Association of novel visceral obesity indices with 10-year risk of major cardiovascular events in patients with type 2 diabetes mellitus

High CVD risk was significantly associated with elevated VAI, METS-VF, and LAP; however, only VAI and METS-VF emerged as independent predictors. These indices demonstrated the highest predictive accuracy, reinforcing their clinical relevance. Given their superior discriminative ability, incorporating VAI and METS-VF into routine assessments could enhance CVD risk prediction in adults with T2DM, allowing for earlier intervention and better management strategies.