Key result
Higher Visceral Adiposity Inflammatory Index levels were strongly associated with increased stroke incidence, demonstrating a hazard ratio of 1.91 for the highest quartile compared to the lowest.
Why the study?
Stroke is a leading cause of global morbidity and mortality, with visceral adiposity and inflammation playing significant roles, prompting the evaluation of a combined index to better predict stroke risk.
Does a higher Visceral Adiposity Inflammatory Index (VAII) predict an increased incidence of stroke in adults aged 45 and older?
Cohort (n=8,415)
Yes
Does a higher Visceral Adiposity Inflammatory Index (VAII) predict an increased incidence of stroke in adults aged 45 and older?
The Visceral Adiposity Inflammatory Index (VAII) is a strong, independent predictor of incident stroke that outperforms traditional markers like VAI and CRP alone, suggesting its utility in clinical risk stratification.
Answers are grounded in this paper and cite their sources.
VAII may refine stroke risk stratification in observational cohorts; leaves open whether it improves outcomes over standard markers in trials.
Stroke is a leading cause of global morbidity and mortality, with risk factors like visceral adiposity and inflammation playing significant roles. This study introduces the Visceral Adiposity Inflammatory Index (VAII), combining the Visceral Adiposity Index (VAI) and high-sensitivity C-reactive protein (CRP), to better predict stroke risk. Analyzing data from 8415 participants in the China Health and Retirement Longitudinal Study over 9 years, the study found that higher VAII levels were strongly associated with increased stroke incidence, with a hazard ratio of 1.91 for the highest quartile. VAII outperformed VAI and CRP alone in predictive accuracy, enhancing traditional risk models as shown by improved Net Reclassification Index and Integrated Discrimination Improvement Index. Furthermore, blood pressure and the triglyceride-glucose index were identified as mediators in the VAII-stroke relationship. These findings underscore VAII as a promising tool for stroke risk assessment, suggesting that public health interventions targeting VAII reduction could help mitigate stroke risk.
No takes yet. Share an insight, caveat, or question.
Qun Xiao (2025) conducted a cohort in Stroke (n=8,415). Visceral Adiposity Inflammatory Index (VAII) vs. Lowest quartile of VAII was evaluated on Incidence of stroke (HR 1.91, 95% CI 1.53-2.38, p=<0.001). Higher Visceral Adiposity Inflammatory Index levels were strongly associated with increased stroke incidence, demonstrating a hazard ratio of 1.91 for the highest quartile compared to the lowest.
Synapse has enriched 10 related papers. Consider them for comparative context: