The prevalence of excess weight among Vietnamese adults: A pooled analysis of 58 studies with more 430 thousand participants over the last three decades
Restricted accessReview articleFirst published online September, 2023
The prevalence of excess weight among Vietnamese adults: A pooled analysis of 58 studies with more 430 thousand participants over the last three decades
Chronic noncommunicable diseases (NCDs) associated with excess weight as a significant risk factor, but few studies have been sufficient enough to examine the magnitude of excess weight of Vietnamese adults. This review aimed to provide a generalized estimate of the prevalence of excess weight among Vietnamese adults.
Methods
PubMed, Scopus and national database were used to identify articles published up to May 2022. The Newcastle-Ottawa Quality Assessment Scale was used to rate the study quality. The data was analyzed using RStudio software, and the combined effects were estimated using random-effects meta-analysis. The Cochran's Q-test and the I2 test were employed to examine heterogeneity, and subgroups were conducted. Egger's test and visual inspection of the symmetry in funnel plots were used to determine publication bias.
Results
58 studies with 432,585 participants from 1998 to 2020 were suitable for inclusion in the final model after meeting the prerequisites. Over the last three decades, the combined pooled prevalence of excess weight among adults in Vietnam was 20.3% (95% CI: 15.2–26.6). Notably, this proportion has a tendency to go up between 1998 and 2020. Moreover, rates of excess weight were found to be substantially higher in non-national studies (23.1%, 17.3–30.1) compared to national studies (8.4%, 3.6–18.3) and significantly higher when Asian and Pacific cut-offs (27.6%, 20.0–36.7) were used rather than WHO classification (11.2%, 6.7–18.0).
Conclusion
The findings suggest healthcare professionals and policymakers should focus more on designing and implementing preventive initiatives to lower the rising prevalence of excess weight adults in Vietnam.
AkhterNBegumKNaharP, et al. (2021) Risk factors for non-communicable diseases related to obesity among first- and second-generation Bangladeshi migrants living in north-east or south-east England. International Journal of Obesity45(7): 1588–1598.
2.
AnhLTKHoang VuLBonfohB, et al. (2012) An analysis of interprovincial migration in Vietnam from 1989 to 2009. Global Health Action5: 1–12.
3.
AuTBBlizzardLSchmidtM, et al. (2010) Reliability and validity of the global physical activity questionnaire in Vietnam. Journal of Physical Activity & Health7(3): 410–418.
4.
BinhTQPhuongPTNhungBT (2015) Knowledge and associated factors towards type 2 diabetes among a rural population in the Red River Delta region, Vietnam. Rural and Remote Health15(3): 3275.
5.
BuiTVBlizzardCLLuongKN, et al. (2015) Physical activity in Vietnam: Estimates and measurement issues. PloS one10(10): e0140941–e0140941.
6.
Bui VanNPham VanQVo HoangL, et al. (2018) Prevalence and risk factors of hypertension in two communes in the Vietnam Northern Mountainous, 2017. BioMed Research International2018: 7814195.
7.
CaoNTLeMTNguyenVQH, et al. (2019) Defining polycystic ovary syndrome phenotype in Vietnamese women. The Journal of Obstetrics and Gynaecology Research45(11): 2209–2219.
8.
CuongTQBanksMHannan-JonesM, et al. (2018) Prevalence and associated risk factors of malnutrition among hospitalized adults in a multisite study in Ho Chi Minh city Viet Nam. Asia Pacific Journal of Clinical Nutrition27(5): 986–995.
9.
CuongTQDibleyMJBoweS, et al. (2007) Obesity in adults: An emerging problem in urban areas of Ho Chi Minh City, Vietnam. European Journal of Clinical Nutrition61(5): 673–681.
10.
Dao-TranT-HSeibC (2018) Prevalence and correlates of sleep disturbance among older women in Vietnam. Journal of Clinical Nursing27(17–18): 3307–3313.
11.
Dao-TranT-HSeibCJonesL, et al. (2018) A cross-cultural comparison of health-related quality of life and its associated factors among older women in Vietnam and Australia. BMC research Notes11(1): 174.
12.
DaoH-HDoQ-TSakamotoJ (2010) Increased frequency of metabolic syndrome among Vietnamese women with early rheumatoid arthritis: A cross-sectional study. Arthritis Research & Therapy12(6): R218.
