{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T17:13:46Z","timestamp":1793121226041,"version":"4.5.0"},"reference-count":61,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Endocrinol."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of this study was to compare the associations of four visceral adiposity indices\u2014Chinese visceral adiposity index (CVAI), lipid accumulation product (LAP), conicity index (CI), and abdominal volume index (AVI)\u2014with prevalent type 2 diabetes mellitus (T2DM) in Chinese adults aged \u2265 50 years and to evaluate their discriminatory ability within the study sample. We further investigated whether sex modifies these associations and discriminatory ability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this community-based case-control study with frequency matching by sex and age conducted in Anhui Province, China (1, 088 participants; 491 T2DM cases, 597 controls), we assessed associations using unconditional multivariable logistic regression (fully adjusted model) and discriminatory ability using receiver operating characteristic (ROC) curve analysis, with prespecified sex-stratified analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After full adjustment, all four indices were positively associated with prevalent T2DM. CVAI and CI showed significant associations across Q2-Q4, while LAP and AVI were significant only in Q3-Q4. In terms of discriminatory ability, CVAI had the numerically highest AUC in the overall population (0.634), followed by LAP (0.633), AVI (0.612), and CI (0.591). Sex differences were also observed. CVAI, CI, and AVI showed stronger associations in males, while LAP showed a stronger association in females. Discriminatory ability followed the same pattern, with CVAI showing the numerically highest area under the curve (AUC) in males (0.658) and LAP in females (0.642).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study suggests that CVAI, LAP, CI, and AVI are independently associated with prevalent T2DM in adults aged \u226550 years, with significant sex modification in both association and discriminatory ability within the study sample. Findings suggest sex-specific differences: CVAI had stronger associations and higher discriminatory ability in males, whereas LAP had stronger associations and higher discriminatory ability in females. As a case-control study from a single province, these findings do not establish causality or predictive utility. Prospective studies are needed to validate these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fendo.2026.1829222","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T04:47:12Z","timestamp":1779252432000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Comparison of the association and discriminatory ability of CVAI, LAP, CI, and AVI for type 2 diabetes in Chinese adults aged \u2265 50 years: a sex-specific analysis"],"prefix":"10.3389","volume":"17","author":[{"given":"Liu","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Hospital Infection Management Office, Wuhu Hospital of Traditional Chinese Medicine","place":["Wuhu, Anhui, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liying","family":"Wen","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Health Statistics, School of Public Health, Wannan Medical University","place":["Wuhu, Anhui, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guimei","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Health Management, Anhui Medical University","place":["Hefei, Anhui, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingwen","family":"Puyang","sequence":"additional","affiliation":[{"name":"Science and Education Department, Wuhu Hospital of Traditional Chinese Medicine","place":["Wuhu, Anhui, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zizhou","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Health Statistics, School of Public Health, Wannan Medical University","place":["Wuhu, Anhui, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Health Statistics, School of Public Health, Wannan Medical University","place":["Wuhu, Anhui, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weiwei","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Health Statistics, School of Public Health, Wannan Medical University","place":["Wuhu, Anhui, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,20]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(25)00053-4","article-title":"Global, regional, and national burden of diabetes from 1990 to 2021, with projections of prevalence to 2050: a systematic analysis for the Global Burden of