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- Title
Anthropometric Cut-Off Values for Detecting the Presence of Metabolic Syndrome and Its Multiple Components among Adults in Vietnam: The Role of Novel Indices.
- Authors
Dang, Anh Kim; Truong, Mai Tuyet; Le, Huong Thi; Nguyen, Khan Cong; Le, Mai Bach; Nguyen, Lam Thi; Do, Khanh Nam; Nguyen, Lan Huong Thi; Mamun, Abdullah A.; Phung, Dung; Thai, Phong K.
- Abstract
Recent studies have shown that using international guidelines to diagnose metabolic syndrome (MetS) may underestimate its prevalence in different Asian populations. This study aims to determine the validity of anthropometric indicators and appropriate cut-off values to predict MetS for Vietnamese adults. We analyzed data on 4701 adults across four regions of Vietnam. Four conventional and five novel anthropometric indexes were calculated. The area under a receiver operating characteristic (ROC) curve (AUC) and Youden's J statistic were applied to evaluate the diagnostic ability and optimal cut-off values. Regardless of diagnostic criteria and gender, Abdominal volume index (AVI), Body roundness index (BRI), and Waist-height ratio (WHtR) had the highest AUC values, followed by Body mass index (BMI) and Waist-hip ratio (WHR). However, it was seen that differences among the AUC values of most indices were minor. In men, using International Diabetes Federation (IDF) criteria, the threshold of indices was 3.86 for BRI, 16.20 for AVI, 0.53 for WHtR, 22.40 for BMI, and 0.90 for WHR. In women, the threshold for these figures were 3.60, 12.80, 0.51, 23.58, and 0.85, respectively. It is recommended that health personnel in Vietnam should apply appropriate thresholds of anthropometry, which are lower than current international guidelines, for MetS screening to avoid under-diagnosis.
- Subjects
VIETNAM; METABOLIC syndrome risk factors; METABOLIC syndrome diagnosis; REFERENCE values; ANTHROPOMETRY; RISK assessment; WAIST-hip ratio; RECEIVER operating characteristic curves; BODY mass index; ADULTS
- Publication
Nutrients, 2022, Vol 14, Issue 19, p4024
- ISSN
2072-6643
- Publication type
Article
- DOI
10.3390/nu14194024