Title
Author
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Nutritional status and associations of anthropometric indicators with socioeconomic and demographic factors among adult males in three provinces in Vietnam: a cross-sectional study
1National Institute of Nutrition, 100000 Hanoi, Vietnam
2School of Medicine and Dentistry, Griffith University, 4215 Gold Coast, QLD, Australia
3Department of Clinical Nutrition and Family Medicine, Faculty of Medicine, VNU University of Medicine and Pharmacy, 100000 Hanoi, Vietnam
4Vietnam Dietetics Association, 100000 Hanoi, Vietnam
5Vietnam Institute of Applied Medicine, 100000 Hanoi, Vietnam
6Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Melbourne Burwood Campus, 3125 Burwood, VIC, Australia
DOI: 10.22514/jomh.2025.117 Vol.21,Issue 9,September 2025 pp.49-59
Submitted: 12 May 2025 Accepted: 21 July 2025
Published: 30 September 2025
*Corresponding Author(s): Ngan TD Hoang E-mail: hoangthiducngan@dinhduong.org.vn
*Corresponding Author(s): Nghien TT Hoang E-mail: nghienhtt.ump@vnu.edu.vn
Background: Males exhibit higher health-related risk behaviours compared to females but they have not been a prioritized group for nutritional research and interventions in Vietnam. This study aimed to determine the nutritional status of adult males and associations of the anthropometric indicators with demographic and socioeconomic factors. Methods: This was a cross-sectional study of 453 Vietnamese males aged ≥18 years. Weight, height, and waist circumference (WC) measurements were collected, and Body Mass Index (BMI) and Waist to Height Ratio (WtHR) calculated. Demographic and socioeconomic data included age, ethnicity, marital status, education level, employment status, monthly household income, monthly personal income, monthly household food expenditure, and the total number of household possessions. Results: The prevalence of overweight and obesity was 29.5% and 3.7%, respectively; abdominal adiposity, defined by WC >90 cm, and abdominal obesity, defined by WtHR ≥0.56 were 20.0% and 15.0%, respectively; and overweight/obesity and abdominal obesity was 16.7%. BMI was negatively associated with education level, while WtHR was positively associated with age and negatively associated with monthly household income. Conclusions: The findings highlight a high prevalence of overweight and obesity among adult males and the complex relationship between anthropometric measurements and demographic and socioeconomic factors. The results underscore the importance of considering these variables in public health strategies for improving nutritional status in males in Vietnam.
Anthropometry; BMI; WtHR; Nutritional status; Males; Obesity; Central adiposity
Ngan TD Hoang,Nghien TT Hoang,Hoa A Le,Tuyen D Le,Duong T Tran,Hiep N Le,Yen TT Bui,Dung V Nguyen,Ha HP Truong,Hai Phung,Ewa A. Szymlek-Gay. Nutritional status and associations of anthropometric indicators with socioeconomic and demographic factors among adult males in three provinces in Vietnam: a cross-sectional study. Journal of Men's Health. 2025. 21(9);49-59.
[1] Ministry of Health. Each Vietnamese has 10 years on average living with diseases. 2023. Available at: https://moh.gov.vn/tin-tong-hop/-/asset_publisher/k206Q9qkZOqn/content/moi-nguoi-viet-trung-binh-co-toi-10-nam-phai-song-voi-benh-tat (Accessed: 18 June 2025).
[2] Lombardo M, Feraco A, Armani A, Camajani E, Gorini S, Strollo R, et al. Gender differences in body composition, dietary patterns, and physical activity: insights from a cross-sectional study. Frontiers in Nutrition. 2024; 11: 1414217.
[3] World Health Organization; Vietnam Ministry of Health. Primary results of STEPS survey 2020 in Vietnam. 2022. Available at: https://qppl.dienbien.gov.vn/qlvb/vbpq.nsf/3d0f058120469ad34725726600365420/6582A74F66F05DC547258A9E000A6444/$file/31-10_2%20STEP-report-VietNamese%20(20,5x29,5cm)-Nov15-VNese.pdf (Accessed: 08 March 2025).
[4] Vu THL, Bui TTQ, Tran QB, Pham QN, Lai DT, Le TH, et al. Comorbidities of diabetes and hypertension in Vietnam: current burden, trends over time, and correlated factors. BMC Public Health. 2023; 23: 2419.
[5] World Health Organization. Vietnam. Country-profiles. NCDs. 2016. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/ncds/vnm_en.pdf?sfvrsn=a98b3e5d_43 (Accessed: 18 June 2024).
[6] World Health Organization. Body mass index (BMI). 2024. Available at: https://www.who.int/data/gho/data/themes/topics/topic-details/GHO/body-mass-index (Accessed: 21 November 2024).
[7] Nevill AM, Stewart AD, Olds T, Duncan MJ. A new waist-to-height ratio predicts abdominal adiposity in adults. Research in Sports Medicine. 2020; 28: 15–26.