13.
DaoH-HDoQ-TSakamotoJ (2011) Abnormal body composition phenotypes in Vietnamese women with early rheumatoid arthritis. Rheumatology (Oxford, England)50(7): 1250–1258.
14.
DempseyPCBiddleSJHBumanMP, et al. (2020) New global guidelines on sedentary behaviour and health for adults: Broadening the behavioural targets. International Journal of Behavioral Nutrition and Physical Activity17(1): 151.
15.
DoHTPGeleijnseJMLeMB, et al. (2015) National prevalence and associated risk factors of hypertension and prehypertension among Vietnamese adults. American Journal of Hypertension28(1): 89–97.
16.
DoTTDibleyMJD’EsteC (2004) Receiver operating characteristic analysis of body mass index to detect increased risk of functional morbidity in Vietnamese rural adults. European Journal of Clinical Nutrition58(12): 1594–1603.
17.
DucTQChiVQuangPN (2022) Depression prevalence in Vietnam during the COVID-19 pandemic: A systematic review and meta-analysis. Ethics, Medicine, and Public Health: 100806.
18.
Duc CongNDungHT (2014) The risk factors of acute coronary syndrome in patients over 65 years old at Thong Nhat Hospital of Ho Chi Minh City, Vietnam. Journal of Atherosclerosis and Thrombosis21(Suppl 1): S36–S41.
19.
FitzpatrickALNgoQVLyKA, et al. (2012) Symptoms and risk factors for stroke in a community-based observational sample in viet nam. Journal of Epidemiology and Global Health2(3): 155–163.
20.
FosterNNguyen HVNguyen NV, et al. (2022) Social determinants of the changing tuberculosis prevalence in Việt Nam: Analysis of population-level cross-sectional studies. PLoS Medicine19(3): e1003935.
HaDAGoldbergRJAllisonJJ, et al. (2013) Prevalence, awareness, treatment, and control of high blood pressure: A population-based survey in Thai Nguyen, Vietnam. PloS one8(6): e66792.
23.
HaDTPFeskensEJMDeurenbergP, et al. (2011) Nationwide shifts in the double burden of overweight and underweight in Vietnamese adults in 2000 and 2005: Two national nutrition surveys. BMC public Health11: 62.
24.
HarrisJNguyenPHTranLM, et al. (2020) Nutrition transition in Vietnam: Changing food supply, food prices, household expenditure, diet and nutrition outcomes. Food Security12(5): 1141–1155.
25.
HattoriKUdaHHitomiY, et al. (2018) [The current situation and agendas in the prevention and control of non-communicable diseases in Vietnam]. [Nihon koshu eisei zasshi] Japanese Journal of Public Health65(4): 170–178.
26.
HienHATamNMTamV, et al. (2018) Prevalence, Awareness, Treatment, and Control of Hypertension and Its Risk Factors in (Central) Vietnam. International Journal of Hypertension2018.
27.
Ho-PhamLTChauPMNDoAT, et al. (2018) Type 2 diabetes is associated with higher trabecular bone density but lower cortical bone density: The Vietnam Osteoporosis study. Osteoporosis International : A Journal Established as Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA29(9): 2059–2067.
28.
Ho-PhamLTHo-LeTPMaiLD, et al. (2018) Sex-difference in bone architecture and bone fragility in Vietnamese. Scientific Reports8: 1.
29.
Ho-PhamLTLaiTQMaiLD, et al. (2014) Prevalence of radiographic osteoarthritis of the knee and its relationship to self-reported pain. PloS one9(4): e94563.
30.
Ho-PhamLTLaiTQNguyenMTT, et al. (2015) Relationship between body mass Index and percent body fat in Vietnamese: Implications for the diagnosis of obesity. PloS one10(5): e0127198.
31.
Ho-PhamLTNguyenNDNguyenTV (2013) Quantification of the relative contribution of estrogen to bone mineral density in men and women. BMC musculoskeletal Disorders14: 366.
32.
Ho-PhamLTTranBDoAT, et al. (2019) Association between pre-diabetes, type 2 diabetes and trabecular bone score: The Vietnam osteoporosis study. Diabetes Research and Clinical Practice155: 107790.
