Evidence map›Paper›PMID 31325411›Full record

ArticleJournal of diabetes investigation2020

Higher triglyceride to high-density lipoprotein cholesterol ratio increases cardiovascular risk: 10-year prospective study in a cohort of Chinese adults.

Zekai Chen, Guanzhi Chen, Hailun Qin, Zefeng Cai, Jianhuan Huang, Haojia Chen, Weiqiang Wu, Zhichao Chen, Shouling Wu, Youren Chen

Abstract read
In one paragraph

Article in Journal of diabetes investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  14. Hemorrhagic stroke and atherogenic markers - is there any relation?Journal of family medicine and primary care · 2024
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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

10 authors.

Zekai ChenShantou University Medical College, Shantou, China.ORCID https://orcid.org/0000-0003-2536-4532
Guanzhi ChenChina Medical University, Shenyang, Liaoning, China.
Hailun QinShantou University Medical College, Shantou, China.ORCID https://orcid.org/0000-0002-7267-3162
Zefeng CaiShantou University Medical College, Shantou, China.
Jianhuan HuangShantou University Medical College, Shantou, China.
Haojia ChenShantou University Medical College, Shantou, China.
Weiqiang WuDepartment of Cardiology, Second Affiliated Hospital of Shantou University Medical College, Shantou, China.
Zhichao ChenDepartment of Cardiology, Second Affiliated Hospital of Shantou University Medical College, Shantou, China.
Shouling WuDepartment of Cardiology, Kailuan Hospital, North China University of Science and Technology, Tangshan, China.
Youren ChenDepartment of Cardiology, Second Affiliated Hospital of Shantou University Medical College, Shantou, China.

Funding

The National Natural Science Foundation of China 81870312
6 · The paper itself

Abstract

AIMS/

introductionA higher ratio of triglyceride to high-density lipoprotein cholesterol (TG/HDL-C) is considered as the independent risk index of cardiovascular (CV) events. However, cohort studies regarding this correlation are rarely reported, especially in the Chinese population. The aim of present study was to explore the relationship of the TG/HDL-C ratio with CV risks among Chinese adults during 10-year follow-up period. MATERIALS AND

methodsWe carried out a prospective study using data obtained from 96,542 individuals in Kailuan, who were grouped through the median value (0.8533) of the TG/HDL-C ratio. Adverse outcomes mainly referred to major CV events. We used the person-years incidence and cumulative incidence to predict the morbidity. The risk of CV events was estimated through Cox proportional hazard models.

resultsThe mean age of the cohort was 51.5 ± 12.6 years, and 79.6% of participants were men. During a median follow-up period of 9.75 years, 5,422 major CV events occurred, including 1,312 myocardial infarction cases and 4,228 stroke cases. The cumulative incidence of myocardial infarction, stroke and total CV events was 1.36% (range 1.29-1.43%), 4.38% (range 4.25-4.51%) and 5.62% (range 5.47-5.76%), respectively. Compared with low the TG/HDL-C ratio (≤0.8533) group, the high TG/HDL-C ratio (>0.8533) group had higher morbidity of CV events. The hazard ratio of total CV events, stroke and myocardial infarction was 1.19 (95% CI 1.12-1.26), 1.11 (95% CI 1.03-1.18) and 1.50 (95% CI 1.33-1.70), respectively. Furthermore, the TG/HDL-C ratio and major CV events had a line-shaped relationship with each other.

conclusionsAmong the Chinese population, a higher TG/HDL-C ratio is correlated with an increased risk of major CV events.

Indexed as

Asian PeopleCardiovascular DiseasesChinaCholesterol, HDLFemaleHumansMaleMiddle AgedProportional Hazards ModelsProspective StudiesRisk FactorsTriglyceridesCholesterol, HDLTriglyceridesCardiovascular risksChineseTriglyceride to high-density lipoprotein cholesterol ratio

Identifiers

PMID31325411
PMCPMC7078082

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LicenceCC BY-NC-ND
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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.