Lipids & metabolic liver disease

Association of triglyceride glucose index and triglyceride glucose-body mass index with sudden cardiac arrest in the general population

Cardiovasc DiabetolPublished Prospective cohort study

Authors' conclusion

Higher TyG index and TyG-BMI levels are associated with an increased SCA risk and earlier onset, particularly in women.

Study context

Population
UK Biobank participants with available triglyceride glucose (TyG) index and triglyceride glucose-body mass index (TyG-BMI) data and no history of cardiovascular disease (CVD)1,622 sudden cardiac arrest (SCA) cases
Participants
355,242 participants
Exposure
Higher vs lower TyG index and TyG-BMI
Outcome
Sudden cardiac arrest (SCA)
Follow-up
Median 165.4 months (IQR 156.5-174 months)
Methodological detailsUK Biobank, Cox proportional risk models, Accelerated Failure Time models, restricted cubic spline
  • UK Biobank
  • Cox proportional risk models
  • Accelerated Failure Time models
  • Restricted cubic spline

Main finding

As reported in the abstract

SCA risk

aHR per SD increase in TyG index

1.09

95% CI 1.04–1.15

aHR per SD increase in TyG-BMI

1.14

95% CI 1.09–1.2

Observational data: associations, not effects.

Further findings

Timing of SCA onset (Accelerated Failure Time (AFT) models)

Earlier median times to SCA with increasing quintiles of TyG index and TyG-BMI vs lowest quintile
P for trend < 0.05

Dose-response with gradual increases (restricted cubic spline)

Linear correlation of SCA risk with TyG index
P = 0.54
Non-linear correlation of SCA risk with TyG-BMI
P = 0.007

Sex-stratified analyses

Stronger associations in women

Original publication

Association of triglyceride glucose index and triglyceride glucose-body mass index with sudden cardiac arrest in the general population. Cardiovasc Diabetol. Published 18 May 2024. doi:10.1186/s12933-024-02275-2

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

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