Comparison of Visceral Adiposity Index and Chinese Visceral Adiposity Index for Coronary Artery Calcification in Korean Adults
10.21215/kjfp.2019.9.3.290
- Author:
Seung Min LEE
1
;
Cheol Hwan KIM
;
Eun Ju SUNG
;
Ho Cheol SHIN
;
Sae Mi KANG
;
Ha Neul LEE
;
Dong Jun LEE
Author Information
1. Department of Family Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. kchosh@nate.com
- Publication Type:Original Article
- Keywords:
Abdominal Fat;
Adiposity;
Vascular Calcification;
Atherosclerosis
- MeSH:
Abdominal Fat;
Adiposity;
Adult;
Area Under Curve;
Asian Continental Ancestry Group;
Atherosclerosis;
Body Mass Index;
Calcium;
Cardiovascular Diseases;
China;
Cholesterol;
Coronary Vessels;
Cross-Sectional Studies;
Fatty Liver;
Female;
Humans;
Insulin Resistance;
Intra-Abdominal Fat;
Lipoproteins;
Male;
ROC Curve;
Triglycerides;
Vascular Calcification;
Waist Circumference
- From:
Korean Journal of Family Practice
2019;9(3):290-296
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Visceral adiposity index (VAI) was developed to estimate visceral fat, and its association with various diseases including cardiovascular disease, insulin resistance, and fatty liver has been revealed. The Chinese VAI (CVAI) has been newly developed in China. This study aimed to compare the VAI and CVAI for coronary artery calcification by using the coronary artery calcium score (CACs)-a predictable index of asymptomatic atherosclerosis.METHODS: We conducted a cross-sectional study that included 66,011 participants (76.3% male and 23.7% female participants) visiting an university hospital for medical check-ups between January 2014 and December 2016. A receiver operating characteristic curve analysis was performed and the area under the curve (AUC) was calculated to compare the concordance of the CACs and the VAI, CVAI, waist circumference, body mass index, triglycerides, and high-density lipoprotein cholesterol.RESULTS: In all participants, the AUC for the CVAI was the largest, while that for the VAI was fourth among all the indices (AUC(CVAI)=0.653, AUC(VAI)=0.592). The AUC for the CVAI was the largest among the indices in both sexes (female AUC(CVAI)=0.77, male AUC(CVAI)=0.592), while that for the VAI was the second largest (female, AUC(CVAI) 0.771>AUC(VAI) 0.651; male, AUC(CVAI) 0.592>AUC(VAI) 0.564).CONCLUSION: In conclusion, the CVAI showed a higher degree of concordance with CACs, which is an indirect indicator of cardiovascular disease, than the VAI in Korean adults.
