Evidence map›Paper›PMID 34865646›Full record

ArticleLipids in health and disease2021

Discordance between the triglyceride glucose index and HOMA-IR in incident albuminuria: a cohort study from China.

Wei Gao, Jialu Wang, Yan Chen, Hongmei Qiao, Xiaozhong Qian, Zhuojun Xin, Zhiyun Zhao, Tiange Wang, Yu Xu, Min Xu and 3 more

Open access · goldAbstract read
In one paragraph

Article in Lipids in health and disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 11% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

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  16. Prediction of Diabetic Kidney Disease in Newly Diagnosed Type 2 Diabetes Mellitus.Diabetes, metabolic syndrome and obesity : targets and therapy · 2023
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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

13 authors at 1 institution in 1 country.

Wei Gao *Songnan Town Community health Service Center, Baoshan District, Shanghai, China.
Jialu Wang *Department of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, 197 Rui-Jin 2nd Road, Shanghai, 200025, China.
Yan Chen *Songnan Town Community health Service Center, Baoshan District, Shanghai, China.
Hongmei QiaoSongnan Town Community health Service Center, Baoshan District, Shanghai, China.
Xiaozhong QianSongnan Town Community health Service Center, Baoshan District, Shanghai, China.
Zhuojun XinDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, 197 Rui-Jin 2nd Road, Shanghai, 200025, China.
Zhiyun ZhaoDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, 197 Rui-Jin 2nd Road, Shanghai, 200025, China.
Tiange WangDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, 197 Rui-Jin 2nd Road, Shanghai, 200025, China.
Yu XuDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, 197 Rui-Jin 2nd Road, Shanghai, 200025, China.
Min XuDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, 197 Rui-Jin 2nd Road, Shanghai, 200025, China.
Yufang BiDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, 197 Rui-Jin 2nd Road, Shanghai, 200025, China.
Mian LiDepartment of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, 197 Rui-Jin 2nd Road, Shanghai, 200025, China. limian39@aliyun.com.
Jinli GaoSongnan Town Community health Service Center, Baoshan District, Shanghai, China. 390795950@qq.com.
Ruijin Hospital · CN

Funding

National Key R&D Program of China 2017YFC1310700National Key R&D Program of China 2018YFC1311705National Key R&D Program of China 2018YFC1311800National Natural Science Foundation of China 81770842National Natural Science Foundation of China 81870560National Natural Science Foundation of China 81941017National Natural Science Foundation of China 81970706National Natural Science Foundation of China 82022011National Natural Science Foundation of China 82070880Ruijin Hospital 2018CR002Shanghai Jiaotong University School of Medicine DLY201801Shanghai Municipal Government 18411951800Shanghai Rising-Star Program 21QA1408100Shanghai Shenkang Hospital Development Center SHDC12019101Shanghai Shenkang Hospital Development Center SHDC2020CR1001AShanghai Shenkang Hospital Development Center SHDC2020CR3069B
6 · The paper itself

Abstract

backgroundTo date, there have no study comparing the associations between TyG index and HOMA-IR on the risk of incident albuminuria. Accordingly, the objective of the present study is to use discordance analysis to evaluate the diverse associations between TyG index and HOMA-IR on the risk of incident albuminuria.

methodsA community-based prospective cohort study was performed with 2446 Chinese adults. We categorized participants into 4 concordance or discordance groups. Discordance was defined as a TyG index equal to or greater than the upper quartile and HOMA-IR less than the upper quartile, or vice versa.

resultsDuring a median follow-up period of 3.9 years, 203 of 2446 participants developed incident albuminuria (8.3%). In the multivariable logistic analyses, the high TyG index tertile group was associated with a 1.71-fold (95% confidence interval (CI) 1.07-2.72) higher risk of incident albuminuria, comparing with the low tertile group. Participants in TyG (+) & HOMA-IR (-) group had a greater risk of incident albuminuria compared with those in TyG (-) & HOMA-IR (-) group after multivariate adjustment. Subgroup analyses showed that low HOMA-IR and discordantly high TyG index was closely related to a highest risk of incident albuminuria in cardiovascular metabolic disorder subjects.

conclusionsParticipants with a discordantly high TyG index had a significantly greater risk of incident albuminuria, especially in metabolic dysfunction subjects. The TyG index might be a better predictor of early stage of chronic kidney disease than HOMA-IR for subjects with metabolic abnormality.

Indexed as

AlbuminuriaBlood GlucoseChinaFemaleHomeostasisHumansIncidenceLogistic ModelsMaleMiddle AgedProspective StudiesTriglyceridesBlood GlucoseTriglyceridesChronic kidney disease, Discordance analysisInsulin resistanceTriglyceride-glucose index

Identifiers

PMID34865646
PMCPMC8647334
OpenAlexW4200564147

What OpenQuestion holds

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LicenceCC BY
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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.