{
  "abstract": "Objectives: This study aims to investigate the prevalence of masked obesity among vocational college students, evaluate the predictive efficacy of the muscle-to-fat ratio (MFR), and explore the associations between masked obesity and lifestyle factors.\n\nMethods: A cross-sectional study was conducted with 320 students from Fujian Health College. A self-developed structured questionnaire was used to collect data on demographic characteristics and health-related behaviors. Body composition indicators were measured via a bioelectrical impedance analysis (InBody 770c). According to different combinations of body mass index (BMI) and body fat percentage (BF%), they were divided into the following 8 groups: (1) under weight with low body fat group (UW-L); (2) Under weight with high body fat group (UW-H); (3) Normal weight with low body fat group (NW-L); (4) Normal weight with high body fat group (NW-H); (5) Overweight with low body fat group (OW-L); (6) Overweight with high body fat group (OW-H); (7) Obese with low body fat group (OB-L); (8) Obese with high body fat group (OB-H). Among them, the two types of UW-H and NW-H together constitute masked obesity.\n\nResults: The prevalence of masked obesity was as high as 33.9% in the normal-weight population, and 5.8% in the underweight population. MFR demonstrates better diagnostic efficacy in the detection of masked obesity (AUC = 0.861), and is superior to BMI. After adjusting for confounding factors, excessive sleep duration was associated with masked obesity (OR = 6.887, 95% CI: 1.417–33.473), while no significant association was found between sleep quality and physical activity and masked obesity.\n\nConclusions: Compared with the traditional obesity index BMI, MFR is more effective in identifying masked obesity in young adults.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Health Management, Fujian Health College"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Yimei Li"
    },
    {
      "affs": [
        0
      ],
      "name": "Tao Zhang"
    },
    {
      "affs": [
        0
      ],
      "name": "Luowen Chen"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/6qwdnzs8d4zbx.bib",
  "cited_by": 0,
  "doi": "10.3389/fpubh.2026.1854278",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13731359/",
  "id": "6qwdnzs8d4zbx",
  "issns": [
    "2296-2565"
  ],
  "landing_url": "https://www.frontiersin.org/articles/10.3389/fpubh.2026.1854278/full",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Research"
    ],
    [
      "openalex",
      "2739|Obesity, Physical Activity, Diet"
    ]
  ],
  "openalex": "W7223142071",
  "pdf_url": "https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1854278/pdf",
  "pmcid": "PMC13731359",
  "pmid": "42984781",
  "published": "2026-10-21",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/6qwdnzs8d4zbx.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:24Z",
      "native_id": "10.3389/fpubh.2026.1854278",
      "source": "crossref",
      "url": "https://www.frontiersin.org/articles/10.3389/fpubh.2026.1854278/full"
    },
    {
      "first_seen": "2026-11-08T12:21:34Z",
      "native_id": "PMC13731359",
      "source": "pmc",
      "url": "https://doi.org/10.3389/fpubh.2026.1854278"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2739|Obesity, Physical Activity, Diet",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Prevalence of masked obesity and its association with body composition and lifestyle factors in young adults: a cross-sectional analysis",
  "title_text": "Prevalence of masked obesity and its association with body composition and lifestyle factors in young adults: a cross-sectional analysis",
  "type": "peer-reviewed",
  "updated_at": "2026-11-08T12:21:34Z",
  "url": "https://research.draconitic.com/paper/6qwdnzs8d4zbx",
  "venue": "Frontiers in Public Health",
  "versions": []
}