SynthesisPloS one2025
Diagnostic accuracy of triglyceride to glucose index and triglyceride/high-density lipoprotein index for insulin resistance among children and adolescents: A systematic review.
Synthesis in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The effect of exercise intervention on the triglyceride-glucose (TyG) index in adolescents with overweight or obesity: a systematic review and Bayesian dose-response meta-analysis.BMC pediatrics · 2025Pooled it
- An interpretable machine learning model based on routine clinical indicators for early identification of obesity-related non-alcoholic fatty liver disease in children: a single-center retrospective study.Translational pediatrics · 2026Article
- Visceral adiposity and lipid-related metabolic markers in normal-weight adolescent girls with polycystic ovary syndrome.European journal of pediatrics · 2026Article
- A sweet danger: the silent link between hyperinsulinemia and gastric cancer.Molecular cancer · 2026Review
- The predictive potential of surrogate indicators of insulin resistance for type 2 diabetic kidney disease.Frontiers in endocrinology · 2026Article
- Atherogenic lipid ratios and insulin resistance primarily reflect adiposity rather than androgen status in adolescents with polycystic ovary syndrome: evidence from a large case-control cohort.Archives of medical science : AMS · 2026Article
- Associations of the Triglyceride-Glucose Index and Body Fat Composition with Blood Pressure in Children and Adolescents.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionInsulin resistance (IR) is a common metabolic disorder associated with obesity, type 2 diabetes, and cardiovascular diseases. There is a need for simpler and more cost-effective indices to diagnose IR in pediatric populations. While the hyperinsulinemic-euglycemic clamp is the gold standard for diagnosing IR, it is costly and complex. Consequently, simpler indices like the triglyceride-to-glucose (TyG) and triglyceride/high-density lipoprotein (Tg/HDL) indices have been explored as alternative diagnostic tools for IR.
methodsThis systematic review adhered to PRISMA-DTA guidelines. Analytical studies evaluating the diagnostic accuracy of TyG and Tg/HDL indices for IR in children and adolescents were included. Eligibility criteria required studies to report sensitivity, specificity, or area under the curve (AUC) values compared against reference standards for IR. Excluded studies were those without reported diagnostic accuracy measures. Data were extracted from PubMed, Scopus, Web of Science, Embase, and SciELO Citation Index up to April 2024. Due to high heterogeneity, a narrative synthesis was performed.
resultsTwenty-one studies involving 28,768 participants were included. The TyG index showed sensitivities ranging from 60-92% and specificities of 54-100%, with AUCs between 0.610 and 0.960. For the Tg/HDL index, sensitivities varied from 14.8-85.7%, specificities from 60.9-97.6%, and AUCs from 0.687 to 0.809. These results suggest that the TyG index generally demonstrates higher diagnostic precision than the Tg/HDL index, but both exhibit moderate accuracy with considerable heterogeneity.
conclusionThe TyG and Tg/HDL indices are promising tools for diagnosing IR in children and adolescents, but further studies with rigorous methodology are needed. Future research should focus on standardizing cut-off points and exploring their predictive value in diverse populations.
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Registered trials
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.