Evidence map›Paper›PMID 38844974›Full record

ArticleCardiovascular diabetology2024

Changes in the combination of the triglyceride-glucose index and obesity indicators estimate the risk of cardiovascular disease.

Xiaoqing Zhu, Weihao Xu, Tingting Song, Xinyan Wang, Qingsong Wang, Jun Li, Xixi Liu, Benchuan Hao, Tao Chen, Jun Guo

Abstract read
In one paragraph

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 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing 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

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3 · Its place in the literature

Who cites it

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

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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

10 authors.

Xiaoqing Zhu *Senior Department of Cardiology, The Sixth Medical Center of PLA General Hospital, Beijing, China.
Weihao Xu *Department of Cardiology, Guangdong Provincial Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, China.
Tingting SongSenior Department of Cardiology, The Sixth Medical Center of PLA General Hospital, Beijing, China.
Xinyan WangSenior Department of Cardiology, The Sixth Medical Center of PLA General Hospital, Beijing, China.
Qingsong WangSenior Department of Cardiology, The Sixth Medical Center of PLA General Hospital, Beijing, China.
Jun LiSenior Department of Cardiology, The Sixth Medical Center of PLA General Hospital, Beijing, China.
Xixi LiuSenior Department of Cardiology, The Sixth Medical Center of PLA General Hospital, Beijing, China.
Benchuan HaoDepartment of Cardiology, The Second Medical Center, Chinese PLA General Hospital, Beijing, China. haobch301@163.com.
Tao ChenSenior Department of Cardiology, The Sixth Medical Center of PLA General Hospital, Beijing, China. chentao301@126.com.
Jun GuoSenior Department of Cardiology, The Sixth Medical Center of PLA General Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiovascular disease (CVD) is closely associated with the triglyceride glucose (TyG) index and its related indicators, particularly its combination with obesity indices. However, there is limited research on the relationship between changes in TyG-related indices and CVD, as most studies have focused on baseline TyG-related indices.

methodsThe data for this prospective cohort study were obtained from the China Health and Retirement Longitudinal Study. The exposures were changes in TyG-related indices and cumulative TyG-related indices from 2012 to 2015. The K-means algorithm was used to classify changes in each TyG-related index into four classes (Class 1 to Class 4). Multivariate logistic regressions were used to evaluate the associations between the changes in TyG-related indices and the incidence of CVD.

resultsIn total, 3243 participants were included in this study, of whom 1761 (54.4%) were female, with a mean age of 57.62 years at baseline. Over a 5-year follow-up, 637 (19.6%) participants developed CVD. Fully adjusted logistic regression analyses revealed significant positive associations between changes in TyG-related indices, cumulative TyG-related indices and the incidence of CVD. Among these changes in TyG-related indices, changes in TyG-waist circumference (WC) showed the strongest association with incident CVD. Compared to the participants in Class 1 of changes in TyG-WC, the odds ratio (OR) for participants in Class 2 was 1.41 (95% confidence interval (CI) 1.08-1.84), the OR for participants in Class 3 was 1.54 (95% CI 1.15-2.07), and the OR for participants in Class 4 was 1.94 (95% CI 1.34-2.80). Moreover, cumulative TyG-WC exhibited the strongest association with incident CVD among cumulative TyG-related indices. Compared to the participants in Quartile 1 of cumulative TyG-WC, the OR for participants in Quartile 2 was 1.33 (95% CI 1.00-1.76), the OR for participants in Quartile 3 was 1.46 (95% CI 1.09-1.96), and the OR for participants in Quartile 4 was 1.79 (95% CI 1.30-2.47).

conclusionsChanges in TyG-related indices are independently associated with the risk of CVD. Changes in TyG-WC are expected to become more effective indicators for identifying individuals at a heightened risk of CVD.

Indexed as

BiomarkersBlood GlucoseCardiovascular DiseasesObesityTriglyceridesAgedChinaFemaleHeart Disease Risk FactorsHumansIncidenceLongitudinal StudiesMaleMiddle AgedPredictive Value of TestsPrognosisBiomarkersBlood GlucoseTriglyceridesCardiovascular diseaseK-means clusteringLong-term changeObesity indicatorsTriglyceride-glucose index

Identifiers

PMID38844974
PMCPMC11157789

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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.