Comparison of Several Adiposity Indexes in Predicting Hypertension among Chinese Adults: Data from China Nutrition and Health Surveillance (2015–2017)

Abstract

The current study is to explore the association of the Chinese visceral adiposity index (CVAI) with hypertension, and to compare the predictive power of different adiposity indexes regarding hypertension among Chinese adults aged over 45 years. A total of 99,201 participants aged over 45 years from the China Nutrition and Health Surveillance 2015–2017 were included in this study. Multivariate adjusted logistic regression was used to calculate the odds ratio (OR) and 95% confidence interval (CI) of hypertension. Multivariate adjusted restricted cubic spline analyses were applied to explore the association of adiposity indexes with hypertension. Receiver operating characteristic (ROC) analyses were used to compare the predictive powers of different adiposity indexes of hypertension. All eight adiposity indexes included in this study were positively associated with hypertension. Compared with those in the lowest quartile of the CVAI, the participants in the highest quartile showed a significantly higher risk of hypertension (OR = 3.70, 95% CI = 3.54–3.86) after multiple adjustments. The ROC analyses suggested that the CVAI was the strongest predictor of hypertension compared to other adiposity indexes in both genders. The findings supported that the CVAI could serve as a reliable and cost-effective method for early identifying hypertension risk.

Chinese visceral adiposity index and its transition patterns: impact on cardiovascular and cerebrovascular diseases in a national cohort study

“…Notably, the Chinese visceral adiposity index (CVAI), proposed by Xia [ 24 ], integrates anthropometric and biochemical variables, tailored to the characteristics of the Chinese population. Previous studies have demonstrated that, compared to conventional indices, CVAI holds superior clinical value in conditions like hypertension [ 25 – 27 ], diabetes [ 28 – 30 ], fatty liver [ 31 , 32 ], and carotid artery plaque [ 33 , 34 ]. Presently, there is a paucity of research regarding the association between CVAI and cardiovascular and cerebrovascular diseases, highlighting the imperative need for further validation of their relationship.…”

Association of adiposity indicators with cardiometabolic multimorbidity risk in hypertensive patients: a large cross-sectional study

“…Additionally, a cross-sectional study including 2514 Chinese women aged between 45 and 55 years showed that CVAI outperformed five other obesity indicators as a predictor of metabolic dysfunction-associated fatty liver disease ( 48 ). Moreover, data from the China Nutrition and Health Surveillance showed that CVAI was the most robust predictor of hypertension in both men and women, surpassing other obesity indices ( 49 ). These findings suggest that CVAI may serve as a valuable and easily measurable indicator for identifying individuals at high risk of CMM.…”

Dose–response association between Chinese visceral adiposity index and cardiovascular disease: a national prospective cohort study

“…Recently, Chinese visceral adiposity index (CVAI), like visceral adiposity index (VAI) for Western population, was established to assess visceral adiposity among Chinese population and could predict metabolic disorders incidence well (9,10). Numerous studies have demonstrated that CVAI has better performance than other obesity indices for predicting hypertension, diabetes, and their comorbidity (11)(12)(13)(14)(15)(16). However, whether CVAI also predict incident CVD well among general population remains unclear.…”