Evidence map›Paper›PMID 42889009›Full record

Observational studyFrontiers in endocrinology2026

The association of triglyceride-glucose body roundness index with carotid atherosclerosis in type 2 diabetes: a cross-sectional study.

Cuihua Huang, Yan Tong, Yan Luo, Chengwen Xie

Abstract readObservational Study
In one paragraph

Observational study 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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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Cuihua Huang *Longyan First Affiliated Hospital of Fujian Medical University, Longyan, Fujian, China.
Yan Tong *Longyan First Affiliated Hospital of Fujian Medical University, Longyan, Fujian, China.
Yan LuoState Grid Longyan Electric Power Supply Company, Longyan, Fujian, China.
Chengwen XieLongyan First Affiliated Hospital of Fujian Medical University, Longyan, Fujian, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The triglyceride-glucose body roundness index (TyG-BRI) has emerged as a promising biomarker correlated with elevated risks of adverse cardiovascular events. Notably, the potential linkage between TyG-BRI and carotid atherosclerosis (CAS) has not been formally evaluated in individuals with type 2 diabetes mellitus. Methods: This cross-sectional observational study consecutively enrolled 1060 adults with type 2 diabetes mellitus in Fujian, China. Anthropometric measurements and fasting venous blood biochemical data were collected to calculate TyG-BRI. CAS was ascertained using high-resolution B-mode ultrasound. Spearman correlation analysis was performed to examine the correlations between TyG-BRI and metabolic indicators. Following stepwise adjustment for confounding variables, hierarchical binary logistic regression and restricted cubic spline curves were applied to evaluate the association of TyG-BRI with CAS risk as well as potential effect modifiers. Finally, receiver operating characteristic (ROC) curve analysis was conducted to evaluate the identification capability of TyG-BRI for CAS. Results: Patients with CAS had significantly higher TyG-BRI levels than non-CAS controls. TyG-BRI was positively correlated with carotid intima-media thickness, glycated hemoglobin (HbA1c), blood pressure, total cholesterol, low-density lipoprotein cholesterol, and uric acid. In fully adjusted models, elevated TyG-BRI was non-linearly associated with higher CAS risk (P for overall association < 0.001, P for non-linearity < 0.01). Per 1-standard-deviation increment in TyG-BRI, the ORs were 1.503 (95% CI 1.281-1.763, P < 0.001) for carotid intima-media thickening, 1.453 (95% CI 1.236-1.709, P < 0.001) for carotid plaque, and 2.247 (95% CI 1.820-2.773, P < 0.001) for CAS. Associations remained consistent across subgroups stratified by age, sex, body mass index (BMI), HbA1c and hypertension, with a stronger effect in participants with BMI < 24 kg/m² (OR 4.838, 95% CI 3.007-7.784, P < 0.001). ROC analysis showed TyG-BRI significantly identified CAS (AUC = 0.698, 95% CI 0.664-0.731, P < 0.001), outperforming TyG and TyG-BMI while matching the performance of the composite indices of TyG combined with waist circumference or waist-to-height ratio. Conclusion: TyG-BRI demonstrated an independent, non-linear dose-response association with CAS risk in type 2 diabetes. Its integration into cardiovascular risk stratification holds promise for enabling earlier identification of CAS.

Indexed as

Blood GlucoseCarotid Artery DiseasesDiabetes Mellitus, Type 2TriglyceridesAgedBiomarkersCarotid Intima-Media ThicknessChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedRisk FactorsBiomarkersBlood GlucoseTriglyceridescardiovascular disorderscarotid atherosclerosiscross-sectional studytriglyceride glucose–body roundness indextype 2 diabetes mellitus

Identifiers

PMID42889009
PMCPMC13668577

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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.