Lipids & metabolic liver disease

Prospective associations of triglyceride-glucose related indices with cardiovascular disease and mortality in individuals with metabolic syndrome: evidence from the UK biobank

Cardiovasc DiabetolPublished Prospective cohort study

Main finding · Total CVD (TyG-WC)Result — go to the resultHazard ratio 1.42 95% CI 1.36–1.48

Authors' conclusion

TyG-BMI, TyG-WC, and TyG-WHtR were robust predictors of CVD and mortality in individuals with MetS. These indices exhibited nonlinear threshold effects and improved predictive performance, supporting their utility in clinical risk stratification.

Study context

Population
UK Biobank participants with metabolic syndrome (MetS) free of cardiovascular disease (CVD) at baseline
Participants
113,699 participants
Exposure
Highest vs lowest quartile of triglyceride-glucose (TyG)-related indices
Outcome
CVD and mortality outcomes
Follow-up
Median 13.7 years
Methodological detailslarge-scale, UK Biobank, quartile analysis
  • Large-scale
  • UK Biobank
  • Quartile analysis

Main finding

Total CVD (TyG-WC)

Hazard ratio

1.42

95% CI 1.36–1.48

Highest quartilevs Lowest quartile
HR 1.42 (95% CI 1.36–1.48)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (CI)
CVD mortality (TyG-WC)TyG-WC1.51 (1.32–1.72)

Dose-response

Linear association with coronary heart disease (CHD); U- or J-shaped nonlinear relationships for other CVD outcomes, risks rising beyond inflection points

Incremental predictive value (net reclassification index (NRI), integrated discrimination improvement (IDI))

TyG-waist circumference (TyG-WC) greatest for total CVD, all-cause mortality and CVD mortality; TyG-waist-to-height ratio (TyG-WHtR) largest for CHD and stroke

Trajectory analyses

Persistently high TyG-related trajectories had substantially elevated CVD risks

Original publication

Prospective associations of triglyceride-glucose related indices with cardiovascular disease and mortality in individuals with metabolic syndrome: evidence from the UK biobank. Cardiovasc Diabetol. Published 21 January 2026. doi:10.1186/s12933-025-03070-3

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

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