Evidence map›Paper›PMID 38482609›Full record

ArticleThe Journal of clinical endocrinology and metabolism2025

Triglyceride-glucose Index and Mortality in a Large Regional-based Italian Database (URRAH Project).

Lanfranco D'Elia, Maria Masulli, Agostino Virdis, Edoardo Casiglia, Valerie Tikhonoff, Fabio Angeli, Carlo Maria Barbagallo, Michele Bombelli, Federica Cappelli, Rosario Cianci and 35 more

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Article in The Journal of clinical endocrinology and metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

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0cells of the map it votes in
19citing papers in PubMed, 1 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Triglyceride-Glucose Index and Mortality Risk in the General Population: A Systematic Review and Meta-analysis of Prospective Studies.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2026
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  11. Association Between Carotid Intima-Media Thickness and Novel Lipid Parameters in Hypertensive Patients.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 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

45 authors.

Lanfranco D'EliaDepartment of Clinical Medicine and Surgery, "Federico II" University of Naples, 80131 Naples, Italy.ORCID 0000-0002-1782-0211
Maria MasulliDepartment of Clinical Medicine and Surgery, "Federico II" University of Naples, 80131 Naples, Italy.ORCID 0000-0002-7848-6456
Agostino VirdisDepartment of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy.ORCID 0000-0002-6994-0223
Edoardo CasigliaStudium Patavinum, Department of Medicine, University of Padua, 35100 Padua, Italy.
Valerie TikhonoffDepartment of Medicine, University of Padua, 35100 Padua, Italy.
Fabio AngeliDepartment of Medicine and Technological Innovation (DiMIT), University of Insubria, 21100 Varese, Italy.
Carlo Maria BarbagalloBiomedical Department of Internal Medicine and Specialistics, University of Palermo, 90100 Palermo, Italy.
Michele BombelliInternal Medicine, Pio XI Hospital of Desio, ASST Brianza, Department of Medicine and Surgery, University of Milano-Bicocca, Desio, 20832 MB, Italy.
Federica CappelliDepartment of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy.
Rosario CianciDepartment of Translational and Precision Medicine, Sapienza University of Rome, 00185 Rome, Italy.
Michele CiccarelliDepartment of Medicine and Surgery, University of Salerno, Baronissi, 84081 SA, Italy.ORCID 0000-0003-2379-1960
Arrigo F G CiceroHypertension and Cardiovascular Disease Research Center, Medical and Surgical Sciences Department, Alma Mater Studiorum University of Bologna, 40126 Bologna, Italy.
Massimo CirilloDepartment of Public Health, "Federico II" University of Naples, 80131 Naples, Italy.
Pietro CirilloNephrology, Dialysis and Transplantation Unit, Department of Emergency and Organ Transplantation, "Aldo Moro" University of Bari, 70122 Bari, Italy.
Raffaella Dell'OroClinica Medica, Department of Medicine and Surgery, University of Milano-Bicocca, 20900 Monza, Italy.
Giovambattista DesideriDepartment of Clinical, Internal Medicine, Anesthesiologic and Cardiovascular Sciences, Sapienza University of Rome, 00161 Rome, Italy.
Claudio FerriDepartment of Life, Health and Environmental Sciences, University of L'Aquila, 67100 L'Aquila, Italy.
Loreto GesualdoNephrology, Dialysis and Transplantation Unit, Department of Emergency and Organ Transplantation, "Aldo Moro" University of Bari, 70122 Bari, Italy.
Cristina GiannattasioCardiology IV, "A.De Gasperi's" Department, Niguarda Ca' Granda Hospital, 20162 Milan, Italy.
Guido GrassiClinica Medica, Department of Medicine and Surgery, University of Milano-Bicocca, 20900 Monza, Italy.
Guido IaccarinoDepartment of Clinical Medicine and Surgery, "Federico II" University of Naples, 80131 Naples, Italy.
Luciano LippaItalian Society of General Medicine (SIMG), 67051 Avezzano, Italy.
Francesca MallamaciDepartment of Nephrology, Dialysis and Transplantation GOM "Bianchi-Melacrino-Morelli" and CNR-IFC, Institute of Clinical Physiology, Research Unit of Clinical Epidemiology and Physiopathology of Renal Diseases and Hypertension (European Society of Hypertension, ESH, Excellence Centre) of Reggio Calabria, 89124 Reggio Calabria, Italy.
Alessandro MalobertiCardiology IV, "A.De Gasperi's" Department, Niguarda Ca' Granda Hospital, 20162 Milan, Italy.
Stefano MasiDepartment of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy.
Alberto MazzaDepartment of Internal Medicine, Santa Maria Della Misericordia General Hospital, AULSS 5 Polesana, 45100 Rovigo, Italy.
Alessandro MengozziDepartment of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy.ORCID 0000-0003-2834-9725
Maria Lorenza MuiesanDepartment of Clinical and Experimental Sciences, University of Brescia, 25121 Brescia, Italy.ORCID 0000-0002-4007-9441
Pietro NazzaroDepartment of Precision and Regenerative Medicine and Jonic Area, Neurosciences and Sense Organs, University of Bari Medical School, 70122 Bari, Italy.
Paolo PalatiniStudium Patavinum, Department of Medicine, University of Padua, 35100 Padua, Italy.ORCID 0000-0001-5402-4946
Gianfranco ParatiDepartment of Cardiology, S.Luca Hospital, IRCCS, Istituto Auxologico Italiano, 20149 Milan, Italy.ORCID 0000-0001-9402-7439
Roberto PontremoliDipartimento di Medicina Interna e Specialità Mediche, Università degli Studi di Genova, 16132 Genova, Italy.
Fosca Quarti-TrevanoClinica Medica, Department of Medicine and Surgery, University of Milano-Bicocca, 20900 Monza, Italy.ORCID 0000-0002-7357-0931
Marcello RattazziDepartment of Medicine-DIMED, University of Padova, Medicina Interna 1°, Ca' Foncello University Hospital, 31100 Treviso, Italy.ORCID 0000-0003-3437-7263
Gianpaolo ReboldiDepartment of Medicine and Surgery, University of Perugia, 06100 Perugia, Italy.
Giulia RivasiDepartment of Geriatric and Intensive Care Medicine, Careggi Hospital, University of Florence, 50121 Florence, Italy.
Elisa RussoDipartimento di Medicina Interna e Specialità Mediche, Università degli Studi di Genova, 16132 Genova, Italy.ORCID 0000-0003-1279-3178
Massimo SalvettiDepartment of Clinical and Experimental Sciences, University of Brescia, 25121 Brescia, Italy.
Giuliano TocciDepartment of Clinical and Molecular Medicine, University of Rome Sapienza, Sant'Andrea Hospital, 00189 Rome, Italy.ORCID 0000-0002-0635-4921
Andrea UngarDepartment of Geriatric and Intensive Care Medicine, Careggi Hospital, University of Florence, 50121 Florence, Italy.ORCID 0000-0002-8965-4523
Paolo VerdecchiaDepartment of Cardiology, Hospital S. Maria della Misericordia, 06100 Perugia, Italy.
Francesca ViazziDipartimento di Medicina Interna e Specialità Mediche, Università degli Studi di Genova, 16132 Genova, Italy.ORCID 0000-0003-4219-7043
Massimo VolpeDipartimento di Medicina Clinica e Molecolare, Università di Roma Sapienza, 00189 Roma, Italy.ORCID 0000-0002-9642-8380
Claudio BorghiHypertension and Cardiovascular Disease Research Center, Medical and Surgical Sciences Department, Alma Mater Studiorum University of Bologna, 40126 Bologna, Italy.ORCID 0000-0001-8039-8781
Ferruccio GallettiDepartment of Clinical Medicine and Surgery, "Federico II" University of Naples, 80131 Naples, Italy.ORCID 0000-0001-7556-0254