Disease Study 2021","volume":"402","year":"2023","journal-title":"Lancet"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1706","DOI":"10.1001\/jama.2022.3014","article-title":"The prevalence and treatment of diabetes in China from 2013 to 2018","volume":"327","author":"Tu","year":"2022","journal-title":"JAMA"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2021.109119","article-title":"IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045","volume":"183","author":"Sun","year":"2022","journal-title":"Diabetes Res Clin Pract"},{"key":"B4","article-title":"IDF diabetes atlas, 11th edn","volume-title":"IDF Diabetes Atlas, 11th edn","year":"2025"},{"key":"B5","doi-asserted-by":"publisher","first-page":"477","DOI":"10.1186\/s12889-024-18022-x","article-title":"The effect of social support, diabetes management self-efficacy, and diabetes distress on resilience among patients with type 2 diabetes: a moderated mediation analysis","volume":"24","author":"Parviniannasab","year":"2024","journal-title":"BMC Public Health"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1016\/s2214-109x(25)00475-9","article-title":"Global inequality in target attainment among people with diabetes","volume":"14","author":"Lim","year":"2026","journal-title":"Lancet Glob Health"},{"key":"B7","doi-asserted-by":"publisher","first-page":"3094","DOI":"10.3390\/molecules28073094","article-title":"Obesity and type 2 diabetes: Adiposopathy as a triggering factor and therapeutic options","volume":"28","author":"Artasensi","year":"2023","journal-title":"Molecules"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.2337\/dc25-s002","article-title":"2. Diagnosis and classification of diabetes: Standards of care in diabetes-2025","volume":"48","year":"2025","journal-title":"Diabetes Care"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1210\/jendso\/bvae156","article-title":"Body mass index and diabetes incidence across the adult lifespan: The Baltimore Longitudinal Study of Aging","volume":"8","author":"Malandrino","year":"2024","journal-title":"J Endocr Soc"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1002\/agm2.12294","article-title":"Guideline for the management of diabetes mellitus in the elderly in China (2024 edition)","volume":"7","author":"Guo","year":"2024","journal-title":"Aging Med (Milton)"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1016\/j.cmet.2026.02.013","article-title":"Plasma proteomic signature of frailty in 50, 506 adults","volume":"38","author":"Jia","year":"2026","journal-title":"Cell Metab"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2025.1640888","article-title":"The association between obesity-related indicators and uncontrolled diabetes mellitus in the elderly: a community-based study in China","volume":"12","author":"Zhang","year":"2025","journal-title":"Front Med (Lausanne)"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.5534\/wjmh.250126","article-title":"Sex and gender differences in obesity: Biological, sociocultural, and clinical perspectives","volume":"43","author":"Kim","year":"2025","journal-title":"World J Mens Health"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.1111\/dom.15326","article-title":"Sex-specific causality of MRI-derived body compositions on glycaemic traits: Mendelian randomization and observational study","volume":"26","author":"Zhu","year":"2023","journal-title":"Diabetes Obes Metab"},{"key":"B15","doi-asserted-by":"publisher","first-page":"1033","DOI":"10.1186\/s12889-024-18541-7","article-title":"Novel anthropometric indices for predicting type 2 diabetes mellitus","volume":"24","author":"Sadeghi","year":"2024","journal-title":"BMC Public Health"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-023-02519-3","article-title":"Essential steps in primary care management of older people with Type 2 diabetes: an executive summary on behalf of the European geriatric medicine society (EuGMS) and the European diabetes working party for older people (EDWPOP) collaboration","volume":"35","author":"Bourdel-Marchasson","year":"2023","journal-title":"Aging Clin Exp Res"},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.1007\/s13668-025-00654-z","article-title":"Evaluating anthropometric indices for malnutrition assessment in older adults: Scoping review","volume":"14","author":"Akpinar Senture","year":"2025","journal-title":"Curr Nutr Rep"},{"key":"B18","doi-asserted-by":"publisher","first-page":"565","DOI":"10.3390\/diagnostics15050565","article-title":"Fatty liver index vs. biochemical-anthropometric indices: Diagnosing metabolic dysfunction-associated steatotic liver disease