33.
HoM-TLeN-TBManh-TungH, et al. (2021) A bibliometric review on development economics research in Vietnam from 2008 to 2020. Quality & Quantity1–31.
34.
HoangMTDoKNPhamHQ, et al. (2020) Psychological distress among mountainous farmers in Vietnam: A cross-sectional study of prevalence and associated factors. BMJ open10(8): e038490.
35.
KimSHHwangJ-YKimMK, et al. (2010) Dietary factors related to body weight in adult Vietnamese in the rural area of haiphong, Vietnam: The Korean genome and epidemiology study (KoGES). Nutrition Research and Practice4(3): 235–242.
36.
LaillouAWieringaFTranTN, et al. (2013) Hypovitaminosis D and Mild Hypocalcaemia Are Highly Prevalent among Young Vietnamese Children and Women and Related to Low Dietary Intake. PLoS ONE8(5).
37.
LaillouAYakesELeTH, et al. (2014) Intra-individual double burden of overweight and micronutrient deficiencies among Vietnamese women. PloS one9(10): e110499.
38.
LanVTNNormanRJNhuGH, et al. (2009) Ovulation induction using low-dose step-up rFSH in Vietnamese women with polycystic ovary syndrome. Reproductive Biomedicine Online18(4): 516–521.
39.
LavalleeKLZhangXCSchneiderS, et al. (2021) Obesity and mental health: A longitudinal, cross-cultural examination in Germany and China. Frontiers in Psychology12: 712567.
40.
LeMTThi TranNQNguyenND, et al. (2021) The prevalence and components of metabolic syndrome in men from infertile couples and its relation on semen analysis. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy14: 1453–1463.
41.
LuuHNTranMTNguyenMV-T, et al. (2021) Association between body mass index and colorectal adenomas: Findings from a case-control study in Vietnam. International Journal of Cancer149(11): 1898–1909.
42.
MansoubiMPearsonNBiddleSJH, et al. (2014) The relationship between sedentary behaviour and physical activity in adults: A systematic review. Preventive Medicine69: 28–35.
Minitry of Health (Vietnam) (2016) National survey on the risk factors of non-communicable diseases (steps) Viet Nam, 2015. Hanoi. Available at: http://catalog.ihsn.org/citations/82855.
45.
MiyakawaMShimizuTVan DatN, et al. (2017) Prevalence, perception and factors associated with diabetes mellitus among the adult population in central Vietnam: A population-based, cross-sectional seroepidemiological survey. BMC public Health17(1): 298.
46.
MizunoYShimizu-FurusawaHKonishiS, et al. (2021) Associations between urinary heavy metal concentrations and blood pressure in residents of Asian countries. Environmental Health and Preventive Medicine26(1): 101.
NguyenHGLe NVNguyen-DuongKH, et al. (2021) Reference values of body composition parameters for Vietnamese men and women. European Journal of Clinical Nutrition75(8): 1283–1290.
49.
NguyenHTHaKPTNguyenAH, et al. (2021) Non-achievement of the low-density lipoprotein cholesterol goal in older patients with type 2 diabetes Mellitus and a very high cardiovascular disease risk: A multicenter study in Vietnam. Annals of Geriatric Medicine and Research25(4): 278–285.
50.
NguyenLHTranBXThi NguyenHL, et al. (2018) Socio-Economic Disparities in Attitude and Preference for Menu Labels among Vietnamese Restaurant Customers. International journal of environmental research and public health15(3). DOI: 10.3390/ijerph15030460.
51.
NguyenMDBeresfordSAADrewnowskiA (2007) Trends in overweight by socio-economic status in Vietnam: 1992 to 2002. Public Health Nutrition10(2): 115–121.
52.
NguyenNTTNguyenTXNguyenAT, et al. (2021) A description of handgrip strength in the very older adult people living in rural Vietnam and its association with daily functions. BioMed Research International2021: 1237547.
53.
NguyenPRamakrishnanUKatzB, et al. (2014) Mid-upper-arm and calf circumferences are useful predictors of underweight in women of reproductive age in northern Vietnam. Food and Nutrition Bulletin35(3): 301–311.
54.
NguyenQNPhamSTDoLD, et al. (2012) Cardiovascular disease risk factor patterns and their implications for intervention strategies in Vietnam. International Journal of Hypertension2012: 560397.
