Evidence map›Paper›PMID 40640840›Full record

ArticleCardiovascular diabetology2025

Association between modified triglyceride glucose indices and stroke risk in middle-aged and older Chinese adults: a prospective cohort study.

Jiaan Sun, Xianglong Meng, Lichun Guo, Chongwen Nian, Haina Li, Wanxin Huang

Abstract read
In one paragraph

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 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Jiaan Sun *Zhengzhou University Affiliated Zhengzhou Central Hospital, Zhengzhou, 450007, China.
Xianglong Meng *Zhengzhou University Affiliated Zhengzhou Central Hospital, Zhengzhou, 450007, China.
Lichun GuoZhengzhou University Affiliated Zhengzhou Central Hospital, Zhengzhou, 450007, China.
Chongwen NianZhengzhou University Affiliated Zhengzhou Central Hospital, Zhengzhou, 450007, China.
Haina LiZhengzhou University Affiliated Zhengzhou Central Hospital, Zhengzhou, 450007, China.
Wanxin HuangZhengzhou University Affiliated Zhengzhou Central Hospital, Zhengzhou, 450007, China. 18703637376@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveVarious modified triglyceride and glucose (TyG) indices have been proposed, but the literature on the impact and ability of the modified TyG index to predict stroke disease remains limited. We aimed to investigate the associations between the modified TyG indices and incident stroke diseases and to compare their predictive power in a nationally representative cohort.

methodsThis was a prospective cohort study with longitudinal data from the China Health and Retirement Longitudinal Study (CHARLS), which was based on data from four CHARLS surveys in 2011, 2013, 2015 and 2018, and included a total of 8677 participants. The Cox proportional risk model, Restricted Cubic Spline (RCS), and Receiver Operating Characteristic curve (ROC) were analyzed for the associations of TyG-BMI, TyG-WC and TyG-WHtR with stroke risk. In addition, the robustness of the findings was further validated using a series of sensitivity analyses and subgroup analyses.

resultsDuring the follow-up period from 2011 to 2018, 807 (9.3%) of the 8677 participants experienced stroke. After multifactorial adjustment (Model III), a 10-unit increase in TyG-BMI corresponded to a 5.5% increased risk of stroke (HR = 1.055, 95% CI 1.033-1.078), a 10-unit increase in TyG-WC corresponded to a 2.0% increased risk of stroke (HR = 1.020, 95% CI 1.012-1.027), and a 1-unit increase in TyG-WHtR corresponded to a 32.4% increased risk of stroke (HR = 1.324, 95% CI 1.178-1.487). Compared with individuals in the lowest quartile (Q

conclusionsIn middle-aged and elderly populations, TyG-BMI, TyG-WC and TyG-WHtR are positively correlated with the risk of stroke. Maintaining favorable levels of these indices through weight and waist management may help reduce stroke risk.

Indexed as

Blood GlucoseStrokeTriglyceridesAgedAge FactorsBiomarkersChinaEast Asian PeopleFemaleHumansIncidenceLongitudinal StudiesMaleMiddle AgedPredictive Value of TestsPrognosisBiomarkersBlood GlucoseTriglyceridesCHARLSModified TyG indexProspective cohort studyStroke

Identifiers

PMID40640840
PMCPMC12243310

What Socratic holds

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LicenceCC BY-NC-ND
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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.