Evidence map›Paper›PMID 40342979›Full record

ArticleFrontiers in cardiovascular medicine2025

Association of triglyceride-glucose-related indices with adverse clinical outcomes in individuals with normal body mass index.

Jiejie Xie, Xiong Pei, Shixuan Zhu, Wei Jiang, Hong Tang, Dongbo Wu, Yan Xie

Abstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

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

  1. 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

7 authors.

Jiejie Xie *Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Xiong Pei *Center of Infectious Diseases, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Shixuan ZhuDepartment of Gastroenterology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Wei JiangCenter of Infectious Diseases, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Hong TangCenter of Infectious Diseases, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Dongbo WuCenter of Infectious Diseases, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Yan XieDepartment of Gastroenterology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and aims: The triglyceride-glucose (TyG) index serves as a reliable indicator of insulin resistance and metabolic risk factors. Most research has focused on obese individuals, with limited exploration in those with a normal body mass index (BMI). Method: This study analyzed 4,440 adults with normal BMI from NHANES 2003-2018. Logistic regression, linear regression, subgroup analysis, and survival analysis examined the relationship between TyG-related indices (TyG, TyG-BMI, TyG-WC, TyG-WHtR) and outcomes like liver fibrosis, stroke, cardiovascular disease (CVD), and mortality. Results: In 4,440 individuals, 279 developed CVD, 134 had stroke, 1,382 developed liver fibrosis, and 548 died, with a median observation period of 100 months (IQR, 59-145 months). The TyG index was divided into four quartiles (Q1, Q2, Q3, Q4) and significant trends in various clinical indicators across the quartiles were observed (demographic characteristics, metabolic and biochemical indicators). Further analysis revealed linear correlations between TyG, TyG-WC, TyG-BMI, TyG-WHtR and liver function metrics (ALT, AST, GGT, FIB-4, APRI), kidney function metrics (creatinine, eGFR, uric acid), and blood lipids (triglycerides, cholesterol) ( Conclusion: The study identified a link between TyG-related markers and negative outcomes in individuals with a normal BMI, indicating that insulin resistance exists even in non-obese populations.

Indexed as

cardiovascular diseaseliver fibrosismortalitystrokeTyG index

Identifiers

PMID40342979
PMCPMC12058858

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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.