{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T02:21:08Z","timestamp":1790734868515,"version":"4.1.0"},"reference-count":39,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,1,2]],"date-time":"2024-01-02T00:00:00Z","timestamp":1704153600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["dom-pubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To determine the associations between the Chinese visceral adiposity index (CVAI) and the risks of all\u2010cause and cause\u2010specific mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A total of 3\u2009916\u2009214 Chinese adults were enrolled in a nationwide population cohort covering all 31 provinces of mainland China. The CVAI was calculated based on age, body mass index, waist circumference, and triglyceride and high\u2010density lipoprotein cholesterol concentrations. We used a Cox proportional hazards regression model to determine the hazard ratios and 95% confidence intervals (CIs) for risk of mortality associated with different CVAI levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The median follow\u2010up duration was 3.8\u2009years. A total of 86\u2009158 deaths (34\u2009867 cardiovascular disease [CVD] deaths, 29\u2009884 cancer deaths, and 21\u2009407 deaths due to other causes) were identified. In general, after adjusting for potential confounding factors, a U\u2010shaped relationship between CVAI and all\u2010cause mortality was observed by restricted cubic spline (RCS). Compared with participants in CVAI quartile 1, those in CVAI quartile 4 had a 23.0% (95% CI 20.0%\u201325.0%) lower risk of cancer death, but a 23.0% (95% CI 19.0\u201327.0) higher risk of CVD death. In subgroup analysis, a J\u2010shaped and inverted U\u2010shaped relationship for all\u2010cause mortality and cancer mortality was observed in the group aged\u2009&lt;\u200960\u2009years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The CVAI, an accessible indicator reflecting visceral obesity among Chinese adults, has predictive value for all\u2010cause, CVD, and cancer mortality risks. Moreover, the CVAI carries significance in the field of health economics and secondary prevention. In the future, it could be used for early screening purposes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.15424","type":"journal-article","created":{"date-parts":[[2024,1,2]],"date-time":"2024-01-02T08:52:49Z","timestamp":1704185569000},"page":"1264-1272","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Associations between Chinese visceral adiposity index and risks of all\u2010cause and cause\u2010specific mortality: A population\u2010based cohort study"],"prefix":"10.1111","volume":"26","author":[{"given":"Xiaoyan","family":"Wu","sequence":"first","affiliation":[{"name":"Shenzhen Center for Chronic Disease Control  Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5929-4571","authenticated-orcid":false,"given":"Chunqi","family":"Wang","sequence":"additional","affiliation":[{"name":"National Clinical Research Center for Cardiovascular 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