{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T04:55:07Z","timestamp":1789620907552,"version":"build-2803163510"},"reference-count":43,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Nutrition"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.nut.2026.113158","type":"journal-article","created":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T16:42:34Z","timestamp":1770741754000},"page":"113158","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"special_numbering":"C","title":["The Visceral Adiposity Index (VAI) as a predictor for metabolic syndrome in a sample of older adults with obesity"],"prefix":"10.1016","volume":"147","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1859-3946","authenticated-orcid":false,"given":"Janie C.","family":"DiNatale","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8391-1296","authenticated-orcid":false,"given":"Amy C.","family":"Ellis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamy D.","family":"Ard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie L.","family":"Locher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristi M.","family":"Crowe-White","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"11","key":"10.1016\/j.nut.2026.113158_bib0001","doi-asserted-by":"crossref","first-page":"3501","DOI":"10.3390\/nu12113501","article-title":"Metabolic syndrome: past, present and future","volume":"12","author":"Lemieux","year":"2020","journal-title":"Nutrients"},{"issue":"5-6","key":"10.1016\/j.nut.2026.113158_bib0002","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1242\/dmm.001180","article-title":"A comprehensive definition for metabolic syndrome","volume":"2","author":"Huang","year":"2009","journal-title":"Dis Model Mech"},{"key":"10.1016\/j.nut.2026.113158_bib0003","doi-asserted-by":"crossref","DOI":"10.1155\/2021\/6684627","article-title":"The accuracy of the visceral adiposioty index for the screening of metabolic syndrome: a systematic review and meta-analysis","volume":"2021","author":"Bijari","year":"2021","journal-title":"Int J Endocrinol"},{"key":"10.1016\/j.nut.2026.113158_bib0004","article-title":"Association of body composition indexes with cardio-metabolic risk factors","volume":"17","author":"Czeczelewski","year":"2020","journal-title":"Obes Med"},{"key":"10.1016\/j.nut.2026.113158_bib0005","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1161\/01.CIR.0000115514.44135.A8","article-title":"Clinical important of obesity versus the metabolic syndrome in cardiovascular risk in women: a report from the Women\u2019s Ischemia Syndrome Evaluation (WISE) study","volume":"109","author":"Kip","year":"2004","journal-title":"Circulation"},{"key":"10.1016\/j.nut.2026.113158_bib0006","doi-asserted-by":"crossref","DOI":"10.1155\/2018\/9376179","article-title":"Metabolic syndrome and its components predict the risk of type 2 diabetes mellitus in the mainland chinese: a 3-year cohort study","volume":"2018","author":"Wang","year":"2018","journal-title":"Int J Endocrinol"},{"issue":"7","key":"10.1016\/j.nut.2026.113158_bib0007","first-page":"537","article-title":"Body composition assessment for the definition of cardiomeatbolic risk","volume":"36","author":"Amato","year":"2013","journal-title":"J Endocrinol Invest"},{"issue":"10086","key":"10.1016\/j.nut.2026.113158_bib0008","doi-asserted-by":"crossref","first-page":"2284","DOI":"10.1016\/S0140-6736(17)31437-X","article-title":"Body mass index and all-cause mortality","volume":"389","author":"Flegal","year":"2017","journal-title":"Lancet"},{"issue":"11","key":"10.1016\/j.nut.2026.113158_bib0009","doi-asserted-by":"crossref","first-page":"425","DOI":"10.3345\/kjp.2016.59.11.425","article-title":"Waist-to-height ration as a screening tool for obesity and cardiometabolic risk","volume":"59","author":"Yoo","year":"2016","journal-title":"Korean J Pediatr"},{"key":"10.1016\/j.nut.2026.113158_bib0010","doi-asserted-by":"crossref","DOI":"10.1016\/j.clinsp.2023.100248","article-title":"The weight-adjusted-waist index predicts all-cause and cardiovascular mortality in general US dults","volume":"78","author":"Han","year":"2023","journal-title":"Clin (Sao Paulo)"},{"issue":"21","key":"10.1016\/j.nut.2026.113158_bib0011","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph182111607","article-title":"Effectiveness of Body Roundness Index (BRI) and a Body Shape Index (ABSI) in predicting hypertension: a systematic review and meta-analysis of observational studies","volume":"18","author":"Calder\u00f3n-Garc\u00eda","year":"2021","journal-title":"Int J Env Res Public Health"},{"issue":"1","key":"10.1016\/j.nut.2026.113158_bib0012","article-title":"Relative Fat Mass as an estimator of whole-body fat percentage among children and adolescents: a cross-sectional study using NHANES","volume":"9","author":"Woolcoot","year":"2019","journal-title":"Sci Rep"},{"issue":"3","key":"10.1016\/j.nut.2026.113158_bib0013","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/j.orcp.2021.03.007","article-title":"Metabolic syndrome screening using visceral adipose tissue (VAT) form opportunistic