Evidence map›Paper›PMID 41023647›Full record

ArticleLipids in health and disease2025

Association between visceral lipid accumulation indicator and preserved ratio impaired spirometry in US adults: a population-based study from 2007 to 2012.

Zhehao Xu, Jia Ding, Ruiyun Liang, Xiwei Huang, Shuangfeng Xie

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Article in Lipids in health and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Zhehao Xu *Department of Respiratory Medicine, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Jia Ding *Department of Hematopathology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Ruiyun LiangDepartment of Respiratory Medicine, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Xiwei HuangDepartment of Emergency Medicine, Puning People's Hospital, Southern Medical University, Guangzhou, China.
Shuangfeng XieDepartment of Hematopathology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China. xiesf@163.com.

Funding

Clinical Research Fund of Guangdong Medical Association No.20240C-A1006Guangzhou Science and Technology Project No.202102010314Science and Technology Project of Jieyang City No.240506162358649Yixian Clinical Research and Cultivation Project No.SYS-C-202104
6 · The paper itself

Abstract

backgroundPreserved Ratio Impaired Spirometry (PRISm) is a condition characterized by a forced expiratory volume in one second (FEV1) to forced vital capacity (FVC) ratio ≥ 0.70, yet FEV1 is below 80% of the predicted value. Recent studies suggest that visceral lipid accumulation may play a role in respiratory health, but the relationship between visceral fat indices and PRISm remains under explored. To investigate the relationship between indicators of visceral lipid accumulation and PRISm in US adults using data from the National Health and Nutrition Examination Survey (NHANES).

methodsData from three consecutive cycles of NHANES (2007-2012) were analyzed. Logistic regression and generalized additive models (GAM) were used to assess the relationship between various indices of visceral lipid accumulation and PRISm. The data was randomly divided into training (70%) and validation (30%) sets. Least Absolute Shrinkage and Selection Operator (LASSO) regression identified key factors for a nomogram model, which was evaluated using receiver operating characteristic(ROC) curves.

resultsA significant positive association was found between visceral fat indices and PRISm risk (P < 0.05). GAM analysis revealed a nonlinear relationship, with PRISm risk initially plateauing or slightly decreasing at lower levels of visceral fat indices before rising above a certain threshold (P for non-linearity < 0.05). The nomogram model demonstrated fair discriminative ability, with the area under the ROC curve (AUC) of 0.785 (95%CI: 0.771-0.800) in the training set and 0.769 (95%CI: 0.747-0.791) in the validation set.

conclusionsThis study establishes a robust association between visceral fat indicators and PRISm, highlighting the significance of lipid indices in evaluating respiratory health. Clinical screening for visceral fat indicators could be essential for more precise clinical interventions.

Indexed as

Intra-Abdominal FatAdultAgedFemaleForced Expiratory VolumeHumansLogistic ModelsMaleMiddle AgedNutrition SurveysROC CurveSpirometryUnited StatesVital CapacityBody mass indexGeneralized additive modelsMetabolic score for visceral fatPreserved ratio impaired spirometryVisceral lipid accumulation

Identifiers

PMID41023647
PMCPMC12481954

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