Evidence mapPaperPMID 41853073Full record

ArticleFrontiers in psychiatry2026

The mediating role of depressive symptoms in the relationship between obesity-related triglyceride-glucose index and cognitive status among middle-aged and elderly adults: a large cohort study.

Yuxuan Jiang, Chaojin Luo, Yuting Zou

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Article in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 authors.

Yuxuan JiangDepartment of Rehabilitation Medicine Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Chaojin LuoDepartment of Rehabilitation Medicine Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Yuting ZouDepartment of Rehabilitation Medicine Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

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6 · The paper itself

Abstract

Background: Recent research suggests that the obesity-related triglyceride-glucose (TyG) index is associated with cognitive status and depressive symptoms. However, the existing evidence is limited and inconsistent. Furthermore, it remains unclear whether depressive symptoms play a significant role in the relationship between obesity-related TyG indexes and cognitive status. Objective: This study aims to investigate the relationship among the obesity-related TyG index, cognitive status, and depressive symptoms, as well as the role of depressive symptoms in the association between obesity-related TyG indexes and cognitive status. Methods: A total of 5,822 participants from the China Health and Retirement Longitudinal Study (CHARLS) were included in this study. Cognitive status was assessed using the Telephone Interview of Cognitive Status (TICS), while depressive symptoms were evaluated using the 10-item version of the Center for Epidemiologic Studies Depression Scale (CES-D-10). TyG and obesity-related indicators (body mass index [BMI], waist circumference [WC], and waist-to-height ratio [WHtR]) were calculated from individual blood and physical examinations. Multivariate linear regression was employed to examine the associations among the obesity-related TyG index, depressive symptoms, and cognitive status. Restricted cubic spline (RCS) analysis was used to test the non-linear relationships between the obesity-related TyG index and both cognitive status and depressive symptoms. Mediation analysis was conducted to assess the role of depressive symptoms in the relationship between the obesity-related TyG index and cognitive status. Results: The TyG-BMI (coefficient: 0.206; 95% confidence interval [ Conclusion: Depressive symptoms plays an important role in the relationship between both TyG-BMI and TyG-WC and cognitive status, highlighting depressive symptoms as a potentially relevant pathway that warrants further longitudinal and interventional validation.

Indexed as

cognitive statusdepressive symptomsmediation analysisobesity indextriglyceride-glucose

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PMID41853073
PMCPMC12993277

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