The lean body mass to visceral fat mass ratio is negatively associated with cardiometabolic disorders: a cross-sectional study

Abstract The literature has documented conflicting and inconsistent associations between muscle-to-fat ratios and metabolic diseases. Additionally, different adipose tissues can have contrasting effects, with visceral adipose tissue being identified as particularly harmful. This study aimed to explo...

Full description

Saved in:
Bibliographic Details
Main Authors: Ya Shao, Na Wang, Meiling Shao, Bin Liu, Yu Wang, Yan Yang, Longti Li, Huiqin Zhong
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-025-88167-1
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832571771499315200
author Ya Shao
Na Wang
Meiling Shao
Bin Liu
Yu Wang
Yan Yang
Longti Li
Huiqin Zhong
author_facet Ya Shao
Na Wang
Meiling Shao
Bin Liu
Yu Wang
Yan Yang
Longti Li
Huiqin Zhong
author_sort Ya Shao
collection DOAJ
description Abstract The literature has documented conflicting and inconsistent associations between muscle-to-fat ratios and metabolic diseases. Additionally, different adipose tissues can have contrasting effects, with visceral adipose tissue being identified as particularly harmful. This study aimed to explore the relationship between the ratio of the lean mass index (LMI) to the visceral fat mass index (VFMI) and cardiometabolic disorders, including dyslipidemia, hypertension, and diabetes, as previous research on this topic is lacking. This cross-sectional study utilized data from the National Health and Nutrition Examination Survey (NHANES) conducted in the United States and included 10,867 individuals. Logistic regression was employed to explore the association between LMI/VFMI and cardiometabolic disorders. Generalized additive models were utilized to examine the nonlinear relationships between variables. Data analysis revealed a consistent inverse association between ln(LMI/VFMI) and dyslipidemia, hypertension, and diabetes. Each 2.7-fold increase in LMI/VFMI (one unit of ln[LMI/VFMI]) was associated with lower odds ratios (ORs) for these conditions. In men, the ORs were 0.21 (95% CI 0.17–0.25) for dyslipidemia, 0.37 (95% CI 0.30–0.45) for hypertension, and 0.16 (95% CI 0.10–0.23) for diabetes. Similarly, in women, the ORs were 0.22 (95% CI 0.19–0.26), 0.51 (95% CI 0.42–0.61), and 0.19 (95% CI 0.13–0.27). Quartile analysis showed that participants in the highest quartile (Q4) had significantly lower ORs compared to those in the lowest quartile (Q1). In men, Q4 ORs were 0.18 (95% CI 0.14–0.23) for dyslipidemia, 0.30 (95% CI 0.23–0.39) for hypertension, and 0.11 (95% CI 0.06–0.20) for diabetes. In women, Q4 ORs were 0.12 (95% CI 0.10–0.15), 0.39 (95% CI 0.29–0.52), and 0.12 (95% CI 0.06–0.25), respectively. Dyslipidemia and diabetes demonstrated nonlinear patterns, while a linear association was found for hypertension. Subgroup analyses across various characteristics confirmed these findings with no substantial directional changes. Maintaining an appropriate ratio of LMI to VFMI may be associated with favorable metabolic health.
format Article
id doaj-art-1077743e78d84483a6adc140b4e6bca5
institution Kabale University
issn 2045-2322
language English
publishDate 2025-01-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj-art-1077743e78d84483a6adc140b4e6bca52025-02-02T12:19:43ZengNature PortfolioScientific Reports2045-23222025-01-0115111110.1038/s41598-025-88167-1The lean body mass to visceral fat mass ratio is negatively associated with cardiometabolic disorders: a cross-sectional studyYa Shao0Na Wang1Meiling Shao2Bin Liu3Yu Wang4Yan Yang5Longti Li6Huiqin Zhong7Health Management Center, TaiHe Hospital, Hubei University of MedicineInnovation Centre of Nursing Research, TaiHe Hospital, Hubei University of MedicineDepartment of Pharmacy, TaiHe Hospital, Hubei University of MedicineDepartment of Pharmacy, TaiHe Hospital, Hubei University of MedicineHealth Management Center, TaiHe Hospital, Hubei University of MedicineDepartment of General Surgery, TaiHe Hospital, Hubei University of MedicineInnovation Centre of Nursing Research, TaiHe Hospital, Hubei University of MedicineInnovation Centre of Nursing Research, TaiHe Hospital, Hubei University of MedicineAbstract The literature has documented conflicting and inconsistent associations between muscle-to-fat ratios and metabolic diseases. Additionally, different adipose tissues can have contrasting effects, with visceral adipose tissue being identified as particularly harmful. This study aimed to explore the relationship between the ratio of the lean mass index (LMI) to the visceral fat mass index (VFMI) and cardiometabolic disorders, including dyslipidemia, hypertension, and diabetes, as previous research on this topic is lacking. This cross-sectional study utilized data from the National Health and Nutrition Examination Survey (NHANES) conducted in the United States and included 10,867 individuals. Logistic regression was employed to explore the association between LMI/VFMI and cardiometabolic disorders. Generalized additive models were utilized to examine the nonlinear relationships between variables. Data analysis revealed a consistent inverse association between ln(LMI/VFMI) and dyslipidemia, hypertension, and diabetes. Each 2.7-fold increase in LMI/VFMI (one unit of ln[LMI/VFMI]) was associated with lower odds ratios (ORs) for these conditions. In men, the ORs were 0.21 (95% CI 0.17–0.25) for dyslipidemia, 0.37 (95% CI 0.30–0.45) for hypertension, and 0.16 (95% CI 0.10–0.23) for diabetes. Similarly, in women, the ORs were 0.22 (95% CI 0.19–0.26), 0.51 (95% CI 0.42–0.61), and 0.19 (95% CI 0.13–0.27). Quartile analysis showed that participants in the highest quartile (Q4) had significantly lower ORs compared to those in the lowest quartile (Q1). In men, Q4 ORs were 0.18 (95% CI 0.14–0.23) for dyslipidemia, 0.30 (95% CI 0.23–0.39) for hypertension, and 0.11 (95% CI 0.06–0.20) for diabetes. In women, Q4 ORs were 0.12 (95% CI 0.10–0.15), 0.39 (95% CI 0.29–0.52), and 0.12 (95% CI 0.06–0.25), respectively. Dyslipidemia and diabetes demonstrated nonlinear patterns, while a linear association was found for hypertension. Subgroup analyses across various characteristics confirmed these findings with no substantial directional changes. Maintaining an appropriate ratio of LMI to VFMI may be associated with favorable metabolic health.https://doi.org/10.1038/s41598-025-88167-1Cardiometabolic disordersDyslipidemiaDiabetesHypertensionLean body massVisceral fat mass
spellingShingle Ya Shao
Na Wang
Meiling Shao
Bin Liu
Yu Wang
Yan Yang
Longti Li
Huiqin Zhong
The lean body mass to visceral fat mass ratio is negatively associated with cardiometabolic disorders: a cross-sectional study
Scientific Reports
Cardiometabolic disorders
Dyslipidemia
Diabetes
Hypertension
Lean body mass
Visceral fat mass
title The lean body mass to visceral fat mass ratio is negatively associated with cardiometabolic disorders: a cross-sectional study
title_full The lean body mass to visceral fat mass ratio is negatively associated with cardiometabolic disorders: a cross-sectional study
title_fullStr The lean body mass to visceral fat mass ratio is negatively associated with cardiometabolic disorders: a cross-sectional study
title_full_unstemmed The lean body mass to visceral fat mass ratio is negatively associated with cardiometabolic disorders: a cross-sectional study
title_short The lean body mass to visceral fat mass ratio is negatively associated with cardiometabolic disorders: a cross-sectional study
title_sort lean body mass to visceral fat mass ratio is negatively associated with cardiometabolic disorders a cross sectional study
topic Cardiometabolic disorders
Dyslipidemia
Diabetes
Hypertension
Lean body mass
Visceral fat mass
url https://doi.org/10.1038/s41598-025-88167-1
work_keys_str_mv AT yashao theleanbodymasstovisceralfatmassratioisnegativelyassociatedwithcardiometabolicdisordersacrosssectionalstudy
AT nawang theleanbodymasstovisceralfatmassratioisnegativelyassociatedwithcardiometabolicdisordersacrosssectionalstudy
AT meilingshao theleanbodymasstovisceralfatmassratioisnegativelyassociatedwithcardiometabolicdisordersacrosssectionalstudy
AT binliu theleanbodymasstovisceralfatmassratioisnegativelyassociatedwithcardiometabolicdisordersacrosssectionalstudy
AT yuwang theleanbodymasstovisceralfatmassratioisnegativelyassociatedwithcardiometabolicdisordersacrosssectionalstudy
AT yanyang theleanbodymasstovisceralfatmassratioisnegativelyassociatedwithcardiometabolicdisordersacrosssectionalstudy
AT longtili theleanbodymasstovisceralfatmassratioisnegativelyassociatedwithcardiometabolicdisordersacrosssectionalstudy
AT huiqinzhong theleanbodymasstovisceralfatmassratioisnegativelyassociatedwithcardiometabolicdisordersacrosssectionalstudy
AT yashao leanbodymasstovisceralfatmassratioisnegativelyassociatedwithcardiometabolicdisordersacrosssectionalstudy
AT nawang leanbodymasstovisceralfatmassratioisnegativelyassociatedwithcardiometabolicdisordersacrosssectionalstudy
AT meilingshao leanbodymasstovisceralfatmassratioisnegativelyassociatedwithcardiometabolicdisordersacrosssectionalstudy
AT binliu leanbodymasstovisceralfatmassratioisnegativelyassociatedwithcardiometabolicdisordersacrosssectionalstudy
AT yuwang leanbodymasstovisceralfatmassratioisnegativelyassociatedwithcardiometabolicdisordersacrosssectionalstudy
AT yanyang leanbodymasstovisceralfatmassratioisnegativelyassociatedwithcardiometabolicdisordersacrosssectionalstudy
AT longtili leanbodymasstovisceralfatmassratioisnegativelyassociatedwithcardiometabolicdisordersacrosssectionalstudy
AT huiqinzhong leanbodymasstovisceralfatmassratioisnegativelyassociatedwithcardiometabolicdisordersacrosssectionalstudy