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Association of the visceral adiposity index with prediabetes remission to normoglycemia in middle-aged and older Chinese adults: a prospective cohort study - PubMed

6 hours ago
  • #Visceral Adiposity Index
  • #Chinese Cohort Study
  • #Prediabetes Remission
  • The study investigated the relationship between the Visceral Adiposity Index (VAI) and remission from prediabetes to normoglycemia in middle-aged and older Chinese adults.
  • Using data from 2,859 prediabetic participants from the CHARLS database over a five-year follow-up, it found that 56.28% achieved remission.
  • Higher VAI was significantly associated with lower odds of remission (OR = 0.960), showing a negative correlation after adjusting for confounders.
  • A nonlinear 'L-shaped' relationship was identified with a threshold VAI of 2.157, below which lower VAI strongly predicted remission, but above which the effect plateaued.
  • Subgroup analysis indicated VAI had stronger predictive value for remission in individuals aged 60-70 years.
  • The findings suggest VAI is a key metabolic indicator, with the threshold serving as a potential reference for risk stratification in prediabetes management.