Evidence map›Paper›PMID 40038837›Full record

ReviewDiabetology & metabolic syndrome2025

Association of triglyceride-glucose index with bone mineral density and fracture: a systematic review.

Maryam Yousefiasl, Arezou Soltanattar, Ali Ezzatollahi Tanha, Pouria Azami, Maryam Alaei, Amir Ali Alamdari, Farhad Esmailsorkh, Amirhossein Habibzadeh, Shaghayegh Khanmohammadi

Abstract readReview
In one paragraph

Review in Diabetology & metabolic syndrome, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
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  8. Article
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

9 authors.

Maryam YousefiaslClinical Research Division, Department of Medicine, Fred Hutchinson Cancer Center, University of Washington, Seattle, WA, USA.
Arezou SoltanattarIslamic Azad University Yazd Ali ibn Abitaleb Medical School, Yazd, Iran.
Ali Ezzatollahi TanhaSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Pouria AzamiSchool of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Maryam AlaeiSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Amir Ali AlamdariSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Farhad EsmailsorkhSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Amirhossein HabibzadehSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Shaghayegh KhanmohammadiSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran. sh-khanmohammadi@alumnus.tums.ac.ir.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimStudies have found inconsistent results regarding triglyceride-glucose (TyG) index and bone health. This systematic review aims to synthesize the existing evidence on the association between the (TyG) index, bone mineral density (BMD), and bone fractures.

methodA comprehensive search of PubMed, Scopus, Web of Science, and Embase databases was performed for studies published up to December 26, 2024. Inclusion criteria encompassed human studies examining the TyG index in relation to BMD or fractures. The risk of bias was assessed using the Newcastle-Ottawa Scale (NOS). Data synthesis included both qualitative and descriptive statistical analyses.

resultsFrom 201 studies identified, 12 met the inclusion criteria comprising 817,242 participants. Most studies reported a significant association between TyG index and bone fractures. The studies reported inconsistent findings regarding the association between the TyG index and BMD. While some studies found no correlation between the TyG index and BMD in individuals aged ≥ 50 years, studies on the general population aged ≥ 18 years demonstrated a significant correlation between the TyG index and BMD. Variations in the age of study populations, the presence of diabetes, BMI, and adjustment factors likely contributed to these discrepancies. Further research is needed to clarify the role of the TyG index in bone health and its potential utility as a surrogate marker.

conclusionThe TyG index is associated with bone fractures and can serve as a surrogate marker for osteoporosis in the general populations rather than exclusively for the elderly.

Indexed as

Bone fractureBone mineral densityFragility fractureInsulin resistanceTriglyceride-glucose indexTyG index

Identifiers

PMID40038837
PMCPMC11877733

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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.