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高甘油三酯-葡萄糖指数与中国中老年人群卒中风险增加相关:一项全国性纵向研究。

Higher triglyceride‑glucose index is associated with increased risk of stroke among middle-aged and elderly Chinese: a national longitudinal study.

机构信息

Department of Critical Care Medicine, West China Hospital, Sichuan University, No. 37, Guoxue Alley, Chengdu, 610041, People's Republic of China.

出版信息

Sci Rep. 2024 Aug 17;14(1):19054. doi: 10.1038/s41598-024-70008-2.

Abstract

Stroke is a severe cerebrovascular disease. This study aimed to determine the association between triglyceride‑glucose (TyG) index and stroke among middle-aged and elderly Chinese. Data was extracted from China Health and Retirement Longitudinal Study survey 2015 and survey 2018. Logistic regression, trend test and subgroup analysis were conducted to assess the association. Possible nonlinear relationships were explored with restricted cubic spline (RCS). Propensity score matching (PSM) was conducted to attenuate the effect of confounding factors. ORs of stroke was positively associated with TyG index. The ORs in RCS analysis also increased with the rising TyG, though p for non-linearity was bigger than 0.05. After PSM, the ORs in the full adjusted models were 1.28 (1.01, 1.62). TyG was suggested as an independent risk factor for stroke in the middle aged and elderly Chinese.

摘要

中风是一种严重的脑血管疾病。本研究旨在探讨甘油三酯-葡萄糖(TyG)指数与中国中老年人群中风之间的关系。数据来自中国健康与养老追踪调查 2015 年和 2018 年的调查。采用 logistic 回归、趋势检验和亚组分析来评估相关性。采用限制性立方样条(RCS)探索可能的非线性关系。采用倾向评分匹配(PSM)来减轻混杂因素的影响。中风的 OR 与 TyG 指数呈正相关。RCS 分析中的 OR 也随着 TyG 的升高而增加,但非线性 p 值大于 0.05。PSM 后,全调整模型中的 OR 为 1.28(1.01,1.62)。TyG 被认为是中国中老年人群中风的一个独立危险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3220/11330459/5594297ecff1/41598_2024_70008_Fig1_HTML.jpg

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