Updating a row in a Postgres table using Sequelize

I am trying to update a row in a given table using the following Sequelize query:

const handleEditProfile = async (req, res) => {
  let medicalconditions = req.body.medicalconditions;
  let allergies = req.body.allergies;
  let bloodtype = req.body.bloodtype;
  let weight = req.body.weight;
  let height = req.body.height;
  let userId = req.body.userid;

  Profile.bulkCreate(
    [{userId: userId, medicalconditions: medicalconditions, allergies: allergies, bloodtype: bloodtype, weight: weight, height: height}],
    {updateOnDuplicate: ['medicalconditions', 'allergies', 'bloodtype', 'weight', 'height']}
  )
  .then(data => {
    res.send(data);
  })
  .catch(err => {
    res.status(400).send(err);
  })
};

This is what I get in the Postgres DB:

 id |      medicalconditions      |     allergies      | bloodtype | weight  |   height   |         createdAt          |         updatedAt          | userId 
----+-----------------------------+--------------------+-----------+---------+------------+----------------------------+----------------------------+--------
 74 | type 2 diabetes             |   penicillin       |     AB    | 114 lbs |            | 2023-02-13 14:56:21.789-06 | 2023-02-13 14:56:21.789-06 |     40
 90 | hyperthyroidism             | none               | AB        | 120 lbs | 5'4"       | 2023-02-17 18:08:44.503-06 | 2023-02-17 18:08:44.503-06 |     40

As you can see, I looked up the "row" by the userId. I want to update the columns mentioned in "updateOnDuplicate" where userId = 40. However, instead of updating the row with the id = 74 and userId = 40, it creates a new row with the id = 90 and userId = 40. How can I fix this without mentioning the primary id?

const User = sequelize.define('user', {
  id: {
    type: DataTypes.INTEGER,
    autoIncrement: true,
    primaryKey: true
  },
  uid: {
    type: DataTypes.TEXT,
    allowNull: false,
    unique: true
  },
  firstName: {
    type: DataTypes.TEXT,
    allowNull: false
  },
  lastName: {
    type: DataTypes.TEXT,
    allowNull: false
  },
  DOB: {
    type: DataTypes.TEXT,
    allowNull: false
  }
});

const Profile = sequelize.define('profile', {
  id: {
    type: DataTypes.INTEGER,
    autoIncrement: true,
    primaryKey: true
  },
  medicalconditions: {
    type: DataTypes.TEXT
  },
  allergies: {
    type: DataTypes.TEXT
  },
  bloodtype: {
    type: DataTypes.TEXT
  },
  weight: {
    type: DataTypes.TEXT
  },
  height: {
    type: DataTypes.TEXT
  }
});

User.hasOne(Profile);
Profile.belongsTo(User);

If you want Profile records to be unique not only by PK but by userId as well you need an unique index/constraint in Profile table on userId. That way if you don't indicate PK in objects that about to be inserted PostgreSQL will look at fields values that correspond to any unique constraint to decide whether a record with such values already exists or doesn't.
Another benefit of having the unique index on userid that you can't create two records with the same userId even if you use an individual create calls.