1870 Obesity
Relationships of Visceral Adiposity Index and Body Shape Index
with Diabetes Mellitus Risks in Chinese Adults (P21-037-19)
Junxiang Wei,1 Xin Liu,2 and Zumin Shi3
1
Global Health Institute; 2 School of Public Helath; and 3 Human
Nutrition Department
Objectives: We aimed to evaluate the association between Chinese
visceral adiposity index (CVAI), a body shape index (ABSI) and
diabetes in Chinese adults; we further assessed the predictive capacity
of CVAI/ABSI for diabetes by comparing with various anthropometric
adiposity indices.
Methods: We used the data of 5838 Chinese men and women aged
≥18 years from the China Health and Nutrition Survey 2009. Subjects
were divided into subgroups according to CVAI and ABSI quartiles.
Multivariate logistic regression analysis was performed to examine
the independent associations between CVAI/ABSI and diabetes; we
assessed the predictive power of the two indexes using the receiver-
operating characteristic (ROC) curve analysis.
Results: Both CAVI and ABSI were positively associated with
diabetes. In multivariable model, the odds ratios (ORs) (95% confidence
intervals) for diabetes across quartiles of CAVI were, 1.00, 1.9 (1.1–3.3),
2.3 (1.4–3.9), and 4.9 (2.9–8.1) in men and 1.00, 3.0 (1.1–8.2), 7.7 (2.9–
21.0) and 14.2 (5.3–38.2) in women, respectively. The corresponding
figures across quartiles of ABSI were 1.00, 1.2 (0.8–1.9), 1.6 (1.1–2.4)
and 1.8 (1.2–2.8) in men, and 1.00, 1.2 (0.7–1.9), 1.7 (1.1–2.7) and
2.0 (1.3–3.1) in women, respectively. The area under ROC (AUC) for
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CVAI was the highest among all examined indices including ABSI, BMI
and WC, with AUCs of 0.729 (0.696–0.762) and 0.794 (0.767–0.818) for
identifying diabetes risk in men and women, respectively. ABSI had a
similar AUC as BMI.
Conclusions: Higher CVAI and ABSI scores are independently
associated with diabetes risk; The CVAI is a better indicator of diabetes
than BMI, waist circumference and ABSI in Chinese adults.
Funding Sources: None.
Supporting Tables, Images and/or Graphs:
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