Visceral and dysfunctional adiposity indexes: Relationship with cardiometabolic risk factors

María Teófila Vicente-Herrero; Mónica Egea Sancho; Maria Victoria Ramírez-Íñiguez de la Torre; Ángel Arturo López González

doi:10.5281/zenodo.7757760

Authors

María Teófila Vicente-Herrero Especialista en Medicina del Trabajo. Grupo ADEMA-SALUD del Instituto Universitario de Ciencias de la Salud-IUNICS Illes Balears, Spain https://orcid.org/0000-0002-7439-8117
Mónica Egea Sancho Especialista en Medicina del Trabajo. Servei de Salut Manacor. Illes Balears, Spain https://orcid.org/0000-0003-2088-3560
Maria Victoria Ramírez-Íñiguez de la Torre Especialista en Medicina del Trabajo. SPP Grupo Correos-SEPI-Albacete y Cuenca, Spain https://orcid.org/0000-0002-7772-5689
Ángel Arturo López González Especialista en Medicina del Trabajo. Servei de Salut Palma de Mallorca. Illes Balears. Escuela Universitaria ADEMA, Spain https://orcid.org/0000-0002-7439-8117

DOI:

https://doi.org/10.5281/zenodo.7757760

Keywords:

Cardiovascular risk, dysfunctional adiposity, metabolic syndrome, occupational health, visceral adiposity

Abstract

Objective: Obesity is a worldwide disease in which visceral obesity is related to increased cardiometabolic risk. The aim of this study was to estimate the associative capacity of visceral adiposity index and dysfunctional adiposity index on cardiometabolic risk in the working population.

Material and methods: Descriptive study of 418,343 workers during health surveillance in their companies. VAI and DAI were calculated according to their equations and cardiometabolic risk with arterial hypertension, diabetes and atherogenic dyslipidemia, lipid triad, diabesity, and hypertriglyceridemic waist. Mean VAI and DAI values and associative capacity with ROC curves were calculated. The statistical program used SPSS 27.0, with statistical significance p<0.05.

Results: Percentage values of all parameters and assessment methods used are higher in men than in women (p<0.0001) Mean values of VAI are higher than those of DAI and higher in men (p<0.0001). VAI and DAI show high associative capacity for atherogenic dyslipidemia, lipid triad and hypertriglyceridemic waist in both sexes with the area under the AUC curve>0.9 in all cases. In diabesity only AUC>0.8 values are obtained for VAI and for diabetes, both VAI and DAI only in women exceed AUC>0.8, in men In HT, VAI, and DAI do not show associative capacity in men or in women (AUC<0.7).

Conclusions: Cardiometabolic risk estimation is different in men and women and varies according to the method used. Adiposity indices VAI and DAI show high associative capacity in cardiometabolic risk, especially in atherogenic dyslipidemia, lipid triad, and hypertriglyceridemic waist in both sexes.

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