Eating speed and abdominal adiposity in middle-aged adults: a cross-sectional study in Vietnam

Dong Van Hoang, Ami Fukunaga, Chau Que Nguyen, Thuy Thi Phuong Pham, Rachana Manandhar Shrestha, Danh Cong Phan, Huy Xuan Le, Hung Thai Do, Masahiko Hachiya, Tetsuya Mizoue, Yosuke Inoue

Several studies have associated fast eating speed with the risk of general obesity, but there are inadequate data on the association between eating speed and abdominal adiposity which may pose a higher threat to health than general obesity. The present study aimed to investigate the association between eating speed and abdominal obesity in a Vietnamese population. Between June 2019 and June 2020, the baseline survey of an ongoing prospective cohort study on the determinants of cardiovascular disease in Vietnamese adults was conducted. A total of 3,000 people aged 40-60 years old (1,160 men and 1,840 women) were recruited from eight communes in the rural district of Cam Lam, Khanh Hoa province, in Central Vietnam. Self-reported eating speed was assessed on a 5-point Likert scale, and responses were collapsed into the following three categories: slow, normal, and fast. Abdominal obesity was defined as a waist-to-height ratio of ≥ 0.5. Poisson regression with a robust variance estimator was used to assess the association between eating speed and abdominal obesity. Compared with slow eating speed, the adjusted prevalence ratio (95% confidence interval) for abdominal obesity was 1.14 (1.05, 1.25)1.14 (1.05, 1.25) for normal eating speed and 1.30 (1.19, 1.41) for fast eating speed (P for trend < 0.001). A faster eating speed was associated with a higher prevalence of abdominal obesity in a middle-aged population in rural Vietnam.