Background: Central obesity is a condition where an excessive abdominal fat has accumulated around the stomach and abdomen to an extent that it is likely to have a negative impact on health.

Aim: Our study aimed to estimate the prevalence of central obesity and its association with family income (monthly) among the rural adults of Dirghagram village of Ghatal Block, Paschim Medinipur.

Subjects and methods: The present cross-sectional study was conducted among 310 rural adults (154 males and 156 females) aged 18 years and above.

Results: The female individuals showed higher prevalence of central obesity using waist circumference (cm), waist hip ratio, waist height ratio, and conicity index criteria than male individuals (p<0.001). In addition to that, one way ANOVA analysis and Chi-square (ᵡ2) test on most of the anthropometric and derived variables showed a statistically significant increase from low income group to high income group among both male and female participants (p<0.001;p<0.01; p<0.05).

Conclusion: Therefore, the present study showed a high prevalence of central obesity among the rural adults of Dirghagram village. Furthermore, family income (monthly), a socioeconomic factor contributed in increasingcentral obesity among the villagers.