Evidence map›Paper›PMID 40991182›Full record

ArticleHormones (Athens, Greece)2026

Combining body roundness index and triglyceride-glucose index to enhance MASLD prediction: insights from NHANES and machine learning.

Xiaomin Li, Shanpeng Liu, Qingrui Zhao, Mengqing An, Chenyu Hou, Songliu Hu, Yucun Niu

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Article in Hormones (Athens, Greece), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Xiaomin LiDepartment of Nutrition and Food Hygiene, Public Health College, Harbin Medical University, Harbin, PR China.
Shanpeng LiuGraduate School of Capital Medical University, Beijing, China.
Qingrui ZhaoDepartment of Nutrition and Food Hygiene, Public Health College, Harbin Medical University, Harbin, PR China.
Mengqing AnDepartment of Nutrition and Food Hygiene, Public Health College, Harbin Medical University, Harbin, PR China.
Chenyu HouDepartment of Nutrition and Food Hygiene, Public Health College, Harbin Medical University, Harbin, PR China.
Songliu HuDepartment of Radiation Oncology, Harbin Medical University Cancer Hospital, Harbin, China. husongliu@126.com.
Yucun NiuDepartment of Nutrition and Food Hygiene, Public Health College, Harbin Medical University, Harbin, PR China. 100380@hrbmu.edu.cn.

Funding

Excellent Youth Foundation of Heilongjiang Scientific Committee JQ2023H001National Natural Science Foundation of China 82273616National Natural Science Foundation of China 82473614
6 · The paper itself

Abstract

backgroundNon-alcoholic fatty liver disease (MASLD), associated with obesity and metabolic syndrome, necessitates effective biomarkers for diagnosis and management.

aimsThis study examines the combined utility of the body roundness index (BRI) and the triglyceride-glucose (TyG) index in predicting MASLD.

methodsWe analyzed NHANES 2017-2018 cross-sectional data from 1,211 individuals without hepatitis or significant alcohol use. Logistic regression models assessed relationships between BRI, body mass index (BMI), TyG, and MASLD. Predictive performance was enhanced using machine learning techniques and a nomogram. Validation methods included the Net Reclassification Index, the integrated discriminant improvement index, receiver operating characteristic analysis, decision curve analysis, and calibration curve analysis.

resultsA significant nonlinear relationship was observed between BRI, BMI, and TyG with MASLD incidence, along with notable additive interactions (all p < 0.05). TyG emerged as a key mediator of BRI or BMI effects on MASLD. The combined indices (BRI and TyG) achieved a predictive area under the curve (AUC) of 0.797, exceeding individual metrics and BMI + TyG. Among 105 machine learning models, random forest excelled with a mean AUC of 0.918. A nomogram demonstrated strong accuracy (AUC = 0.83).

conclusionThe combined BRI and TyG indices serve as effective surrogate biomarkers for managing MASLD, facilitating personalized interventions, and enhancing clinical outcome predictions.

Indexed as

Blood GlucoseMachine LearningNon-alcoholic Fatty Liver DiseaseTriglyceridesAdultAgedBiomarkersBody Mass IndexCross-Sectional StudiesFemaleHumansMaleMiddle AgedNutrition SurveysBiomarkersBlood GlucoseTriglyceridesBRIMASLDTyG

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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.