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Exp Clin Endocrinol Diabetes 2018; 126(10): 596-603
DOI: 10.1055/s-0043-120440
Article
© Georg Thieme Verlag KG Stuttgart · New York

Visceral Adiposity Index was a useful Predictor of Prediabetes

Dongfeng Gu   *
1   Department of Nephrology and Transplantation Center, The People’s Hospital of Zhengzhou, Affiliated with Southern Medical University, Zhengzhou 450003, P.R. China
,
Yanan Ding   *
2   Division of Cardiovascular Medicine, The People’s Hospital of Zhengzhou, Affiliated with Southern Medical University, Zhengzhou 450003, P.R. China
,
Yunfeng Zhao
1   Department of Nephrology and Transplantation Center, The People’s Hospital of Zhengzhou, Affiliated with Southern Medical University, Zhengzhou 450003, P.R. China
,
Qingshan Qu
1   Department of Nephrology and Transplantation Center, The People’s Hospital of Zhengzhou, Affiliated with Southern Medical University, Zhengzhou 450003, P.R. China
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Publikationsverlauf

received 20. Juni 2017
revised 26. August 2017

accepted 27. September 2017

Publikationsdatum:
08. November 2017 (online)

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Abstract

Aim To study the relationship of visceral adiposity index (VAI) and prediabetes and the power of which in predicting of prediabetes.

Methods A cross-sectional epidemiological survey was conducted. All participants were divided into four groups: VAI and WC (both are normal), VAI↑ and WC (postcritical VAI and normal WC), VAI and WC↑ (Normal VAI and postcritical WC), and VAI↑ and WC↑ (postcritical VAI and postcritical WC). A multivariate logistic analysis was used to analyze the relationship between the four groups and prediabetes, and diabetes. A receiver operating characteristic (ROC) curve analysis was used to evaluate the accuracy of predictions for prediabetes and diabetes.

Results Both VAI and WC were independent risk factors of Prediabetes. The ORs for Prediabetes in the VAI↑&WC group were 1.641 (95%CI 1.146–2.349), P=0.007, in males, in Model 2. The ORs for Prediabetes in the VAI&WC↑ group were 1.454 (95%CI 1.055–2.005), P=0.022, in males, in Model 2. The ORs for Prediabetes in the VAI↑&WC group were 2.305 (95%CI 1.623–3.273), P=0.000, in females, in Model 2. The ORs for Prediabetes in the VAI&WC↑ group were 1.997 (95%CI 1.529–2.608), P=0.000, in females, in Model 2. The AUC value of VAI were 0.601 (95%CI 0.568–0.634), P=0.000, in prediabetes of men; which were 0.645 (95%CI 0.618–0.672), P=0.000, in prediabetes women. WC had the highest AUC value of 0.605 (95%CI 0.571–0.638), P=0.000, in prediabetes of men, also had the highest of AUC value of 0.673 (95%CI 0.648–0.697), P=0.000, in prediabetes of women.

Conclusion VAI was positively associated with prediabetes, and also a usefulindicator of prediabetes.

Key words

visceral adiposity index - waist circumference - prediabetes - diabetes

* These authors contributed equally to this project


 

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