ArticleFrontiers in cardiovascular medicine2025
The nonlinear association between the triglyceride glucose-waist-to-height ratio index and cardiovascular disease among middle-aged and older adults in China with cardiovascular-kidney-metabolic syndrome stages 0-3.
Article in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Associations of triglyceride-glucose-related composite obesity indices with cardiovascular diseases and mortality: a systematic review and meta-analysis.Cardiovascular diabetology · 2026Pooled it
- Associations of the uric acid-to-high-density lipoprotein cholesterol ratio with hypertension: a cross-sectional study from the China health and retirement longitudinal study.Scientific reports · 2026Article
- Cardiovascular-kidney-metabolic syndrome: a comprehensive review of pathophysiology, epidemiology, diagnosis, and management.Cardiovascular diabetology · 2026Review
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3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Background: Cardiovascular disease (CVD) poses a critical challenge to global public health, especially in individuals with Cardiovascular-Kidney-Metabolic (CKM) syndrome. The association between the triglyceride glucose-waist-to-height ratio index (TyG-WHtR) and CVD among middle-aged and older Chinese adults with CKM stages 0-3 is not well understood. Methods: Data were obtained from the China Health and Retirement Longitudinal Study (CHARLS), a nationally representative longitudinal study of individuals aged 45 years and older. Cox proportional hazards models were constructed to evaluate the association between TyG-WHtR and CVD risk. Subgroup analyses were conducted among different groups to evaluate consistency of findings and explore potential interactions. Restricted cubic spline regression was employed to evaluate the dose-response relationship. Results: During a mean follow-up period of 7.77 ± 2.13 years, 1,595 participants (23.58%) developed CVD. After adjusting for covariates, TyG-WHtR was significantly associated with CVD risk (HR: 1.09, 95% CI: 1.01-1.18). Notably, this relationship was independent of other variables and displayed a nonlinear pattern, with an inflection point identified at 3.57. Beyond this threshold, the adjusted HR increased to 1.17 (95%CI: 1.08-1.71). Conclusion: TyG-WHtR demonstrates a nonlinear relationship with CVD among middle-aged and older Chinese adults with CKM stages 0-3.
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