55.
NguyenQNPhamSTNguyenVL, et al. (2012) Effectiveness of community-based comprehensive healthy lifestyle promotion on cardiovascular disease risk factors in a rural Vietnamese population: A quasi-experimental study. BMC cardiovascular Disorders12: 56.
56.
NguyenTTAdairLSSuchindranCM, et al. (2009) The association between body mass index and hypertension is different between east and southeast asians. The American Journal of Clinical Nutrition89(6): 1905–1912.
57.
PhamTDNguyenTHDoVV, et al. (2020) Prevalence of dyslipidemia and associated factors among adults in rural Vietnam. Systematic Reviews in Pharmacy11(1): 185–191.
TaMTTNguyenKTNguyenND, et al. (2010) Identification of undiagnosed type 2 diabetes by systolic blood pressure and waist-to-hip ratio. Diabetologia53(10): 2139–2146.
60.
TesfayeFNawiNGVan MinhH, et al. (2007) Association between body mass index and blood pressure across three populations in Africa and Asia. Journal of Human Hypertension21(1): 28–37.
61.
ThanhHTKTienTM (2021) Effect of group patient education on glycemic control among people living with type 2 diabetes in Vietnam: A randomized controlled single-center trial. Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders12(5): 1503–1521.
62.
The GBD 2015 Obesity Collaborators (2017) Health effects of overweight and obesity in 195 countries over 25 years. New England Journal of Medicine377(1): 13–27.
63.
Thu HienVTThi LamNCong KhanN, et al. (2013) Monosodium glutamate is not associated with overweight in Vietnamese adults. Public Health Nutrition16(5): 922–927.
64.
Thuy DuyenNVan MinhHVan HuyN, et al. (2020) Patterns of behavioral risk factors for non-communicable diseases in Vietnam: A narrative scoping review. Health Psychology Open7(2): 2055102920967248.
65.
TonTTTranATNDoIT, et al. (2020) Trends in prediabetes and diabetes prevalence and associated risk factors in Vietnamese adults. Epidemiology and Health42: e2020029.
66.
TongHVLuuNKSonHA, et al. (2017) Adiponectin and pro-inflammatory cytokines are modulated in Vietnamese patients with type 2 diabetes mellitus. Journal of Diabetes Investigation8(3): 295–305.
67.
Tran QuangBPham TranPNguyen ThanhC, et al. (2022) High incidence of type 2 diabetes in a population with normal range body mass index and individual prediction nomogram in Vietnam. Diabetic Medicine : A Journal of the British Diabetic Association39(2): e14680.
68.
TrinhOTHNguyenNDDibleyMJ, et al. (2008) The prevalence and correlates of physical inactivity among adults in ho chi minh city. BMC Public Health8(1): 04.
69.
TrinhOTHNguyenNDPhongsavanP, et al. (2009) Prevalence and risk factors with overweight and obesity among Vietnamese adults: Caucasian and Asian cut-offs. Asia Pacific Journal of Clinical Nutrition18(2): 226–233.
70.
TruongLTNguyenHTTTayR (2020) A random parameter logistic model of fatigue-related motorcycle crash involvement in Hanoi, Vietnam. Accident; Analysis and Prevention144: 105627.
71.
TtmHKomatsuTHungNT, et al. (2001) Nutritional status of middle-aged Vietnamese in ho chi minh city. Journal of the American College of Nutrition20(6): 616–622.
72.
VanNHNThi Khanh HuyenNHueMT, et al. (2021) Perceived barriers to mental health services among the elderly in the rural of Vietnam: A cross sectional survey in 2019. Health Services Insights14: 11786329211026036.
WallsHLPeetersASonPT, et al. (2009) Prevalence of underweight, overweight and obesity in urban Hanoi, Vietnam. Asia Pacific Journal of Clinical Nutrition18(2): 234–239.
75.
WHO Expert Consultation (2004) Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet (London, England)363(9403): 157–163.
YoungMFNguyenPHGonzalez CasanovaI, et al. (2018) Role of maternal preconception nutrition on offspring growth and risk of stunting across the first 1000 days in Vietnam: A prospective cohort study. PloS one13(8): e0203201.
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