Evidence mapPaperPMID 39762919Full record

ArticleCardiovascular diabetology2025

Joint association of triglyceride glucose index (TyG) and a body shape index (ABSI) with stroke incidence: a nationwide prospective cohort study.

Ruiying Zhang, Jianan Hong, Yaoling Wu, Liling Lin, Shuying Chen, Yingxiu Xiao

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Article in Cardiovascular diabetology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

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47citing papers in PubMed
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47 citing papers in PubMed.

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5 · Who and what money

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6 authors.

Ruiying Zhang *Department of Neurology, the First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong, China.
Jianan Hong *Shantou University Medical College, Shantou, Guangdong, China.
Yaoling WuDepartment of Intensive Care, the First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong, China.
Liling LinDepartment of Neurology, the First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong, China.
Shuying ChenDepartment of Neurology, the First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong, China.
Yingxiu XiaoDepartment of Neurology, the First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong, China. xiaoyingxiu@sina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTriglyceride glucose index(TyG) and a body shape index(ABSI) are both independent predictor of stroke incidence or adverse prognosis but these two indicators seldom were combined to predict. The purpose of this study is to evaluate whether the combination of TyG and ABSI better predict the incidence of stroke.

methodsBased on the China Health and Retirement Longitudinal Study(CHARLS), 8,257 people aged 45 years and older without stroke were enrolled and followed up to 9 years. Sociodemographic information, health status, physical examination and blood data were collected retrospectively. Cox regressions were to determine the relationship between different groups and stroke incidence, using receiver operating characteristic curves to evaluate the diagnostic value. Meanwhile, subgroup analysis was performed to investigate the prediction performance among different population.

results672(8.14%) of 8,257 participants had stroke incidence during 9 years. In the adjusted multivariate cox regression model, both TyG and ABSI were still predictors of stroke. The HR of TyG was 1.25(95%CI: 1.06-1.47) and the HR of ABSI was 1.33(95%CI: 1.06-1.68). Restricted cubic spline regression showed the associations between TyG or ABSI and stroke. The combination of TyG and ABSI had the highest diagnostic efficacy(AUC: 0.579, 95%CI: 0.553-0.597), compared to TyG(AUC:0.566, 95%CI: 0.544-0.587) and ABSI(AUC:0.533, 95%CI: 0.524-0.597). Kaplan-Meier curves showed that the highest cumulative stroke incidence was among people with high TyG and ABSI(TyG ≥ 8.5742, ABSI ≥ 0.0852; P < 0.0001), which had the highest HR of stroke incidence(HR:1.64, 95%CI:1.2-2.24).

conclusionThe combined prediction of TyG and ABSI had higher clinical value and enabled earlier detection of the stroke in the general population, which could be monitored and intervened to reduce the overall burden of stroke.

Indexed as

BiomarkersBlood GlucosePredictive Value of TestsStrokeTriglyceridesAgedChinaFemaleHumansIncidenceMaleMiddle AgedPrognosisProspective StudiesRetrospective StudiesRisk AssessmentBiomarkersBlood GlucoseTriglyceridesA body shape indexCHARLSJoint indicatorStrokeTriglyceride glucose

Identifiers

PMID39762919
PMCPMC11705842

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.