Evidence map›Paper›PMID 42908850›Full record

ArticleFrontiers in medicine2026

Associations of insulin resistance-related metabolic indices with albuminuria in primary hypertension without diabetes: a retrospective cross-sectional study.

Yan Zhuo, Pengjie Gao, Suining Xu, Suhang Shang, Yiran Yan, Kamila Kamili, Xiyang Li, Danni Wang, Jianfeng Han, Gang Tian

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Article in Frontiers in medicine, 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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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Yan ZhuoDepartment of Cardiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Pengjie GaoDepartment of Cardiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Suining XuDepartment of Cardiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Suhang ShangDepartment of Neurology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Yiran YanDepartment of Cardiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Kamila KamiliDepartment of Cardiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Xiyang LiDepartment of Cardiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Danni WangDepartment of Cardiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Jianfeng HanDepartment of Neurology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Gang TianDepartment of Cardiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Insulin resistance-related metabolic indices have been associated with albuminuria in general populations and in patients with diabetes, but evidence in patients with primary hypertension without diabetes remains limited. Whether mean arterial pressure (MAP) statistically accounts for part of these associations is unclear. Methods: We retrospectively analysed cross-sectional data from 509 hospitalised cardiology patients with primary hypertension without diabetes at a single tertiary centre who underwent urinary albumin-to-creatinine ratio (UACR) testing. Albuminuria was defined as a UACR ≥30 mg/g. Associations of the triglyceride-glucose body mass index (TyG-BMI), metabolic score for insulin resistance (METS-IR), and triglyceride-glucose (TyG) index with albuminuria and log Results: Among the 509 participants, 99 (19.4%) had albuminuria. After multivariable adjustment, the odds ratios (ORs) for albuminuria per 1-SD increment in TyG-BMI, METS-IR, and the TyG index were 1.610 [95% confidence interval (CI), 1.262-2.055], 1.557 (95% CI, 1.215-1.995), and 1.436 (95% CI, 1.128-1.829), respectively. Corresponding Q4-vs.-Q1 ORs were 2.464 (95% CI, 1.228-4.943), 2.665 (95% CI, 1.268-5.600), and 2.137 (95% CI, 1.092-4.181), with overall categorical Conclusions: Higher TyG-BMI, METS-IR, and TyG index values were associated with albuminuria and higher UACR in patients with primary hypertension without diabetes. Exploratory analyses suggested statistical indirect components involving MAP for TyG-BMI and METS-IR, but did not establish temporal ordering or causal mediation.

Indexed as

albuminuriainsulin resistancemean arterial pressuremetabolic score for insulin resistanceprimary hypertensiontriglyceride-glucose body mass indextriglyceride-glucose index

Identifiers

PMID42908850
PMCPMC13683226

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