Evidence map›Paper›PMID 38755682›Full record

ArticleCardiovascular diabetology2024

Association between the triglyceride-glucose index and all-cause and CVD mortality in the young population with diabetes.

Chang Liu, Dan Liang, Kun Xiao, Lixin Xie

Abstract read
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Article in Cardiovascular diabetology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers.

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82citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

82 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Chang LiuSchool of Medicine, Nankai University, Tianjin, China.
Dan LiangDepartment of Endocrine, People'ss Hospital of Chongqing Liang Jiang New Area, Chongqing, China. 71530950@qq.com.
Kun XiaoCollege of Pulmonary and Critical Care Medicine, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China. 455957898@qq.com.
Lixin XieSchool of Medicine, Nankai University, Tianjin, China. xielx301@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough studies have demonstrated the value of the triglyceride-glucose (TyG) index for cardiovascular disease (CVD) and cardiovascular mortality, however, few studies have shown that the TyG index is associated with all-cause or CVD mortality in young patients with diabetes. This study aimed to investigate the association between the TyG index and all-cause and CVD mortality in young patients with diabetes in the United States.

methodsOur study recruited 2440 young patients with diabetes from the National Health and Nutrition Examination Survey (NHANES) 2001-2018. Mortality outcomes were determined by linking to National Death Index (NDI) records up to December 31, 2019. Cox regression modeling was used to investigate the association between TyG index and mortality in young patients with diabetes. The nonlinear association between TyG index and mortality was analyzed using restricted cubic splines (RCS), and a two-segment Cox proportional risk model was constructed for both sides of the inflection point.

resultsDuring a median follow-up period of 8.2 years, 332 deaths from all causes and 82 deaths from cardiovascular disease were observed. Based on the RCS, the TyG index was found to have a U-shaped association with all-cause and CVD mortality in young patients with diabetes, with threshold values of 9.18 and 9.16, respectively. When the TyG index was below the threshold value (TyG index < 9.18 in all-cause mortality and < 9.16 in CVD mortality), its association with all-cause and CVD mortality was not significant. When the TyG index was above the threshold (TyG index ≥ 9.18 in all-cause mortality and ≥ 9.16 in CVD mortality), it showed a significant positive association with all-cause mortality and CVD mortality (HR 1.77, 95% CI 1.05-2.96 for all-cause mortality and HR 2.38, 95% CI 1.05-5.38 for CVD mortality).

conclusionOur results suggest a U-shaped association between TyG index and all-cause and CVD mortality among young patients with diabetes in the United States, with threshold values of 9.18 and 9.16 for CVD and all-cause mortality, respectively.

Indexed as

BiomarkersBlood GlucoseCardiovascular DiseasesCause of DeathDiabetes MellitusNutrition SurveysTriglyceridesAdultAge FactorsFemaleHumansMalePredictive Value of TestsPrognosisRisk AssessmentRisk FactorsBiomarkersBlood GlucoseTriglyceridesCVDDiabetesMortalityTyG index

Identifiers

PMID38755682
PMCPMC11097545

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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.