MRI locations in a multi-ethnic population","volume":"15","author":"Villegas-Valle","year":"2021","journal-title":"OBes Res Clin Pr"},{"issue":"2","key":"10.1016\/j.nut.2026.113158_bib0014","first-page":"55","article-title":"Weight loss needed to maintain viseral adipose tissue during aging","volume":"3","author":"Hunter","year":"2005","journal-title":"Int J Body Compos Res"},{"issue":"3","key":"10.1016\/j.nut.2026.113158_bib0015","first-page":"102","article-title":"Age related shift in visceral fat","volume":"8","author":"Gower","year":"2010","journal-title":"Int J Body Compos Res"},{"key":"10.1016\/j.nut.2026.113158_bib0016","article-title":"Obesity in the geriatric population- a global healht perspective","volume":"3","author":"Malenfant","year":"2019","journal-title":"J Glob Health Rep"},{"key":"10.1016\/j.nut.2026.113158_bib0017","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1186\/1476-511X-10-183","article-title":"Cut-off points of the visceral adiposity index (VAI) identifying a visceral adipose dysfunction associated with cardiometabolic risk in a Caucasian Sicilian population","volume":"10","author":"Amato","year":"2011","journal-title":"Lipids Health Dis"},{"issue":"2","key":"10.1016\/j.nut.2026.113158_bib0018","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1111\/jdi.12708","article-title":"Clinical surrogate markers for predicting metabolic syndrome in middle-aged and elderly Chinese","volume":"9","author":"Li","year":"2018","journal-title":"J Diabetes Investig"},{"key":"10.1016\/j.nut.2026.113158_bib0019","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1159\/000455333","article-title":"Indicators of adiposity predictors of metabolic syndrome in the elderly","volume":"70","author":"de Oliveira","year":"2017","journal-title":"Ann Nutr Metab"},{"key":"10.1016\/j.nut.2026.113158_bib0020","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1186\/s12944-018-0927-x","article-title":"Obesity and lipid-related parameters for predicting metabolic syndrome in Chinese elderly population","volume":"17","author":"Gu","year":"2018","journal-title":"Lipids Health Dis"},{"key":"10.1016\/j.nut.2026.113158_bib0021","unstructured":"United States Census Bureau. Older population and aging. https:\/\/www.census.gov\/topics\/population\/older-aging.html. Published 2023. Accessed April 15, 2024."},{"issue":"1","key":"10.1016\/j.nut.2026.113158_bib0022","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.mcna.2017.08.007","article-title":"Addressing obesity in aging patients","volume":"102","author":"Batsis","year":"2018","journal-title":"Med Clin North Am"},{"issue":"4","key":"10.1016\/j.nut.2026.113158_bib0023","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1080\/21551197.2014.965993","article-title":"Calorie restriction in overweight seniors: response of older adults to a dieting study: the CROSSROADS randomized controlled clinical trial","volume":"33","author":"Haas","year":"2014","journal-title":"J Nutr Gerontol Geriatr"},{"issue":"1","key":"10.1016\/j.nut.2026.113158_bib0024","doi-asserted-by":"crossref","first-page":"9843","DOI":"10.1038\/s41598-017-10446-3","article-title":"Three novel obese indicators perform better in monitoring management of metabolic syndrome in type 2 diabetes","volume":"7","author":"Ma","year":"2017","journal-title":"Sci Rep"},{"issue":"1","key":"10.1016\/j.nut.2026.113158_bib0025","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.amepre.2004.09.006","article-title":"Exercise and risk factors associated with metabolic syndrome in older adults","volume":"28","author":"Stewart","year":"2005","journal-title":"Am J Prev Med"},{"issue":"4","key":"10.1016\/j.nut.2026.113158_bib0026","doi-asserted-by":"crossref","first-page":"920","DOI":"10.2337\/dc09-1825","article-title":"Visceral adiposity index: a reliable indicator of visceral fat function associated with cardiometabolic risk","volume":"33","author":"Amato","year":"2010","journal-title":"Diabetes Care"},{"issue":"2","key":"10.1016\/j.nut.2026.113158_bib0027","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1002\/sim.2993","article-title":"Youden Index and the optimal threshold for markers with mass at zero","volume":"27","author":"Schisterman","year":"2009","journal-title":"Stat Med"},{"issue":"7","key":"10.1016\/j.nut.2026.113158_bib0028","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0127272","article-title":"Improved confidence intervals for the youden index","volume":"10","author":"Shan","year":"2015","journal-title":"PLoS One"},{"key":"10.1016\/j.nut.2026.113158_bib0029","doi-asserted-by":"crossref","first-page":"22","DOI":"10.3389\/fcvm.2020.00022","article-title":"Adipose tissue distribution, inflammation and its metabolic consequences, including diabetes and cardiovascular disease","volume":"7","author":"Chait","year":"2020","journal-title":"Front Cardiovasc Med"},{"issue":"1","key":"10.1016\/j.nut.2026.113158_bib0030","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1038\/s41598-021-04402-5","article-title":"Association between visceral adipose tissue volume, measured using