Funding

Fondazione of the Italian Society of Hypertension
6 · The paper itself

Abstract

purposeRecently, a novel index [the triglyceride-glucose (TyG) index]) was considered a surrogate marker of insulin resistance (IR); in addition, it was estimated to be a better expression of IR than widely used tools. Few and heterogeneous data are available on the relationship between this index and mortality risk in non-Asian populations. Therefore, we estimated the predictive role of baseline TyG on the incidence of all-cause and cardiovascular (CV) mortality in a large sample of the general population. Moreover, in consideration of the well-recognized role of serum uric acid (SUA) on CV risk and the close correlation between SUA and IR, we also evaluated the combined effect of TyG and SUA on mortality risk.

methodsThe analysis included 16 649 participants from the URRAH cohort. The risk of all-cause and CV mortality was evaluated by the Kaplan-Meier estimator and Cox multivariate analysis.

resultsDuring a median follow-up of 144 months, 2569 deaths occurred. We stratified the sample by the optimal cut-off point for all-cause (4.62) and CV mortality (4.53). In the multivariate Cox regression analyses, participants with TyG above cut-off had a significantly higher risk of all-cause and CV mortality than those with TyG below the cut-off. Moreover, the simultaneous presence of high levels of TyG and SUA was associated with a higher mortality risk than none or only 1 of the 2 factors.

conclusionThe results of this study indicate that these TyG (a low-cost and simple, noninvasive marker) thresholds are predictive of an increased risk of mortality in a large and homogeneous general population. In addition, these results show a synergic effect of TyG and SUA on the risk of mortality.

Indexed as

Blood GlucoseCardiovascular DiseasesInsulin ResistanceTriglyceridesAdultAgedBiomarkersDatabases, FactualFemaleFollow-Up StudiesHumansItalyMaleMiddle AgedRisk FactorsUric AcidBiomarkersBlood GlucoseTriglyceridesUric Acidall-cause mortalitycardiovascular mortalityinsulin resistancetriglyceride-glucose indexuric acid

Identifiers

PMID38482609
PMCPMC12005376

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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.