Evidence map›Paper›PMID 33839084›Full record

Observational studyChest2021

Association of Triglyceride-Glucose Index and Lung Health: A Population-Based Study.

Tianshi David Wu, Ashraf Fawzy, Emily Brigham, Meredith C McCormack, Ivan Rosas, Dennis T Villareal, Nicola A Hanania

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Chest, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed
14.2field-weighted citation impact, top 1% 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

82 citing papers in PubMed, 148 citations in OpenAlex.

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  7. Low socioeconomic status, insulin resistance, asthma, and depression: A syndemic framework in Brazilian adolescents.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
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  19. Homeostasis of Gut Microbiota Protects against Susceptibility to Fungal Pneumonia.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
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22 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Tianshi David WuSection of Pulmonary, Critical Care, and Sleep Medicine, Baylor College of Medicine, Houston, TX; Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston, TX. Electronic address: david.wu@bcm.edu.
Ashraf FawzyDivision of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Emily BrighamDivision of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Meredith C McCormackDivision of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Ivan RosasDivision of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Dennis T VillarealDivision of Endocrinology, Diabetes, and Metabolism, Baylor College of Medicine, Houston, TX.
Nicola A HananiaSection of Pulmonary, Critical Care, and Sleep Medicine, Baylor College of Medicine, Houston, TX.
Baylor College of Medicine · USJohns Hopkins Medicine · USJohns Hopkins University · US

Funding

The role of obesity in biological responses to particulate matter in miceP50ES018176 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI HANSEL, NADIA N · 2015 to 2019
$4.8M
Insulin Resistance, Pre-Diabetes, and Diabetes in Obesity-Associated AsthmaK23HL151669 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI WU, TIANSHI DAVID · 2021 to 2025
$1.0M
Platelet Activation Pathways and Respiratory Morbidity in COPDK23HL151758 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI FAWZY, ASHRAF · 2021 to 2025
$986k
Relationship Between Indoor Ultrafine Particle Exposure and Respiratory Morbidity, Inflammation, and Oxidative Stress in Children with AsthmaK23ES029105 · NIEHS · UNIVERSITY OF BRITISH COLUMBIA · PI BRIGHAM, EMILY · 2019 to 2022
$755k
NHLBI NIH HHS K23 HL151669NHLBI NIH HHS K23 HL151758NIEHS NIH HHS K23 ES029105NIEHS NIH HHS P50 ES018176
6 · The paper itself

Abstract

backgroundMetabolic syndrome and insulin resistance are associated with worsened outcomes of chronic lung disease. The triglyceride-glucose index (TyG), a measure of metabolic dysfunction, is associated with metabolic syndrome and insulin resistance, but its relationship to lung health is unknown. RESEARCH QUESTION: What is the relationship of TyG to respiratory symptoms, chronic lung disease, and lung function? STUDY DESIGN AND

methodsThis study analyzed data from the National Health and Nutrition Examination Survey from 1999 to 2012. Participants included fasting adults age ≥ 40 years (N = 6,893) with lung function measurements in a subset (n = 3,383). Associations of TyG with respiratory symptoms (cough, phlegm production, wheeze, and exertional dyspnea), chronic lung disease (diagnosed asthma, chronic bronchitis, and emphysema), and lung function (FEV

resultsTyG was moderately correlated with HOMA-IR (Spearman ρ = 0.51) and had good discrimination for metabolic syndrome (area under the receiver-operating characteristic curve, 0.80). A one-unit increase in TyG was associated with higher odds of cough (adjusted OR [aOR], 1.28; 95% CI, 1.06-1.54), phlegm production (aOR, 1.20; 95% CI, 1.01-1.43), wheeze (aOR, 1.18; 95% CI, 1.03-1.35), exertional dyspnea (aOR, 1.21; 95% CI, 1.07-1.38), and a diagnosis of chronic bronchitis (aOR, 1.21; 95% CI, 1.02-1.43). TyG was associated with higher relative risk of a restrictive spirometry pattern (adjusted relative risk ratio, 1.45; 95% CI, 1.11-1.90). Many associations were maintained with additional adjustment for HOMA-IR or metabolic syndrome.

interpretationTyG was associated with respiratory symptoms, chronic bronchitis, and a restrictive spirometry pattern. Associations were not fully explained by insulin resistance or metabolic syndrome. TyG is a satisfactory measure of metabolic dysfunction with relevance to pulmonary outcomes. Prospective study to define TyG as a biomarker for impaired lung health is warranted.

Indexed as

AsthmaBronchitis, ChronicMetabolic SyndromePulmonary EmphysemaAdultBiomarkersCorrelation of DataFemaleGlucoseHumansMaleNutrition SurveysRespiratory Function TestsSymptom AssessmentTriglyceridesUnited StatesBiomarkersGlucoseTriglyceridesdyslipidemiainsulin resistancelung healthmetabolic diseasespirometrytriglyceride-glucose index

Identifiers

PMID33839084
PMCPMC8449007
OpenAlexW3153165120

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.