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February 8, 2026Clinical and Experimental Hypertension0 citationsOpen Access

Presenting non-insulin-based indices of insulin resistance relevant to pre-hypertension: A systematic review and meta-analysis

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MFMaryam FarahmandSNSima NazarpourHMHanieh Malmir

Key Result

Non-insulin-based insulin resistance indices are associated with an increased risk of pre-hypertension, but causality has not been established.

Key Points

  • This research aims to assess the connection between non-insulin-based indices of insulin resistance and the risk of pre-hypertension.
  • Conducted a systematic review of relevant studies
  • Performed a meta-analysis to evaluate associations
  • Included only studies with cross-sectional designs
  • Identified a significant association between non-insulin indices and increased risk of pre-hypertension
  • Causality cannot be inferred due to cross-sectional nature of studies
  • Suggests potential for early detection and prevention of hypertension

Structured PICO

Are non-insulin-based indices of insulin resistance associated with a higher risk of pre-hypertension?

P
Population
Individuals assessed for pre-hypertension across included cross-sectional studies
I
Intervention
Non-insulin-based indices of insulin resistance
O
Outcome
Risk of pre-hypertension (pre-HTN)

Non-insulin-based indices of insulin resistance are associated with pre-hypertension and could serve as cost-effective tools for early detection, though prospective studies are needed to establish causality.

Limitations

  • Cross-sectional design of all included studies prevents inferring a causal relationship

Abstract

This meta-analysis reveals that non-insulin-based IR indices are associated with a higher risk of pre-HTN. However, given the cross-sectional design of all included studies, a causal relationship cannot be inferred. As cost-effective and user-friendly tools, they could aid in the early detection and prevention of HTN, but further prospective and longitudinal research is needed to confirm these findings and establish causality.

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Cite This Study

Farahmand et al. (2026) studied this question. Non-insulin-based insulin resistance indices are associated with an increased risk of pre-hypertension, but causality has not been established.

synapsesocial.com/papers/6988291e0fc35cd7a8849207https://doi.org/10.1080/10641963.2026.2625124
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