Association between Chinese visceral adiposity index and diabetes mellitus and hypertension among elderly people in Hebei Province
10.3969/j.issn.1006-2483.2025.06.013
- VernacularTitle:河北省老年人群内脏脂肪指数与糖尿病和高血压的相关性研究
- Author:
Fujuan YUE
1
;
Xiaoli LIU
1
;
Lijuan TANG
1
;
Fan ZHANG
1
;
Yajing CAO
1
;
Tiantian GUO
1
;
Wen LI
1
;
Dongsheng JIANG
1
Author Information
1. Hebei Province Center for Disease Control and Prevention , Shijiazhuang, Hebei 050021, China
- Publication Type:Journal Article
- Keywords:
The elderly;
Visceral adiposity index;
Diabetes mellitus;
Hypertension
- From:
Journal of Public Health and Preventive Medicine
2025;36(6):53-57
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the association between the Chinese visceral adiposity index (CVAI) and diabetes mellitus, hypertension, diabetes mellitus or hypertension, and diabetes with hypertension among elderly people in Hebei Province. Methods In 2020, a stratified multi-stage random sampling was used to conduct questionnaire survey, physical examination and laboratory detection among permanent residents of 10 monitoring sites in Hebei Province. Logistic regression was used to analyze the association between CVAI and diabetes mellitus, hypertension, diabetes mellitus or hypertension, and diabetes with hypertension. The area under the ROC curve (AUC) was used to evaluate the predictive value of CVAI for diabetes mellitus, hypertension, diabetes mellitus or hypertension, and diabetes with hypertension. Results The detection rates of diabetes mellitus, hypertension, diabetes mellitus or hypertension, and diabetes with hypertension were 19.8%, 74.6%, 78.2%, and 16.2%, respectively. Multivariate logistic regression analysis showed that compared with the lowest quartile of CVAI group Q1, the OR (95% CI) of diabetes mellitus, hypertension, diabetes mellitus or hypertension, and diabetes with hypertension in the highest quartile Q4 group were 3.55 (2.58~4.89), 2.52 (1.92~3.31), 3.09 (2.31~4.12), and 4.92 (3.40~7.12), respectively. The ROC curve results showed that CVAI had the best predictive value in the diagnosis of diabetes with hypertension, and the optimized critical values in males and females were 128.54 and 141.88, respectively. Conclusion The detection rates of diabetes mellitus and hypertension are high in the elderly population in Hebei Province. CVAI is positively associated with the risk of diabetes mellitus, hypertension, diabetes mellitus or hypertension, and diabetes with hypertension among the elderly in Hebei. CVAI has the strongest prediction ability for diabetes with hypertension.
