Association between indicators of visceral lipid accumulation and infertility: a cross-sectional study based on U.S. women
Open accessAbstract
Background: Evidence on the association between visceral lipid accumulation and infertility remains limited and controversial. Therefore, the current investigation is the first investigation to unveil this correlation by utilizing novel indicators of visceral lipid accumulation. Methods: The present study utilized the NHANES 2013–2020 dataset. Researchers utilized multiple logistic regression, smoothed curve fitting, and subgroup analysis to investigate the associations of waist circumference (WC), metabolic score for visceral fat (METS-VF), lipid accumulation product (LAP), visceral adiposity index (VAI) with infertility. Additionally, the eXtreme Gradient Boosting (XGBoost) algorithm model was utilized to evaluate the relative importance of the factors. Results: After adjusting for potential factors that could influence the results, researchers discovered that all these four indicators of visceral lipid accumulation exhibited strong positive correlations with the probability of infertility. The subgroup analysis demonstrated that the correlations remained consistent in the majority of subgroups (P for interaction > 0.05). The results of XGBoost algorithm model indicate that METS-VF is the most meaningful factor in infertility. The ROC curve research revealed that while METS-VF had the greatest AUC values, there was no variation in the AUC value of different markers of visceral fat accumulation (P > 0.05). Conclusions: The present investigation discovered that increased WC, METS-VF, LAP, and VAI were associated with a heightened prevalence of infertility.
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More precise measures have been developed to assess visceral fat accumulation, which is closely linked to reproductive dysfunction.
“Recently, more precise measures have been developed to assess visceral fat accumulation, which is closely linked to reproductive dysfunction12.”
From The nonlinear association between body roundness index and infertility in married women (2025) · cites this paper as [12]
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Diagnosis and Management of Infertility: A Review
Carson, S. A., & Kallen, A. N. (2021) · JAMA · doi:10.1001/jama.2021.4788 · Cited by 1,294 · see citing works
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Cited by
Sorted by citations
The nonlinear association between body roundness index and infertility in married women
Fang, Y., Ren, D., Pan, J., & Xu, Q. (2025) · Scientific Reports · doi:10.1038/s41598-025-86948-2 · Cited by 5 · see citing works
- Authors
- Deng, C., Ke, X., Lin, L., Fan, Y., & Li, C.
- Affiliations
- Third Affiliated Hospital of Guangzhou Medical University (CN)
- Corresponding author
- Fan, Yong
- Li, Chaohui
- Venue
- Lipids in Health and Disease
- Published
- 2024-06-13
- Volume
- 23
- Issue
- 1
- Pages
- 186-186
- ISSN
- 1476-511X (ISSN-L)
- PMC
- PMC11170861
- OpenAlex
- W4399647328
- Cited by
- 28
- References
- 1
- Citations by year
- 2026: 4 · 2025: 15 · 2024: 9
- FWCI
- 10.98
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Lipids in Health and Disease (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Guangzhou Science and technology planning project (2023A03J0377, 2023A03J0043)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- infertility, visceral fat, waist circumference, metabolic score for visceral fat, lipid accumulation product, visceral adiposity index, women's reproductive health, abdominal obesity
- MeSH terms
- Adult, Cross-Sectional Studies, Female, Humans, Infertility, Infertility, Female, Middle Aged, Nutrition Surveys, ROC Curve, United States, Metabolic Syndrome, Intra-Abdominal Fat, Adiposity, Lipid Metabolism, Waist Circumference
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