with non-invasive tools","volume":"15","author":"Demirci","year":"2025","journal-title":"Diagn (Basel)"},{"key":"B19","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.37942","article-title":"Cardiometabolic outcomes among adults with abdominal obesity and normal body mass index","volume":"8","author":"Ahmed","year":"2025","journal-title":"JAMA Netw Open"},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.1038\/srep38214","article-title":"A indicator of visceral adipose dysfunction to evaluate metabolic health in adult Chinese","volume":"6","author":"Xia","year":"2016","journal-title":"Sci Rep"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.1007\/s40618-023-02165-6","article-title":"Associations between abdominal obesity indices with hypertension in type 2 diabetes mellitus: Chinese visceral adiposity index","volume":"47","author":"Cheng","year":"2024","journal-title":"J Endocrinol Invest"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3507","article-title":"The visceral adiposity index and risk of type 2 diabetes mellitus in China: A national cohort analysis","volume":"38","author":"Yu","year":"2022","journal-title":"Diabetes Metab Res Rev"},{"key":"B23","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1186\/s12944-023-01802-6","article-title":"Lipid accumulation product (LAP) index for the diagnosis of nonalcoholic fatty liver disease (NAFLD): a systematic review and meta-analysis","volume":"22","author":"Ebrahimi","year":"2023","journal-title":"Lipids Health Dis"},{"key":"B24","doi-asserted-by":"publisher","DOI":"10.5551\/jat.20628","article-title":"A strong association between lipid accumulation product and diabetes mellitus in Japanese women and men","volume":"21","author":"Wakabayashi","year":"2014","journal-title":"J Atheroscler Thromb"},{"key":"B25","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-043952","article-title":"Optimised anthropometric indices as predictive screening tools for metabolic syndrome in adults: a cross-sectional study","volume":"11","author":"Wu","year":"2021","journal-title":"BMJ Open"},{"key":"B26","doi-asserted-by":"publisher","DOI":"10.1111\/dom.15651","article-title":"Association between two novel anthropometric measures and type 2 diabetes in a Chinese population","volume":"26","author":"Wang","year":"2024","journal-title":"Diabetes Obes Metab"},{"key":"B27","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1007\/s13105-016-0525-1","article-title":"Usefulness of the conicity index together with the conjoint use of adipocytokines and nutritional-inflammatory markers in hemodialysis patients","volume":"73","author":"Ruperto","year":"2017","journal-title":"J Physiol Biochem"},{"key":"B28","doi-asserted-by":"publisher","first-page":"971","DOI":"10.1186\/s12877-022-03664-6","article-title":"Conicity-index predicts all-cause mortality in Chinese older people: a 10-year community follow-up","volume":"22","author":"Zhang","year":"2022","journal-title":"BMC Geriatr"},{"key":"B29","doi-asserted-by":"publisher","first-page":"902","DOI":"10.1038\/s41598-025-85292-9","article-title":"Associations between the conicity index and kidney stone disease prevalence and mortality in American adults","volume":"15","author":"Dai","year":"2025","journal-title":"Sci Rep"},{"key":"B30","doi-asserted-by":"publisher","DOI":"10.1590\/1677-5449.200236","article-title":"Associations between new and old anthropometric indices with type 2 diabetes mellitus and risk of metabolic complications: a cross-sectional analytical study","volume":"20","author":"Amiri","year":"2021","journal-title":"J Vasc Bras"},{"key":"B31","doi-asserted-by":"publisher","DOI":"10.1590\/2359-3997000000187","article-title":"Association of the conicity index with diabetes and hypertension in Brazilian women","volume":"60","author":"Andrade","year":"2016","journal-title":"Arch Endocrinol Metab"},{"key":"B32","doi-asserted-by":"publisher","DOI":"10.23889\/ijpds.v9i1.2407","article-title":"Secondary use of routinely collected administrative health data for epidemiologic research: Answering research questions using data collected for a different purpose","volume":"9","author":"Emerson","year":"2024","journal-title":"Int J Popul Data Sci"},{"key":"B33","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2261-5-26","article-title":"The \"lipid accumulation product\" performs better than the body mass index for recognizing cardiovascular risk: a population-based comparison","volume":"5","author":"Kahn","year":"2005","journal-title":"BMC Cardiovasc Disord"},{"key":"B34","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(91)90059-i","article-title":"A