Correlation of visceral adiposity index with chronic kidney disease in the People’s Republic of China: to rediscover the new clinical potential of an old indicator for visceral obesity

Xiaomeng Xu,1 Yan Zhao,2 Zhihong Zhao,1 Shuangshuang Zhu,1 Xinyu Liu,1 Chaomin Zhou,3 Xiaofei Shao,1 Yan Liang,1 Chongyang Duan,4 Harry Holthöfer,5 Hequn Zou1 1Department of Nephrology, The Third Affiliated Hospital of Southern Medical University, 2Blood Purification Center, The Third Hospital of Zhengzhou, 3Department of Nephrology, Guizhou Provincial People’s Hospital, 4Department of Biostatistics, Southern Medical University, Guangzhou, People’s Republic of China; 5Centre for BioAnalytical Sciences, Dublin City University, Dublin, Ireland Aim: To validate the association between visceral obesity and pathogenesis of chronic kidney disease (CKD) among individuals aged 40 years and above, and the potential of visceral adiposity index (VAI) to predict CKD.Methods: This study was based on a cross-sectional epidemiologic study in the People’s Republic of China. A total of 1,581 residents aged over 40 years were included and divided into four groups based on VAI quartile intervals, namely, Groups I, II, III, and IV (eg, Group I included patients with their VAIs in the lowest quartile). Logistic regression analysis was performed. Results: VAI is positively correlated with the albumin-to-creatinine ratio and the prevalence of CKD (P0.05], Group III 1.57 [P0.05), 1.59 (P0.05), 1.11 (P>0.05), and 1.68 (P>0.05), respectively. Conclusion: VAI is highly correlated with the prevalence of CKD in the population aged 40 years and above. It can be used to predict the pathogenesis of CKD, which is dependent on fasting blood glucose and blood pressure levels. Keywords: visceral adiposity index, visceral obesity, chronic kidney disease