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May 13, 2019Scientific ReportsOpen Access

The highest quartile of the triglyceride glucose index was associated with a significantly increased risk of cardiovascular disease events compared to the lowest quartile (SHR 1.72).

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Why the study?

The study aimed to evaluate the role of the triglyceride glucose index in predicting and mediating the development of cardiovascular disease.

Does a higher triglyceride glucose (TyG) index predict the development of cardiovascular events in adults aged over 60 years?

Population

6078 participants aged over 60 years in a routine health check-up programme

Comparison

Higher vs lower TyG index quartiles

Design

Retrospective cohort study

Follow-up

Median 6 years

Key result

The highest quartile of the triglyceride glucose index was associated with a significantly increased risk of cardiovascular disease events compared to the lowest quartile (SHR 1.72).

Authors

SLSangsang LiBGBingxin GuoHCHuanan Chen

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Member takes

Overview

TyG index may aid CVD risk identification in older adults; leaves open its added value beyond standard predictors.

Study Design

Type

Cohort (n=6,078)

Multicenter

Yes

Structured PICO

Does a higher triglyceride glucose (TyG) index predict the development of cardiovascular events in adults aged over 60 years?

P
Population
6078 participants aged over 60 years who participated in a routine health check-up programme from 2011 to 2017
I
Intervention
Higher triglyceride glucose (TyG) index (quartiles 3 and 4, or continuous)
C
Comparator
Lower triglyceride glucose (TyG) index (quartile 1)
O
Outcome
Cardiovascular disease (CVD) eventshard clinical

Main Result

Effect estimate: SHR 1.72 (95% CI 1.37-2.16)

Absolute Event Rate: 18.37% vs 7.94%

p-value: p=<0.001

A higher triglyceride glucose (TyG) index is significantly associated with an increased risk of cardiovascular events in older adults, suggesting its utility as a predictive biomarker.

Limitations

  • Cannot exclude influence due to unmeasured and residual confounding variables
  • Did not measure insulin levels to generate a homeostatic model assessment (HOMA) or assess glucose tolerance
  • Recall error in self-reported confounders
  • Lack of information on history of lipid-lowering therapy or antidiabetic drugs
  • Missing follow-up data may affect statistical power or bias the findings

Cite This Study

Li et al. (2019) conducted a cohort in Cardiovascular disease (n=6,078). Triglyceride glucose (TyG) index (Quartile 4) vs. Triglyceride glucose (TyG) index (Quartile 1) was evaluated on Cardiovascular disease (CVD) events (SHR 1.72, 95% CI 1.37-2.16, p=<0.001). The highest quartile of the triglyceride glucose index was associated with a significantly increased risk of cardiovascular disease events compared to the lowest quartile (SHR 1.72).

synapsesocial.com/papers/6a13937bc1194a2af5044bfehttps://doi.org/10.1038/s41598-019-43776-5
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