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Relationship between visceral adiposity index and nocturia: an analysis based on NHANES database from 2007 to 2020
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Zhen-Jun Luo1, 2, Xiao-Wei Hao2, Jie Wang1, 2, Shuai Huang2, 3, Yang-Yang Wu2, Kai-Kai Lyu2, Guo-Rong Yang2, Qing Yuan1, 2, *
Medical Journal of Chinese People’s Liberation Army | 2025, 50(5) : 523 - 530
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Medical Journal of Chinese People’s Liberation Army | 2025, 50(5): 523-530
• Clinical Research •
Relationship between visceral adiposity index and nocturia: an analysis based on NHANES database from 2007 to 2020
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Zhen-Jun Luo1, 2, Xiao-Wei Hao2, Jie Wang1, 2, Shuai Huang2, 3, Yang-Yang Wu2, Kai-Kai Lyu2, Guo-Rong Yang2, Qing Yuan1, 2, *
Affiliations
  • 1School of Clinical Medicine, Shandong Second Medical University, Weifang, Shandong 261053, China
  • 2Senior Department of Urology, the Third Medical Center of Chinese PLA General Hospital, Beijing 100039, China
  • 3Department of Postgraduate, Hebei North University, Zhangjiakou, Hebei 075000, China
Published: 2025-05-28 doi: 10.11855/j.issn.0577-7402.1662.0831
Outline
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Objective To analyze the relationship between the visceral adiposity index (VAI) and nocturia in the US adult population. Methods A cross-sectional study was performed. Data from subjects aged ≥20 years in the National Health and Nutrition Examination Survey (NHANES) database from 2007 to 2020 were collected, including waist circumference, triglyceride, body mass index (BMI), high-density lipoprotein, age, gender, race, poverty income ratio, education level, marital status, smoking, alcohol consumption, sleep disorders, depression, occupation, hypertension, diabetes, congestive heart failure, cancer, and nocturnal urination frequency. Weighted analysis, multivariate logistic regression, generalized additive model (GAM), and curve fitting were employed to evaluate the association between VAI and nocturia, adjusting for age, gender, race, poverty income ratio, education level, marital status, smoking, alcohol consumption, sleep disorders, depression, occupation, hypertension, diabetes, congestive heart failure, and cancer. Subgroup analyses were conducted based on age, gender, race, hypertension and diabetes to further evaluate the relationship between VAI and the risk of nocturia. Results A total of 29,196 American adults were included. All subjects were divided into 4 groups based on VAI quartiles: Q1 group (0.32≤VAI<1.01), Q2 group (1.01≤VAI<1.70), Q3 group (1.70≤VAI<2.95), and Q4 group (2.95≤VAI<13.59), with nocturia prevalence rates of 28.5%, 31.4%, 33.3%, and 34.9%, respectively. In subgroup analyses, the risk of nocturia significantly increased with higher VAI in the 20-40 age group, females and other Hispanics (OR=1.04, 95%CI 1.01-1.08, P=0.006; OR=1.02, 95% CI 1.00-1.04, P=0.035; OR=1.05, 95%CI 1.01-1.09, P=0.026). GAM analysis results showed a nonlinear relationship between VAI and nocturia. Conclusion VAI is positively associated with the risk of nocturia, and may be an effective indicator for predicting the risk of nocturia occurrence.

nocturia  /  visceral obesity index  /  association  /  cross-sectional analysis
Zhen-Jun Luo, Xiao-Wei Hao, Jie Wang, Shuai Huang, Yang-Yang Wu, Kai-Kai Lyu, Guo-Rong Yang, Qing Yuan. Relationship between visceral adiposity index and nocturia: an analysis based on NHANES database from 2007 to 2020[J]. Medical Journal of Chinese People’s Liberation Army, 2025 , 50 (5) : 523 -530 . DOI: 10.11855/j.issn.0577-7402.1662.0831
Funding
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  • National Key Research and Development Program of China(2022YFC3602905)
  • Beijing Nova Program(20220284230)
  • Youth Independent Innovation Science Fund of Chinese PLA General Hospital(22QNCZ016)
Appendix
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Year 2025 volume 50 Issue 5
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Article Info
doi: 10.11855/j.issn.0577-7402.1662.0831
  • Receive Date：2023-12-17
  • Online Date：2025-10-29
  • Published：2025-05-28
Article Data
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History
  • Received：2023-12-17
  • Accepted：2024-01-25
Funding
National Key Research and Development Program of China(2022YFC3602905)
Beijing Nova Program(20220284230)
Youth Independent Innovation Science Fund of Chinese PLA General Hospital(22QNCZ016)
Affiliations
    1School of Clinical Medicine, Shandong Second Medical University, Weifang, Shandong 261053, China
    2Senior Department of Urology, the Third Medical Center of Chinese PLA General Hospital, Beijing 100039, China
    3Department of Postgraduate, Hebei North University, Zhangjiakou, Hebei 075000, China

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多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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