[8] Cai J, Lin C, Lai S, Liu Y, Liang M, Qin Y, et al. Waist-to-height ratio, an optimal anthropometric indicator for metabolic dysfunction associated fatty liver disease in the Western Chinese male population. Lipids in Health and Disease. 2021; 20: 145.
[9] Alshamiri MQ, Mohd A Habbab F, Al-Qahtani SS, Alghalayini KA, Al-Qattan OM, El-Shaer F. Waist-to-height ratio (WHtR) in predicting coronary artery disease compared to body mass index and waist circumference in a single center from Saudi Arabia. Cardiology Research and Practice. 2020; 2020: 4250793.
[10] Bojanic D, Ljubojevic M, Krivokapic D, Gontarev S. Waist circumference, waist-to-hip ratio, and waist-to-height ratio reference percentiles for abdominal obesity among Macedonian adolescents. Nutricion Hospitalaria. 2020; 37: 786–793.
[11] Lo K, Huang Y-Q, Shen G, Huang JY, Liu L, Yu YL, et al. Effects of waist to height ratio, waist circumference, body mass index on the risk of chronic diseases, all-cause, cardiovascular and cancer mortality. Postgraduate Medical Journal. 2021; 97: 306–311.
[12] Başıbüyük GÖ, Ayremlou P, Saeidlou SN, Ay F, Dalkıran A, Simzari W, et al. A comparison of the different anthropometric indices for assessing malnutrition among older people in Turkey: a large population-based screening. Journal of Health, Population and Nutrition. 2021; 40: 13.
[13] Khurana A, Taksande A, Meshram RJ, Khurana Jr. Beyond boundaries: a comprehensive review of anthropometric indices in urban and rural India. Cureus. 2024; 16: e53944.
[14] Rezaei M, Ghadamgahi F, Jayedi A, Arzhang P, Yekaninejad MS, Azadbakht L. The association between food insecurity and obesity, a body shape index and body roundness index among US adults. Scientific Reports. 2024; 14: 23631.
[15] Rivera-Navarro J, Conde P, Díez J, Gutiérrez-Sastre M, González-Salgado I, Sandín M, et al. Urban environment and dietary behaviours as perceived by residents living in socioeconomically diverse neighbourhoods: a qualitative study in a Mediterranean context. Appetite. 2021; 157: 104983.
[16] Prime Minister. Decision number 02/QĐ-TTg of Prime Minister approved the National Nutrition Strategies period 2021–2030 and vision to 2045. 2022. Available at: https://datafiles.chinhphu.vn/cpp/files/vbpq/2022/01/02-qd.signed.pdf (Accessed: 13 March 2025).
[17] Ministry of Health. The Ministry of Health announces the preliminary results of the General Nutrition Survey in 2019–2020. 2021. Available at: https://moh.gov.vn/hoat-dong-cua-lanh-dao-bo/-/asset_publisher/TW6LTp1ZtwaN/content/bo-y-te-cong-bo-ket-qua-tong-ieu-tra-dinh-duong-nam-2019-2020 (Accessed: 03 March 2025).
[18] Vietnam National Survey on the Risk Factors of NCDs (STEPS) 2015 Report. 2016. Available at: https://vncdc.gov.vn/cong-bo-ket-qua-dieu-tra-quoc-gia-yeu-to-nguy-co-benh-khong-lay-nhiem-nam-2015-nd14421.html (Accessed: 13 May 2023).
[19] National Center for Health Statistics. National Health and Nutrition Examination Survey: 2021 anthropometry procedures manual. 2021. Available at: https://stacks.cdc.gov/view/cdc/127207 (Accessed: 10 August 2025).
[20] Itani L, El Ghoch M. Waist-to-height ratio cut-off points for central obesity in individuals with overweight across different ethnic groups in NHANES 2011–2018. Nutrients. 2024; 16: 3838.
[21] WHO Experts Consultation. Waist circumference and waist-hip ratio: report of a WHO expert consultation. World Health Organization: Geneva. 2011.
[22] Vietnam Education. The national education system has 4 levels and 12 years of general education. 2016. Available at: https://giaoduc.net.vn/khung-co-cau-he-thong-giao-duc-quoc-dan-co-4-cap-pho-thong-hoc-12-nam-post172184.gd (Accessed: 25 April 2022).
[23] Pham T, Bui L, Giovannucci E, Hoang M, Tran B, Chavarro J, et al. Prevalence of obesity and abdominal obesity and their association with metabolic-related conditions in Vietnamese adults: an analysis of Vietnam STEPS survey 2009 and 2015. The Lancet Regional Health—Western Pacific. 2023; 39: 100859.
[24] National Institute of Nutrition. Prevalence of malnutrition among children under five years old. 2024. Available at: https://vdd.amitech.vn/vi/lookup/so-lieu-thong-ke/ty-le-suy-dinh-duong-tre-em--5-tuoi-6874605ab535bc6b170c6bd5 (Accessed: 10 August 2025).
[25] World Health Organization. WHO European Regional Obesity Report 2022. WHO Regional Office for Europe: Copenhagen. 2022.
