Evidence map›Paper›PMID 39026233›Full record

ArticleCardiovascular diabetology2024

Association of triglyceride glucose-related parameters with all-cause mortality and cardiovascular disease in NAFLD patients: NHANES 1999-2018.

Yusha Zhang, Fengjiao Wang, Jianjun Tang, Li Shen, Jia He, Yaqin Chen

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

0numbers the graph read from it
0cells of the map it votes in
86citing 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

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3 · Its place in the literature

Who cites it

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

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Yusha Zhang *Department of Cardiology, The Second Xiangya Hospital, Central South University, Hunan Province, Changsha, 410011, Hunan, China.
Fengjiao Wang *Department of Cardiology, The Second Xiangya Hospital, Central South University, Hunan Province, Changsha, 410011, Hunan, China.
Jianjun TangDepartment of Cardiology, The Second Xiangya Hospital, Central South University, Hunan Province, Changsha, 410011, Hunan, China.
Li ShenDepartment of Cardiology, The Second Xiangya Hospital, Central South University, Hunan Province, Changsha, 410011, Hunan, China.
Jia HeDepartment of Cardiology, The Second Xiangya Hospital, Central South University, Hunan Province, Changsha, 410011, Hunan, China.
Yaqin ChenDepartment of Cardiology, The Second Xiangya Hospital, Central South University, Hunan Province, Changsha, 410011, Hunan, China. Aviva9903@csu.edu.cn.

Funding

Chinese Cardiovascular Association- Access fund grant No. 2020-CCA-ACCESS-115National Natural Science Foundation of China 81500359Natural Science Foundation of Hunan Province 2016JJ4100the Fundamental Research Funds for the Central Universities of Central South University 512340072the Research project of Hunan Provincial Health Commission 20200768
6 · The paper itself

Abstract

backgroundThe relationship between the triglyceride-glucose (TyG) index and its derived index, the triglyceride glucose-waist height ratio (TyG-WHtR), with mortality and cardiovascular diseases (CVDs) in patients with non-alcoholic fatty liver disease (NAFLD) remains unclear.

methodsThis study enrolled 6627 adults aged 18 and above diagnosed NAFLD from the National Health and Nutrition Examination Survey (NHANES, 1999-2018). Binary weighted logistic regression analyses, cox proportional hazards model and restricted cubic spline (RCS) were used to analyze the relationship between TyG and TyG-WHtR with all-cause mortality, CVD mortality and CVDs. Mediation analysis explored the mediating role of glycohemoglobin, insulin and hypertension in the above relationships. Meanwhile, the incremental predictive value of the TyG index and TyG-WHtR was further assessed.

resultsExcept for no significant association between the TyG index and both all-cause mortality and chronic heart failure (CHF), both TyG and TyG-WHtR exhibited significant positive correlations or trends of positive correlation with all-cause mortality, CVD mortality, total-CVD, CHF, coronary heart disease (CHD) and angina pectoris. For all-cause mortality, CVD mortality and CHF, TyG-WHtR was a better predictor than TyG (TyG-WHtR: HR 1.31, 95%CI 1.03-1.66; HR 2.22, 95%CI 1.42-3.47; OR 3.99, 95%CI 1.79-8.93). In contrast, TyG index demonstrated a stronger association with total-CVD, CHD and angina pectoris (TyG index: OR 2.00, 95%CI 1.26-3.18; OR 1.85, 95%CI 1.19-2.91; OR 2.93, 95%CI 1.23-7.00). RCS analysis showed that after adjusting for covariates, most of the aforementioned relationships were linear(P overall < 0.0001, P-nonlinear > 0.05), while the associations of the TyG index and TyG-WHtR with all-cause mortality and CHF were non-linear(P overall < 0.0001, P nonlinear < 0.05). The addition of the TyG index and TyG-WHtR to the basic model for outcomes improved the C-statistics, net reclassification improvement value, and integrated discrimination improvement value.

conclusionsThe predictive value of TyG or TyG-WHtR for all-cause mortality and cardiovascular risk in NAFLD patients was significant. The TyG index and TyG-WHtR might be valid predictors of cardiovascular outcomes of patients with NAFLD.

Indexed as

BiomarkersBlood GlucoseCardiovascular DiseasesCause of DeathNon-alcoholic Fatty Liver DiseaseNutrition SurveysTriglyceridesAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedPrognosisRisk AssessmentBiomarkersBlood GlucoseTriglyceridesAll-cause mortalityCardiovascular diseaseNAFLDNHANESTriglyceride-glucose indexTriglyceride glucose-waist height ratio

Identifiers

PMID39026233
PMCPMC11264797

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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.