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January 20, 2026Cardiovascular DiabetologyOpen Access

Highest TyG-CVAI quartile linked to ~64% higher risk of new-onset CVD versus the lowest.

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Why the study?

The association of the combined triglyceride glucose index and Chinese visceral adiposity index (TyG-CVAI) with new-onset CVD risk in the general population was unclear.

Does a higher TyG-CVAI predict an increased risk of new-onset cardiovascular disease in middle-aged and older Chinese adults?

Population

7977 participants in the CHARLS cohort without CVD at baseline

Comparison

TyG-CVAI quartiles

Design

Prospective cohort study

Key result

A higher TyG-CVAI was associated with an increased risk of new-onset cardiovascular disease, with the highest quartile having a significantly higher risk than the lowest (HR 1.64; 95% CI 1.35-2.00).

Authors

WZWenling ZhengZMZiyue ManYLYu Li

Discussion

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Overview

May aid CVD risk prediction in middle-aged Chinese adults; leaves open incremental value over standard markers pending validation.

Study Design

Type

Cohort (n=7,977)

Multicenter

Yes

Structured PICO

Does a higher TyG-CVAI predict an increased risk of new-onset cardiovascular disease in middle-aged and older Chinese adults?

P
Population
7,977 middle-aged and older Chinese adults without cardiovascular disease at baseline.
E
Exposure
Higher triglyceride glucose index:Chinese visceral adiposity index (TyG-CVAI) (highest quartile, Q4)
C
Comparator
Lowest TyG-CVAI quartile (Q1)
O
Outcome
Incidence of new-onset cardiovascular diseasecomposite

Main Result

Hazard Ratio: 1.64 (95% CI 1.35–2)

p-value: p=<0.001

The TyG-CVAI is a strong, nonlinear predictor of new-onset cardiovascular disease in middle-aged and older Chinese adults, outperforming its individual components.

Cite This Study

Zheng et al. (2026) conducted a cohort in new-onset cardiovascular disease (n=7,977). TyG-CVAI vs. Lowest quartile (Q1) of TyG-CVAI was evaluated on incidence of new-onset CVD (HR 1.64, 95% CI 1.35-2.00, p=<0.001). A higher TyG-CVAI was associated with an increased risk of new-onset cardiovascular disease, with the highest quartile having a significantly higher risk than the lowest (HR 1.64; 95% CI 1.35-2.00).

synapsesocial.com/papers/6a61efa87581c4a485c206d3https://doi.org/10.1186/s12933-025-03063-2
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