Association between visceral adipose surrogates and infertility among reproductive-aged females: a cross-sectional study

BackgroundVisceral adipose tissue (VAT) exerts a substantial influence on female infertility. Nevertheless, the relationship between VAT surrogates and female infertility remains ambiguous.MethodsThis study employed a cross-sectional design and analyzed data from the National Health and Nutrition Ex...

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Main Authors: Dongli Guo, Ruiya Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-12-01
Series:Frontiers in Endocrinology
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Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2024.1488309/full
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author Dongli Guo
Ruiya Wang
author_facet Dongli Guo
Ruiya Wang
author_sort Dongli Guo
collection DOAJ
description BackgroundVisceral adipose tissue (VAT) exerts a substantial influence on female infertility. Nevertheless, the relationship between VAT surrogates and female infertility remains ambiguous.MethodsThis study employed a cross-sectional design and analyzed data from the National Health and Nutrition Examination Survey (NHANES, 2012–2016). Weighted logistic regression models were utilized to examine the association between VAT surrogates and infertility. Furthermore, Receiver Operating Characteristic (ROC) curve analysis was conducted to assess the diagnostic efficacy of these surrogates for infertility.ResultsIndividuals experiencing infertility exhibited markedly elevated levels of the Chinese Visceral Adiposity Index (CVAI) (108.30 vs. 69.86, P<0.001) and Visceral Adiposity Index (VAI) (1.68 vs. 1.35, P<0.001). When considered as a continuous variable, CVAI (odds ratio [OR]: 1.06, 95% confidence interval [CI]: 1.03-1.09, P<0.001), rather than VAI (OR:1.02, 95%CI: 0.98-1.06, P=0.259), demonstrated a significant association with the risk of female infertility. Consistent findings were also evident after dividing participants into 4 subgroups based on CVAI quartiles. Additionally, ROC curves indicated that CVAI exhibited the most robust diagnostic value for female infertility compared to other indices. Subgroup analyses revealed a robust association between CVAI and infertility across different populations.ConclusionFemales with elevated CVAI levels faced a significantly heightened risk of infertility in the United States. CVAI holds promise as a valuable tool for stratifying the risk of infertility.
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spelling doaj-art-926bbc7eefb84aa7a19a74bc9f595a9d2025-08-20T01:59:01ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922024-12-011510.3389/fendo.2024.14883091488309Association between visceral adipose surrogates and infertility among reproductive-aged females: a cross-sectional studyDongli GuoRuiya WangBackgroundVisceral adipose tissue (VAT) exerts a substantial influence on female infertility. Nevertheless, the relationship between VAT surrogates and female infertility remains ambiguous.MethodsThis study employed a cross-sectional design and analyzed data from the National Health and Nutrition Examination Survey (NHANES, 2012–2016). Weighted logistic regression models were utilized to examine the association between VAT surrogates and infertility. Furthermore, Receiver Operating Characteristic (ROC) curve analysis was conducted to assess the diagnostic efficacy of these surrogates for infertility.ResultsIndividuals experiencing infertility exhibited markedly elevated levels of the Chinese Visceral Adiposity Index (CVAI) (108.30 vs. 69.86, P<0.001) and Visceral Adiposity Index (VAI) (1.68 vs. 1.35, P<0.001). When considered as a continuous variable, CVAI (odds ratio [OR]: 1.06, 95% confidence interval [CI]: 1.03-1.09, P<0.001), rather than VAI (OR:1.02, 95%CI: 0.98-1.06, P=0.259), demonstrated a significant association with the risk of female infertility. Consistent findings were also evident after dividing participants into 4 subgroups based on CVAI quartiles. Additionally, ROC curves indicated that CVAI exhibited the most robust diagnostic value for female infertility compared to other indices. Subgroup analyses revealed a robust association between CVAI and infertility across different populations.ConclusionFemales with elevated CVAI levels faced a significantly heightened risk of infertility in the United States. CVAI holds promise as a valuable tool for stratifying the risk of infertility.https://www.frontiersin.org/articles/10.3389/fendo.2024.1488309/fullvisceral adipose tissuefemale infertilityNHANESbiomarkersobesity
spellingShingle Dongli Guo
Ruiya Wang
Association between visceral adipose surrogates and infertility among reproductive-aged females: a cross-sectional study
Frontiers in Endocrinology
visceral adipose tissue
female infertility
NHANES
biomarkers
obesity
title Association between visceral adipose surrogates and infertility among reproductive-aged females: a cross-sectional study
title_full Association between visceral adipose surrogates and infertility among reproductive-aged females: a cross-sectional study
title_fullStr Association between visceral adipose surrogates and infertility among reproductive-aged females: a cross-sectional study
title_full_unstemmed Association between visceral adipose surrogates and infertility among reproductive-aged females: a cross-sectional study
title_short Association between visceral adipose surrogates and infertility among reproductive-aged females: a cross-sectional study
title_sort association between visceral adipose surrogates and infertility among reproductive aged females a cross sectional study
topic visceral adipose tissue
female infertility
NHANES
biomarkers
obesity
url https://www.frontiersin.org/articles/10.3389/fendo.2024.1488309/full
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AT ruiyawang associationbetweenvisceraladiposesurrogatesandinfertilityamongreproductiveagedfemalesacrosssectionalstudy