Exploring the relationship between novel measurements of abdominal obesity and psoriasis: a cross-sectional study from the NHANES database

Abstract Background Psoriasis is a chronic skin disease affecting millions of people, with obesity being a common comorbidity. Many studies suggest that obesity may influence the onset and treatment efficacy of psoriasis. Currently, increasing evidence indicates that abdominal obesity is associated...

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Main Authors: Hongshan Liu, Jianing Yuan, Yuxin Ma, Jingchen Liang, Fangcun Li, Weihui Zeng, Yanting Liu
Format: Article
Language:English
Published: Springer 2025-07-01
Series:Eating and Weight Disorders
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Online Access:https://doi.org/10.1007/s40519-025-01762-z
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author Hongshan Liu
Jianing Yuan
Yuxin Ma
Jingchen Liang
Fangcun Li
Weihui Zeng
Yanting Liu
author_facet Hongshan Liu
Jianing Yuan
Yuxin Ma
Jingchen Liang
Fangcun Li
Weihui Zeng
Yanting Liu
author_sort Hongshan Liu
collection DOAJ
description Abstract Background Psoriasis is a chronic skin disease affecting millions of people, with obesity being a common comorbidity. Many studies suggest that obesity may influence the onset and treatment efficacy of psoriasis. Currently, increasing evidence indicates that abdominal obesity is associated with various metabolic diseases, but research on the relationship between abdominal obesity and psoriasis remains limited. This study uses advanced obesity indicators such as the conicity index and body roundness index to explore the association between abdominal obesity and psoriasis. Methods This study is a cross-sectional analysis that uses univariate regression analysis and weighted multivariable logistic regression to investigate the relationship between conicity index, android percent fat, body roundness index, and psoriasis. Additionally, restricted cubic spline analysis was performed to explore the nonlinear association between these indicators and psoriasis. Subgroup analysis and interaction tests were also conducted. Results A total of 4873 participants were included in this study. After adjusting for confounding variables, the results showed a positive correlation between conicity index, android percent fat, body roundness index, and the risk of psoriasis. When conicity index, android percent fat, and body roundness index were converted into quartiles (Q1–Q4), the risk of psoriasis in the Q4 group was significantly higher compared to the Q1 group (conicity index: p = 0.032, android percent fat: p = 0.020, body roundness index: p = 0.003). In the subgroup analysis and interaction tests, no significant interaction between the conicity index, body roundness index, and the association with psoriasis was found (p > 0.05). The results only suggest that the poverty income ratio (PIR), marital status, and alcohol consumption may influence the relationship between android percent fat and psoriasis. In addition, subgroup analysis based on age shows that the association between abdominal obesity and psoriasis is more significant in the population over 40 years old. Conclusions After adjusting for covariates, the study found that three abdominal obesity indicators—conicity index, android percentage fat, and body roundness index—are positively correlated with psoriasis risk, suggesting that the association between abdominal obesity and psoriasis as a comorbidity is more likely to occur, emphasizing the clinical significance of this link. Level of evidence Level III, Evidence obtained from well-designed cohort or case–control analytic studies.
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spelling doaj-art-dfbd61fc8c74429bacaff938c0a7bc9d2025-08-20T04:01:25ZengSpringerEating and Weight Disorders1590-12622025-07-0130111410.1007/s40519-025-01762-zExploring the relationship between novel measurements of abdominal obesity and psoriasis: a cross-sectional study from the NHANES databaseHongshan Liu0Jianing Yuan1Yuxin Ma2Jingchen Liang3Fangcun Li4Weihui Zeng5Yanting Liu6Department of Dermatology, The Second Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Internal Medicine, The First Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Dermatology, The Second Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Dermatology, The Second Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Neurology, The Second Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Dermatology, The Second Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Dermatology, The Second Affiliated Hospital of Xi’an Jiaotong UniversityAbstract Background Psoriasis is a chronic skin disease affecting millions of people, with obesity being a common comorbidity. Many studies suggest that obesity may influence the onset and treatment efficacy of psoriasis. Currently, increasing evidence indicates that abdominal obesity is associated with various metabolic diseases, but research on the relationship between abdominal obesity and psoriasis remains limited. This study uses advanced obesity indicators such as the conicity index and body roundness index to explore the association between abdominal obesity and psoriasis. Methods This study is a cross-sectional analysis that uses univariate regression analysis and weighted multivariable logistic regression to investigate the relationship between conicity index, android percent fat, body roundness index, and psoriasis. Additionally, restricted cubic spline analysis was performed to explore the nonlinear association between these indicators and psoriasis. Subgroup analysis and interaction tests were also conducted. Results A total of 4873 participants were included in this study. After adjusting for confounding variables, the results showed a positive correlation between conicity index, android percent fat, body roundness index, and the risk of psoriasis. When conicity index, android percent fat, and body roundness index were converted into quartiles (Q1–Q4), the risk of psoriasis in the Q4 group was significantly higher compared to the Q1 group (conicity index: p = 0.032, android percent fat: p = 0.020, body roundness index: p = 0.003). In the subgroup analysis and interaction tests, no significant interaction between the conicity index, body roundness index, and the association with psoriasis was found (p > 0.05). The results only suggest that the poverty income ratio (PIR), marital status, and alcohol consumption may influence the relationship between android percent fat and psoriasis. In addition, subgroup analysis based on age shows that the association between abdominal obesity and psoriasis is more significant in the population over 40 years old. Conclusions After adjusting for covariates, the study found that three abdominal obesity indicators—conicity index, android percentage fat, and body roundness index—are positively correlated with psoriasis risk, suggesting that the association between abdominal obesity and psoriasis as a comorbidity is more likely to occur, emphasizing the clinical significance of this link. Level of evidence Level III, Evidence obtained from well-designed cohort or case–control analytic studies.https://doi.org/10.1007/s40519-025-01762-zConicity indexAndroid percent fatBody roundness indexPsoriasisAbdominal obesityCross-sectional study
spellingShingle Hongshan Liu
Jianing Yuan
Yuxin Ma
Jingchen Liang
Fangcun Li
Weihui Zeng
Yanting Liu
Exploring the relationship between novel measurements of abdominal obesity and psoriasis: a cross-sectional study from the NHANES database
Eating and Weight Disorders
Conicity index
Android percent fat
Body roundness index
Psoriasis
Abdominal obesity
Cross-sectional study
title Exploring the relationship between novel measurements of abdominal obesity and psoriasis: a cross-sectional study from the NHANES database
title_full Exploring the relationship between novel measurements of abdominal obesity and psoriasis: a cross-sectional study from the NHANES database
title_fullStr Exploring the relationship between novel measurements of abdominal obesity and psoriasis: a cross-sectional study from the NHANES database
title_full_unstemmed Exploring the relationship between novel measurements of abdominal obesity and psoriasis: a cross-sectional study from the NHANES database
title_short Exploring the relationship between novel measurements of abdominal obesity and psoriasis: a cross-sectional study from the NHANES database
title_sort exploring the relationship between novel measurements of abdominal obesity and psoriasis a cross sectional study from the nhanes database
topic Conicity index
Android percent fat
Body roundness index
Psoriasis
Abdominal obesity
Cross-sectional study
url https://doi.org/10.1007/s40519-025-01762-z
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