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J Cardiovasc Thorac Res. 2019;11(4): 280-286. doi: 10.15171/jcvtr.2019.46
PMID: 31824609        PMCID: PMC6891043

Original Article

Discriminatory ability of visceral adiposity index as an indicator for modeling cardio-metabolic risk factors in pediatric population: the CASPIAN-V study

Hanieh-Sadat Ejtahed 1 ORCID, Roya Kelishadi 2, Shirin Hasani-Ranjbar 1, Pooneh Angoorani 1, Mohammad Esmaeil Motlagh 3, Gita Shafiee 4, Hasan Ziaodini 5, Majzoubeh Taheri 6, Mostafa Qorbani 7,8 * , Ramin Heshmat 4 *

Cited by CrossRef: 12

1- Musa D, Okuneye R, Momoh J, Darma M, Onoja-Alexander M, Mwangi F. Visceral adiposity index, cardiorespiratory fitness, and fasting plasma glucose associations in adolescents. World J Clin Pediatr. 2024;13(4) [Crossref]
2- Balzhieva V, Bairova T, Rychkova L. Anthropometric markers as correlates of metabolically unhealthy phenotype of children in North Asia. Acta biomedica scientifica. 2025;10(2):12 [Crossref]
3- Yang Y, Liu Z, Lin B, Huang Y, Deng H, Yang X, Zeng L, Yan J, Xu W. The association between new insulin resistance indices and all-cause mortality in elderly patients with diabetes: a prospective cohort study. Diabetol Metab Syndr. 2025;17(1) [Crossref]
4- Leite N, Cota B, Gotine A, Rocha D, Pereira P, Hermsdorff H. Visceral adiposity index is positively associated with blood pressure: A systematic review. Obesity Research & Clinical Practice. 2021;15(6):546 [Crossref]
5- Moya M, Pérez-Fernandez V. Estimating trunk fat in children according to sex using basic somatic readings: an opportunity for improving evaluation among girls. BMC Pediatr. 2021;21(1) [Crossref]
6- Musa D, Toriola O, Usman H, Mohammed A. Cross-sectional association of fitness, fatness, and dyslipidemia with metabolic syndrome in youth. World J Clin Pediatr. 2025;14(3) [Crossref]
7- Pereira A, Reyes M, Corvalán C, Espejo J, Mericq V, Cifuentes M. Assessment of a consensus definition of obesity and metabolic health phenotypes in children at different pubertal stages. Sci Rep. 2022;12(1) [Crossref]
8- Bălănescu A, Bălănescu P, Codreanu I, Stan I, Comanici V, Robu A, Ciomârtan T. Exploring the Role of Serum Osteonectin and Hsp27 in Pediatric MAFLD Diagnosis and Cardiometabolic Health. Nutrients. 2024;16(6):866 [Crossref]
9- Kutsenko Y, Barreda A, Toval A, Garrigos D, Martínez-Morga M, Ribeiro Do Couto B, Ferran J. Sex-dependent effects of forced exercise in the body composition of adolescent rats. Sci Rep. 2021;11(1) [Crossref]
10- Vega‐Cárdenas M, Teran‐Garcia M, Vargas‐Morales J, Padrón‐Salas A, Aradillas‐García C. Visceral adiposity index is a better predictor to discriminate metabolic syndrome than other classical adiposity indices among young adults. American J Hum Biol. 2023;35(2) [Crossref]
11- D’Alleva M, Lazzer S, De Martino M, Mari L, Rejc E, Zaccaron S, Stafuzza J, Isola M, Bondesan A, Caroli D, Frigerio F, Abbruzzese L, Ventura E, Sartorio A. The role of body composition, cardiometabolic parameters, and resting substrate oxidation in protecting against metabolic syndrome in adolescents with obesity. Front Nutr. 2025;12 [Crossref]
12- Musa D, Goon D, Okuneye R, Onoja-Alexander M, Momoh J, Angba T. Visceral adiposity index, fitness and clustered cardiovascular disease risk in adolescents. African Journal of Primary Health Care & Family Medicine. 2024;16(1) [Crossref]
