{"title":"肥胖相关指标与运动认知危险综合征的机制探讨：基于c反应蛋白甘油三酯葡萄糖指数的中介效应。","authors":"Zhongqiang Guo, Shuang Deng, Li Li, Min Liu","doi":"10.3389/fnagi.2025.1623148","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To investigate the relationships between obesity-related indicators and motor cognitive risk syndrome (MCR), as well as the mediating role of the C-reactive protein triglyceride glucose index (CTI).</p><p><strong>Methods: </strong>The aim of this study was to provide evidence-based support to optimize MCR screening programs and develop prevention strategies for cognitive impairment in elderly individuals. This study utilized data from the China Health and Retirement Longitudinal Study (CHARLS) in 2015, and 5,665 participants were ultimately included. The independent variables were obesity-related indicators (WC, Waist circumference; WHtR, waist to height ratio; BRI, body roundness index; BMI, body mass index), and the mediating variable was CTI. Multiple logistic regression analysis, threshold effect analysis, and curve fitting analysis were used to analyze the relationships between obesity-related indicators and MCR. The mediation analysis method was used to observe the mediating effect of CTI.</p><p><strong>Results: </strong>BMI, WC, WHtR, and BRI all significantly increased the risk of MCR. Threshold analysis revealed a nonlinear BRI-MCR association (inflection point = 2.45, <i>P</i> = 0.041), whereas the association with WHtR was linear (<i>P</i> = 0.069). Mediation analysis revealed that the CTI mediated 20.99% of the effect of the WHtR on MCR, 25.55% of the effect of WC, and 21.74% of the effect of the BRI. The overall effect, direct effect, and indirect effect are all significant.</p><p><strong>Conclusion: </strong>This study, which is based on CHARLS data, revealed that obesity-related indicators (WC, WHtR, BRI) significantly correlate with MCR risk. Metabolic disorders mediate the association of WHtR with MCR, confirming their central role in the link between obesity and cognition. Threshold effects were observed. The proposed method is to incorporate WHtR and CTI into community health assessments for early cognitive impairment screening, offering evidence for targeted interventions in resource-limited settings.</p>","PeriodicalId":12450,"journal":{"name":"Frontiers in Aging Neuroscience","volume":"17 ","pages":"1623148"},"PeriodicalIF":4.5000,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12343492/pdf/","citationCount":"0","resultStr":"{\"title\":\"Mechanistic exploration of obesity-related indicators and motor cognitive risk syndrome: a mediated effect based on C-reactive protein triglyceride glucose index.\",\"authors\":\"Zhongqiang Guo, Shuang Deng, Li Li, Min Liu\",\"doi\":\"10.3389/fnagi.2025.1623148\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To investigate the relationships between obesity-related indicators and motor cognitive risk syndrome (MCR), as well as the mediating role of the C-reactive protein triglyceride glucose index (CTI).</p><p><strong>Methods: </strong>The aim of this study was to provide evidence-based support to optimize MCR screening programs and develop prevention strategies for cognitive impairment in elderly individuals. This study utilized data from the China Health and Retirement Longitudinal Study (CHARLS) in 2015, and 5,665 participants were ultimately included. The independent variables were obesity-related indicators (WC, Waist circumference; WHtR, waist to height ratio; BRI, body roundness index; BMI, body mass index), and the mediating variable was CTI. Multiple logistic regression analysis, threshold effect analysis, and curve fitting analysis were used to analyze the relationships between obesity-related indicators and MCR. The mediation analysis method was used to observe the mediating effect of CTI.</p><p><strong>Results: </strong>BMI, WC, WHtR, and BRI all significantly increased the risk of MCR. Threshold analysis revealed a nonlinear BRI-MCR association (inflection point = 2.45, <i>P</i> = 0.041), whereas the association with WHtR was linear (<i>P</i> = 0.069). Mediation analysis revealed that the CTI mediated 20.99% of the effect of the WHtR on MCR, 25.55% of the effect of WC, and 21.74% of the effect of the BRI. The overall effect, direct effect, and indirect effect are all significant.</p><p><strong>Conclusion: </strong>This study, which is based on CHARLS data, revealed that obesity-related indicators (WC, WHtR, BRI) significantly correlate with MCR risk. Metabolic disorders mediate the association of WHtR with MCR, confirming their central role in the link between obesity and cognition. Threshold effects were observed. The proposed method is to incorporate WHtR and CTI into community health assessments for early cognitive impairment screening, offering evidence for targeted interventions in resource-limited settings.</p>\",\"PeriodicalId\":12450,\"journal\":{\"name\":\"Frontiers in Aging Neuroscience\",\"volume\":\"17 \",\"pages\":\"1623148\"},\"PeriodicalIF\":4.5000,\"publicationDate\":\"2025-07-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12343492/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Frontiers in Aging Neuroscience\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3389/fnagi.2025.1623148\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Aging Neuroscience","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3389/fnagi.2025.1623148","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
Mechanistic exploration of obesity-related indicators and motor cognitive risk syndrome: a mediated effect based on C-reactive protein triglyceride glucose index.
Objective: To investigate the relationships between obesity-related indicators and motor cognitive risk syndrome (MCR), as well as the mediating role of the C-reactive protein triglyceride glucose index (CTI).
Methods: The aim of this study was to provide evidence-based support to optimize MCR screening programs and develop prevention strategies for cognitive impairment in elderly individuals. This study utilized data from the China Health and Retirement Longitudinal Study (CHARLS) in 2015, and 5,665 participants were ultimately included. The independent variables were obesity-related indicators (WC, Waist circumference; WHtR, waist to height ratio; BRI, body roundness index; BMI, body mass index), and the mediating variable was CTI. Multiple logistic regression analysis, threshold effect analysis, and curve fitting analysis were used to analyze the relationships between obesity-related indicators and MCR. The mediation analysis method was used to observe the mediating effect of CTI.
Results: BMI, WC, WHtR, and BRI all significantly increased the risk of MCR. Threshold analysis revealed a nonlinear BRI-MCR association (inflection point = 2.45, P = 0.041), whereas the association with WHtR was linear (P = 0.069). Mediation analysis revealed that the CTI mediated 20.99% of the effect of the WHtR on MCR, 25.55% of the effect of WC, and 21.74% of the effect of the BRI. The overall effect, direct effect, and indirect effect are all significant.
Conclusion: This study, which is based on CHARLS data, revealed that obesity-related indicators (WC, WHtR, BRI) significantly correlate with MCR risk. Metabolic disorders mediate the association of WHtR with MCR, confirming their central role in the link between obesity and cognition. Threshold effects were observed. The proposed method is to incorporate WHtR and CTI into community health assessments for early cognitive impairment screening, offering evidence for targeted interventions in resource-limited settings.
期刊介绍：
Frontiers in Aging Neuroscience is a leading journal in its field, publishing rigorously peer-reviewed research that advances our understanding of the mechanisms of Central Nervous System aging and age-related neural diseases. Specialty Chief Editor Thomas Wisniewski at the New York University School of Medicine is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide.
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