Evidence map›Paper›PMID 40463466›Full record

ArticleFrontiers in nutrition2025

Association of weight-adjusted waist index with preserved ratio impaired spirometry and all-cause mortality.

Xin Jiao, Linqi Huang, Luoqi Lin, Fanggang Zhu, Feiting Fan, Jingmin Xiao, Lei Wu, Lin Lin, Yuanbin Chen

Abstract read
In one paragraph

Article in Frontiers in nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Xin JiaoState Key Laboratory of Traditional Chinese Medicine Syndrome, The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Linqi HuangThe First Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Luoqi LinState Key Laboratory of Traditional Chinese Medicine Syndrome, The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Fanggang ZhuState Key Laboratory of Traditional Chinese Medicine Syndrome, The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Feiting FanState Key Laboratory of Traditional Chinese Medicine Syndrome, The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Jingmin XiaoState Key Laboratory of Traditional Chinese Medicine Syndrome, The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Lei WuState Key Laboratory of Traditional Chinese Medicine Syndrome, The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Lin LinState Key Laboratory of Traditional Chinese Medicine Syndrome, The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Yuanbin ChenState Key Laboratory of Traditional Chinese Medicine Syndrome, The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Preserved ratio impaired spirometry (PRISm) is considered an early indicator of chronic obstructive pulmonary disease (COPD). This study aimed to investigate the association between weight-adjusted waist index (WWI) and PRISm, and the impact of WWI on all-cause mortality in U.S. adults with and without PRISm. Methods: This combined cross-sectional and cohort study analyzed data from 9,841 participants in the 2007-2012 National Health and Nutrition Examination Survey (NHANES). Weighted logistic regression assessed the association between WWI and PRISm. Kaplan-Meier survival curves and weighted Cox regression evaluated the effect of WWI on all-cause mortality. Restricted cubic spline (RCS) analysis explored both linear and nonlinear relationships between WWI and outcomes. Results: After covariate adjustment, each unit increase in WWI was associated with a 45% reduced risk of PRISm (ORs = 0.55; 95% CIs: 0.47-0.65). RCS analysis revealed a nonlinear WWI-PRISm relationship ( Conclusion: Lower WWI levels were linked to an elevated PRISm risk, highlighting central obesity's role in respiratory health. Maintaining an optimal WWI may mitigate mortality risk in adults with PRISm, emphasizing the need for targeted weight management.

Indexed as

mortalityNHANESobesitypreserved ratio impaired spirometryweight-adjusted waist index

Identifiers

PMID40463466
PMCPMC12129800

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.