Relationship between visceral adiposity index and nocturia:an analysis based on NHANES database from 2007 to 2020
10.11855/j.issn.0577-7402.1662.0831
- VernacularTitle:内脏肥胖指数与夜尿症的关系:一项基于2007-2020年NHANES数据库的分析
- Author:
Zhen-Jun LUO
1
;
Xiao-Wei HAO
;
Jie WANG
;
Shuai HUANG
;
Yang-Yang WU
;
Kai-Kai LYU
;
Guo-Rong YANG
;
Qing YUAN
Author Information
1. 山东第二医科大学临床医学院,山东 潍坊 261053;解放军总医院第三医学中心泌尿外科医学部,北京 100039
- Keywords:
nocturia;
visceral obesity index;
association;
cross-sectional analysis
- From:
Medical Journal of Chinese People's Liberation Army
2025;50(5):523-530
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the relationship between the visceral adiposity index(VAI)and nocturia in the US adult population.Methods A cross-sectional study was performed.Data from subjects aged≥20 years in the National Health and Nutrition Examination Survey(NHANES)database from 2007 to 2020 were collected,including waist circumference,triglyceride,body mass index(BMI),high-density lipoprotein,age,gender,race,poverty income ratio,education level,marital status,smoking,alcohol consumption,sleep disorders,depression,occupation,hypertension,diabetes,congestive heart failure,cancer,and nocturnal urination frequency.Weighted analysis,multivariate logistic regression,generalized additive model(GAM),and curve fitting were employed to evaluate the association between VAI and nocturia,adjusting for age,gender,race,poverty income ratio,education level,marital status,smoking,alcohol consumption,sleep disorders,depression,occupation,hypertension,diabetes,congestive heart failure,and cancer.Subgroup analyses were conducted based on age,gender,race,hypertension and diabetes to further evaluate the relationship between VAI and the risk of nocturia.Results A total of 29,196 American adults were included.All subjects were divided into 4 groups based on VAI quartiles:Q1 group(0.32≤VAI<1.01),Q2 group(1.01≤VAI<1.70),Q3 group(1.70≤VAI<2.95),and Q4 group(2.95≤VAI<13.59),with nocturia prevalence rates of 28.5%,31.4%,33.3%,and 34.9%,respectively.In subgroup analyses,the risk of nocturia significantly increased with higher VAI in the 20-40 age group,females and other Hispanics(OR=1.04,95%CI 1.01-1.08,P=0.006;OR=1.02,95%CI 1.00-1.04,P=0.035;OR=1.05,95%CI 1.01-1.09,P=0.026).GAM analysis results showed a nonlinear relationship between VAI and nocturia.Conclusion VAI is positively associated with the risk of nocturia,and may be an effective indicator for predicting the risk of nocturia occurrence.
