METS-VF outperforms traditional adiposity indices in predicting overactive bladder risk: a NHANES-based cross-sectional study

Background: Overactive bladder (OAB) represents a frequent urological disorder with a multifaceted etiology, yet the implication of visceral adiposity in its pathogenesis remains underexplored. Our objective was to evaluate the connection between the metabolic score for visceral fat (METS-VF) and OAB risk in a nationally representative USA population, besides comparing METS-VF predictive utility against conventional adiposity indices. Methods: This cross-sectional analysis utilized National Health and Nutrition Examination Survey (NHANES) data from 6,366 participants. Multivariable logistic regression (LR) analysis, subgroup analyses, and receiver operating characteristic (ROC) were employed to ascertain the interaction of METS-VF with OAB. Furthermore, ROC analysis was implemented to contrast METS-VF diagnostic capabilities against body mass index (BMI), waist circumference (WC), and waist-to-height ratio (WHtR). Results: The analysis included 6,366 participants; of them, 4,536 were diagnosed with OAB, showing a significant link between METS-VF and OAB (P