simple model-based index of abdominal adiposity","volume":"44","author":"Valdez","year":"1991","journal-title":"J Clin Epidemiol"},{"key":"B35","doi-asserted-by":"publisher","DOI":"10.1016\/j.numecd.2025.103851","article-title":"Associations of waist circumference and BMI with the trajectory of cardiometabolic multimorbidity in hypertensive patients: A multi-state model","volume":"35","author":"Xu","year":"2025","journal-title":"Nutr Metab Cardiovasc Dis"},{"key":"B36","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1186\/s12916-025-03890-w","article-title":"Global, regional, and national burdens of type 1 and type 2 diabetes mellitus in adolescents from 1990 to 2021, with forecasts to 2030: a systematic analysis of the global burden of disease study 2021","volume":"23","author":"Chen","year":"2025","journal-title":"BMC Med"},{"key":"B37","doi-asserted-by":"publisher","DOI":"10.1016\/j.metabol.2025.156241","article-title":"Landscape of sex differences in obesity and type 2 diabetes in subcutaneous adipose tissue: a systematic review and meta-analysis of transcriptomics studies","volume":"168","author":"Moldovan","year":"2025","journal-title":"Metabolism"},{"key":"B38","doi-asserted-by":"publisher","first-page":"405","DOI":"10.1186\/s12889-025-21534-9","article-title":"Gender differences in associations between obesity and hypertension, diabetes, dyslipidemia: evidence from electronic health records of 3.5 million Chinese senior population","volume":"25","author":"Jiang","year":"2025","journal-title":"BMC Public Health"},{"key":"B39","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2025.112158","article-title":"IDF global clinical practice recommendations for managing type 2 diabetes - 2025","author":"Schwarz","year":"2025","journal-title":"Diabetes Res Clin Pract"},{"key":"B40","doi-asserted-by":"publisher","DOI":"10.1136\/bmj-2021-067516","article-title":"Anthropometric and adiposity indicators and risk of type 2 diabetes: systematic review and dose-response meta-analysis of cohort studies","volume":"376","author":"Jayedi","year":"2022","journal-title":"BMJ"},{"key":"B41","doi-asserted-by":"publisher","DOI":"10.1016\/j.numecd.2023.04.009","article-title":"Visceral adiposity index as a predictor of type 2 diabetes mellitus risk: A systematic review and dose-response meta-analysis","volume":"34","author":"Shen","year":"2023","journal-title":"Nutr Metab Cardiovasc Dis"},{"key":"B42","doi-asserted-by":"publisher","first-page":"e002414","DOI":"10.1136\/bmjdrc-2021-002414","article-title":"Lipid accumulation product (LAP) as a potential index to predict risk of insulin resistance in young, non-obese Asian Indian males from Southern India: observations from hyperinsulinemic-euglycemic clamp studies","volume":"9","author":"Anoop","year":"2021","journal-title":"BMJ Open Diabetes Res Care"},{"key":"B43","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2021.691849","article-title":"Lipid accumulation product combined with urine glucose excretion improves the efficiency of diabetes screening in Chinese adults","volume":"12","author":"Chen","year":"2021","journal-title":"Front Endocrinol (Lausanne)"},{"key":"B44","doi-asserted-by":"publisher","DOI":"10.2147\/dmso.s389889","article-title":"Lipid accumulation product index predicts new-onset type 2 diabetes among non-obese Koreans: a 12-year longitudinal study","volume":"15","author":"Yang","year":"2022","journal-title":"Diabetes Metab Syndr Obes"},{"key":"B45","doi-asserted-by":"publisher","DOI":"10.1007\/s12020-024-04039-0","article-title":"Obesity-related indices as predictors of lower extremity arterial disease in type 2 diabetes mellitus","volume":"87","author":"Xu","year":"2025","journal-title":"Endocrine"},{"key":"B46","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3370","article-title":"Chinese visceral adiposity index: A reliable indicator of visceral fat function associated with risk of type 2 diabetes","volume":"37","author":"Han","year":"2021","journal-title":"Diabetes Metab Res Rev"},{"key":"B47","doi-asserted-by":"publisher","DOI":"10.1002\/oby.24048","article-title":"Unraveling the roles of ectopic adipose depots and physical activity in age-related mitochondrial decline","volume":"32","author":"Irving","year":"2024","journal-title":"Obes (Silver Spring)"},{"key":"B48","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2007.334","article-title":"The use of BMI and waist circumference as surrogates of body fat differs by ethnicity","volume":"15","author":"Lear","year":"2007","journal-title":"Obes (Silver