Sex-specific association of visceral adiposity index with renal dysfunction in chinese type 2 diabetes: A cross-sectional study

Visceral adiposity index showed strong and consistent associations with renal dysfunction specifically in Chinese male T2DM patients, while female associations were primarily mediated through confounding pathways. These findings highlight critical sex-specific differences and support the integration of composite visceral adiposity indices into routine clinical assessment for male diabetic patients, emphasizing the necessity of population-specific and gender-tailored approaches in renal risk stratification.