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Visceral Adiposity Index in Type 2 Diabetes Mellitus (DM) and Its Correlation With Microvascular Complications

Vidyashree Hulkoti, Sourya Acharya, Samarth Shukla, Sunil Kumar, Ruchita Kabra, Apurva Dubey, Vivek Lahane, Anamika Giri

2022Cureus15 citationsDOIOpen Access PDF

Abstract

< 0.0001) between cases and controls. On distributing the male and female cases in quartiles, it was observed that with increasing quartiles, VAI increased significantly and was associated with an increased risk of microvascular complications such as retinopathy, nephropathy, and neuropathy. When the anthropometric parameters and VAI were compared with the total microvascular complications and the receiver operating characteristic curve studied, VAI had the maximum AUC (AUC for VAI was 0.826, WC was 0.813, and BMI was 0.806). Univariate analysis of the various microvascular complications showed that WC, BMI, HDL, TGs, and glycated hemoglobin (HbA1c) were all significantly correlated to the microvascular complications in T2DM patients. Conclusions As the VAI was significantly raised in T2DM patients and also seen to be significantly associated with microvascular complications, it could be used as a screening tool for T2DM patients.

Topics & Concepts

MedicineInternal medicineWaistDiabetes mellitusBody mass indexObesityAnthropometryType 2 Diabetes MellitusAbdominal obesityNephropathyType 2 diabetesRisk factorGastroenterologyEndocrinologyDiabetes, Cardiovascular Risks, and LipoproteinsAdipokines, Inflammation, and Metabolic DiseasesLiver Disease Diagnosis and Treatment