ArticleEndocrine2026
Triglyceride-related metabolic indices and low relative muscle mass: a cross-sectional analysis of SMILE and NHANES.
Article in Endocrine, 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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14 authors.
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Abstract
backgroundLipid dysregulation may be associated with skeletal muscle impairment, but the relationships of routine triglyceride (TG)-based metabolic indices with low relative muscle mass remain unclear. We examined cross-sectional associations of serum TG and TG-based indices with ALM/BMI-defined low relative muscle mass, with exploratory analyses of low relative grip strength (Grip/BMI) and body-size coupling.
methodsCross-sectional analyses included 1,084 adults from the SMILE study (2020-2025) and 5,034 adults from NHANES 2011-2018. Low relative muscle mass was operationally defined using the FNIH ALM/BMI thresholds and was not considered equivalent to clinically diagnosed sarcopenia. Multivariable logistic regression and survey-weighted logistic regression were used in SMILE and NHANES, respectively. Dose-response relationships were assessed using restricted cubic splines, and residual-based sensitivity analyses were used to examine body-size coupling.
resultsHigher TG quartiles were associated with greater odds of low relative muscle mass. Fully adjusted ORs for the highest versus lowest TG quartile were 2.57 (95% CI, 1.44-4.59) in SMILE and 2.17 (95% CI, 1.33-3.53) in NHANES, with significant trends in both populations. Composite indices, especially TyG-WHtR, TyG-BMI, and METS-IR, showed larger associations. Grip/BMI findings were exploratory and more heterogeneous.
conclusionsHigher TG and several TG-related composite indices were associated with ALM/BMI-defined low relative muscle mass in two complementary populations.
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