The relationship between visceral adipose tissue and osteoarthritis among older adults: evidence from the NHANES 1999–2018

ObjectivesThis study aimed to assess any possible links between visceral fat accumulation and an elevated prevalence of osteoarthritis (OA) in the elderly.Methods3,779 subjects aged 65 years or older from the National Health and Nutrition Examination Survey (NHANES) 1999–2018 were finally included,...

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Main Authors: Wei Huang, Yin-sheng Xiao, Yu-hang Zou, Lu-qun Zhong, Gui-qiong Huang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Nutrition
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Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2025.1526377/full
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author Wei Huang
Yin-sheng Xiao
Yu-hang Zou
Lu-qun Zhong
Gui-qiong Huang
author_facet Wei Huang
Yin-sheng Xiao
Yu-hang Zou
Lu-qun Zhong
Gui-qiong Huang
author_sort Wei Huang
collection DOAJ
description ObjectivesThis study aimed to assess any possible links between visceral fat accumulation and an elevated prevalence of osteoarthritis (OA) in the elderly.Methods3,779 subjects aged 65 years or older from the National Health and Nutrition Examination Survey (NHANES) 1999–2018 were finally included, of whom 516 had OA. The identification of patients diagnosed with OA was conducted using questionnaire data. The visceral adiposity index (VAI) was computed utilizing body mass index (BMI), waist circumference (WC), triglycerides (TG), and high-density lipoprotein cholesterol (HDL-C). To investigate the relationship between VAI and OA, weighted multivariable logistic regression analysis, restricted cubic spline (RCS), subgroup analyses, and interaction tests were carried out.ResultsMultivariate logistic regression analysis showed that the increase in VAI is accompanied by an increased prevalence of OA after fully correcting for variables. The top quartile of VAI had a prevalence that was 110% higher than the lowest quartile. A non-linear positive correlation between VAI and OA was found in the RCS.ConclusionThis study suggests a potential correlation between elevated VAI and increased prevalence of OA in older adults, and that lowering VAI may have an impact on the prevalence of OA.
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publisher Frontiers Media S.A.
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series Frontiers in Nutrition
spelling doaj-art-ff50da0ff22d4582ad7ffe7a7f9f49c42025-02-05T05:17:41ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2025-02-011210.3389/fnut.2025.15263771526377The relationship between visceral adipose tissue and osteoarthritis among older adults: evidence from the NHANES 1999–2018Wei HuangYin-sheng XiaoYu-hang ZouLu-qun ZhongGui-qiong HuangObjectivesThis study aimed to assess any possible links between visceral fat accumulation and an elevated prevalence of osteoarthritis (OA) in the elderly.Methods3,779 subjects aged 65 years or older from the National Health and Nutrition Examination Survey (NHANES) 1999–2018 were finally included, of whom 516 had OA. The identification of patients diagnosed with OA was conducted using questionnaire data. The visceral adiposity index (VAI) was computed utilizing body mass index (BMI), waist circumference (WC), triglycerides (TG), and high-density lipoprotein cholesterol (HDL-C). To investigate the relationship between VAI and OA, weighted multivariable logistic regression analysis, restricted cubic spline (RCS), subgroup analyses, and interaction tests were carried out.ResultsMultivariate logistic regression analysis showed that the increase in VAI is accompanied by an increased prevalence of OA after fully correcting for variables. The top quartile of VAI had a prevalence that was 110% higher than the lowest quartile. A non-linear positive correlation between VAI and OA was found in the RCS.ConclusionThis study suggests a potential correlation between elevated VAI and increased prevalence of OA in older adults, and that lowering VAI may have an impact on the prevalence of OA.https://www.frontiersin.org/articles/10.3389/fnut.2025.1526377/fullosteoarthritisobesityvisceral adiposity indexcross-sectional studyNHANES
spellingShingle Wei Huang
Yin-sheng Xiao
Yu-hang Zou
Lu-qun Zhong
Gui-qiong Huang
The relationship between visceral adipose tissue and osteoarthritis among older adults: evidence from the NHANES 1999–2018
Frontiers in Nutrition
osteoarthritis
obesity
visceral adiposity index
cross-sectional study
NHANES
title The relationship between visceral adipose tissue and osteoarthritis among older adults: evidence from the NHANES 1999–2018
title_full The relationship between visceral adipose tissue and osteoarthritis among older adults: evidence from the NHANES 1999–2018
title_fullStr The relationship between visceral adipose tissue and osteoarthritis among older adults: evidence from the NHANES 1999–2018
title_full_unstemmed The relationship between visceral adipose tissue and osteoarthritis among older adults: evidence from the NHANES 1999–2018
title_short The relationship between visceral adipose tissue and osteoarthritis among older adults: evidence from the NHANES 1999–2018
title_sort relationship between visceral adipose tissue and osteoarthritis among older adults evidence from the nhanes 1999 2018
topic osteoarthritis
obesity
visceral adiposity index
cross-sectional study
NHANES
url https://www.frontiersin.org/articles/10.3389/fnut.2025.1526377/full
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