Evidence map›Paper›PMID 42023977›Full record

ArticleJournal of diabetes2026

Atherogenic Index of Plasma Predicts the Onset and Progression of Cardio-Renal-Metabolic Multimorbidity: Evidence From a Nationwide Prospective Cohort Study.

Jijie Jin, Fei Wang, Shengzhang Chen, Jiaxin Shao, Binyan Chen, Xiufang Lin

Abstract read
In one paragraph

Article in Journal of diabetes, 2026. 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. Article
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.

Jijie JinThe Center of Gerontology and Geriatrics, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, China.
Fei WangCollege of Nursing, Wenzhou Medical University, Wenzhou, China.
Shengzhang ChenCollege of Nursing, Wenzhou Medical University, Wenzhou, China.
Jiaxin ShaoCollege of Nursing, Wenzhou Medical University, Wenzhou, China.
Binyan ChenCollege of Nursing, Wenzhou Medical University, Wenzhou, China.
Xiufang LinThe Center of Gerontology and Geriatrics, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, China.ORCID https://orcid.org/0009-0003-2551-0904

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardio-renal-metabolic (CRM) multimorbidity, defined by the co-occurrence of cardiovascular disease (CVD), chronic kidney disease (CKD), and type 2 diabetes (T2DM), poses a growing burden for multimorbidity management. The atherogenic index of plasma (AIP), a lipid-based marker of insulin resistance, may help predict CRM progression, but its prognostic value remains unclear.

methodsWe used data from 5805 adults free of CRM at baseline in the China Health and Retirement Longitudinal Study. AIP was calculated as log

resultsAIP showed a clear dose-response relationship with CRM progression. Each 1-standard deviation (SD) increase in AIP was associated with higher risks of single (HR 1.17, 95% CI 1.13-1.22), dual (HR 1.31, 95% CI 1.21-1.41), and triple CRM (HR 1.57, 95% CI 1.27-1.94) diseases. Strong associations were observed for new-onset T2DM and stroke, but not CKD. AIP yielded the highest discrimination for triple CRM (5-year area under the curve [AUC] = 0.710). Multistate modeling showed each 1-SD increase in AIP raised the hazard of transitioning from single to dual CRM by 14% and from dual to triple by 31%.

conclusionsAIP is an independent, simple, and low-cost predictor of CRM onset and progression, with potential utility for early risk stratification and prevention.

Indexed as

AtherosclerosisCardiovascular DiseasesDiabetes Mellitus, Type 2Renal Insufficiency, ChronicAgedBiomarkersChinaDisease ProgressionFemaleHumansLongitudinal StudiesMaleMiddle AgedMultimorbidityPrognosisProspective StudiesBiomarkersTriglyceridesatherogenic index of plasmacardio‐renal‐metabolicdisease progressionlipid biomarkersmultimorbidity

Identifiers

PMID42023977
PMCPMC13104600

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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.