Type 2 & other diabetes

The association between triglyceride-glucose (TyG) index and cardiovascular mortality is modified by antidiabetic or lipid-lowering agent: a prospective cohort study

Cardiovasc DiabetolPublished Prospective cohort study

Authors' conclusion

The use of antidiabetic and hypolipidemic agents modify the association between the TyG index and all-cause and CVD mortality. These findings suggest that future studies on the TyG index and its relationship with CVD and mortality should account for the modifying effects of these agents.

Study context

Population
Adults from the National Health and Nutrition Examination Survey (1999–2018); weighted mean age 61.08 years [SE: 0.24]; 49.35% femalerepresenting 42,753,806 individuals
Participants
5,046 adults
Exposure
TyG index–mortality association in users vs non-users of antidiabetic and hypolipidemic agents
Outcome
CVD mortality (and all-cause mortality)
Follow-up
Until December 31, 2019
Methodological detailsNHANES 1999-2018, linkage with National Death Index, Medication use self-reported
  • NHANES 1999-2018
  • Linkage with National Death Index
  • Medication use self-reported

Main finding

As reported in the abstract

TyG index significantly associated with all-cause and cardiovascular disease (CVD) mortality; associations modified by use of antidiabetic and hypolipidemic agents
p < 0.01

Observational data: associations, not effects.

Original publication

The association between TyG index and cardiovascular mortality is modified by antidiabetic or lipid-lowering agent: a prospective cohort study. Cardiovasc Diabetol. Published 7 February 2025. doi:10.1186/s12933-025-02620-z

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