computed tomography, and cardiometabolic risk factors","volume":"12","author":"Yi","year":"2022","journal-title":"Sci Rep"},{"key":"10.1016\/j.nut.2026.113158_bib0031","series-title":"Handbook of epidemiology","first-page":"1","article-title":"Radiation epidemiology","author":"Zeeb","year":"2023"},{"issue":"4","key":"10.1016\/j.nut.2026.113158_bib0032","doi-asserted-by":"crossref","first-page":"456","DOI":"10.11152\/mu-2145","article-title":"Contraindications and adverse effects in abdominal imaging","volume":"21","author":"Caraiani","year":"2019","journal-title":"Med Ultrason"},{"issue":"3","key":"10.1016\/j.nut.2026.113158_bib0033","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1055\/s-0042-119032","article-title":"Discriminatory ability of Visceral Adiposity Index (VAI) in diagnosis of metabolic syndrome: a population based study","volume":"125","author":"Motamed","year":"2017","journal-title":"Exp Clin Endocrinol Diabetes"},{"key":"10.1016\/j.nut.2026.113158_bib0034","doi-asserted-by":"crossref","first-page":"879","DOI":"10.2147\/DMSO.S238153","article-title":"Predicting metabolic syndrome by visceral adiposity index, body roundness index and a body shape index in adults: a cross-sectional study from the Iranian RaNCD Cohort data","volume":"13","author":"Baveicy","year":"2020","journal-title":"Diabetes Metab Syndr Obes"},{"issue":"2","key":"10.1016\/j.nut.2026.113158_bib0035","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1055\/a-1089-7991","article-title":"Association of the triglyceride to high-density lipoprotein ratio and the visceral adiposity index with metabolic syndrome in diabetic susceptible population","volume":"52","author":"Huang","year":"2020","journal-title":"Horm Metab Res"},{"issue":"8","key":"10.1016\/j.nut.2026.113158_bib0036","doi-asserted-by":"crossref","first-page":"1690","DOI":"10.1002\/oby.20096","article-title":"The visceral adiposity index as a predictor of insulin resistance in young women with polycystic ovary syndrome","volume":"21","author":"Oh","year":"2013","journal-title":"Obesity"},{"issue":"8","key":"10.1016\/j.nut.2026.113158_bib0037","doi-asserted-by":"crossref","first-page":"1932","DOI":"10.1161\/01.ATV.20.8.1932","article-title":"Race, visceral adipose tissue, plasma lipids, and lipoprotein lipase activity in men and women","volume":"20","author":"Despr\u00e9s","year":"2000","journal-title":"Arter Thromb Vasc Biol"},{"issue":"1","key":"10.1016\/j.nut.2026.113158_bib0038","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1038\/oby.2005.9","article-title":"Comparison of visceral adipose tissue mass in adult African American and whites","volume":"13","author":"Hoffman","year":"2005","journal-title":"Obes Res"},{"issue":"1","key":"10.1016\/j.nut.2026.113158_bib0039","doi-asserted-by":"crossref","first-page":"7","DOI":"10.3945\/ajcn.2009.28136","article-title":"Racial differences in abdominal depot-specific adiposity in white and African American adults","volume":"91","author":"Katzmarzyk","year":"2010","journal-title":"Am J Clin Nutr"},{"key":"10.1016\/j.nut.2026.113158_bib0040","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1016\/j.redox.2017.04.012","article-title":"Sex matters: The effects of biological sex on adipose tissue biology and energy metabolism","volume":"12","author":"Valencak","year":"2017","journal-title":"Redox Biol"},{"issue":"2","key":"10.1016\/j.nut.2026.113158_bib0041","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/j.ecl.2020.02.008","article-title":"Sex differences in adipose tissue function","volume":"49","author":"Gavin","year":"2020","journal-title":"Endocrinol Metab Clin North Am"},{"issue":"9","key":"10.1016\/j.nut.2026.113158_bib0042","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1007\/s11892-018-1031-3","article-title":"Gender and sex differences in adipose tissue","volume":"18","author":"Chang","year":"2018","journal-title":"Curr Diab Rep"},{"issue":"23","key":"10.1016\/j.nut.2026.113158_bib0043","doi-asserted-by":"crossref","first-page":"2676","DOI":"10.1002\/sim.4509","article-title":"Classification accuracy and cut point selection","volume":"31","author":"Liu","year":"2012","journal-title":"Stat Med"}],"container-title":["Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0899900726000663?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0899900726000663?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T03:26:05Z","timestamp":1778815565000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0899900726000663"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":43,"alternative-id":["S0899900726000663"],"URL":"https:\/\/doi.org\/10.1016\/j.nut.2026.113158","relation":{},"ISSN":["0899-9007"],"issn-type":[{"value":"0899-9007","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The Visceral Adiposity Index (VAI) as a predictor for metabolic syndrome in a sample of older adults with obesity","name":"articletitle","label":"Article Title"},{"value":"Nutrition","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.nut.2026.113158","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"113158"}}