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Open AccessArticle

Comparisons of Visceral Adiposity Index, Body Shape Index, Body Mass Index and Waist Circumference and Their Associations with Diabetes Mellitus in Adults

by Junxiang Wei 1,2, Xin Liu 2, Hong Xue 3, Youfa Wang 1,2 and Zumin Shi 4,*
1
Department of Epidemiology and Biostatistics, School of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an, Shaanxi 710061, China
2
Global Health Institute, Xi’an Jiaotong University Health Science Center, Xi’an, Shaanxi 710061, China
3
Department of Health Behavior and Policy, School of Medicine, Virginia Commonwealth University, Richmond, VA 23298, USA
4
Human Nutrition Department, Qatar University, Doha 2713, Qatar
*
Author to whom correspondence should be addressed.
Nutrients 2019, 11(7), 1580; https://doi.org/10.3390/nu11071580
Received: 25 June 2019 / Revised: 9 July 2019 / Accepted: 10 July 2019 / Published: 12 July 2019
(This article belongs to the Special Issue Nutrients 2009–2019: The Present and the Future of Nutrition)
The associations between visceral adiposity index (VAI), body shape index and diabetes in adults were inconsistent. We assessed the predictive capacity of VAI and body shape index for diabetes by comparing them with body mass index (BMI) and waist circumference (WC). We used the data of 5838 Chinese men and women aged ≥18 years from the 2009 China Health and Nutrition Survey. Multivariate logistic regression analysis was performed to examine the independent associations between Chinese VAI (CVAI) or body shape index and diabetes. The predictive power of the two indices was assessed using the receiver-operating characteristic (ROC) curve analysis, and compared with those of BMI and WC. Both CVAI and body shape index were positively associated with diabetes. The odds ratios for diabetes were 4.9 (2.9–8.1) and 1.8 (1.2–2.8) in men, and 14.2 (5.3–38.2) and 2.0 (1.3–3.1) in women for the highest quartile of CVAI and body shape index, respectively. The area under the ROC (AUC) and Youden index for CVAI was the highest among all four obesity indicators, whereas BMI and WC are better indicators for diabetes screening. Higher CVAI and body shape index scores are independently associated with diabetes risk. CVAI has a higher overall diabetes diagnostic ability than BMI, WC and body shape index in Chinese adults. BMI and WC, however, are more appealing as screening indicators considering their easy use. View Full-Text
Keywords: obesity; visceral adiposity index; body shape index; waist circumference; body mass index; diabetes mellitus obesity; visceral adiposity index; body shape index; waist circumference; body mass index; diabetes mellitus
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Wei, J.; Liu, X.; Xue, H.; Wang, Y.; Shi, Z. Comparisons of Visceral Adiposity Index, Body Shape Index, Body Mass Index and Waist Circumference and Their Associations with Diabetes Mellitus in Adults. Nutrients 2019, 11, 1580.

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