Lipids & metabolic liver disease

Association between the combined c-reactive protein-triglyceride glucose index and hypertension with long-term stroke among cardiovascular-kidney-metabolic syndrome stages 0–3 population: a nationwide prospective cohort study

Cardiovasc DiabetolPublished Prospective cohort study

Main finding · StrokeResult — go to the resultFully adjusted HR 3.19 95% CI 2.62–3.88

Authors' conclusion

Integrating CTI with hypertension significantly improves stroke risk stratification in CKM stage 0-3 populations, supporting its potential for early identification of high-risk individuals.

Study context

Population
Cardiovascular-kidney-metabolic syndrome stages 0–3 population, China Health and Retirement Longitudinal Study (CHARLS)
Participants
9,082 participants
Exposure
Highest vs lowest combined CTI-hypertension group
Outcome
Incident stroke
Follow-up
median 9-year follow-up
Methodological detailsnationwide, longitudinal
  • Nationwide
  • Longitudinal

Main finding

Stroke

Fully adjusted HR

3.19

95% CI 2.62–3.88

Highest CTI-hypertensionvs Lowest CTI-hypertension
fully adjusted HR 3.19 (95% CI 2.62–3.88)

As reported in the abstract

Incident stroke cases
811 (8.9%)

Observational data: associations, not effects.

Further findings

Predictive performance for stroke (AUC)

Combined CTI-hypertension model AUC
0.672
Hypertension-alone model AUC
0.661
CTI-alone model AUC
0.651

Weighted Quantile Sum (WQS) contribution of components

C-reactive protein
38.8%
Hypertension
31.7%

Original publication

Association between the combined c-reactive protein-triglyceride glucose index and hypertension with long-term stroke among cardiovascular-kidney-metabolic syndrome stages 0–3 population: a nationwide prospective cohort study. Cardiovasc Diabetol. Published 24 January 2026. doi:10.1186/s12933-026-03075-6

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.