Evidence map›Paper›PMID 41126300›Full record

ArticleLipids in health and disease2025

Triglyceride-glucose (TyG) index combined with C-reactive protein outperforms the TyG index alone in predicting stroke in arthritis patients: a nationwide prospective cohort study.

Zhongwei Zhou, Jianshu Gao, Mingzhong Sun, Hongmei Chen, Hao Jin, Huixiang Ju

Abstract read
In one paragraph

Article in Lipids in health and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Zhongwei Zhou *Department of Clinical Laboratory, Affiliated Hospital 6 of Nantong University, Yancheng Third People's Hospital, the affiliated hospital of Jiangsu Vocational College of Medicine, Yancheng, No. 75 Juchang Road, Tinghu, Yancheng, Jiangsu, 224001, China.
Jianshu Gao *Department of Cardiology, The Yancheng Clinical College of Xuzhou Medical University, The First People's Hospital of Yancheng, Yancheng, Jiangsu, 224001, China.
Mingzhong SunDepartment of Clinical Laboratory, Affiliated Hospital 6 of Nantong University, Yancheng Third People's Hospital, the affiliated hospital of Jiangsu Vocational College of Medicine, Yancheng, No. 75 Juchang Road, Tinghu, Yancheng, Jiangsu, 224001, China.
Hongmei ChenDepartment of Clinical Laboratory, Affiliated Hospital 6 of Nantong University, Yancheng Third People's Hospital, the affiliated hospital of Jiangsu Vocational College of Medicine, Yancheng, No. 75 Juchang Road, Tinghu, Yancheng, Jiangsu, 224001, China.
Hao JinDepartment of Blood Transfusion, Affiliated Hospital 6 of Nantong University, Yancheng Third People's Hospital, the affiliated hospital of Jiangsu Vocational College of Medicine, Yancheng, Jiangsu, 224001, China.
Huixiang JuDepartment of Clinical Laboratory, Affiliated Hospital 6 of Nantong University, Yancheng Third People's Hospital, the affiliated hospital of Jiangsu Vocational College of Medicine, Yancheng, No. 75 Juchang Road, Tinghu, Yancheng, Jiangsu, 224001, China. jhxycsy@163.com.

Funding

College-local collaborative innovation research project of Jiangsu Vocational College of medicine No. 20239106the Key Project of Health Commission of of Yancheng No. YK2023026
6 · The paper itself

Abstract

backgroundArthritis patients exhibit a higher stroke risk, but effective predictive biomarkers are scarce. This research sought to examine and compare the associations between the triglyceride-glucose (TyG) index, its integration with C-reactive protein (CRP) (TyG-CRP), and stroke risk in these patients.

methodsThis research examined data from 3,419 arthritis patients participating in the China Health and Retirement Longitudinal Study (CHARLS), focusing on the occurrence of new stroke events as the main outcome. Examination of the association between the TyG index, TyG-CRP and stroke risk relied on Kaplan-Meier, Cox regression, and restricted cubic splines (RCS) analyses.

resultsDuring the 9-year follow-up period, 339 arthritis patients (9.9%) had their initial stroke. Stroke incidence increased steadily from the lowest to highest tertile categories as determined by both TyG index and TyG-CRP (P < 0.05). After full covariate adjustment, each 1-unit increment in TyG-CRP raised stroke risk by 18% (HR, 1.18; 95% CI, 1.01-1.39), and individuals in the top TyG-CRP tertile were 1.4 times more likely to experience a stroke versus those in the bottom tertile (HR, 1.40; 95% CI, 1.03-1.92). There was no significant link between the TyG index and stroke risk, whether it was assessed continuously or by tertiles (P > 0.05) in the fully adjusted models. TyG-CRP was significantly linearly related to stroke incidence (P-overall: 0.047; P-nonlinear: 0.725), whereas the TyG index, although linear, also demonstrated an insignificance (P-overall: 0.165; P-nonlinear: 0.557). In sensitivity analyses conducted among complete cases, TyG-CRP demonstrated borderline statistical significance for stroke risk in the model with comprehensive covariate adjustment (P = 0.058 for the continuous variable analysis; P = 0.064 for tertile-based comparisons).

conclusionTyG-CRP is a standalone predictor of stroke in arthritis individuals, whereas the TyG index does not significantly predict stroke risk.

Indexed as

ArthritisBlood GlucoseC-Reactive ProteinStrokeTriglyceridesAgedBiomarkersChinaFemaleHumansIncidenceLongitudinal StudiesMaleMiddle AgedProspective StudiesRisk FactorsBiomarkersBlood GlucoseC-Reactive ProteinTriglyceridesArthritisCHARLSStrokeTriglyceride-glucose indexTriglyceride-glucose index-C-reactive protein

Identifiers

PMID41126300
PMCPMC12542220

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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.