Lipids & metabolic liver disease

Association between insulin resistance and uncontrolled hypertension and arterial stiffness among US adults: a population-based study

Cardiovasc DiabetolPublished Cross-sectional study

Authors' conclusion

Elevated levels of the TyG index were positive associated with prevalence of uncontrolled hypertension and arterial stiffness among US adults with hypertension.

Study context

Population
US adults with hypertension, NHANES 1999–2018
Participants
8,513 adults
Exposure
Triglyceride-glucose (TyG) index quartiles
Outcome
Arterial stiffness (estimated pulse wave velocity, ePWV) and uncontrolled hypertension
Methodological detailspopulation-based, NHANES 1999-2018
  • Population-based
  • NHANES 1999-2018

Main finding

As reported in the abstract

Uncontrolled hypertension
Fully adjusted
Odds ratio (95% CI)
Q3vs Q1
1.28(1.06–1.52)
Q4vs Q1
1.49(1.21–1.89)
Overall prevalence of uncontrolled hypertension
54.3%
Arterial stiffness: β for ePWV per TyG index, 95% CI 0.00-0.08, P = 0.039
0.04

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)
Uncontrolled hypertension, subgroup taking antihypertensive medicationQ4vs Q12.03 (1.37–3.11)

HOMA-IR and uncontrolled hypertension / arterial stiffness

HOMA-IR showed no significant positive correlation to uncontrolled hypertension or arterial stiffness

Original publication

Association between insulin resistance and uncontrolled hypertension and arterial stiffness among US adults: a population-based study. Cardiovasc Diabetol. Published 9 November 2023. doi:10.1186/s12933-023-02038-5

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