Evidence map›Paper›PMID 40713770›Full record

ArticleCardiovascular diabetology2025

Associations of cumulative exposure and dynamic trajectories of the C-reactive protein-triglyceride-glucose index with incident cardiovascular disease in middle-aged and older Chinese adults: a nationwide cohort study.

Xiujuan Ma, Xiaodong Ma, Yulong Wang, Gang Qiu, Chunjuan Zhang

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 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing 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.

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

55 citing papers in PubMed.

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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

5 authors.

Xiujuan MaHaiyan People's Hospital, Jiaxing, 314300, Zhejiang, China.
Xiaodong MaHaiyan People's Hospital, Jiaxing, 314300, Zhejiang, China.
Yulong WangHaiyan People's Hospital, Jiaxing, 314300, Zhejiang, China.
Gang QiuHaiyan People's Hospital, Jiaxing, 314300, Zhejiang, China.
Chunjuan ZhangHaiyan People's Hospital, Jiaxing, 314300, Zhejiang, China. 18842656942@163.com.ORCID 0000-0003-0766-3256

Funding

the medical and health research project of Zhejiang province 2024KY458the medical and health research project of Zhejiang province 2025KY373Youth Science and Technology Talent Program of Jiaxing No.15
6 · The paper itself

Abstract

objectiveThis study aimed to explore the relationships between cumulative C-reactive protein-triglyceride-glucose index (cuCTI) and CTI changes and the risk of new-onset cardiovascular disease (CVD) in middle-aged and older Chinese individuals.

methodsThis longitudinal study employed data from the China Health and Retirement Longitudinal Study. To evaluate the association between the cuCTI index and CVD risk, we conducted Cox regression analyses alongside restricted cubic spline (RCS) regression models. The participants were categorized into three groups on the basis of the dynamic changes in the CTI through K-means clustering. Subgroup analysis and sensitivity analysis were performed to confirm the robustness of the results.

resultsA total of 4157 participants were included in the study, of whom 609 (13.5%) were diagnosed with CVD. The incidence risk of CVD increased with increasing cuCTI. In fully adjusted Model 3, the Cox regression results indicated that, compared with those in Q1, participants in Q2 had a significantly greater risk of developing CVD (HR, 1.53 [1.22, 1.92], P

conclusionThis study revealed that cuCTI and changes in CTI are independently associated with the risk of CVD among middle-aged and elderly individuals with elevated cuCTI levels, particularly those with sustained high CTI levels, exhibited a significantly higher risk of CVD. As a cost-effective and accessible tool, cuCTI may provide supplementary information for assessing CVD risk. Monitoring long-term changes in the CTI and maintaining it at relatively low levels may aid early identification of individuals at high risk for CVD.

Indexed as

Blood GlucoseCardiovascular DiseasesC-Reactive ProteinAgedAge FactorsBiomarkersChinaEast Asian PeopleFemaleHeart Disease Risk FactorsHumansIncidenceLongitudinal StudiesMaleMiddle AgedPrognosisBiomarkersBlood GlucoseC-Reactive ProteinCardiovascular diseasesC-reactive protein-triglyceride-glucose indexDynamic changesInflammationInsulin resistanceK-means clustering

Identifiers

PMID40713770
PMCPMC12296596

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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.