13- Sullivan K, Kriegel A. Growth hormone in pediatric chronic kidney disease: more than just height. Pediatr Nephrol. 2024;39(11):3167 [Crossref]
14- Fernández-Aparicio Á, Mohatar-Barba M, Perona J, Schmidt-RioValle J, Navarro-Pérez C, González-Jiménez E. Discriminative Capacity of Visceral Adiposity and Triglyceride Glucose-Waist Circumference Indices for Metabolic Syndrome in Spanish Adolescents: A Cross-Sectional Study. Metabolites. 2025;15(8):535 [Crossref]
15- Moslehi N, Rahimi Sakak F, Mahdavi M, Mirmiran P, Azizi F. Visceral adiposity-related dietary patterns and the risk of cardiovascular disease in Iranian adults: A population-based cohort study. Front Nutr. 2022;9 [Crossref]
16- Dundar C, Terzi O, Arslan H. Comparison of the ability of HOMA-IR, VAI, and TyG indexes to predict metabolic syndrome in children with obesity: a cross-sectional study. BMC Pediatr. 2023;23(1) [Crossref]
17- Özkaya V, Özkaya Ş, Adal S. Relationship between visceral adiposity index and glycemic and metabolic control in children and adolescents with type 1 diabetes mellitus. Ir J Med Sci. 2024;193(1):181 [Crossref]
18- Vizzuso S, Amatruda M, Del Torto A, D’Auria E, Ippolito G, Zuccotti G, Verduci E. Is Macronutrients Intake a Challenge for Cardiometabolic Risk in Obese Adolescents?. Nutrients. 2020;12(6):1785 [Crossref]
19- Bijari M, Jangjoo S, Emami N, Raji S, Mottaghi M, Moallem R, Jangjoo A, Saberi A, Grzmil P. The Accuracy of Visceral Adiposity Index for the Screening of Metabolic Syndrome: A Systematic Review and Meta-Analysis. International Journal of Endocrinology. 2021;2021:1 [Crossref]
20- Mari L, Lazzer S, Gatti A, D’Alleva M, Zaccaron S, Stafuzza J, Rejc E, Vandoni M, Bondesan A, Caroli D, Frigerio F, Abbruzzese L, Ventura E, Sartorio A. Visceral Adiposity, Anthropometric and Liver Function Indexes for Identifying Metabolic Dysfunction Associated Steatotic Liver Disease (MASLD) in Adolescents with Obesity: Which Performs Better?. JCM. 2025;14(6):2085 [Crossref]
21- Martínez-Díaz G, Cruz-Domínguez M, López Zamora B, Ramirez-Facio J, Medina G, Munguía-Cruz R, Saavedra-Salinas M, Arrucha-Cozaya M, Vera-Lastra O, Peralta-Amaro A, Florez-Durante Ó, Gil-Galindo K. Influence of visceral adiposity on cardiovascular risk in patients with systemic sclerosis. Rheumatol Int. 2023;44(4):621 [Crossref]
22- Vizzuso S, Del Torto A, Dilillo D, Calcaterra V, Di Profio E, Leone A, Gilardini L, Bertoli S, Battezzati A, Zuccotti G, Verduci E. Visceral Adiposity Index (VAI) in Children and Adolescents with Obesity: No Association with Daily Energy Intake but Promising Tool to Identify Metabolic Syndrome (MetS). Nutrients. 2021;13(2):413 [Crossref]
23- Braga R, Bezerra I, Nogueira M, Souza A, Martins G, Almondes K, Moreno L, Maia C. Cardiometabolic risk assessment: A school-based study in Brazilian adolescent. Nutrition, Metabolism and Cardiovascular Diseases. 2024;34(4):1069 [Crossref]
24- Dundar C. Predictive Accuracy of Biochemical and Anthropometric Indices for Metabolic Syndrome in Children with Obesity: A Comparative Study. Life. 2025;15(2):216 [Crossref]
25- Musa D, Goon D, Omachi S, Jonathan S. Aerobic fitness, lipid ratio, visceral adiposity index and risk of hypertension in adolescents. World J Clin Pediatr. 2025;14(3) [Crossref]