Evidence map›Paper›PMID 40628839›Full record

Trial reportScientific reports2025

Association and predictive value of the triglyceride glucose-weight adjusted waist index for cardiovascular outcomes in patients with type 2 diabetes.

Maojun Liu, Junyu Pei, Cheng Zeng, Ying Xin, Peiqi Tang, Xinqun Hu

Registry-linked trialAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT00000620. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT00000620 phase3completed

Action to Control Cardiovascular Risk in Diabetes (ACCORD)

Ran1999Enrolled10,251Registered outcomes6Posted comparisons6ConditionsAtherosclerosis, Cardiovascular Diseases, Coronary Disease, Diabetes MellitusArmsAnti-hyperglycemic Agents, Anti-hypertensive Agents, Blinded fenofibrate or placebo plus simvastatin
Open the trial in the graph
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Maojun LiuDepartment of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, 139 Middle Renmin Road, Changsha, 410011, Hunan, China.
Junyu PeiDepartment of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, 139 Middle Renmin Road, Changsha, 410011, Hunan, China.
Cheng ZengDepartment of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, 139 Middle Renmin Road, Changsha, 410011, Hunan, China.
Ying XinDepartment of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, 139 Middle Renmin Road, Changsha, 410011, Hunan, China.
Peiqi TangDepartment of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, 139 Middle Renmin Road, Changsha, 410011, Hunan, China.
Xinqun HuDepartment of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, 139 Middle Renmin Road, Changsha, 410011, Hunan, China. huxinqun@csu.edu.cn.ORCID http://orcid.org/0000-0003-1430-4833

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study investigates the association between a novel index, TyG-WWI (triglyceride-glucose-weight-adjusted waist index), and cardiovascular outcomes and total mortality (TM) in patients with type 2 diabetes mellitus (T2DM), and evaluates its predictive value. Data from 10,092 participants in the ACCORD/ACCORDION trials were analyzed using Cox regression, restricted cubic splines (RCS), and smooth curve fitting (SCF). Subgroup and sensitivity analyses tested robustness. Predictive ability was assessed using area under curve (AUC), net reclassification index (NRI), and integrated discrimination improvement(IDI). Higher TyG-WWI was significantly associated with increased risk of major adverse cardiovascular events (MACEs), major coronary heart disease (CHD), congestive heart failure (CHF), and total mortality (TM). Per 1-SD increase in TyG-WWI, risks rose by 11% for MACEs, 8% for major-CHD, 28% for CHF, and 12% for TM. RCS and SCF identified a nonlinear association with TM, with a turning point observed at a TyG-WWI value of 96.574. Subgroup and sensitivity analyses confirmed result stability. TyG-WWI outperformed TyG alone in predictive accuracy. A significant positive linear association exists between TyG-WWI and adverse cardiovascular outcomes in T2DM patients, while a U-shaped relationship is observed with TM. TyG-WWI is an independent predictor of future cardiovascular outcomes and TM in T2DM patients.Trial registration number NCT00000620, Clinical Trial URLs: https://clinicaltrials.gov/ct2/show/NCT00000620 , Registration Date: 1999-10-27.

Indexed as

Blood GlucoseCardiovascular DiseasesDiabetes Mellitus, Type 2TriglyceridesAgedBody WeightFemaleHumansMaleMiddle AgedPredictive Value of TestsRisk FactorsWaist CircumferenceBlood GlucoseTriglyceridesAction to control cardiovascular risk in diabetesCardiovascular outcomesTriglyceride glucose-weight adjusted waist indexType 2 diabetes mellitus

Identifiers

PMID40628839
PMCPMC12238582

What Socratic holds

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LicenceCC BY-NC-ND
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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.