ArticleEuropean journal of medical research2025
Association between the triglyceride glucose-body mass index and cardiometabolic diseases risk in chronic liver disease: a nationwide cohort study.
Article in European journal of medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Insulin resistance, metabolic phenotypes, and the obesity paradox: a triglyceride glucose-body mass index framework in partial kidney diseases.Frontiers in endocrinology · 2026Review
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Abstract
backgroundThe association between cardiometabolic diseases and the triglyceride-glucose-body mass index (TyG-BMI) has been proved. However, the relationship between the TyG-BMI and cardiometabolic complications in chronic liver disease (CLD) patients has not been clearly elucidated. We aimed to investigate whether the TyG-BMI and its trajectory are associated with cardiometabolic comorbidities, especially Cardiovascular-Kidney-Metabolic syndrome (CKM) in patients with CLD.
methodsWe obtained data from the China Health and Retirement Longitudinal Study (CHARLS) from 2011 to 2020. The exposures were baseline TyG-BMI value at baseline and its change between the first and third waves. The change in TyG-BMI was classified via dynamic time wrapping clustering. The outcomes were CKM syndrome and other cardiometabolic diseases. Adjusted Cox proportional hazards regression was used as the main statistical method.
resultsThere were 765 participants in the CKM cohort, of whom 426 (55.7%) were male and 339 (44.3%) were female. High baseline TyG-BMI values were associated with an HR (95% CI) of 2.404 (1.889-3.060; P < 0.001) for CKM. Compared with those in the steadily low TyG-BMI group, the HR (95%CI) in the steadily high TyG-BMI group was 1.405 (1.051-1.879; P = 0.022), the HR (95% CI) in the increasing TyG-BMI group was 1.602 (1.154-2.223; P = 0.005). Results in other cohorts also confirm the relationship between TyG-BMI and CKM-related diseases.
conclusionBaseline high levels and steadily high or increasing high levels of TyG-BMI are associated with cardiometabolic diseases in CLD patients. Monitoring TyG-BMI might improve the prognosis of patients with CLD.
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