PREDICTIVE VALUE OF ANTHROPOMETRIC INDICES FOR POOR GLYCEMIC CONTROL IN OVERWEIGHT AND OBESE PATIENTS WITH TYPE 2 DIABETES MELLITUS

Đức Minh Tống, Hoàng Trung Nguyễn

Main Article Content

Abstract

Objective: To evaluate the predictive value of BMI, waist circumference (WC), WHR, WHtR, and BRI for poor glycemic control in overweight/obese patients with type 2 diabetes mellitus (T2DM). Methods: A cross-sectional descriptive study was conducted on 78 T2DM patients with BMI ≥ 23.0 kg/m² at Military Hospital 103 from January 2024 to December 2025. Anthropometric indices were compared between HbA1c-controlled and uncontrolled groups; predictive values were assessed by logistic regression and ROC curve analysis. Results: The prevalence of poor glycemic control (HbA1c ≥ 7.0%) was 59.0%. All five anthropometric indices were significantly higher in the uncontrolled group. After multivariate adjustment, WHtR (OR = 2.19; 95%CI: 1.33-3.61) and BRI (OR = 2.27; 95%CI: 1.35-3.80) showed the strongest associations. ROC analysis demonstrated that BRI (AUC = 0.789) and WHtR (AUC = 0.782) outperformed BMI (AUC = 0.671) in predicting HbA1c ≥ 7.0%. Conclusion: BRI and WHtR are superior anthropometric predictors of poor glycemic control in overweight/obese T2DM patients.

Article Details

References

1. International Diabetes Federation (2021). IDF Diabetes Atlas, 10th edition. Brussels: IDF.
2. Tran BT, Jeong BY, Oh JK (2017). The prevalence trend of metabolic syndrome and its components and risk factors in Vietnamese adults: a systematic review. BMJ Open, 7: e016840.
3. Neeland IJ, Ross R, Despres JP, et al. (2019). Visceral and ectopic fat, atherosclerosis, and cardiometabolic disease: a position statement. Lancet Diabetes Endocrinol, 7(9): 715-725.
4. WHO Expert Consultation (2004). Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet, 363(9403): 157-163.
5. Thomas DM, Bredlau C, Bosy-Westphal A, et al. (2013). Relationships between body roundness with body fat and visceral adipose tissue emerging from a new geometrical model. Obesity, 21(11): 2264-2271.
6. Ashwell M, Gunn P, Gibson S (2012). Waist-to-height ratio is a better screening tool than waist circumference and BMI for adult cardiometabolic risk factors: systematic review and meta-analysis. Obes Rev, 13(3): 275-286.
7. Janghorbani M, Aminorroaya A, Amini M (2017). Comparison of different obesity indices for predicting incident hypertension. High Blood Press Cardiovasc Prev, 24(2): 157-166.
8. Hu FB (2003). Overweight and obesity in women: health risks and consequences. J Womens Health, 12(2): 163-172.
9. Nathan DM, Kuenen J, Borg R, et al. (2008). Translating the A1C assay into estimated average glucose values. Diabetes Care, 31(8): 1473-1478.