Evidence map›Paper›PMID 41927774›Full record

ArticleScientific reports2026

The mediating role of fasting plasma glucose and systolic blood pressure in the association between Chinese visceral adiposity index and carotid atherosclerosis: a cross-sectional study.

Mingyue Qu, Yang Qu, Yang Luo, Haixia Huang

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

4 authors.

Mingyue Qu *Department of Radiology, Shanghai Healthcare Medical Center, Wuxi, 214065, China.
Yang Qu *School of Artificial Intelligence, Jiangnan University, Wuxi, 214122, China.
Yang LuoDepartment of Radiology, Shanghai Healthcare Medical Center, Wuxi, 214065, China.
Haixia HuangDepartment of Radiology, Shanghai Healthcare Medical Center, Wuxi, 214065, China. 2579492770@qq.com.

Funding

Shanghai Municipal Health Commission NO. 202540045Shanghai Municipal Public Health Research Project No. 2025GKM15
6 · The paper itself

Abstract

Visceral adipose tissue dysfunction is a key driver of cardiometabolic disease, yet the pathways linking it to atherosclerosis remain incompletely understood. This cross-sectional study included 6767 adults from a general health check-up population in Shanghai and investigated the association between the Chinese Visceral Adiposity Index (CVAI) and carotid atherosclerosis (CAS), as well as the mediating roles of systolic blood pressure (SBP) and fasting plasma glucose (FPG) using parallel mediation analysis. After full adjustment for confounders, each standard deviation (SD) increase in CVAI was associated with 37% higher odds of CAS (OR 1.37, 95% CI 1.26–1.49), demonstrating a significant linear dose-response relationship (P-overall < 0.001). Parallel mediation analysis revealed that SBP and FPG jointly mediated 59.2% of the total effect of CVAI on CAS, with SBP and FPG accounting for 36.0% and 23.2%, respectively, while a significant direct effect persisted (40.8%, P = 0.025). The association was consistent across all subgroups without significant interaction (all P-interaction > 0.05). This study quantifies the substantial parallel mediating roles of SBP and FPG in the CVAI–CAS association, highlighting the potential relevance of blood pressure and glycemic pathways in linking visceral adiposity to atherosclerosis risk.

Indexed as

AdiposityBlood GlucoseBlood PressureCarotid Artery DiseasesFastingIntra-Abdominal FatObesity, AbdominalAdultAgedChinaCross-Sectional StudiesEast Asian PeopleFemaleHumansMaleMiddle AgedBlood GlucoseCarotid atherosclerosisChinese visceral adiposity indexFasting plasma glucoseMediation analysisSystolic blood pressureVisceral obesity

Identifiers

PMID41927774
PMCPMC13265765

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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.