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Association between visceral adiposity index and risk of prediabetes: A meta‐analysis of observational studies
Open accessAbstract
Background and Objective: Epidemiological studies suggested that the association between the visceral adiposity index (VAI) and the risk of prediabetes is inconsistent. Whether VAI is a useful predictor of prediabetes remains unclear. Up until April 2021, there had been no systematic review on this topic. In this meta‐analysis, the available observational epidemiological evidence was synthesized to identify the association between VAI and prediabetes risk. Methods: PubMed, EMBASE, and Cochrane databases in any language were searched systematically from the earliest available online indexing year to April 2021 for relevant observational studies published on the association between VAI and the risk of prediabetes. A random effects model was used to combine quantitatively the odds ratios (ORs) and 95% confidence intervals (CIs). Results: Ten relevant studies (2 cohort study, 2 case‐control studies, and 6 cross‐sectional studies) involving 112,603 participants were identified. Compared with the highest VAI, the lowest level of VAI was associated with an increased risk of prediabetes. The pooled OR of VAI for prediabetes was 1.68 (95% CI: 1.44–1.96), with significant heterogeneity across the included studies (P = 0.000, I2 = 91.4%). Exclusion of any single study did not materially alter the combined risk estimate. Conclusions: Integrated epidemiological evidence supports the hypothesis that VAI is a lipid combined anthropometric index and may be a risk factor for prediabetes. VAI may be related to a high risk of prediabetes. However, it should be noted that the included studies have a publication bias and there was significant heterogeneity between our pooled estimate.
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“The VAI is an established marker of abdominal obesity and IR, integrating WC, triglyceride (TG) levels, and high-density lipoprotein cholesterol (HDL-C) to predict metabolic risk.”
From Visceral and Dysfunctional Adiposity Indices as Predictors of Insulin Resistance and Metabolic Syndrome in Women with Polycystic Ovary Syndrome: A Cross-Sectional Study (2025) · cites this paper as [11]
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“Similarly, the DAI has been developed as a more specific measure of adipose tissue dysfunction by combining WC, BMI, TG levels, and HDL-C [9,10,11].”
From Visceral and Dysfunctional Adiposity Indices as Predictors of Insulin Resistance and Metabolic Syndrome in Women with Polycystic Ovary Syndrome: A Cross-Sectional Study (2025) · cites this paper as [11]
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Cites
Prediabetes: a high-risk state for diabetes development
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Cited by
Sorted by citations
Keyif, B., & Yavuzcan, A. (2025) · Medicina · doi:10.3390/medicina61030424 · Cited by 11
“Similarly, the DAI has been developed as a more specific measure of adipose tissue dysfunction by combining WC, BMI, TG levels, and HDL-C [9–11].”
Metadata
- Authors
- Wang, D., Fang, R., Han, H., Zhang, J., Chen, K., Fu, X., He, Q., & Yang, Y.
- Affiliations
- Hangzhou Normal University (CN)
- Hunan University of Traditional Chinese Medicine (CN)
- Zhejiang Chinese Medical University (CN)
- Hunan University of Medicine (CN)
- Hangzhou Hospital of Traditional Chinese Medicine (CN)
- Corresponding author
- Yang, Yong
- Venue
- Journal of Diabetes Investigation
- Publisher
- Wiley
- Published
- 2021-10-21
- Volume
- 13
- Issue
- 3
- Pages
- 543-551
- ISSN
- 2040-1116 (ISSN-L)
- 2040-1124
- PMC
- PMC8902389
- OpenAlex
- W3203879450
- Cited by
- 25
- References
- 3
- Citations by year
- 2025: 6 · 2024: 7 · 2023: 5 · 2022: 6 · 2021: 1
- FWCI
- 0.73
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Diabetes Investigation (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- State Administration of Traditional Chinese Medicine of the People's Republic of China
- Hangzhou Normal University
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Physiology (medical) › Body Composition Measurement Techniques
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Disease and Adiposity
- Keywords
- visceral adiposity index, prediabetes, visceral fat, abdominal obesity, anthropometric index, diabetes risk factors
- MeSH terms
- Cross-Sectional Studies, Humans, Prediabetic State, Risk Factors, Cohort Studies, Intra-Abdominal Fat, Adiposity, Observational Studies as Topic
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