ArticleFrontiers in public health2025
L-shaped association of triglyceride glucose-body mass index and self-rated mental health among the middle-aged and older adults: a national cohort study in China.
Article in Frontiers in public health, 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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Abstract
Background: Previous studies have shown that the triglyceride glucose-body mass index (TyG-BMI) is associated with cardiovascular disease, stroke, and cognition. Its relationship with mental health remains underexplored. We aimed to investigate the association between TyG-BMI and mental health in Chinese adults. Methods: This study utilized data from the China Health and Nutrition Survey (CHNS), an ongoing longitudinal cohort. Participants aged ≥45 years who completed at least two survey rounds between 2009 and 2015 were included. The TyG index was calculated as ln [triglycerides (mg/dL) × fasting blood glucose (mg/dL) / 2]. BMI was calculated as weight (kg) divided by height squared (m Results: Among 2,951 participants (47.6% male, median age 56.0 [25th, 75th percentile: 51, 64] years), the median TyG-BMI was 204.3 [25th, 75th percentile: 179.6, 231.8]. Over a median follow-up of 6.0 [2.0, 6.1] years, 1,026 (34.8%) incident was identified poor self-rated mental health. RCS curves indicated an L-shaped association between TyG-BMI and self-rated mental health ( Conclusion: This study revealed an L-shaped association between TyG-BMI and self-rated mental health in mentally healthy, middle-aged and older Chinese individuals. Our findings suggest that TyG-BMI may serve as an effective tool for enhancing the primary prevention of mental health.
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