Evidence map›Paper›PMID 41468367›Full record

ArticlePloS one2025

Association between triglyceride-glucose derived indices with cardiometabolic multimorbidity: Findings from the Atherosclerosis Risk in Communities study.

Yi Liu, Dongze Li, Jing Yu, Yongli Gao, Wei Zhang, Menglin Tang

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Observational
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

6 authors.

Yi LiuWest China School of Nursing, Sichuan University/Department of Emergency Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China.ORCID https://orcid.org/0000-0002-5280-4962
Dongze LiWest China School of Nursing, Sichuan University/Department of Emergency Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Jing YuWest China School of Nursing, Sichuan University/Department of Emergency Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Yongli GaoWest China School of Nursing, Sichuan University/Department of Emergency Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Wei ZhangWest China School of Nursing, Sichuan University/Department of Emergency Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Menglin TangWest China School of Nursing, Sichuan University/Department of Cardiac Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiometabolic multimorbidity (CMM), characterized by the co-occurrence of diabetes mellitus (DM), stroke, and coronary heart disease (CHD), imposes substantial global health burden owing to its association with elevated mortality risk, reduced functional capacity, and increased healthcare costs. Despite its clinical importance, the value of insulin resistance (IR) and its surrogates, particularly triglyceride-glucose (TyG) indices combined with anthropometric measures, in predicting CMM remains underexplored.

methodsIn this study, we aimed to quantify the association between TyG-derived indices and incident CMM. For this purpose, we conducted a multivariate logistic regression analysis of data of the Atherosclerosis Risk in Communities (ARIC) study, deriving adjusted odds ratios (ORs) and 95% confidence intervals (CIs). Nonlinear associations were investigated using restricted cubic spline modeling and diagnostic accuracy was evaluated using area under the curve (AUC) values from receiver operating characteristic (ROC) analyses.

resultsNonlinear relationships were observed between TyG-body mass index (TyG-BMI) and TyG-waist-to-height ratio, whereas TyG and TyG-waist circumference exhibited linear trends. TyG-BMI demonstrated the strongest association with CMM risk, showing a 1.61-fold increase per standard deviation (adjusted OR: 1.61; 95% CI: 1.48-1.73) and a 5.67-fold higher risk in the highest versus the lowest quartiles. Predictive performance analysis revealed that TyG-BMI was the most discriminative marker (AUC: 0.684; 95% CI: 0.664-0.705).

conclusionsTyG-BMI emerged as a robust predictor of CMM risk, highlighting the synergistic effects of IR and adiposity. The nonlinear risk escalation suggests threshold-dependent mechanisms, emphasizing its utility in early risk stratification.

Indexed as

AtherosclerosisBlood GlucoseTriglyceridesAgedBody Mass IndexFemaleHumansInsulin ResistanceMaleMiddle AgedMultimorbidityRisk FactorsROC CurveBlood GlucoseTriglycerides

Identifiers

PMID41468367
PMCPMC12752969

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.