CENTRAL OBESITY AND ASSOCIATED FACTORS AMONG TYPE 2 DIABETES MELLITUS PATIENTS AT 19-8 HOSPITAL, 2024–2025

Thi Thu Hang HOANG1, , Phuong Thao NGUYEN1, Thi Thao NGUYEN1, Tran Tien VU1, Phuong Mai NGUYEN1, Tran Khanh Linh NGUYEN1, Tuan Duong PHAM2, Thi Huong Giang LE2, Xuan Hung LE1, Trong Hung NGUYEN3
1 Hanoi Medical University, Vietnam
2 19-8 Hospital, Vietnamese Ministry of Public Security
3 National Institute of Nutrition, Vietnam

Main Article Content

Abstract

Aims: To describe the prevalence of central obesity and identify associated factors among patients with type 2 diabetes mellitus at 19-8 Hospital. 

Methods: A cross-sectional study was conducted on 179 patients with type 2 diabetes mellitus attending both outpatients and inpatients at the Department of Endocrinology–Diabetes from November 2024 to February 2025. Data were collected through interviews, anthropometric measurements, body composition analysis, and laboratory tests. Logistic regression was applied to identify associated factors. 

Results: The prevalence of central obesity was 68.7% by waist circumference, significantly higher in females than in males (p < 0.01). Elevated waist-to-hip ratio and waist-to-height ratio were observed in 81.6% and 89.9% of participants, respectively. Overweight/obesity by BMI was 60.3%, yet only 39.7% self-identified as overweight and 52.5% reported no intention to lose weight. Central obesity was associated with female gender (cOR = 12.57; 95%CI: 5.25–30.11), older age (cOR = 2.06; 95%CI: 1.00–4.24), high body fat (cOR = 9.70; 95%CI: 4.44–22.30), high visceral fat (cOR = 6.49; 95%CI: 3.00–14.06), and exercising with fixed equipment (cOR = 4.50; 95%CI: 1.18–17.21) or without equipment (cOR = 3.75; 95%CI: 1.23–11.45). 

Conclusion: Central obesity remains highly prevalent, while body image misperception is still common among patients with type 2 diabetes mellitus. Personalized nutrition counseling and regular follow-up are essential for effective management, weight control, and complication prevention.

Article Details

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