P-494: Comparative anthropometric indices in metabolic syndrome vs non-metabolic syndrome type 2 diabetes patients in Cambodia
S D Sea, K TouchAbstract
Introduction
Type 2 diabetes mellitus (T2DM) is frequently accompanied by metabolic syndrome (MS), which elevates cardiovascular disease risk. Anthropometric indices—body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), and waist-to-stature ratio (WSR)—offer practical tools for assessing central obesity and metabolic risk, especially in Asian populations.
Objectives
To compare key anthropometric indices between 100 T2DM patients with metabolic syndrome (MS) and 100 without metabolic syndrome (NMS) at Cambodia-China Friendship Preah Kossamak Hospital.
Methods
This cross-sectional study enrolled 200 T2DM patients (100 MS, 100 NMS) randomly selected from the Cambodia-Korea Diabetes Center between September 2023 and September 2025. Inclusion criteria were age ≥18 years and registration during the study period; MS was diagnosed using WHO criteria requiring insulin resistance (due to T2DM diagnosis) plus ≥2 abnormalities (obesity, hypertension, dyslipidemia, or microalbuminuria). Exclusions comprised pregnancy, HIV positivity, kidney/liver disease, or non-T2DM. Measured indices included BMI (kg/m2), WC (cm), WHR, and WSR.
Results
The MS group comprised 54 women/46 men (youngest 20 years); the NMS group had 61 women/39 men (youngest 18 years). Mean ages were similar: MS women 61.1±9.09 years, men 60.3±11.29 years vs. NMS women 59.4±12.42 years, men 59.9±11.15 years. Women in MS had higher BMI (24.8±4.68 vs 19.6±3.17 kg/m2), WC (94±12.80 vs 77.8±6.82 cm), WHR (0.994±0.096 vs 0.916±0.055), and WSR (0.611±0.079 vs 0.508±0.043) than NMS counterparts. Men showed similar patterns: BMI 26.4±2.90 vs 19.6±2.48 kg/m2, WC 99.7±6.57 vs 79±5.59 cm, WHR 1.013±0.047 vs 0.930±0.051, WSR 0.599±0.039 vs 0.487±0.037.
Conclusions
All four anthropometric indices were significantly higher in MS vs NMS T2DM patients. BMI demonstrated superior discriminatory capacity for identifying MS in this Cambodian cohort.