Evidence map›Paper›PMID 31300980›Full record

ArticleClinical rheumatology2019

Association between three non-insulin-based indexes of insulin resistance and hyperuricemia.

Xing Zhen Liu, Xia Xu, Jian Qin Zhu, Dong Bao Zhao

Abstract read
PubMed Publisher
In one paragraph

Article in Clinical rheumatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
3.9field-weighted citation impact, top 6% of its field
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

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
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  4. The Predictive Value of Insulin Resistance Surrogates for Diabetic Kidney Disease in Type 2 Diabetes Mellitus.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2025
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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

4 authors at 3 institutions in 1 country.

Xing Zhen LiuThe First Convalescence Area, Hangzhou Aeronautical Sanatorium of Chinese Air Force, Hangzhou, China.
Xia XuDepartment of Rheumatology, Changhai Hospital, Naval Military Medical University (The Second Military Medical University), No. 168, Changhai Road, Yangpu District, Shanghai, 200433, China.
Jian Qin ZhuDepartment of Rheumatology, Jingjiang People's Hospital, No. 28, Zhongzhou Road, Jingjiang, 214500, Jiangsu, China. 1939267113@qq.com.
Dong Bao ZhaoDepartment of Rheumatology, Changhai Hospital, Naval Military Medical University (The Second Military Medical University), No. 168, Changhai Road, Yangpu District, Shanghai, 200433, China. dongbaozhao@163.com.ORCID http://orcid.org/0000-0002-3785-3643
Second Military Medical University · CNFirst People's Hospital of Jingzhou · CNPeople's Liberation Army Air Force

Funding

National Natural Science Foundation of China 81671595
6 · The paper itself

Abstract

objectiveThe association between hyperuricemia and insulin resistance (IR) has been demonstrated by many studies, but the traditional IR indexes are too impractical to be used in clinical practice for the recognition of the IR state in individuals with hyperuricemia. Therefore, we aimed to further investigate the association between hyperuricemia and three non-insulin-based IR indexes in this large-scale cross-sectional study.

methodsA total of 174,695 adults without self-reported use of antihyperuricemic agents, hypoglycemic agents, or lipid-lowering drugs were included in the current analysis. The triglyceride to high-density lipoprotein cholesterol ratio (TG/HDLc), the product of fasting triglycerides and glucose (TyG), and metabolic score for IR (METS-IR) were calculated. Then, logistic regression analyses were applied to explore their association with hyperuricemia.

resultsThe TG/HDLc, TyG, and METS-IR all had positive correlations with uric acid level. However, only TG/HDLc and TyG were significantly associated with hyperuricemia in both sexes and body mass index (BMI) classification (the ORs of the highest quartile for each were 6.751 and 1.505 in females and 6.487 and 1.646 in males, respectively). The AUC values of TG/HDLc and TyG to discriminate hyperuricemia were also statistically significant in both sexes and BMI classification (all greater than 0.7).

conclusionsTG/HDLc and TyG are strongly associated with hyperuricemia regardless of BMI classification. These two obtainable and cost-effective non-insulin-based IR indexes could be potential monitors during the management of hyperuricemia and prevention of its IR-driven comorbidities. Key Points • In this large-scale study, we identified TG/HDLc and TyG as indicators for identification of IR in patients with hyperuricemia. • These simple and practical IR indicators are of substantial clinical importance for implementing preventive strategies against IR-driven comorbidities of hyperuricemia.

Indexed as

Glucose Clamp TechniqueInsulin ResistanceAdultCross-Sectional StudiesFemaleHumansHyperuricemiaMaleMiddle AgedHyperuricemiaInsulin resistanceMETS-IRTG/HDLcTyG index

Identifiers

PMID31300980
OpenAlexW2959098850

What OpenQuestion holds

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Registered trials

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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.