Lipids & metabolic liver disease

Association of atherogenic index of plasma with cardiovascular disease mortality and all-cause mortality in the general US adult population: results from NHANES 2005–2018

Cardiovasc DiabetolPublished Cohort study

Authors' conclusion

A J-shaped relationship was observed between baseline AIP levels and ACM within the general US population, with a threshold of 0.0905. Moreover, AIP could potentially be an effective predictor for future ACM or CVM, particularly among individuals aged 40-60. Further investigation is warranted to corroborate these findings.

Study context

Population
US adults aged ≥ 18, National Health and Nutrition Examination Survey (2005–2018)
Participants
18,133 adults
Exposure
Baseline atherogenic index of plasma (AIP) levels
Outcome
CVM and ACM
Follow-up
Through December 31, 2019
Methodological detailsNHANES 2005–2018, linkage with National Death Index, multivariable Cox proportional hazard models, restricted cubic splines, subgroup analyses
  • NHANES 2005–2018
  • Linkage with National Death Index
  • Multivariable Cox proportional hazard models
  • Restricted cubic splines
  • Subgroup analyses

Main finding

As reported in the abstract

ACM (AIP >0.0905; J-shaped association, threshold = 0.0905) · median 95.0-month follow-up

HR for all-cause mortality (ACM) when baseline AIP exceeded 0.0905

1.61

95% CI 1.08–2.37

All-cause deaths

1870

CVD-related deaths

579

HR for CVM after adjusting for confounders (not statistically significant)

1.31

95% CI 0.93–1.86

Observational data: associations, not effects.

Further findings

ACM and CVM, 40-60-year age group

HR for ACM, age 40-60
1.51 (1.08v2.10)
HR for CVM, age 40-60
2.63 (1.39-4.98)

Original publication

Association of atherogenic index of plasma with cardiovascular disease mortality and all-cause mortality in the general US adult population: results from NHANES 2005–2018. Cardiovasc Diabetol. Published 16 July 2024. doi:10.1186/s12933-024-02359-z

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