Key result
High TyG index plus low physical activity linked to ~71% higher cardiometabolic disease risk.
Why the study?
Does the combination of high insulin resistance indices and low moderate-to-vigorous physical activity increase the risk of cardiometabolic disease and multimorbidity?
Cohort (n=74,367)
Does the combination of high insulin resistance indices and low moderate-to-vigorous physical activity increase the risk of cardiometabolic disease and multimorbidity?
Hazard Ratio: 1.71 (95% CI 1.55–1.88)
High insulin resistance indices combined with low moderate-to-vigorous physical activity synergistically increase the risk of incident cardiometabolic disease and multimorbidity.
BACKGROUND: Insulin resistance (IR)-related indices and moderate-to-vigorous physical activity (MVPA) were independent predictors for cardiometabolic disease (CMD) and multimorbidity (CMM), but their combined effect is unclear. We aimed to investigate their joint effect on incident CMD and CMM. METHODS: This study was conducted from the UK Biobank accelerometer sub-study. The IR-related indices included triglyceride-glucose index (TyG), TyG-body mass index (TyG-BMI), TyG-waist circumference (TyG-WC), TyG-waist-to-height ratio (TyG-WHtR), and metabolic score for IR (Mets-IR). Participants were divided according to the median values of IR-related indices and MVPA time. Cox regression was used to assess the associations between different groups and outcomes, with interaction effects estimated. RESULTS: 74,367 participants were included. Compared to participants with low TyG index and high MVPA, the adjusted HR (aHR) for CMD was 1.71 (95% CI: 1.55-1.88) for high TyG and low MVPA. The corresponding aHR were 1.82 (95%CI: 1.66-1.99) for TyG-BMI, 1.96 (95%CI: 1.77-2.17) for TyG-WC, 1.88 (95%CI: 1.71-2.07) for TyG-WHtR, and 1.90 (95%CI: 1.73-2.09) for Mets-IR, with significant additive interactions. Similar associations were observed in incident CMM. CONCLUSIONS: IR-related indices and MVPA had synergistic effects in incident CMD and CMM, highlighting the importance of identification and prevention for CMD and CMM.
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Lu et al. (2025) conducted a cohort in Cardiometabolic disease and multimorbidity (n=74,367). High TyG index and low moderate-to-vigorous physical activity vs. Low TyG index and high moderate-to-vigorous physical activity was evaluated on Incident cardiometabolic disease (CMD) (HR 1.71, 95% CI 1.55-1.88). High TyG index and low moderate-to-vigorous physical activity increased the risk of incident cardiometabolic disease compared to low TyG and high activity (HR 1.71; 95% CI 1.55-1.88).
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