Anthropometric Cut-Off Values for Detecting the Presence of Metabolic Syndrome and Its Multiple Components among Adults in Vietnam: The Role of Novel Indices
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 ad...
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| Veröffentlicht in: | Nutrients 2022-09, Vol.14 (19), p.4024 |
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| creator | 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 |
| description | 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. |
| doi_str_mv | 10.3390/nu14194024 |
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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.</description><identifier>ISSN: 2072-6643</identifier><identifier>EISSN: 2072-6643</identifier><identifier>DOI: 10.3390/nu14194024</identifier><identifier>PMID: 36235677</identifier><language>eng</language><publisher>Basel: MDPI AG</publisher><subject>Abdomen ; Adults ; Anthropometry ; Blood pressure ; Body fat ; Body mass ; Body mass index ; Body measurements ; Body size ; Coasts ; Criteria ; Cross-sectional studies ; Diabetes ; Diabetes mellitus ; Diagnosis ; Diagnostic systems ; Guidelines ; Health aspects ; Laws, regulations and rules ; Medical personnel ; Metabolic disorders ; Metabolic syndrome ; Metabolic syndrome X ; Nutritional status ; Obesity ; Physiological aspects ; Population studies ; Roundness ; Sample size ; Sampling techniques</subject><ispartof>Nutrients, 2022-09, Vol.14 (19), p.4024</ispartof><rights>COPYRIGHT 2022 MDPI AG</rights><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). 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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.</abstract><cop>Basel</cop><pub>MDPI AG</pub><pmid>36235677</pmid><doi>10.3390/nu14194024</doi><orcidid>https://orcid.org/0000-0002-1535-8086</orcidid><orcidid>https://orcid.org/0000-0002-7472-5392</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Abdomen Adults Anthropometry Blood pressure Body fat Body mass Body mass index Body measurements Body size Coasts Criteria Cross-sectional studies Diabetes Diabetes mellitus Diagnosis Diagnostic systems Guidelines Health aspects Laws, regulations and rules Medical personnel Metabolic disorders Metabolic syndrome Metabolic syndrome X Nutritional status Obesity Physiological aspects Population studies Roundness Sample size Sampling techniques |
| 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 |
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