Associations of triglyceride-glucose (triglyceride and glucose (TyG)) index with chest pain incidence and mortality among the U.S. population

Cardiovasc DiabetolPublished Cross-sectional and cohort study

Main finding · Chest painResult — go to the resultOdds ratio 1.42 95% CI 1.14–1.77

Authors' conclusion

The TyG index was positively linked to a higher incidence of chest pain. Moreover, the TyG index was associated with all-cause mortality not only in participants with chest pain but also in those without chest pain.

Study context

Population
US population, National Health and Nutrition Examination Survey (NHANES) 2001–2012, with or without chest pain
Exposure
TyG index quartile 4 vs quartile 1
Outcome
Chest pain; all-cause mortality in participants with or without chest pain
Methodological detailsNHANES 2001-2012, weighted logistic regression, weighted Cox proportional hazards models, restricted cubic spline analysis
  • NHANES 2001-2012
  • Weighted logistic regression
  • Weighted Cox proportional hazards models
  • Restricted cubic spline analysis

Main finding

Chest pain

Odds ratio

1.42

95% CI 1.14–1.77

P = 0.002

Quartile 4vs Quartile 1
OR 1.42 (95% CI 1.14–1.77); P = 0.002

As reported in the abstract

Observational data: associations, not effects.

Further findings

All-cause mortality · mean follow-up 139 months

Deaths
2286 (27.43%)
Adjusted HR per one-unit increase in TyG index, participants with chest pain
1.14 (95% CI = 0.94-1.37)
Adjusted HR per one-unit increase in TyG index, participants without chest pain
1.25 (95% CI = 1.09-1.43)
Nonlinear relationship between TyG index and all-cause mortality regardless of chest pain (all P for nonlinearity < 0.01)

Original publication

Associations of triglyceride-glucose (TyG) index with chest pain incidence and mortality among the U.S. population. Cardiovasc Diabetol. Published 30 March 2024. doi:10.1186/s12933-024-02209-y

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