Evidence map›Paper›PMID 30417578›Full record

ArticleJournal of diabetes investigation2019

Fasting triglycerides and glucose index is more suitable for the identification of metabolically unhealthy individuals in the Chinese adult population: A nationwide study.

Xinwen Yu, Li Wang, Wencheng Zhang, Jie Ming, Aihua Jia, Shaoyong Xu, Qiaoyue Li, Qiuhe Ji

Abstract read
In one paragraph

Article in Journal of diabetes investigation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

82 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  15. Metabolic Syndrome and Insulin Resistance in Romania.International journal of molecular sciences · 2025
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22 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Xinwen YuDepartment of Endocrinology, Xijing Hospital, The Fourth Military Medical University, Xi'an, China.
Li WangDepartment of Endocrinology, Xijing Hospital, The Fourth Military Medical University, Xi'an, China.
Wencheng ZhangDepartment of Endocrinology, Xijing Hospital, The Fourth Military Medical University, Xi'an, China.
Jie MingDepartment of Endocrinology, Xijing Hospital, The Fourth Military Medical University, Xi'an, China.
Aihua JiaDepartment of Endocrinology, Xijing Hospital, The Fourth Military Medical University, Xi'an, China.
Shaoyong XuDepartment of Endocrinology, Xiangyang Central Hospital of Hubei University of Arts and Science, Xiangyang, China.
Qiaoyue LiDepartment of Endocrinology, Xijing Hospital, The Fourth Military Medical University, Xi'an, China.
Qiuhe JiDepartment of Endocrinology, Xijing Hospital, The Fourth Military Medical University, Xi'an, China.ORCID http://orcid.org/0000-0002-4008-2974

Funding

Key Research and Development Program of Shan'xi Province, China 2017ZDCXLSF0201National Natural Science Foundation of China 31571415Nation Key Research and Development Program of China 2017YFC1309803
6 · The paper itself

Abstract

AIMS/

introductionMetabolic unhealth can be defined by the components of metabolic syndrome, which is closely connected to insulin resistance. We aimed to determine a simple index to identify metabolic unhealth in the Chinese adult population. MATERIALS AND

methodsA total of 30,291 individuals were screened from the China National Diabetes and Metabolic Disorders Study carried out from June 2007 to May 2008. Metabolic unhealth was defined using components of metabolic syndrome, except waist circumference. We compared the three surrogate indices of insulin resistance: the product of fasting triglycerides and glucose (TyG), triglycerides divided by high-density lipoprotein cholesterol and the metabolic score for insulin resistance for the evaluation of metabolic status.

resultsAll indices had high sensitivity and specificity for the identification of metabolic unhealth, especially the TyG index with an area under the curve of 0.863 for men and 0.867 for women. Participants were divided into subgroups for further analysis. The TyG index also showed high diagnostic values, especially for younger individuals and men with normal waist circumference. Sex-specific cut-offs for three indices were also used to define metabolic unhealth. The TyG index showed the highest agreement with κ values of 0.603 and 0.605 for men and women between the components of metabolic syndrome and three indices.

conclusionsWe propose that the TyG index, just read in one blood laboratory test report, is simpler and more suitable for the identification of metabolically unhealthy individuals as well as who have high risk of cardiometabolic diseases of the Chinese adult population.

Indexed as

FastingAdultAgedAged, 80 and overBiomarkersBlood GlucoseChinaFemaleFollow-Up StudiesHumansIncidenceInsulin ResistanceMaleMetabolic SyndromeMiddle AgedPrognosisBiomarkersBlood GlucoseTriglyceridesInsulin resistanceMetabolically unhealthyTriglycerides and glucose index

Identifiers

PMID30417578
PMCPMC6626942

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.