Lipids & metabolic liver disease

Association of cholesterol, high-density lipoprotein and glucose (CHG) index with mortality risk in metabolic dysfunction-associated steatotic liver disease (MASLD) adults: results from two prospective cohorts

Cardiovasc DiabetolPublished Prospective cohort study

Authors' conclusion

Our study confirmed a robust association between the CHG index and ACM and CVM in patients with MASLD based on the two prospective cohorts of NHANES and HRS.

Study context

Population
Adults with MASLD, National Health and Nutrition Examination Survey (NHANES) 1999–2018; external validation in Health and Retirement Study (HRS) 2016 cohort2,914 HRS validation
Participants
13,286 adults
Exposure
CHG index vs mortality risk
Outcome
All-cause mortality (ACM) and cardiovascular mortality (CVM)
Follow-up
Median 112 months
Methodological detailstwo prospective cohorts, external validation
  • Two prospective cohorts
  • External validation

Main finding

As reported in the abstract

median 112 months

ACM cases

1,688

Cardiovascular mortality (CVM) cases

551

Observational data: associations, not effects.

Further findings

Subgroups

Association more significant in subgroups <60 years and lean

Mediation

WWI, neutrophil (NE) and estimated glucose disposal rate (eGDR) may partially mediate effects of CHG index on ACM and CVM

External validation (HRS)

CHG index significantly correlated with ACM

Original publication

Association of cholesterol, high-density lipoprotein and glucose (CHG) index with mortality risk in metabolic dysfunction-associated steatotic liver disease (MASLD) adults: results from two prospective cohorts. Cardiovasc Diabetol. Published 17 January 2026. doi:10.1186/s12933-026-03079-2

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