Korean J Fam Pract 2019; 9(3): 290-296  https://doi.org/10.21215/kjfp.2019.9.3.290
Comparison of Visceral Adiposity Index and Chinese Visceral Adiposity Index for Coronary Artery Calcification in Korean Adults
Seung-Min Lee, Cheol-Hwan Kim*, Eun-Ju Sung, Ho-Cheol Shin, Sae-Mi Kang, Ha-Neul Lee, Dong-Jun Lee
Department of Family Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
Cheol-Hwan Kim
Tel: +82-2-2001-2281, Fax: +82-2-2001-1280
E-mail: kchosh@nate.com
Received: August 13, 2018; Revised: November 10, 2018; Accepted: November 29, 2018; Published online: June 20, 2019.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: Visceral adiposity index (VAI) was developed to estimate visceral fat, and its association with various diseases including cardiovascular disease, insulin resistance, and fatty liver has been revealed. The Chinese VAI (CVAI) has been newly developed in China. This study aimed to compare the VAI and CVAI for coronary artery calcification by using the coronary artery calcium score (CACs)–a predictable index of asymptomatic atherosclerosis.
Methods: We conducted a cross-sectional study that included 66,011 participants (76.3% male and 23.7% female participants) visiting an university hospital for medical check-ups between January 2014 and December 2016. A receiver operating characteristic curve analysis was performed and the area under the curve (AUC) was calculated to compare the concordance of the CACs and the VAI, CVAI, waist circumference, body mass index, triglycerides, and high-density lipoprotein cholesterol.
Results: In all participants, the AUC for the CVAI was the largest, while that for the VAI was fourth among all the indices (AUCCVAI=0.653, AUCVAI=0.592). The AUC for the CVAI was the largest among the indices in both sexes (female AUCCVAI=0.77, male AUCCVAI=0.592), while that for the VAI was the second largest (female, AUCCVAI 0.771>AUCVAI 0.651; male, AUCCVAI 0.592>AUCVAI 0.564).
Conclusion: In conclusion, the CVAI showed a higher degree of concordance with CACs, which is an indirect indicator of cardiovascular disease, than the VAI in Korean adults.
Keywords: Abdominal Fat ; Adiposity; Vascular Calcification; Atherosclerosis
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