Publication Name	World Journal of Diabetes
Manuscript ID	121923
DOI	10.4239/wjd.121923
Country	China

Category	Endocrinology & Metabolism
Manuscript Type	Observational Study
Article Title	Visceral fat area and red-blood-cell-related indices in adults with type 2 diabetes: Cross-sectional evidence of nonlinear associations
Manuscript Source	Unsolicited Manuscript
All Author List	Zi-Chen Rao, Chun-Yi Xu, Liang-Yan Hua, Zi-Ru Fang, Chun-Yan Zhu and Yi-Ming Zhang
Funding Agency and Grant Number
Corresponding Author	Yi-Ming Zhang, Department of Endocrinology, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People’s Hospital, No. 100 Minjiang Road, Kecheng District, Quzhou 324000, Zhejiang Province, China. zhangym1611@wmu.edu.cn
Key Words	Type 2 diabetes; Visceral fat area; Hematocrit; Hemoglobin; Red blood cell count; Non-linear association; Cross-sectional study
Core Tip	This study revealed a nonlinear relationship between visceral fat area (VFA) and red blood cell-related indices, specifically hematocrit, hemoglobin and red blood cell count, in adults with type 2 diabetes (T2D). The association was more pronounced at lower VFA levels (inflection point approximately 45 cm2) and in nonobese individuals. These findings suggest that routine hematological markers serve as accessible indicators of visceral adiposity burden. This emphasizes the importance of integrated metabolic and hematological monitoring to better assess cardiometabolic risk in T2D management.
Citation	Rao ZC, Xu CY, Hua LY, Fang ZR, Zhu CY, Zhang YM. Visceral fat area and red-blood-cell-related indices in adults with type 2 diabetes: Cross-sectional evidence of nonlinear associations. World J Diabetes 2026; In press DOI: https://doi.org/10.4239/wjd.121923

Received	2026-04-07 00:52
Peer-Review Started	2026-04-08 23:54
First Decision by Editorial Office Director	2026-04-23 05:56
Return for Revision	2026-04-23 05:56
Revised	2026-05-04 02:49
Publication Fee Transferred	2026-05-12 02:22
Second Decision by Editor	2026-06-05 03:12
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-06-12 07:16
Articles in Press	2026-06-12 07:16
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9358 (online)
Open Access	This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright	©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Permissions	For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher	Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website	http://www.wjgnet.com