Lipids & metabolic liver disease

Triglyceride-glucose index: carotid intima-media thickness and cardiovascular risk in a European population

Cardiovasc DiabetolPublished Cohort study

Authors' conclusion

TyG index is a sensitive marker of risk in a European population with moderate ASCVD risk, as assessed by c-IMT measurements, in a large cohort of Lipid Clinic patients.

Study context

Population
Primary prevention patients with carotid intima media thickness (c-IMT) measurement 1984–2018, Dyslipidemia Center, Niguarda, Milan, Italy; mean age 54.9 ± 13.1 years, mean BMI 24.6 ± 3.5 Kg/m²
Participants
3,108 patients
Exposure
Triglyceride-glucose (TyG) index quartiles
Outcome
Association of TyG index with c-IMT
Methodological detailssingle-centre, Lipid Clinic cohort, follow-up up to 20 years
  • Single-centre
  • Lipid Clinic cohort
  • Follow-up up to 20 years

Main finding

As reported in the abstract

  • Significant association between the TyG index and all c-IMT measurements
  • Significantly higher IMTmean and IMTmax in highest vs lower TyG quartiles; consistent across all vascular sites and significant after adjustment for all potential confounders

Observational data: associations, not effects.

Further findings

Atherosclerotic cardiovascular diseases (ASCVD) events · follow-up up to 20 years

Kaplan-Meier analysis: increased incidence of ASCVD events in the two highest TyG index quartiles

Mean TyG index

Mean TyG index
8.65 ± 0.59

Original publication

Triglyceride-glucose index: carotid intima-media thickness and cardiovascular risk in a European population. Cardiovasc Diabetol. Published 13 January 2025. doi:10.1186/s12933-025-02574-2

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