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Joint association of triglyceride glucose index (TyG) and a body shape index (ABSI) with stroke incidence: a nationwide prospective cohort study.

作者信息

Zhang Ruiying, Hong Jianan, Wu Yaoling, Lin Liling, Chen Shuying, Xiao Yingxiu

机构信息

Department of Neurology, the First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong, China.

Shantou University Medical College, Shantou, Guangdong, China.

出版信息

Cardiovasc Diabetol. 2025 Jan 6;24(1):7. doi: 10.1186/s12933-024-02569-5.


DOI:10.1186/s12933-024-02569-5
PMID:39762919
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11705842/
Abstract

BACKGROUND: Triglyceride glucose index(TyG) and a body shape index(ABSI) are both independent predictor of stroke incidence or adverse prognosis but these two indicators seldom were combined to predict. The purpose of this study is to evaluate whether the combination of TyG and ABSI better predict the incidence of stroke. METHODS: Based on the China Health and Retirement Longitudinal Study(CHARLS), 8,257 people aged 45 years and older without stroke were enrolled and followed up to 9 years. Sociodemographic information, health status, physical examination and blood data were collected retrospectively. Cox regressions were to determine the relationship between different groups and stroke incidence, using receiver operating characteristic curves to evaluate the diagnostic value. Meanwhile, subgroup analysis was performed to investigate the prediction performance among different population. RESULTS: 672(8.14%) of 8,257 participants had stroke incidence during 9 years. In the adjusted multivariate cox regression model, both TyG and ABSI were still predictors of stroke. The HR of TyG was 1.25(95%CI: 1.06-1.47) and the HR of ABSI was 1.33(95%CI: 1.06-1.68). Restricted cubic spline regression showed the associations between TyG or ABSI and stroke. The combination of TyG and ABSI had the highest diagnostic efficacy(AUC: 0.579, 95%CI: 0.553-0.597), compared to TyG(AUC:0.566, 95%CI: 0.544-0.587) and ABSI(AUC:0.533, 95%CI: 0.524-0.597). Kaplan-Meier curves showed that the highest cumulative stroke incidence was among people with high TyG and ABSI(TyG ≥ 8.5742, ABSI ≥ 0.0852; P < 0.0001), which had the highest HR of stroke incidence(HR:1.64, 95%CI:1.2-2.24). CONCLUSION: The combined prediction of TyG and ABSI had higher clinical value and enabled earlier detection of the stroke in the general population, which could be monitored and intervened to reduce the overall burden of stroke.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ff4/11705842/a754b0a92508/12933_2024_2569_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ff4/11705842/4f4590b6d617/12933_2024_2569_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ff4/11705842/eb66c859e965/12933_2024_2569_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ff4/11705842/3d2ede4967d8/12933_2024_2569_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ff4/11705842/94d6509c5723/12933_2024_2569_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ff4/11705842/a754b0a92508/12933_2024_2569_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ff4/11705842/4f4590b6d617/12933_2024_2569_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ff4/11705842/eb66c859e965/12933_2024_2569_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ff4/11705842/3d2ede4967d8/12933_2024_2569_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ff4/11705842/94d6509c5723/12933_2024_2569_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ff4/11705842/a754b0a92508/12933_2024_2569_Fig5_HTML.jpg

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PLoS One. 2025-8-21

[2]
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[3]
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Front Endocrinol (Lausanne). 2025-7-14

[4]
Interaction of triglyceride glucose index and weight-adjusted waist circumference index in the risk of diabetes: from a national cohort study.

BMC Endocr Disord. 2025-7-25

[5]
Association of novel triglyceride-glucose-related indices with incident stroke in early-stage cardiovascular-kidney-metabolic syndrome.

Cardiovasc Diabetol. 2025-7-24

[6]
Association between cumulative changes of the triglyceride glucose index and incidence of stroke in a population with cardiovascular-kidney-metabolic syndrome stage 0-3: a nationwide prospective cohort study.

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[7]
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[8]
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[9]
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[10]
Association of atherogenic index of plasma trajectory with the incidence of cardiovascular disease over a 12-year follow-up: findings from the ELSA cohort study.

Cardiovasc Diabetol. 2025-3-19

本文引用的文献

[1]
The nonlinear relationship between triglyceride glucose-waist circumference and stroke risk in middle-aged and elderly people: a nationwide prospective cohort study of the CHARLS.

Lipids Health Dis. 2024-8-22

[2]
Global, regional, and national burden of ischemic stroke, 1990-2021: an analysis of data from the global burden of disease study 2021.

EClinicalMedicine. 2024-7-27

[3]
Association between triglyceride glucose-waist height ratio index and cardiovascular disease in middle-aged and older Chinese individuals: a nationwide cohort study.

Cardiovasc Diabetol. 2024-7-11

[4]
Association between atherogenic index of plasma and new-onset stroke in individuals with different glucose metabolism status: insights from CHARLS.

Cardiovasc Diabetol. 2024-6-21

[5]
Comparison of triglyceride glucose index and modified triglyceride glucose indices in prediction of cardiovascular diseases in middle aged and older Chinese adults.

Cardiovasc Diabetol. 2024-5-29

[6]
Joint association of TyG index and high sensitivity C-reactive protein with cardiovascular disease: a national cohort study.

Cardiovasc Diabetol. 2024-5-7

[7]
A Body Shape Index as a Simple Anthropometric Marker of Abdominal Obesity and Risk of Cardiovascular Events.

J Clin Endocrinol Metab. 2024-11-18

[8]
Link between triglyceride-glucose-body mass index and future stroke risk in middle-aged and elderly chinese: a nationwide prospective cohort study.

Cardiovasc Diabetol. 2024-2-24

[9]
2024 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association.

Circulation. 2024-2-20

[10]
Interacting and joint effects of triglyceride-glucose index (TyG) and body mass index on stroke risk and the mediating role of TyG in middle-aged and older Chinese adults: a nationwide prospective cohort study.

Cardiovasc Diabetol. 2024-1-13

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