Journal Article

Association of Chinese Visceral Adiposity Index and Carotid Atherosclerosis in Steelworkers: A Cross-Sectional Study

Lu, Haipeng, Hu, Jiaqi, Zheng, Ziwei, Wang, Xuelin, Wang, Hui, Chen, Yuanyu, Zheng, Yizhan, Li, Xiaoming, Wu, Jianhui, Yang, Yongzhong, Sun, Jian, Si, Zhikang, Wang, Huan, Xue, Ling, Zhao, Zekun, Meng, Rui, Chen, Jiaqi

2023

Overview

The Chinese Visceral Adiposity Index (CVAI) is an indicator of visceral adiposity dysfunction used to evaluate the metabolic health of the Chinese population. Steelworkers are more likely to be obese due to their exposure to special occupational factors, and have a higher prevalence of carotid atherosclerosis (CAS). This study aimed to analyze the special relationship between CVAI and CAS among steelworkers. A total of 4075 subjects from a northern steel company were involved in the cross-sectional study. Four logistic regression models were developed to analyze the correlation between CVAI and CAS. In addition, the restricted cubic spline was applied to fit the dose–response association between CVAI and CAS risk. In the study, the prevalence of CAS was approximately 25.94%. After adjustment for potential confounders, we observed a positive correlation between CVAI and CAS risk. Compared to the first CVAI quartile, the effect value odds ratio (OR) and 95% CI in the second, third, and fourth CVAI quartile were 1.523 (1.159–2.000), 2.708 (2.076–3.533), and 4.101 (3.131–5.372), respectively. Additionally, this positive correlation was stable in all subgroups except for female. Furthermore, we also found a non-linear relationship between CVAI and CAS risk (p nonlinear < 0.05). Notably, CVAI could increase the risk of CAS when higher than 106. In conclusion, our study showed that CVAI might be a reliable indicator to identify high-risk populations of CAS among steelworkers.

• Publisher: MDPI AG,MDPI
• Subject: Adiposity / Age / Atherosclerosis / Blood pressure / Body fat / Body mass index / Cardiovascular disease / Carotid arteries / Carotid Artery Diseases / China - epidemiology / Cholesterol / Complications and side effects / Cross-Sectional Studies / Demographic aspects / Diabetes / Diet / Disease prevention / dose response / East Asian People / Exercise / Female / females / Health aspects / High temperature / Homocysteine / Humans / Hypertension / Iron and steel workers / Metabolic disorders / Obesity / Obesity, Abdominal - epidemiology / odds ratio / Physical fitness / Questionnaires / regression analysis / risk / Risk Factors / Shift work / Smoking / Statistical analysis / steel / Ultrasonic imaging / Veins & arteries