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Fig 1.

Study flowchart.

a) Sampling sites across the country. The study consisted of 48 sampling centers, including 24 centers in Ulaanbaatar and 24 in 4 rural regions. b) Study flowchart: The required sample size was 385. We invited 540 individuals to participate in this study. Among them, 75 did not show up, 54 participants were excluded due to the missing data and 29 participants were inadequate HRV data recordings. A total of 382 participants were included in the final analysis.

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Table 1.

Sociodemographic characteristics of the participants by sex.

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Table 2.

The prevalence of obesity and socio-demographic and lifestyle factors by obesity.

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Table 3.

Health-related quality of life, mental health and autonomic dysfunction, and cognitive decline in individuals with and without obesity.

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Table 4.

Spearman correlation coefficients between the HRV components and selected factors.

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Table 5.

Binary logistic regression on selected risk factors associated with obesity.

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Fig 2.

ROC curve of the predictive factors for obesity.

The area under the receiver operating characteristic curve was 0.977, reflecting high predictive accuracy of 0.921, with a specificity of 0.946 and a sensitivity of 0.868.

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