Evidence map›Paper›PMID 41305767›Full record

Observational studyMedicine2025

Association of insulin resistance-related indexes with atherosclerotic cardiovascular disease: A crosss-sectional study.

Zheqin Zhu, Min Wang, Aoli Chen, Shenghua Lu, Sisi Dai, Rongzhen Liu, Jianhe Liu

Abstract readObservational Study
In one paragraph

Observational study in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Zheqin ZhuDepartment of Cardiovascular Medicine, The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, China.ORCID 0009-0000-3468-3311
Min WangDepartment of Cardiovascular Medicine, The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, China.
Aoli ChenDepartment of Cardiovascular Medicine, Putuo Hospital Affiliated to Shanghai University of Chinese Medicine, Shanghai, China.
Shenghua LuDepartment of Cardiovascular Medicine, The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, China.
Sisi DaiDepartment of Cardiovascular Medicine, The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, China.
Rongzhen LiuDepartment of Cardiovascular Medicine, The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, China.
Jianhe LiuDepartment of Cardiovascular Medicine, The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, China.ORCID 0000-0003-2473-858

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Insulin resistance (IR) is linked to atherosclerotic cardiovascular disease(ASCVD). This study analyzed data from the National Health and Nutrition Examination Survey to reveal the association of IR-related indexes with ASCVD in adults, aiming to improve risk assessment and early intervention. The study included adults from the National Health and Nutrition Examination Survey between 2007 and 2016. We used multivariable logistic regression to assess the link between IR-related indexes and ASCVD. Nonlinear associations were identified using restricted cubic splines and threshold effect analyses. Subgroup analysis confirmed result stability, while receiver operating characteristic curves compared the predictive performance of the indexes. Among 11,687 participants, 9.40% had ASCVD. A linear association between the metabolic score for IR (METS-IR) and ASCVD. The triglyceride-glucose index (TyG), homeostasis model assessment of IR (HOMA-IR), and triglyceride glucose-waist height ratio (TyG-WHtR) had nonlinear correlations with ASCVD prevalence. When TyG > 9.03, it was positively correlated with ASCVD (OR: 1.31, 95% CI: 1.07-1.60). An increase in HOMA-IR < 6.79 correlated with ASCVD risk (OR: 1.08, 95% CI: 1.04-1.12), but when HOMA-IR > 6.79, the increasing trend slowed down. When TyG-WHtR > 5.82, ASCVD risk was increased markedly with increasing values (OR: 1.32, 95% CI: 1.15-1.52), subgroup analysis showed a significant interaction between diabetes status and physical activity. Additionally, TyG-WHtR demonstrated superior predictive capacity for ASCVD (AUC = 0.644) compared to other indexes. Elevated IR levels are independently associated with increased ASCVD risk in American adults, with TyG-WHtR being the strongest predictor.

Indexed as

AtherosclerosisInsulin ResistanceAdultAgedBlood GlucoseCross-Sectional StudiesFemaleHumansMaleMiddle AgedNutrition SurveysRisk AssessmentRisk FactorsTriglyceridesBlood GlucoseTriglyceridesatherosclerotic cardiovascular diseasecross-sectional studyinsulin resistanceNHANEStriglyceride glucose-waist height ratio

Identifiers

PMID41305767
PMCPMC12643737

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.