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Accepted manuscript

Gender Differences in the Optimal Cutoff Values of Visceral Fat Area for Predicting Metabolic Syndrome among Chinese Middle-aged and Elderly Populations: a cross-sectional study

Published online by Cambridge University Press:  10 December 2025

Fangfang Pu
Affiliation:
Department of Clinical Nutrition, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, China.
Rui He
Affiliation:
Department of Nutrition and Food Hygiene, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, China.
Yaoyao Wei
Affiliation:
Department of Nutrition and Food Hygiene, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, China. Bozhou patriotic health movement management center, Bozhou, Anhui Province, 223800, China.
Jingjing Li
Affiliation:
Department of Clinical Nutrition, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, China.
Xinyi Liao
Affiliation:
Department of Clinical Nutrition, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, China.
Lei Shi
Affiliation:
Department of Clinical Nutrition, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, China.
Wen Hu*
Affiliation:
Department of Clinical Nutrition, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, China.
*
*Corresponding author: Wen Hu. Professor. Mailing address: 37, Guoxue Lane, Wuhou District, Chengdu, Sichuan, China. E-mail: Wendy_nutrition@163.com. Telephone number: +86 18980601164
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Abstract

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The threshold values of visceral fat area (VFA) proposed by existing studies for predicting metabolic syndrome (MetS) are contentious, necessitating further empirical evidence. We conducted a cross-sectional study to assess VFA using bioelectrical impedance analysis (BIA) technology among middle-aged and elderly individuals in the Sichuan area of China. Firstly, we compared the predictive ability of VFA, waist circumference (WC), and body mass index (BMI) among participants with MetS (excluding WC). In males, the area under the receiver operating characteristic curve (AUC) was 0.680 for VFA, 0.670 for WC, and 0.665 for BMI, with corresponding optimal cut-off values of 77.45 cm2, 83.50 cm, and 24.19 kg/m2. In females, the AUC values and optimal cut-offs were 0.628 (103.55 cm2) for VFA, 0.671 (77.50 cm) for WC, and 0.643 (24.32 kg/m2) for BMI. Additionally, for MetS defined with WC included, the AUC of VFA for prediction was higher in males (0.785) than in females (0.717), with optimal cut-offs of 85.15 cm2 (males) and 109.55 cm2 (females). Further age-stratified analysis revealed gender-specific VFA cut-offs: in males, 80.95 cm2 (45-59 years), 85.15 cm2 (60-74 years), and 77.50 cm2 (≥75 years); in females, 109.65 cm2 (45-59 years), 112.15 cm2 (60-74 years), and 103.05 cm2 (≥75 years). In conclusion, VFA is an effective predictor of MetS, with its optimal cut-off value varying by age and being higher in females than in males.

Information

Type
Research Article
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of The Nutrition Society