Evidence map›Paper›PMID 42380976›Full record

Observational studyBMC public health2026

Associations of cumulative exposure and two-time-point clustering of the triglyceride-cholesterol-body weight index with incident cardiovascular disease in middle-aged and older Chinese adults: a nationwide cohort study.

Junyu Liu, Qingfeng Fu, Daqi Zhang, Yantao Fu, Shijie Li, Le Zhou, Yanqing Lyu, Peiyao Wang, Qian Ao, Hui Sun and 1 more

Abstract readObservational Study
In one paragraph

Observational study in BMC public health, 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. A review of bloodstream infections-pathogens, pathogenesis, diagnostic strategies, treatment methods-challenges and future aspects.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Review
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

11 authors.

Junyu Liu *Division of Thyroid Surgery, The China-Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Thyroid Disease, Changchun, China.
Qingfeng Fu *Division of Thyroid Surgery, The China-Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Thyroid Disease, Changchun, China.
Daqi ZhangDivision of Thyroid Surgery, The China-Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Thyroid Disease, Changchun, China.
Yantao FuDivision of Thyroid Surgery, The China-Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Thyroid Disease, Changchun, China.
Shijie LiDivision of Thyroid Surgery, The China-Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Thyroid Disease, Changchun, China.
Le ZhouDivision of Thyroid Surgery, The China-Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Thyroid Disease, Changchun, China.
Yanqing LyuDivision of Thyroid Surgery, The China-Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Thyroid Disease, Changchun, China.
Peiyao WangDivision of Thyroid Surgery, The China-Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Thyroid Disease, Changchun, China.
Qian AoDivision of Thyroid Surgery, The China-Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Thyroid Disease, Changchun, China.
Hui SunDivision of Thyroid Surgery, The China-Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Thyroid Disease, Changchun, China. s_h@jlu.edu.cn.
Nan LiangDivision of Thyroid Surgery, The China-Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Thyroid Disease, Changchun, China. liangnan2006@jlu.edu.cn.

Funding

The China-Japan Union Hospital of Jilin University Spring Bud Plan 2023CL01The Jilin Provincial Department of Finance Project 2023SCZ51
6 · The paper itself

Abstract

aimsThe triglyceride-cholesterol-body weight index (TCBI) has been proposed as a biomarker of the prognosis of stroke. However, the relationship between cumulative exposure and dynamic trajectories of the TCBI (cuTCBI/TCBI changes) and the risk of cardiovascular disease (CVD) remains unclear. The aim of this study is to examine the association between cuTCBI/TCBI changes and the risk of CVD. METHODS AND

resultsThe participants were from the China Health and Retirement Longitudinal Study (CHARLS). Partitioning Around Medoids (PAM) algorithm, Cox regression model, restricted cubic spline (RCS), Kaplan-Meier analysis and subgroup analysis were employed to evaluate the association between cuTCBI/TCBI changes and CVD risk. In model 3, compared to Q1, the risk of CVD increased by 83% for Q4 (HR:1.83, 95%CI: 1.49,2.24) (P for trend < 0.001). RCS analysis revealed a significant nonlinear relationship between cuTCBI and CVD risk. The results of PAM clustering demonstrated that the participants in moderate increase cluster (HR:1.35, 95%CI: 1.17,1.56, P < 0.001) and persistently high level cluster (HR:1.49, 95%CI: 1.22,1.83, P < 0.001) demonstrated a significantly elevated risk of CVD compared with the stable low risk cluster, with a significant trend towards increased risk across clusters (P for trend < 0.001). In the gender-stratified analysis, significant associations were observed in males, whereas the female TCBI change clusters did not reach statistical significance in the fully adjusted model.

conclusionOur research demonstrated a significant association between cuTCBI/TCBI changes and the increased risk of CVD. And the relationship between cuTCBI and CVD risk is nonlinear. The association between TCBI change clusters and outcomes may differ by gender, with statistical significance observed only in males. Our results indicated that regular monitoring of cuTCBI levels and maintaining relatively low levels may be crucial for CVD prevention.

Indexed as

Body WeightCardiovascular DiseasesCholesterolTriglyceridesAgedBiomarkersChinaCluster AnalysisClustering AlgorithmsCohort StudiesFemaleHumansIncidenceLongitudinal StudiesMaleMiddle AgedBiomarkersCholesterolTriglyceridesCardiovascular diseaseCHARLS databasePAM clusteringTriglyceride-cholesterol-body weight index

Identifiers

PMID42380976
PMCPMC13587372

What OpenQuestion holds

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Registered trials

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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.