{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T11:37:56Z","timestamp":1792841876883,"version":"4.5.0"},"reference-count":33,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Loudi Science and Technology Bureau","award":["[2022] -2"],"award-info":[{"award-number":["[2022] -2"]}]},{"name":"Guangxi Natural Science Foundation","award":["2023GXNSFAA026002"],"award-info":[{"award-number":["2023GXNSFAA026002"]}]},{"name":"Natural Science Foundation of Hunan Provience","award":["2023JJ50507"],"award-info":[{"award-number":["2023JJ50507"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Obesity is an established independent risk factor for osteoarthritis (OA). BMI cannot reflect fat distribution, while abdominal obesity is more closely related to OA. ABSI, AIP, and CMI are novel abdominal obesity indices with good predictive performance, but their associations with OA remain unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore the independent associations of ABSI, AIP, CMI with OA risk in U.S. adults, clarify dose-response relationships, and compare their predictive ability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional study included 11,319 participants from NHANES 2011\u20132016. Weighted logistic regression, RCS, subgroup analysis, and ROC analysis were applied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After full adjustment, elevated AIP and CMI were independently associated with higher OA risk (AIP: OR\u2009=\u20091.36; CMI: OR\u2009=\u20091.55). AIP showed a linear positive association, and CMI had an inverted U-shaped association with OA. ABSI showed no significant association. The associations were stronger in adults \u226460 years and non-Hispanic white individuals. ABSI had the highest AUC (0.637).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Elevated AIP and CMI are independently associated with OA, modified by age and ethnicity. AIP and CMI can be used for OA risk stratification in young and middle-aged adults with abdominal obesity and metabolic disorders.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538127261470860","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T14:35:56Z","timestamp":1786026956000},"page":"2189-2201","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Association between abdominal obesity-related indices (ABSI, AIP, CMI) and osteoarthritis in U.S. adults: A cross-sectional study based on NHANES 2011\u20132016"],"prefix":"10.1177","volume":"39","author":[{"given":"Dong","family":"Jiang","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Loudi Central Hospital, Loudi, Hunan, China"},{"name":"Department of Orthopedics Trauma and Hand Surgery, the First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiwei","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of 120 Emergency Station, Loudi Central Hospital, Loudi, Hunan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianwen","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Trauma and Hand Surgery, the First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,6]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijms22179208"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.rehab.2016.01.006"},{"key":"e_1_3_2_4_2","first-page":"646","article-title":"Burden of major musculoskeletal conditions","volume":"81","author":"Woolf AD","year":"2003","unstructured":"Woolf AD, Pfleger B. 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