Articles Vol. 67 No. 3 31/03/2026

RESEARCH ON ANTHROPOMETRIC INDICES AND METABOLIC SYNDROME IN WORKERS COMING FOR HEALTH CHECK-UPS AT HANOI MEDICAL UNIVERSITY HOSPITAL IN 2024

Nguyen Cong Trong1,2, Ho Thi Kim Thanh1,2,3,4, Pham Huy Tan3,4, Le Ngoc Ha1,2,3,4, Nguyen Thi Thuy3,4, Nguyen Thi Thanh Thim5,6
1 Hanoi Medical University
2 Trường Đại học Y Hà Nội
3 Hanoi Medical University Hospital
4 Bệnh viện Đại học Y Hà Nội
5 Hai Phong University of Medicine and Pharmacy
6 Trường Đại học Y Dược Hải Phòng
DOI: 10.52163/yhc.v67i3.4601
14 Views
2 Downloads
Keywords
Waist circumference, neck circumference, WHtR, metabolic syndrome, anthropometric indices.
Abstract

Objective: To describe and analyze the associations of anthropometric indices with the prediction of metabolic syndrome (MetS) among workers undergoing health check-ups at Hanoi Medical University Hospital.

Methods: A cross-sectional study was conducted on 719 workers attending routine health examinations at Hanoi Medical University Hospital.

Results: A total of 719 participants were included (54.9% women and 45.1% men). In both men and women, participants with MetS had significantly higher waist circumference, hip circumference, neck circumference, waist-to-height ratio (WHtR), waist-to-hip ratio (WHR), and body mass index (BMI) compared with those without MetS (p < 0.001). Multivariable logistic regression adjusted for age showed that all anthropometric indices were independently associated with the risk of MetS in both sexes, with generally stronger associations observed in men, particularly for waist circumference, neck circumference, WHtR, and BMI. Receiver operating characteristic (ROC) characteristic analysis demonstrated that waist circumference and WHtR were the most powerful predictors in both sexes, as reflected by high area under the curve values and large Youden indices, indicating their effective applicability in metabolic syndrome risk screening.

Conclusion: Anthropometric indices, especially waist circumference and waist-to-height ratio, are strongly associated with and have high predictive value for metabolic syndrome in both sexes. Neck circumference is a simple and feasible screening measure that may aid in the early identification of metabolic syndrome risk in clinical practice.

References
[1]
Alberti, K.G., et al., The metabolic syndrome--a new worldwide definition. Lancet, 2005. 366(9491): p. 1059-62. Google Scholar
[2]
Zaid, M., et al., Anthropometric and metabolic indices in assessment of type and severity of dyslipidemia. J Physiol Anthropol, 2017. 36(1): p. 19. Google Scholar
[3]
Wan, H., et al., Associations between abdominal obesity indices and diabetic complications: Chinese visceral adiposity index and neck circumference. Cardiovasc Diabetol, 2020. 19(1): p. 118. Google Scholar
[4]
Trần Thị Cẩm Chi, Võ Hồng Thiên Ngọc, and Tăng Kim Hồng, Các chỉ số nhân trắc học trong ước tính phần trăm mỡ cơ thể ở trẻ em và vị thành niên ở Quận 10, Thành phố Hồ Chí Minh. Tạp chí Y Dược học Phạm Ngọc Thạch, 2022. 1 (4): p. 125-135. Google Scholar
[5]
Dang, A.K., et al., Anthropometric Cut-Off Values for Detecting the Presence of Metabolic Syndrome and Its Multiple Components among Adults in Vietnam: The Role of Novel Indices. Nutrients, 2022. 14(19). Google Scholar
[6]
Alberti, K.G., P. Zimmet, and J. Shaw, Metabolic syndrome--a new world-wide definition. A Consensus Statement from the International Diabetes Federation. Diabet Med, 2006. 23(5): p. 469-80. Google Scholar
[7]
Ho, N.T., et al., Prevalence of metabolic syndrome among Vietnamese adult employees. Nutr Metab Cardiovasc Dis, 2024. 34(2): p. 326-333. Google Scholar
[8]
Nguyễn Tấn Gi Trọng, Hằng số sinh học người Việt Nam. 1975, Hà Nội: Nhà xuất bản Y học. Google Scholar
[9]
Võ Hưng, Atlat nhân trắc học người Việt Nam trong lứa tuổi lao động: dẫn liệu và chỉ dẫn sử dụng. 1986: Nhà xuất bản Khoa học và kỹ thuật. Google Scholar
[10]
Norton, K. and R. Eston, Standards for Anthropometry Assessment, in Kinanthropometry and Exercise Physiology. 2018. p. 70. Google Scholar
[11]
Nguyễn Quang Quyền, Nhân trắc học và sự ứng dụng nghiên cứu trên người Việt Nam. 1984, Hà Nội: Nhà xuất bản Y học. Google Scholar
[12]
1Ashwell, M. and S. Gibson, Waist-to-height ratio as an indicator of 'early health risk': simpler and more predictive than using a 'matrix' based on BMI and waist circumference. BMJ Open, 2016. 6(3): p. e010159. Google Scholar
[13]
Yang, G.R., et al., Neck circumference positively related with central obesity, overweight, and metabolic syndrome in Chinese subjects with type 2 diabetes: Beijing Community Diabetes Study 4. Diabetes Care, 2010. 33(11): p. 2465-7. Google Scholar
[14]
Preis, S.R., et al., Neck circumference as a novel measure of cardiometabolic risk: the Framingham Heart study. J Clin Endocrinol Metab, 2010. 95(8): p. 3701-10. Google Scholar