Evidence map›Paper›PMID 42469815›Full record

ArticleCardiovascular diabetology2026

Lipoprotein(a), insulin resistance, and cardiovascular outcomes in metabolic dysfunction-associated steatotic liver disease.

Bingtian Dong, Yuping Chen, Fang He, Biao Li, Biao Wu, Zhengdong Chen, Enfa Zhao, Yongjian Chen, Chaoxue Zhang

Abstract read
In one paragraph

Article in Cardiovascular diabetology, 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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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Bingtian Dong *Department of Ultrasound, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China. dongbingtian@fy.ahmu.edu.cn.
Yuping Chen *Liver Disease Center of Integrated Traditional Chinese and Western Medicine, Department of Radiology, Zhongda Hospital, School of Medicine, Southeast University, Nurturing Center of Jiangsu Province for State Laboratory of AI Imaging & Interventional Radiology (Southeast University), Nanjing, China.
Fang HeDepartment of Ultrasound, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China.
Biao LiDepartment of Cardiology, Chenggong Hospital, Xiamen University, Xiamen, China.
Biao WuDepartment of Ultrasound, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China.
Zhengdong ChenDepartment of Nephrology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, China.
Enfa ZhaoDepartment of Ultrasound, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China. yfy1492816@fy.ahmu.edu.cn.
Yongjian ChenDepartment of Ultrasound, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, China. 962106486@qq.com.
Chaoxue ZhangDepartment of Ultrasound, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China. zcxay@fy.ahmu.edu.cn.

Funding

Anhui Provincial Department of Education Fund 2025AHGXZK40632Health Research Program of Anhui AHWJ2023A30169Natural Science Foundation of Anhui Province 2508085QH314
6 · The paper itself

Abstract

backgroundMetabolic dysfunction-associated steatotic liver disease (MASLD) is associated with increased cardiovascular disease (CVD) risk. Lipoprotein(a) [Lp(a)] and insulin resistance (IR) are established cardiovascular risk factors, yet their joint associations with cardiovascular outcomes in MASLD remain poorly understood.

methodsWe analyzed data from the UK Biobank and included 101,348 adults with MASLD for CVD mortality analyses and 94,089 individuals without baseline CVD for incident CVD analyses. IR was assessed using the triglyceride-glucose (TyG) index. Participants were categorized according to Lp(a) levels (< 125 vs. ≥ 125 nmol/L) and TyG index (low vs. high, defined by the 75th percentile) and further classified into four joint Lp(a)/IR groups, with low Lp(a)/low IR serving as the reference group. Cox proportional hazards models were used to evaluate associations of Lp(a), TyG, and their combined categories with incident CVD and CVD mortality.

resultsDuring a median follow-up of 15.7 years, elevated Lp(a) and higher TyG levels were each independently associated with increased risks of incident CVD and CVD mortality, regardless of each other's status. In the fully adjusted model, each SD increase in Lp(a) was associated with a 14% higher risk of CVD mortality (HR, 1.14; 95% CI 1.10-1.19; P < 0.001) and a 9% higher risk of incident CVD (HR, 1.09; 95% CI, 1.07-1.11; P < 0.001). Similarly, each SD increase in TyG was associated with a 27% higher risk of CVD mortality (HR, 1.27; 95% CI 1.21-1.34; P < 0.001) and a 9% higher risk of incident CVD (HR, 1.09; 95% CI 1.07-1.12; P < 0.001). Compared with participants in the reference group with Lp(a) < 125 nmol/L and low IR, those with concomitantly elevated Lp(a) and high IR exhibited the highest cardiovascular risk, with adjusted HRs of 2.04 (95% CI 1.63-2.55) for CVD mortality and 1.49 (95% CI 1.35-1.64) for incident CVD (both P < 0.001), with a significant dose-response trend across groups (P for trend < 0.001). These associations remained consistent across subgroups stratified by age, sex, obesity, diabetes, and hypertension.

conclusionsElevated Lp(a) and IR were independently associated with adverse cardiovascular outcomes in MASLD, with the highest risk observed among individuals with concomitant elevations in both markers.

Indexed as

Cardiovascular DiseasesFatty LiverInsulin ResistanceLipoprotein(a)Non-alcoholic Fatty Liver DiseaseAdultAgedBiomarkersBlood GlucoseFemaleHumansIncidenceMaleMiddle AgedPrognosisProportional Hazards ModelsBiomarkersBlood GlucoseLipoprotein(a)LPA protein, humanTriglyceridesCardiovascular diseaseInsulin resistanceLipoprotein(a)Metabolic dysfunction-associated steatotic liver diseaseTriglyceride-glucose index

Identifiers

PMID42469815
PMCPMC13393937

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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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.