ArticleFrontiers in public health2025
The association between triglyceride glucose-waist-to-height ratio and non-alcoholic fatty liver disease in adults aged over 60 in the United States: a cross-sectional study.
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
Objectives: To identify the optimal surrogate indicator for the initial public health screening of non-alcoholic fatty liver disease (NAFLD) among U.S. adults aged 60 years and above, by systematically comparing the predictive performance of a novel index-the triglyceride glucose-waist-to-height ratio (TyGWHtR)-against 15 other conventional obesity, metabolic, and inflammatory indices. Method: This cross-sectional study included 1,634 participants from the National Health and Nutrition Examination Survey (2017-March 2020). This study included 16 indicators: weight, waist-to-height ratio (WHtR), body mass index (BMI), waist circumference (WC), weight-adjusted-waist index (WWI), triglyceride glucose (TyG), TyGBMI, TyGWHtR, TyGWWI, TyGWC, TyGWeight, cardiometabolic index (CMI), systemic inflammatory response index (SIRI), systemic immune inflammation index (SII), visceral adiposity index (VAI), and lipid accumulation product (LAP). The participants were categorized into a non-NAFLD group ( Result: Five indicators (WHtR, TyG, TyGWHtR, WWI, and CMI) showed significant positive associations with NAFLD. Among these, TyGWHtR demonstrated the best predictive performance [area under the curve (AUC): 0.7641; 95% CI: 0.7414-0.7869], with a nonlinear dose-response relationship. The association remained robust across all subgroups and sensitivity analyses. Conclusion: The TyGWHtR index is a simple, low-cost, and effective single indicator that outperforms multiple conventional indices for identifying older U.S. adults at high risk of NAFLD. Its reliance on routinely measured clinical parameters makes it an efficient tool for initial risk stratification in community and public health settings, facilitating targeted prevention and supporting healthy aging initiatives.
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