Evidence mapPaperPMID 41390803Full record

ArticleCardiovascular diabetology2025

Association between triglyceride-glucose index combined with a body shape index and atherosclerotic cardiovascular disease risk varies by glycemic status: insights from the UK Biobank.

Xinyi Shao, Zhaofu Tan, Lifu Sun, Yidian Fu, Aijun Chen, Jin Chen, Genlong Bai, Jingbo Zhang

Abstract readComparative Study
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 6 papers.

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6citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Xinyi ShaoDepartment of Dermatology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, China.
Zhaofu TanDepartment of Dermatology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, China.
Lifu SunDepartment of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, 565-0871, Japan.
Yidian FuDepartment of Neurological Rehabilitation, Hebei General Hospital, Shijiazhuang, 050051, Hebei, China.
Aijun ChenDepartment of Dermatology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, China.
Jin ChenDepartment of Dermatology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, China.
Genlong BaiDepartment of Dermatology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, China.
Jingbo ZhangDepartment of Dermatology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, China. jingbozhang@hospital.cqmu.edu.cn.

Funding

China Postdoctoral Science Foundation 2024M763893Outstanding Youth Foundation of Chongqing Province CSTB2024YCJH-KYXM0101
6 · The paper itself

Abstract

objectiveThe triglyceride-glucose (TyG) index, a measure of insulin resistance, has been confirmed to be associated with adverse clinical outcomes. A new composite indicator, the TyG-A body type index (TyG-ABSI), was developed by integrating the TyG index and the A body type index. This study aimed to thoroughly investigate the association between the TyG-ABSI and the risk of atherosclerotic cardiovascular disease (ASCVD) among individuals with normoglycemia, dysglycemia, and diabetes.

methodsParticipants from the UK Biobank were included and categorized into 3 groups: normoglycemia, dysglycemia (prediabetes), and diabetes. The primary study outcome was the incidence of all-cause ASCVD. Cox regression and restricted cubic spline (RCS) analyses were performed to evaluate the linear and nonlinear associations between the TyG-ABSI and ASCVD. Furthermore, time-dependent receiver operating characteristic (ROC) curves were constructed to evaluate the discriminative performance of the TyG-ABSI and other indices. Additional analyses, including Kaplan-Meier survival curves, subgroup analyses, and sensitivity analyses, were conducted to assess robustness. A mediation analysis was performed to identify potential biomarkers.

resultsDuring an average follow-up of 14.8 years, a total of 29,680 ASCVD events were documented. The results indicated that elevated TyG-ABSI values were positively associated with the risk of ASCVD in the population with normoglycemia (nonlinear, P for nonlinear < 0.001) and diabetes (linear, P for nonlinear = 0.96) (HR = 1.07, 95% CI: 1.05-1.09; HR = 1.10, 95% CI: 1.06-1.14, respectively). No significant associations were detected in the dysglycemia group. Compared with the TyG index and other TyG-derived metrics, the TyG-ABSI demonstrated superior predictive performance (e.g., 10-year AUC = 0.634 in the normoglycemia group). Subgroup analyses and sensitivity analyses confirmed the robustness of our findings. Moreover, the results of the mediation analysis demonstrated that white blood cell (WBC) count (mediation proportions: 3.74-9.73%) and C-reactive protein (CRP) level (mediation proportions: 9.96-26.89%) significantly mediated the association between the TyG-ABSI and ASCVD.

conclusionsIn the normoglycemia subgroup, the association between the TyG-ABSI and ASCVD was nonlinear. Moreover, the TyG-ABSI was linearly associated with an increased risk of ASCVD in the diabetes subgroup but not in the dysglycemia subgroup. The predictive value of the TyG-ABSI across different glycemic statuses provides new evidence for medical practice. Furthermore, the TyG-ABSI may serve as a useful tool for identifying high-risk individuals within the seemingly low-risk normoglycemic population and for further risk identification among diabetic patients.

Indexed as

AtherosclerosisBlood GlucoseBody Mass IndexDiabetes MellitusPrediabetic StateTriglyceridesAdultAgedBiological Specimen BanksBiomarkersFemaleHeart Disease Risk FactorsHumansIncidenceInsulin ResistanceMaleBiomarkersBlood GlucoseTriglyceridesA body shape indexAtherosclerotic cardiovascular diseaseInsulin resistanceTriglyceride-glucose indexUK Biobank

Identifiers

PMID41390803
PMCPMC12715960

What Socratic holds

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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.