Evidence map›Paper›PMID 35845059›Full record

ArticleFrontiers in cardiovascular medicine2022

Triglyceride-Glucose Index and Homeostasis Model Assessment-Insulin Resistance in Young Adulthood and Risk of Incident Congestive Heart Failure in Midlife: The Coronary Artery Risk Development in Young Adults Study.

Xianghui Zeng, Dunzheng Han, Haobin Zhou, Yuting Xue, Xiao Wang, Qiong Zhan, Yujia Bai, Xingfu Huang, Qingchun Zeng, Hao Zhang and 3 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

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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 2 institutions in 1 country.

Xianghui ZengDepartment of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Dunzheng HanDepartment of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Haobin ZhouDepartment of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Yuting XueDepartment of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Xiao WangDepartment of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Qiong ZhanDepartment of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Yujia BaiDepartment of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Xingfu HuangDepartment of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Qingchun ZengDepartment of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Hao ZhangDepartment of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Zhuang MaDepartment of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Hao RenDepartment of Rheumatology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Dingli XuDepartment of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Southern Medical University · CNNanfang Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to assess the association between triglyceride-glucose (TyG) index/homeostasis model assessment-insulin resistance (HOMA-IR) within young adults and congestive heart failure (CHF), and to explore whether TyG index can replace HOMA-IR as a surrogate marker for IR in predicting the risk of CHF. Methods: A total of 4,992 participants between the ages of 18 and 30 years were enrolled from the Coronary Artery Risk Development in Young Adults (CARDIA) investigation [from 1985 to 1986 (year 0)]. A Cox proportional hazard regression analysis was conducted for assessing correlations between baseline TyG index/HOMA-IR and CHF events, together with the receiver operating characteristic (ROC) curve employed for scrutinizing TyG index/HOMA-IR and the risk of CHF. Results: During the 31-year follow-up period, 64 (1.3%) of the 4,992 participants developed CHF. In multivariable Cox proportional hazards models, adjusted for confounding factors for CHF, an increased risk of CHF was associated with a per-unit increase in the TyG index [hazard ratio (HR) 2.8; 95% confidence interval (CI), 1.7-4.7] and HOMA-IR (HR 1.2; 95% CI, 1.1-1.3). A Kaplan-Meier curve analysis showed that participants in the TyG index and HOMA-IR index Q4 group had a higher risk of CHF than those in the Q1 group. The area under curve (AUC) for the TyG index and HOMA-IR consisted of 0.67 (95% CI, 0.6-0.742) and 0.675 (95% CI, 0.604-0.746), respectively. There were no significant differences between the TyG index and HOMA-IR for AUC ( Conclusion: The higher TyG index and HOMA-IR are independent risk factors for CHF. The TyG index can replace HOMA-IR in young adulthood as a surrogate marker for IR to predict the risk of CHF.

Indexed as

congestive heart failureHOMA-IRinsulin resistancethe CARDIA studytriglyceride-glucose index

Identifiers

PMID35845059
PMCPMC9279654
OpenAlexW4283722299

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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.