Evidence map›Paper›PMID 40703260›Full record

ArticleFrontiers in medicine2025

Association between triglyceride-glucose index and activities of daily living disability among middle-aged and older patients with arthritis: longitudinal evidence from CHARLS.

Liang Ma, Yu-Long Mu, Zhuo-Ming Liu, Shu-Wei Jiang, De-Qiang Li

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Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Liang MaDepartment of Orthopaedics, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Yu-Long MuThe First Clinical College of Shandong University, Jinan, Shandong, China.
Zhuo-Ming LiuWeihai Maternal and Child Health Hospital, Weihai, Shandong, China.
Shu-Wei JiangDepartment of Orthopaedics, Qilu Hospital of Shandong University, Jinan, Shandong, China.
De-Qiang LiDepartment of Orthopaedics, Qilu Hospital of Shandong University, Jinan, Shandong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate the longitudinal association between the triglyceride-glucose (TyG) index and activities of daily living (ADL) disability in middle-aged and older adults with arthritis. Methods: We analyzed data from the China Health and Retirement Longitudinal Study (CHARLS, 2015-2018), including 2,695 arthritis patients without baseline ADL disability. The TyG index was calculated as ln [fasting triglycerides (mg/dL) × fasting plasma glucose (mg/dL)/2]. ADL disability was defined as a score of ≥ 1 based on combined basic and instrumental ADL assessments. Multivariable Cox proportional hazards models were employed to analyze the association, with potential non-linear relationship explored using restricted cubic splines. Results: Over a median follow-up of 35.98 months, 369 participants (13.69%) developed ADL disability. In fully adjusted models, each 1-unit increase in TyG index was associated with a 26% elevated risk of ADL disability (Hazard ratio [HR] = 1.26, 95% confidence interval [CI]: 1.05-1.51). Compared to the Low TyG, the moderate-High TyG and High TyG showed 40% (HR = 1.40, 95%CI: 1.02-1.92) and 64% (HR = 1.64, 95%CI: 1.18-2.29) increased risks, respectively ( Conclusion: Elevated TyG index shows a significant independent association with ADL disability in arthritis patients. These findings provide mechanistic support for the "metabolic-joint axis" hypothesis and suggest that metabolic monitoring might facilitate identification of individuals with elevated risk profiles of functional decline. The TyG index may serve as an economical risk assessment tool in primary care settings.

Indexed as

activities of daily livingagingarthritisCHARLStriglyceride-glucose index

Identifiers

PMID40703260
PMCPMC12283620

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