결과
고찰
결론
감사의 글
Conflict of Interest
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