The non-linear relationship between the visceral adiposity index and the risk of prediabetes and diabetes

Bibliographic Details
Title: The non-linear relationship between the visceral adiposity index and the risk of prediabetes and diabetes
Authors: Lan Huang, Jing Liao, Chunyan Lu, Yiqiong Yin, Yanling Ma, Yue Wen
Source: Frontiers in Endocrinology, Vol 16 (2025)
Publisher Information: Frontiers Media S.A., 2025.
Publication Year: 2025
Collection: LCC:Diseases of the endocrine glands. Clinical endocrinology
Subject Terms: visceral adiposity index, prediabetes, diabetes, non-linear relationship, NHANES, Diseases of the endocrine glands. Clinical endocrinology, RC648-665
More Details: BackgroundThe visceral adiposity index is a valuable tool for assessing visceral fat accumulation. However, its non-linear association with prediabetes and diabetes requires further elucidation. Therefore, we aim to clarify the intricate interplay between the visceral adiposity index and these dysglycemic conditions.MethodsThe National Health and Nutrition Examination Survey database from 1999 to 2018 was utilized to analyze health data from 24,072 participants. A multivariate logistic regression model was employed to evaluate the independent association between the visceral adiposity index and prediabetes and diabetes while considering potential confounding factors. Generalized additive models were used to identify any non-linear relationships by fitting smooth curves. Additionally, a stratified analysis based on different baseline characteristics was conducted, along with an interactive analysis.ResultsAfter accounting for all relevant variables, individuals in the lowest quartile of the visceral adiposity index had a notably diminished likelihood of progressing to prediabetes and diabetes when compared with those in the other three quartiles. The odds ratios and 95% confidence intervals were as follows: 1.37 (1.23, 1.53), 1.87 (1.65, 2.12), and 2.80 (2.33, 3.37). More importantly, a non-linear association was observed between the visceral adiposity index and prediabetes and diabetes, with a threshold identified at 2.10.ConclusionsThere exists a notable and positive association between the visceral adiposity index and prediabetes and diabetes, displaying non-linear attributes in this evaluation of the relationship. Risk assessment and early prevention strategies targeting the maintenance of low levels of visceral adiposity index may substantially diminish the likelihood of developing prediabetes and diabetes.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1664-2392
Relation: https://www.frontiersin.org/articles/10.3389/fendo.2025.1407873/full; https://doaj.org/toc/1664-2392
DOI: 10.3389/fendo.2025.1407873
Access URL: https://doaj.org/article/971482f70d6e44fd962f5dc96b6e88fd
Accession Number: edsdoj.971482f70d6e44fd962f5dc96b6e88fd
Database: Directory of Open Access Journals
More Details
ISSN:16642392
DOI:10.3389/fendo.2025.1407873
Published in:Frontiers in Endocrinology
Language:English