The association between high atherogenic index of plasma and impaired lung function: a population-based study

ObjectiveAlthough AIP is a recognized cardiovascular risk marker, its association with pulmonary function and sex-specific differences remains unclear. This study investigated whether elevated AIP is independently associated with reduced lung function and examined potential sex-specific patterns.Met...

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Main Authors: Liang Yang, Yuanzhou Wu, Ling Chen, Zizhao Li, Wenfei Zhu, Ziyan Zhang, Hui Li, Yang Huang, Qunqing Chen
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1589605/full
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author Liang Yang
Yuanzhou Wu
Ling Chen
Zizhao Li
Wenfei Zhu
Ziyan Zhang
Hui Li
Yang Huang
Qunqing Chen
author_facet Liang Yang
Yuanzhou Wu
Ling Chen
Zizhao Li
Wenfei Zhu
Ziyan Zhang
Hui Li
Yang Huang
Qunqing Chen
author_sort Liang Yang
collection DOAJ
description ObjectiveAlthough AIP is a recognized cardiovascular risk marker, its association with pulmonary function and sex-specific differences remains unclear. This study investigated whether elevated AIP is independently associated with reduced lung function and examined potential sex-specific patterns.MethodsData from 4,565 participants in the NHANES 2007–2012 dataset were analyzed using a cross-sectional design. AIP served as the exposure variable, with five lung function metrics (including FEV1, FVC, and FEV1/FVC ratio) as outcomes. Weighted multiple linear regression, threshold effect analysis, subgroup comparisons, and XGBoost modeling were performed to assess associations.ResultsMultivariable regression showed a significant negative association between AIP and FEV1 (β = −121.3 mL/unit, p < 0.001) and FVC (β = −147.1 mL/unit, p < 0.001), with no significant link to FEV1/FVC ratio. Subgroup analysis revealed a U-shaped non-linear association in females, with inflection points at AIP values of 0.77 (FEV1) and 0.78 (FVC), beyond which declines in lung function plateaued. Males exhibited a consistent negative correlation across all AIP levels.ConclusionElevated AIP is independently associated with reduced lung function, particularly non-linear effects in females. These findings support AIP as a potential adjunct marker for pulmonary function assessment in clinical practice.
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spelling doaj-art-e326ca910fa24e6885b79f97a3b0f3782025-08-20T03:28:13ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-07-011210.3389/fmed.2025.15896051589605The association between high atherogenic index of plasma and impaired lung function: a population-based studyLiang YangYuanzhou WuLing ChenZizhao LiWenfei ZhuZiyan ZhangHui LiYang HuangQunqing ChenObjectiveAlthough AIP is a recognized cardiovascular risk marker, its association with pulmonary function and sex-specific differences remains unclear. This study investigated whether elevated AIP is independently associated with reduced lung function and examined potential sex-specific patterns.MethodsData from 4,565 participants in the NHANES 2007–2012 dataset were analyzed using a cross-sectional design. AIP served as the exposure variable, with five lung function metrics (including FEV1, FVC, and FEV1/FVC ratio) as outcomes. Weighted multiple linear regression, threshold effect analysis, subgroup comparisons, and XGBoost modeling were performed to assess associations.ResultsMultivariable regression showed a significant negative association between AIP and FEV1 (β = −121.3 mL/unit, p < 0.001) and FVC (β = −147.1 mL/unit, p < 0.001), with no significant link to FEV1/FVC ratio. Subgroup analysis revealed a U-shaped non-linear association in females, with inflection points at AIP values of 0.77 (FEV1) and 0.78 (FVC), beyond which declines in lung function plateaued. Males exhibited a consistent negative correlation across all AIP levels.ConclusionElevated AIP is independently associated with reduced lung function, particularly non-linear effects in females. These findings support AIP as a potential adjunct marker for pulmonary function assessment in clinical practice.https://www.frontiersin.org/articles/10.3389/fmed.2025.1589605/fullatherogenic index of plasmaNHANESlung functioncross-sectional studynon-linear association
spellingShingle Liang Yang
Yuanzhou Wu
Ling Chen
Zizhao Li
Wenfei Zhu
Ziyan Zhang
Hui Li
Yang Huang
Qunqing Chen
The association between high atherogenic index of plasma and impaired lung function: a population-based study
Frontiers in Medicine
atherogenic index of plasma
NHANES
lung function
cross-sectional study
non-linear association
title The association between high atherogenic index of plasma and impaired lung function: a population-based study
title_full The association between high atherogenic index of plasma and impaired lung function: a population-based study
title_fullStr The association between high atherogenic index of plasma and impaired lung function: a population-based study
title_full_unstemmed The association between high atherogenic index of plasma and impaired lung function: a population-based study
title_short The association between high atherogenic index of plasma and impaired lung function: a population-based study
title_sort association between high atherogenic index of plasma and impaired lung function a population based study
topic atherogenic index of plasma
NHANES
lung function
cross-sectional study
non-linear association
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1589605/full
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