Evidence map›Paper›PMID 42688039›Full record

ArticleFrontiers in endocrinology2026

Comparative associations of the TyG index and METS-IR with arterial stiffness in women: a cross-sectional analysis by menopausal status.

Like Yang, Yutao Wang, Ruofei Han, Kundi Lv, Xue Pang, Kuiquan Song, Yanxia Hu

Abstract readComparative Study
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Article in Frontiers in endocrinology, 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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7 authors.

Like Yang *First Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan, China.
Yutao Wang *Department of Peripheral Vascular Surgery, Guang'anmen Hospital Jinan Hospital, China Academy of Chinese Medical Sciences (Jinan Municipal Hospital of Traditional Chinese Medicine), Jinan, China.
Ruofei HanFirst Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan, China.
Kundi LvFirst Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan, China.
Xue PangDepartment of Colorectal Surgery, The First Affiliated Hospital of Shandong First Medical University, Jinan, China.
Kuiquan SongDepartment of Peripheral Vascular Surgery, Guang'anmen Hospital Jinan Hospital, China Academy of Chinese Medical Sciences (Jinan Municipal Hospital of Traditional Chinese Medicine), Jinan, China.
Yanxia HuDepartment of General Affairs, Jinan Center for Disease Control and Prevention, Jinan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To compare the cross-sectional associations of the triglyceride-glucose (TyG) index and the metabolic score for insulin resistance (METS-IR) with brachial-ankle pulse wave velocity (baPWV) in women and to examine whether these associations differed by menopausal status. Methods: This cross-sectional secondary analysis included 306 women (134 premenopausal and 172 postmenopausal). baPWV was analyzed as a continuous measure of arterial stiffness. Associations with TyG and METS-IR were examined using Pearson correlation, restricted cubic splines, and multivariable linear regression; the primary adjusted model included age, menopausal status, systolic blood pressure, uric acid, LDL-C, and eGFR and omitted BMI because BMI is a component of METS-IR. Exploratory ROC analyses compared the discrimination of covariate-adjusted TyG and METS-IR models for elevated baPWV (≥1400 cm/s) using the DeLong test. Sensitivity and menopausal-status subgroup analyses were also performed. Results: Both METS-IR and TyG were positively correlated with baPWV in unadjusted analyses. After adjustment for menopausal status, age, SBP, uric acid, LDL-C, and eGFR, METS-IR remained associated with baPWV (β = 4.72, 95% CI 1.03-8.41, P = 0.012), whereas TyG did not (β = 26.66, 95% CI -11.49-64.81, P = 0.170). In stratified analyses, METS-IR was associated with baPWV in postmenopausal women (β = 5.68, 95% CI 0.74-10.61, P = 0.025) but not in premenopausal women (β = 4.16, 95% CI -1.22-9.53, P = 0.128); however, the interaction was not significant (P for interaction = 0.722). The TyG and METS-IR models showed similar exploratory discrimination for elevated arterial stiffness (AUC 0.831 Conclusion: In this cross-sectional dataset of women, METS-IR retained an adjusted association with baPWV, whereas the corresponding association for TyG was not statistically significant. Menopausal status did not significantly modify either association. The TyG and METS-IR models showed similar exploratory discrimination for elevated baPWV. Prospective external studies are needed to assess temporal associations and clinical utility.

Indexed as

Blood GlucoseInsulin ResistanceMenopauseMetabolic SyndromeTriglyceridesVascular StiffnessAdultAnkle Brachial IndexCross-Sectional StudiesFemaleHumansMiddle AgedPulse Wave AnalysisBlood GlucoseTriglyceridesarterial stiffnessbrachial-ankle pulse wave velocitymenopausemetabolic score for insulin resistancetriglyceride-glucose index

Identifiers

PMID42688039
PMCPMC13533677

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