[26] Nguyen TT, Trevisan M. Vietnam a country in transition: health challenges. BMJ Nutr Prev Health. 2020; 3: 60–66.
[27] Tuong LB, Tri NH. Survey on obesity of students at Can Tho University. Can Tho University Journal of Sciences. 2016; 9–13. (In Vietnamese)
[28] Hong NLA, Thanh DNT, Tu TN, Tuyet TMT, Uyen HTN, Hien NT. Assessment of overweight, obesity and related factors among students of public health faculty, Can Tho University of Medicine and Pharmacy in 2021. Can Tho Medical and Pharmaceutical Journal. 2023; 246–252. (In Vietnamese)
[29] Adolph TE, Tilg H. Western diets and chronic diseases. Nature Medicine. 2024; 30: 2133–2147.
[30] Nguyen PT, Gilmour S, Le PM, Nguyen HL, Dao TMA, Tran BQ, et al. Trends in, projections of, and inequalities in non-communicable disease management indicators in Vietnam 2010–2030 and progress toward universal health coverage: a Bayesian analysis at national and sub-national levels. eClinicalMedicine. 2022; 51: 101550.
[31] Yamada Atsuko, Szymlek-Gay Ewa, Hoang Ngan, Lee Warren. Traditional and modern fast food consumption patterns and associated factors among adolescents and young adults in Hanoi, Vietnam. Deakin University. Conference contribution. 2023. Available at: https://hdl.handle.net/10779/DRO/DU:27092293.v1 (Accessed: 10 August 2025).
[32] Viet Nam General Statistic Office, Hanoi Medical University, WHO. Viet Nam National STEPS Survey 2015. 2016. Available at: https://cdn.who.int/media/docs/default-source/ncds/ncd-surveillance/data-reporting/viet-nam/steps/vietnam-2015-steps-report.pdf?sfvrsn=547961b6_2&download=true (Accessed: 10 August 2025).
[33] Ayuningtyas D, Kusuma D, Amir V, Tjandrarini DH, Andarwati P. Disparities in obesity rates among adults: analysis of 514 districts in Indonesia. Nutrients. 2022; 14: 3332.
[34] Chong CT, Lai WK, Mohd Sallehuddin S, Ganapathy SS. Prevalence of overweight and its associated factors among Malaysian adults: findings from a nationally representative survey. PLOS ONE. 2023; 18: e0283270.
[35] Tsoi MF, Li HL, Feng Q, Cheung CL, Cheung TT, Cheung BMY. Prevalence of childhood obesity in the United States in 1999–2018: a 20-year analysis. Obesity Facts. 2022; 15: 560–569.
[36] Stival C, Lugo A, Odone A, van den Brandt PA, Fernandez E, Tigova O, et al. Prevalence and correlates of overweight and obesity in 12 European Countries in 2017–2018. Obesity Facts. 2022; 15: 655–665.
[37] Noubiap JJ, Nansseu JR, Lontchi-Yimagou E, Nkeck JR, Nyaga UF, Ngouo AT, et al. Global, regional, and country estimates of metabolic syndrome burden in children and adolescents in 2020: a systematic review and modelling analysis. The Lancet Child & Adolescent Health. 2022; 6: 158–170.
[38] Tham KW, Abdul Ghani R, Cua SC, Deerochanawong C, Fojas M, Hocking S, et al. Obesity in South and Southeast Asia—a new consensus on care and management. Obesity Reviews. 2023; 24: e13520.
[39] Khodamoradi K, Khosravizadeh Z, Seetharam D, Mallepalli S, Farber N, Arora H. The role of leptin and low testosterone in obesity. International Journal of Impotence Research. 2022; 34: 704–713.
[40] Pataky MW, Young WF, Nair KS. Hormonal and metabolic changes of aging and the influence of lifestyle modifications. Mayo Clinic Proceedings. 2021; 96: 788–814.
[41] Rodrigues de Oliveira RA, dos Santos Amorim PR, Parma Baião B, Santos Rodrigues de Oliveira PV, Bouzas Marins JC. Body adiposity index and associated factors in workers of the furniture sector. Brazilian Journal of Kineanthropometry & Human Performance. 2021; 23: e76348.
[42] Mathieu-Bolh N. The elusive link between income and obesity. Journal of Economic Surveys. 2022; 36: 935–968.
[43] Prentice AM. The emerging epidemic of obesity in developing countries. International Journal of Epidemiology. 2006; 35: 93–99.
[44] Sarma S, Sockalingam S, Dash S. Obesity as a multisystem disease: trends in obesity rates and obesity‐related complications. Diabetes, Obesity and Metabolism. 2021; 23: 3–16.
[45] Gutin I. Educational differences in mortality associated with central obesity: decomposing the contribution of risk and prevalence. Social Science Research. 2020; 90: 102445.
[46] Liwin LK. Shifting educational gradients in body mass index trajectories of Indonesians: an age period cohort analysis. BMC Public Health. 2022; 22: 1004.
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