Spring)"},{"key":"B49","doi-asserted-by":"publisher","first-page":"2192","DOI":"10.1186\/s12889-024-19638-9","article-title":"Comparison of novel and traditional anthropometric indices in Eastern-China adults: which is the best indicator of the metabolically obese normal weight phenotype","volume":"24","author":"Chen","year":"2024","journal-title":"BMC Public Health"},{"key":"B50","doi-asserted-by":"publisher","DOI":"10.1016\/s0188-4409(03)00073-0","article-title":"Abdominal volume index. An anthropometry-based index for estimation of obesity is strongly related to impaired glucose tolerance and type 2 diabetes mellitus","volume":"34","author":"Guerrero-Romero","year":"2003","journal-title":"Arch Med Res"},{"key":"B51","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1016\/j.amjms.2025.04.014","article-title":"Value of the conicity index as an indicator of abdominal obesity in predicting cardiovascular disease and all-cause mortality risk in patients with diabetes based on NHANES data from 1999-2018","volume":"370","author":"Ning","year":"2025","journal-title":"Am J Med Sci"},{"key":"B52","doi-asserted-by":"publisher","DOI":"10.1111\/jdi.13733","article-title":"Abdominal volume index trajectories and risk of diabetes mellitus: Results from the China Health and Nutrition Survey","volume":"13","author":"Hu","year":"2022","journal-title":"J Diabetes Investig"},{"key":"B53","doi-asserted-by":"publisher","DOI":"10.1016\/j.metabol.2024.156052","article-title":"Advances in body composition and gender differences in susceptibility to frailty syndrome: Role of osteosarcopenic obesity","volume":"161","author":"Conforto","year":"2024","journal-title":"Metabolism"},{"key":"B54","doi-asserted-by":"publisher","first-page":"24802","DOI":"10.1038\/s41598-024-76417-7","article-title":"Analysis of body composition, functionality and muscle-specific strength of older women with obesity, sarcopenia and sarcopenic obesity: a cross-sectional study","volume":"14","author":"da Costa Teixeira","year":"2024","journal-title":"Sci Rep"},{"key":"B55","doi-asserted-by":"publisher","DOI":"10.2147\/ijgm.s351282","article-title":"Association of sex hormones and fat distribution in men with different obese and metabolic statuses","volume":"15","author":"Zhou","year":"2022","journal-title":"Int J Gen Med"},{"key":"B56","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1094471","article-title":"Sex difference in the associations among obesity-related indices with incidence of diabetes mellitus in a large Taiwanese population follow-up study","volume":"11","author":"Chung","year":"2023","journal-title":"Front Public Health"},{"key":"B57","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2022.959860","article-title":"Dose-response relationship between Chinese visceral adiposity index and type 2 diabetes mellitus among middle-aged and elderly Chinese","volume":"13","author":"Pan","year":"2022","journal-title":"Front Endocrinol (Lausanne)"},{"key":"B58","doi-asserted-by":"publisher","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"},{"key":"B59","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1186\/s12902-024-01750-x","article-title":"Association between visceral adiposity index, lipid accumulation product and type 2 diabetes mellitus in US adults with hypertension: a cross-sectional analysis of NHANES from 2005 to 2018","volume":"24","author":"Lv","year":"2024","journal-title":"BMC Endocr Disord"},{"key":"B60","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2011.42","article-title":"The lipid accumulation product is associated with increased mortality in normal weight postmenopausal women","volume":"19","author":"Wehr","year":"2011","journal-title":"Obes (Silver Spring)"},{"key":"B61","doi-asserted-by":"publisher","DOI":"10.2147\/dmso.s399275","article-title":"Optimal anthropometric indicators and cut points for predicting metabolic syndrome in Chinese patients with type 2 diabetes mellitus by gender","volume":"16","author":"Mao","year":"2023","journal-title":"Diabetes Metab Syndr Obes"}],"container-title":["Frontiers in Endocrinology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fendo.2026.1829222\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T04:47:20Z","timestamp":1779252440000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fendo.2026.1829222\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,20]]},"references-count":61,"alternative-id":["10.3389\/fendo.2026.1829222"],"URL":"https:\/\/doi.org\/10.3389\/fendo.2026.1829222","relation":{},"ISSN":["1664-2392"],"issn-type":[{"value":"1664-2392","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,20]]},"article-number":"1829222"}}