Key result
The highest quartile of TG/HDL ratio was independently associated with high arterial stiffness compared to the lowest quartile in postmenopausal Korean women (OR 2.77; 95% CI 1.16-6.63).
Why the study?
It was not known whether the ratio of triglyceride to high-density lipoprotein cholesterol is related to brachial-ankle PWV in postmenopausal women.
Does a high TG/HDL ratio increase arterial stiffness in postmenopausal Korean women?
Observational (n=434)
Does a high TG/HDL ratio increase arterial stiffness in postmenopausal Korean women?
A high TG/HDL ratio is independently associated with increased arterial stiffness in postmenopausal Korean women, suggesting its utility as a marker for vascular risk.
Supports TG/HDL ratio as potential stiffness marker in postmenopausal women; hypothesis-generating and requires prospective validation before practice change.
The ratio of triglyceride to high-density lipoprotein cholesterol (TG/HDL) is positively linked to insulin resistance, and it has emerged as an independent predictor of cardiovascular disease. Menopause is characterized by various detrimental metabolic and vascular changes that may lead to high TG with low HDL cholesterol and arterial stiffness. Several epidemiological studies have reported that high TG/HDL ratio has a positive association with arterial stiffness in both adult and adolescent populations; it is not known whether TG/HDL ratio is related to brachial-ankle PWV (baPWV) in postmenopausal women. Thus, the authors aimed to investigate the association between TG/HDL ratio and arterial stiffness as measured by baPWV in 434 postmenopausal women. The odds ratios (ORs) and 95% confidence intervals (95% CIs) for high baPWV were calculated after adjusting for confounding variables across TG/HDL ratio quartiles using multiple logistic regression analysis. The mean values of meaningful cardiometabolic variables increased with TG/HDL ratio quartiles. The adjusted baPWV (SEs) significantly increased with TG/HDL quartiles: Q1 = 1412 (22.1), Q2 = 1469 (21.4), Q3 = 1482 (21.0), and Q4 = 1505 (21.6) cm/s after adjusting for age, body mass index (BMI), and systolic blood pressure. The OR (95% CI) of the highest TG/HDL ratio quartile as compared to the lowest TG/HDL ratio quartile for high PWV was 2.77 (1.16-6.63) after adjusting for age, BMI, smoking status, regular exercise, mean arterial pressure, fasting plasma glucose, total cholesterol level, hypertension, log-transformed C-reactive protein, and the use of antihypertensive and lipid-lowering drugs. The TG/HDL ratio was positively and independently associated with arterial stiffness in postmenopausal Korean women.
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Chung et al. (2019) conducted an observational in Arterial stiffness (n=434). Highest TG/HDL ratio quartile vs. Lowest TG/HDL ratio quartile was evaluated on High brachial-ankle pulse wave velocity (baPWV) (OR 2.77, 95% CI 1.16-6.63). The highest quartile of TG/HDL ratio was independently associated with high arterial stiffness compared to the lowest quartile in postmenopausal Korean women (OR 2.77; 95% CI 1.16-6.63).
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