Evidence map›Paper›PMID 40797320›Full record

ArticleCardiovascular diabetology2025

Association of triglyceride-glucose-related indices with all-cause and cause-specific mortality in individuals with prediabetesss.

Liwen Zhang, Weili Zhao, Panpan Zheng, Fang Huang, Lili Zhang, Yuxin Zhang, Xian Xiu, Pei Zhang, Zanchao Liu, Lipeng Liu

Abstract read
In one paragraph

Article in Cardiovascular diabetology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 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, 2 syntheses or guidelines 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.

Liwen ZhangDepartment of Epidemiology and Statistics, School of Public Health, Hebei Medical University, Hebei Key Laboratory of Environment and Human Health, 050017, Shijiazhuang, China.
Weili ZhaoHebei Key Laboratory of Basic Medicine for Diabetes, The Second Hospital of Shijiazhuang, Shijiazhuang, 050000, Hebei, China.
Panpan ZhengHebei Key Laboratory of Basic Medicine for Diabetes, The Second Hospital of Shijiazhuang, Shijiazhuang, 050000, Hebei, China.
Fang HuangTongzhou District Center for Animal Disease Control and Prevention, Beijing, 101104, China.
Lili ZhangHebei Key Laboratory of Basic Medicine for Diabetes, The Second Hospital of Shijiazhuang, Shijiazhuang, 050000, Hebei, China.
Yuxin ZhangHebei Key Laboratory of Basic Medicine for Diabetes, The Second Hospital of Shijiazhuang, Shijiazhuang, 050000, Hebei, China.
Xian XiuHebei Key Laboratory of Basic Medicine for Diabetes, The Second Hospital of Shijiazhuang, Shijiazhuang, 050000, Hebei, China.
Pei ZhangHebei Key Laboratory of Basic Medicine for Diabetes, The Second Hospital of Shijiazhuang, Shijiazhuang, 050000, Hebei, China.
Zanchao LiuHebei Key Laboratory of Basic Medicine for Diabetes, The Second Hospital of Shijiazhuang, Shijiazhuang, 050000, Hebei, China. liuzanchao2007@163.com.
Lipeng LiuHebei Key Laboratory of Basic Medicine for Diabetes, The Second Hospital of Shijiazhuang, Shijiazhuang, 050000, Hebei, China. liulipeng1011@163.com.

Funding

Medical Science Research Project of Hebei Provincial Health Commission 20240133Medical Science Research Project of Hebei Provincial Health Commission 20250194Natural Science Foundation of Hebei Province H2024206065Science Research Project of Hebei Education Department BJ2025204Shijiazhuang Science and Technology Research and Development Plan 2412006103
6 · The paper itself

Abstract

backgroundThe triglyceride-glucose (TyG) index has been linked to the occurrence of prediabetes, but there is limited evidence regarding its association with mortality in individuals with prediabetes. Thus, this study aimed to explore the association between TyG-related indices and all-cause and cause-specific mortality in individuals with prediabetes.

methodBased on NHANES data from 1999 to 2018, the TyG index, TyG-waist circumference (TyG-WC), and TyG-waist-to-height ratio (TyG-WHtR) were calculated. Mortality data including all-cause mortality, cardiovascular disease (CVD) mortality, and cancer mortality were determined as of December 31, 2019. Kaplan-Meier curves, Cox regression analysis, and restricted cubic splines (RCS) were used to assess associations of TyG-related indices with all-cause and cause-specific mortality (CVD and cancer) in individuals with prediabetes. Subgroup and sensitivity analyses were used to confirm the robustness of the results.

resultsIn total, 9,574 participants with prediabetes were included. Kaplan-Meier curves indicated that overall survival and cancer-specific survival were associated with different quartiles of the TyG index, with quartile 1 having the lowest all-cause mortality (P = 0.042 and P = 0.008). TyG-WHtR was negatively correlated with overall survival and CVD-specific survival (P < 0.001 and P = 0.012). Multivariate Cox regression analysis showed a significant positive correlation between the TyG index and cancer mortality (Q4: HR = 1.957, 95% CI: 1.126-3.402, P = 0.017). High quartiles of TyG-WC were significantly associated with cancer mortality in participants with prediabetes (HR = 2.397, 95% CI, 1.062-5.409, P = 0.035). Similarly, higher quartiles of TyG-WHtR were positively associated with all-cause, CVD, and cancer mortality. RCS analysis showed that TyG-WC and TyG-WHtR were nonlinearly correlated with cancer mortality (P for nonlinear = 0.028 and 0.006).

conclusionElevated TyG and TyG-WC levels were significantly associated with increased cancer mortality risk, while TyG-WHtR showed stronger associations with all-cause and cause-specific mortality in individuals with prediabetes. These indices could serve as surrogate biomarkers for follow-up and clinical management of individuals with prediabetes.

Indexed as

Blood GlucoseCardiovascular DiseasesNeoplasmsPrediabetic StateTriglyceridesAdultAgedBiomarkersCause of DeathCross-Sectional StudiesFemaleHumansMaleMiddle AgedNutrition SurveysPredictive Value of TestsBiomarkersBlood GlucoseTriglyceridesMortalityPrediabetesTyG indexTyG-WC indexTyG-WHtR index

Identifiers

PMID40797320
PMCPMC12345030

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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.