Evidence map›Paper›PMID 42620547›Full record

ArticleFrontiers in nutrition2026

Association between non-high-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratio and sarcopenia with mediating role of triglyceride glucose-related indices: a cohort study in Chinese elderly adults.

Ping Zhang, Mengmeng Zheng, Yue Wang, Xiaoyu Pan

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Article in Frontiers in nutrition, 2026. 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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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Ping Zhang *Department of Endocrinology, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Mengmeng Zheng *Department of Endocrinology, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Yue WangDepartment of Endocrinology, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Xiaoyu PanDepartment of Endocrinology, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The present study aims to investigate the association and dose-response relationship between the non-high-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratio (NHHR) and sarcopenia in elderly adults. The ultimate objective is to thereby clarify its predictive value for sarcopenia risk. Methods: A cross-sectional study was conducted using data from the cohort of 368 elderly individuals aged 60 years and over, as part of the Second Affiliated Hospital of Anhui Medical University. A prospective cohort study was also conducted using CHARLS data, encompassing 3,152 elderly individuals aged 60 years and over, with no instances of sarcopenia at the initial baseline. The median follow-up period for this study is 4.5 years. The association was analyzed using both logistic regression and Cox proportional hazards regression, with the results of this analysis subsequently validated by restricted cubic spline (RCS) analysis and subgroup analysis. Subsequently, the mediating role of the triglyceride glucose (TyG)-related indices was elucidated through mediation analysis. Results: Following the adjustment of confounding factors, a unit increase in NHHR was observed to be associated with a 31% reduction in sarcopenia risk in cross-sectional studies (OR = 0.69, 95% CI: 0.56-0.86, P < 0.001). In prospective cohort studies, the risk of sarcopenia decreased by 37% (HR = 0.63, 95% CI: 0.51-0.77, Conclusion: NHHR is significantly negatively correlated with the risk of sarcopenia in Chinese elderly adults and may serve as a potential biomarker for sarcopenia risk stratification. TyG-related indicators play a partial mediating role in this association.

Indexed as

cross-sectional studyelderly adultsNHHRprospective cohort studysarcopenia

Identifiers

PMID42620547
PMCPMC13486249

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