Evidence map›Paper›PMID 38812015›Full record

Observational studyCardiovascular diabetology2024

Comparison of triglyceride glucose index and modified triglyceride glucose indices in prediction of cardiovascular diseases in middle aged and older Chinese adults.

Cancan Cui, Yitian Qi, Jiayin Song, Xinyun Shang, Tianjiao Han, Ning Han, Siqi Yue, Yining Zha, Zhonghang Xu, Jiannan Li and 1 more

Abstract readObservational Study
In one paragraph

Observational study in Cardiovascular diabetology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 116 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
116citing papers in PubMed, 2 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

116 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  5. Association of Estimated Glucose Disposal Rate With Prevalent Kidney Stones: A Large-Scale Cross-Sectional Study in China.Medical science monitor : international medical journal of experimental and clinical research · 2026
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56 more citing papers are in PubMed but not listed here.

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

11 authors.

Cancan CuiChina-Japan Union Hospital of Jilin University, Jilin University, Jilin, China.
Yitian QiChina-Japan Union Hospital of Jilin University, Jilin University, Jilin, China.
Jiayin SongChina-Japan Union Hospital of Jilin University, Jilin University, Jilin, China.
Xinyun ShangChina-Japan Union Hospital of Jilin University, Jilin University, Jilin, China.
Tianjiao HanChina-Japan Union Hospital of Jilin University, Jilin University, Jilin, China.
Ning HanChina-Japan Union Hospital of Jilin University, Jilin University, Jilin, China.
Siqi YueChina-Japan Union Hospital of Jilin University, Jilin University, Jilin, China.
Yining ZhaHarvard T H Chan School of Public Health, Boston, USA.
Zhonghang XuChina-Japan Union Hospital of Jilin University, Jilin University, Jilin, China. xzh20@mails.jlu.edu.cn.
Jiannan LiChina-Japan Union Hospital of Jilin University, Jilin University, Jilin, China. li_jiannan@jlu.edu.cn.
Lin LiuChina-Japan Union Hospital of Jilin University, Jilin University, Jilin, China. liulin99@jlu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTriglyceride and glucose (TyG) index, a surrogate marker of insulin resistance, has been validated as a predictor of cardiovascular disease. However, effects of TyG-related indices combined with obesity markers on cardiovascular diseases remained unknown. We aimed to investigate the associations between TyG index and modified TyG indices with new-onset cardiovascular disease and the time-dependent predictive capacity using a national representative cohort.

methodsThis study is a retrospective observational cohort study using data from China Health and Retirement Longitudinal Study (CHARLS) of 7 115 participants. The TyG index was calculated as Ln [fasting triglyceride (mg/dL) × fasting glucose (mg/dL)/2]. The modified TyG indices were developed combining TyG with body mass index (BMI), waist circumference (WC) and waist-to-height ratio (WHtR). We used adjusted Cox proportional hazards regression to analyze the association and predictive capacity based on hazard ratio (HR) and Harrell's C-index.

resultsOver a 7-year follow-up period, 2136 participants developed cardiovascular disease, including 1633 cases of coronary heart disease and 719 cases of stroke. Compared with the lowest tertile group, the adjusted HR (95% CI) for new-onset cardiovascular disease in the highest tertile for TyG, TyG-BMI, TyG-WC, and TyG-WHtR were 1.215 (1.088-1.356), 1.073 (0.967-1.191), 1.078 (0.970-1.198), and 1.112 (1.002-1.235), respectively. The C-indices of TyG index for cardiovascular disease onset were higher than other modified TyG indices. Similar results were observed for coronary heart disease and stroke.

conclusionTyG and TyG-WhtR were significantly associated with new-onset cardiovascular diseases, and TyG outperformed the modified TyG indices to identify individuals at risk of incident cardiovascular event.

Indexed as

BiomarkersBlood GlucoseCardiovascular DiseasesTriglyceridesAgedAge FactorsBody Mass IndexChinaEast Asian PeopleFemaleHeart Disease Risk FactorsHumansIncidenceMaleMiddle AgedPredictive Value of TestsBiomarkersBlood GlucoseTriglyceridesCardiovascular diseaseModified TyG indicesTime-dependent ROC analysisTriglyceride and glucose index

Identifiers

PMID38812015
PMCPMC11138075

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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.