Evidence map›Paper›PMID 41006885›Full record

ArticlePediatric research2025

Positive association between visceral adiposity index and asthma in US children and adolescents: an analysis of NHANES data.

Shihui Shao, Longliang Wu, Caiping Cui, Zhiyao Qin, Yinhua Liang, Jiangying Huang, Wei Li

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Article in Pediatric research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 · What the graph read from it

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Shihui ShaoDepartment of Pediatrics, Binhaiwan Central Hospital of Dongguan, Dongguan, China.
Longliang WuDepartment of Pediatrics, Binhaiwan Central Hospital of Dongguan, Dongguan, China.
Caiping CuiDepartment of Pediatrics, Binhaiwan Central Hospital of Dongguan, Dongguan, China.
Zhiyao QinDepartment of Pediatrics, Binhaiwan Central Hospital of Dongguan, Dongguan, China.
Yinhua LiangDepartment of Pediatrics, Binhaiwan Central Hospital of Dongguan, Dongguan, China.
Jiangying HuangDepartment of Pediatrics, Binhaiwan Central Hospital of Dongguan, Dongguan, China.
Wei LiDepartment of Neonatal, Binhaiwan Central Hospital of Dongguan, Dongguan, China. liweivg@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAsthma represents an inflammatory condition. The exact function of VAI in asthma among children and adolescents is still not well understood.

methodsA cross-sectional investigation was carried out by utilizing data sourced from 7814 children and adolescents participating in the National Health and Nutrition Examination Survey (NHANES) spanning from 1999 to 2020. It adjusted for covariates and employed techniques such as multivariate logistic regression, restricted cubic spline modeling, and subgroup analyses.

resultsOf the 7814 participants, 1453 (18.6%) had a self-reported asthma diagnosis by a healthcare provider. After multivariate adjustment, higher visceral adiposity index (VAI) quartiles showed a dose-dependent increase in asthma risk compared to the lowest quartile (Q1): OR = 1.06 (Q2), 1.18 (Q3), and 1.26 (Q4; 95% CI: 1.05-1.51, p = 0.014). The restricted cubic spline regression demonstrated linearity. Stratified analyses showed no significant interaction between subgroups.

conclusionsElevated VAI levels are independently linked to a higher prevalence of asthma among US children and adolescents. IMPACT: Key message: Elevated visceral adiposity index (VAI) is independently associated with increased asthma prevalence in US children and adolescents, revealing a dose-dependent relationship. Novelty to literature: This study establishes a nationally representative, large-scale epidemiological link between VAI (a validated biomarker of visceral fat dysfunction) and pediatric asthma using NHANES data (N = 7814). It advances prior obesity-asthma research by quantifying how visceral adiposity-rather than general obesity-drives risk. Clinical/public health impact: Our findings propose VAI as a potential screening tool for asthma risk stratification. This could inform targeted interventions (e.g., metabolic health optimization) to mitigate asthma burden in pediatric populations.

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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 Socratic graph.