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The study was conducted between September 2023 and March 2024 at a tertiary pediatric endocrinology clinic in T\u00fcrkiye. Metabolic syndrome was defined using criteria of the World Health Organization and the International Diabetes Federation. The classification threshold was set at a cut-off value of 1.77. Metabolic syndrome occurred in 22.5% of children by World Health Organization criteria and 8.6% by International Diabetes Federation criteria. Higher visceral adiposity index values were linked to abdominal fat and adverse lipid findings. The VAI significantly predicted MetS (odds ratio: 13.29,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .001), with an area under the curve of 0.830. The VAI is a simple and effective tool for early identification of MetS risk in children with T1DM .\n                  <\/jats:p>","DOI":"10.1177\/00099228261417527","type":"journal-article","created":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T11:31:16Z","timestamp":1771327876000},"page":"856-868","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Visceral Adiposity Index as a Predictor of Metabolic Syndrome in Children and Adolescents With Type 1 Diabetes: A Cross-Sectional Study"],"prefix":"10.1177","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3368-6451","authenticated-orcid":false,"given":"Serpil","family":"Albayrak","sequence":"first","affiliation":[{"name":"Department of Pediatric Endocrinology, Faculty of Medicine, Gaziantep University, Gaziantep, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat","family":"Karaoglan","sequence":"additional","affiliation":[{"name":"Department of Pediatric Endocrinology, Faculty of Medicine, Gaziantep University, Gaziantep, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet","family":"Yildirim","sequence":"additional","affiliation":[{"name":"Department of Pediatric Endocrinology, Faculty of Medicine, Gaziantep University, Gaziantep, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7230-0497","authenticated-orcid":false,"given":"Nurg\u00fcl","family":"Ata\u015f","sequence":"additional","affiliation":[{"name":"Department of Pediatric Endocrinology, Faculty of Medicine, Gaziantep University, Gaziantep, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"Keskin","sequence":"additional","affiliation":[{"name":"Department of Pediatric Endocrinology, Faculty of Medicine, Gaziantep University, Gaziantep, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,17]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13098-021-00641-8"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-9136(199807)15:7<539::AID-DIA668>3.0.CO;2-S"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.192644"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa031049"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.4274\/jcrpe.galenos.2019.2019.0048"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-024-00563-5"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.62438\/tunismed.v102i12.4916"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/ajhb.23818"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-03311-x"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-1825"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1089\/met.2021.0047"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2024.1284144"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.37358\/RC.18.9.6558"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.3390\/nu13082625"},{"issue":"6","key":"e_1_3_2_16_2","article-title":"Lipid indices versus anthropometric indices in metabolic syndrome and type 2 diabetes mellitus","volume":"14","author":"Augusthy A","year":"2020","unstructured":"Augusthy A, Sahu S, Jeppu AK. 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