Evidence map›Paper›PMID 40977971›Full record

ArticleFrontiers in nutrition2025

Diagnostic value and mediation effects of the visceral adiposity index, triglyceride-glucose index, and platelet-to-HDL ratio in young overweight and obese Chinese adults.

Huihe Chen, Shuai Peng, Runa A, Minghui Chen, Lixiu Yuan, Manyun Long

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Article in Frontiers in nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Huihe Chen *Department of Rehabilitation Medicine, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Shuai Peng *Department of Radiology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Runa ADepartment of Rehabilitation Medicine, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Minghui ChenDepartment of Cardiology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Lixiu YuanDepartment of Rehabilitation Medicine, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Manyun LongDepartment of Cardiology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Evidence on the combined diagnostic and mediating effects of visceral adiposity index (VAI), triglyceride-glucose index (TyGi), and platelet-to-HDL ratio (PHR) in young overweight and obese adults with metabolic syndrome (MetS) is limited. Methods: Overweight or obese patient from the Integrated Diagnosis and Treatment Center for Obesity were enrolled. Multivariable logistic regression was used to assess associations between the three markers and MetS severity. Receiver operating characteristic (ROC) analysis evaluated their diagnostic value, and mediation analysis explored their interrelationships. Results: Among 331 young adults (median age: 31 years; 60% female), the MetS prevalence was 30.2%. Levels of VAI, TyGi, and PHR were significantly higher in participants with MetS and were strongly associated with MetS severity. Their areas under the curve (AUCs) (VAI: 0.825, TyGi: 0.807, PHR: 0.683) outperformed that of waist circumference (0.604). While the combined use of all three markers yielded the highest AUC, it did not significantly exceed that of VAI alone. Mediation analysis revealed complex interrelationships: TyGi had the strongest total effect on MetS (43.3%, Conclusion: VAI, TyGi, and PHR are valuable diagnostic markers for MetS in young overweight and obese Chinese adults, with VAI showing the strongest predictive performance. Their interplay highlights the need for integrated interventions targeting visceral adiposity, insulin resistance, and inflammation to mitigate MetS progression. Clinical trial registration: https://www.chictr.org.cn/index.html, identifier ChiCTR2400082205.

Indexed as

mediation effectsmetabolic syndromeoverweightROCyoung adults

Identifiers

PMID40977971
PMCPMC12443824

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