Significantly Increased Visceral Adiposity Index in Prehypertension

Ding, Yanan; Gu, Dongfeng; Zhang, Yanxuan; Han, Weiwei; Liu, Hengliang; Qu, Qingshan

doi:10.1371/journal.pone.0123414

Cited by 41 publications

(43 citation statements)

References 39 publications

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“…Recently, VAI, not total or subcutaneous adiposity, has been proven to be a good predictor of prehypertension and hypertension [38,39]. However, additional studies are needed to elucidate the mechanisms underlying this association.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Risk Factors of Prehypertension and Hypertension in Southern China

et al. 2017

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BackgroundThis study aimed to describe the prevalence and risk factors of prehypertension and hypertension in Jiangxi Province, China. Individuals with prehypertension frequently progress into hypertension and are at high risk of developing cardiovascular disease and stroke.MethodsA cross-sectional survey of 15,296 participants (15 years or older) was conducted in Jiangxi Province, China, in 2013, using questionnaire forms and physical measurements.ResultsThe prevalence of prehypertension and hypertension was 32.3% (39.2% in men and 27.6% in women) and 29.0% (30.1% in men and 28.2% in women), respectively. The awareness, treatment, and control rates among all hypertensive participants were 64.8%, 27.1%, and 12.6%, respectively. The prevalence of prehypertension in males declined with age, but the prevalence of hypertension increased in different genders. The prevalence of prehypertension and hypertension increased with increasing body mass index (BMI). The prevalence of prehypertension decreased, in parallel to an increase in the prevalence of hypertension, with increasing waist circumference (WC). A combination of WC and BMI was superior to individual indices in identifying hypertension. A multivariate logistic regression analysis indicated that increasing age, high BMI, high visceral adipose index, and high heart rate were risk factors for prehypertension and hypertension. The high body fat percentage was significantly associated with prehypertension. Living in an urban area, male sex, abdominal obesity, and menopause were correlated with hypertension.ConclusionsPrehypertension and hypertension are epidemic in southern China. Further studies are needed to explore an indicator that can represent the visceral fat accurately and has a close relationship with cardiovascular disease.

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Section: Discussionmentioning

confidence: 99%

Prevalence and Risk Factors of Prehypertension and Hypertension in Southern China

et al. 2017

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“…Recently, Amato et al [16] suggested visceral adiposity index (VAI) to predict cardiometabolic risk in adult women and men. Furthermore, Ding et al [17] demonstrated a significant relationship between BP levels and VAI, in a Chinese population. However, it is still needed further investigation that allows clarifying the advantages of this tool in the screening of hypertensive patients.…”

Section: Introductionmentioning

confidence: 99%

Association between anthropometric indicators of adiposity and hypertension in a Brazilian population: Baependi Heart Study

et al. 2017

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BackgroundRecently, some studies have evaluated the role of adiposity measures in the prediction of hypertension risk, but the results are conflicting. Thus, the aim of this study was to compare which of the four indicators of adiposity (waist circumference–WC, body mass index–BMI, body adiposity index–BAI, and visceral adiposity index–VAI) were better associated with hypertension in a Brazilian population.Methods and findingsFor this study, were selected 1627 individuals (both genders, and aged over 18 years) resident in the municipality of Baependi, a city located in the Southeast of Brazil. WC, BMI, BAI and VAI were determined according to a standard protocol. Hypertension was defined as mean systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg, and/or antihypertensive drug use. The indicators of adiposity WC, BMI, BAI, and VAI were higher in hypertensive when compared to non-hypertensive individuals. In addition, WC and BMI were most strongly associated with hypertension in men and women, respectively. The area under the curve (AUC) of WC was significantly higher than VAI in men. In women, both AUC of BMI and WC showed higher discriminatory power to predict hypertension than BAI and VAI.ConclusionsThe indicators of adiposity WC and BMI were better associated with hypertension than BAI and VAI, in both genders, and it could be a useful tools for the screening of hypertensive patients.

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“…This index combined both anthropometric and metabolic variables to evaluate body fatness, and was used as a marker of both visceral fat dysfunction and an individual's subsequent cardiometabolic risk. A number of studies were conducted to investigate the association of VAI with several conditions, and VAI has been suggested as a useful and convincing surrogate marker of metabolic syndrome [14,15] , arterial stiffness [16] , hypertension and prehypertension [17] , type 2 diabetes [18,19] , and cardiovascular events and mortality [20] . To date, sparse data about the relationship between VAI and pre-diabetes among Chinese population have reported; therefore, we conducted this study to investigate the associations of VAI with both pre-diabetes and diabetes, and to compare the predictive ability for dysglycemia between VAI and other obesity indices including BMI, WC, WHR, and WHtR.…”

Section: Introductionmentioning

confidence: 99%

Visceral Adiposity Index Is Associated with Pre-Diabetes and Type 2 Diabetes Mellitus in Chinese Adults Aged 20-50

Liu¹,

Ma²,

Liu

et al. 2016

Ann Nutr Metab

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Background/Aims: Diabetes mellitus and pre-diabetes are closely associated with visceral obesity. Visceral adiposity index (VAI) is a novel sex-specific index, indirectly expressing visceral adipose function. Our aim was to determine the associations of VAI with dysglycemia (the combination of diabetes and pre-diabetes) and to compare the predictive ability for dysglycemia between VAI and traditional obesity indices. Methods: We performed a cross-sectional analysis of the data of 2,754 Chinese community-dwelling people who participated in the health checkup. Sex-specific VAI tertile cut-off points were used as follows: 1.70, 2.77 in males and 0.98, 1.75 in females. Binary logistic regression models were performed to estimate the association of the higher values of all the obesity indices with pre-diabetes and diabetes. The area under the curve (AUC) of the receiver operating characteristic (ROC) curve was applied to compare the predictive potential for dysglycemia among the obesity indices. Results: VAI was the only index significantly associated with both pre-diabetes and diabetes in both sexes after adjusting for potential confounders. The results of ROC analysis and AUC showed that VAI possessed the largest AUC, followed by other obesity indices. Conclusions: Higher VAI values are positively associated with the presence of pre-diabetes and diabetes in Chinese adults.

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Significantly Increased Visceral Adiposity Index in Prehypertension

Cited by 41 publications

References 39 publications

Prevalence and Risk Factors of Prehypertension and Hypertension in Southern China

Prevalence and Risk Factors of Prehypertension and Hypertension in Southern China

Association between anthropometric indicators of adiposity and hypertension in a Brazilian population: Baependi Heart Study

Visceral Adiposity Index Is Associated with Pre-Diabetes and Type 2 Diabetes Mellitus in Chinese Adults Aged 20-50

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