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Updated: Aug 27, 2025

Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
Published on: May 31, 2016
Higher visceral adiposity index is associated with increased likelihood of abdominal aortic calcification
Zheng Qin1, Luojia Jiang2, Jiantong Sun3
1Department of Nephrology, National Clinical Research Center for Geriatrics, Med+ Biomaterial Institute of West China School of Medicine, West China Hospital of Sichuan University, China.
Insights
Higher visceral adiposity, measured by the Visceral Adiposity Index (VAI), is linked to increased abdominal aortic calcification (AAC) and a greater risk of severe AAC in US adults.
Area of Science:
- Cardiovascular Health
- Metabolic Syndrome
- Radiology
Background:
- Visceral adiposity negatively impacts cardiovascular health.
- The relationship between the Visceral Adiposity Index (VAI) and Abdominal Aortic Calcification (AAC) remains unexplored.
- This study investigates the association between VAI and AAC in US adults.
Purpose of the Study:
- To examine the association between the Visceral Adiposity Index (VAI) and Abdominal Aortic Calcification (AAC).
- To determine if increased visceral adiposity correlates with the presence and severity of AAC.
Main Methods:
- Utilized cross-sectional data from the 2013-2014 National Health and Nutrition Examination Survey (NHANES).
- Included participants with complete VAI and AAC data.
- Employed weighted multivariable and logistic regression analyses, including subgroup analysis and interaction tests.
Main Results:
- Higher VAI tertiles were associated with increased mean AAC scores and a higher prevalence of severe AAC.
- A positive association was found between VAI and AAC score (β=0.04) and severe AAC (OR=1.04) in the fully adjusted model.
- Participants in the highest VAI tertile had significantly higher AAC scores and a 68% increased risk of severe AAC compared to the lowest tertile.
Conclusions:
- Visceral adiposity, as indicated by VAI, is significantly associated with higher AAC scores.
- Elevated VAI is linked to an increased likelihood of developing severe Abdominal Aortic Calcification.
- The findings highlight VAI as a potential indicator for cardiovascular risk related to aortic calcification.
Background:
The negative effects of visceral adiposity accumulation on cardiovascular health have drawn much attention. However, the association between the Visceral Adiposity Index (VAI) and Abdominal Aortic Calcification (AAC) has never been reported before. The authors aimed to investigate the association between the VAI and AAC in US adults.
Methods:
Cross-sectional data were derived from the 2013 to 2014 National Health and Nutrition Examination Survey (NHANES) of participants with complete data of VAI and AAC scores. Weighted multivariable regression and logistic regression analysis were conducted to explore the independent relationship between VAI and AAC. Subgroup analysis and interaction tests were also performed.
Results:
A total of 2958 participants were enrolled and participants in the higher VAI tertile tended to have a higher mean AAC score and prevalence of severe AAC. In the fully adjusted model, a positive association between VAI and AAC score and severe AAC was observed (β = 0.04, 95% CI 0.01‒0.08; OR = 1.04, 95% CI 1.01‒1.07). Participants in the highest VAI tertile had a 0.41-unit higher AAC score (β = 0.41, 95% CI 0.08‒0.73) and a significantly 68% higher risk of severe AAC than those in the lowest VAI tertile (OR = 1.68, 95% CI 1.04‒2.71). Subgroup analysis and interaction tests indicated that there was no dependence for the association of VAI and AAC.
Conclusion:
Visceral adiposity accumulation evaluated by the VAI was associated with a higher AAC score and an increased likelihood of severe AAC.
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