Lipids & metabolic liver disease

Association between triglyceride-glucose index trajectories and carotid atherosclerosis progression

Cardiovasc DiabetolPublished Prospective cohort study

Authors' conclusion

Participants with higher baseline and moderate-stable trajectory of the TyG index were associated with CAS progression. Long-term trajectories of the TyG index can help to identify individuals at a higher risk of CAS progression who deserve specific preventive and therapeutic approaches.

Study context

Population
Adults with multiple general health checks at Peking University Third Hospital, January 2011 to December 2020
Participants
10,380 adults
Exposure
Triglyceride-glucose (TyG) index baseline and trajectories
Outcome
Carotid atherosclerosis (CAS) progression
Follow-up
Median 757 days
Methodological detailslongitudinal, latent class trajectory modeling
  • Longitudinal
  • Latent class trajectory modeling

Main finding

As reported in the abstract

CAS progression
Each group vs low-stableHazard ratio (95% CI)
Moderate-stablemultivariate adjusted
1.139(1.021–1.272)
High-increasingtended to be associated
1.206(0.961–1.513)
Participants developing carotid atherosclerosis (CAS) progression
1813
HR per 1-SD increase in baseline TyG index, adjusted for traditional cardiovascular disease (CVD) risk factors (7% higher risk)
1.067 (95% CI 1.006-1.132)

Observational data: associations, not effects.

Further findings

TyG index quartiles and CAS progression

Similar results when TyG index expressed as quartiles

Original publication

Association between triglyceride-glucose index trajectories and carotid atherosclerosis progression. Cardiovasc Diabetol. Published 31 May 2023. doi:10.1186/s12933-023-01847-y

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