Obesity is a condition where there is accumulation of excess fat in the body. Overweight and obesity cause adverse metabolic effects on blood pressure, cholesterol, triglycerides and insulin resistance. The work area of the Community Health Center (Puskesmas) of Johan Pahlawan is the region with the highest incidence of obesity in West Aceh with 592 cases and obese patients aged 55-70 years as many as 234 cases. This study aims to determine the relationship between physical activity, dietary

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... terns and the incidence of obesity in the elderly in the work area of Puskesmas of Johan Pahlawan of West Aceh Regency. This study is an analytical study with cross-sectional design. The sample in this study were all the elderly in the work area of Puskesmas of Johan Pahlawan of West Aceh Regency. The sample was taken using the cluster sampling method, with a total of 95 people. The data analysis technique used was the Spearman's rank correlation test. It could be concluded from this analysis that there was a relationship between the incidence of obesity and physical activity (p-value = 0,000 <α = 0.05, r = 0.389); and dietary patterns (p-value = 0,000 <α = 0, 05, r = 0.284). In multivariate analysis, the data analysis technique used was multiple logistic regression test. From this analysis, it could be concluded that there was a relationship between the incidence of obesity and physical activity and dietary patterns (p-value = 0,000 <α = 0.05). Physical activity had the highest coefficient value (OR = 0.392) compared to dietary patterns, which indicated that those who had bad physical activity would have a risk of obesity 0.392 times more than those with bad dietary patterns. It is recommended for the Health Department to work together with nutritionists in dealing with obesity problems that occur in the elderly, create special activities to reduce the risk of obesity in the community, and encourage the community to be more active in doing physical activity, such as doing regular exercise.