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中老年人群中甘油三酯-葡萄糖指数与衰弱发生率之间的关联研究:来自中国健康与养老追踪调查的证据

Investigation of the association between the triglyceride-glucose index and the incidence of frailty among middle-aged and older adults: evidence from the China health and retirement longitudinal study.

作者信息

Long Qingwen, Li Yongli, Shi Zijuan, Lee Yujun, Mao Lifang

机构信息

Department of Nursing, Affiliated Hospital of North Sichuan Medical College, Nanchong, China.

Department of Nursing, North Sichuan Medical College, Nanchong, China.

出版信息

Front Public Health. 2025 Apr 30;13:1548222. doi: 10.3389/fpubh.2025.1548222. eCollection 2025.


DOI:10.3389/fpubh.2025.1548222
PMID:40371285
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12074911/
Abstract

AIM: Limited researches have investigated the association between the Triglyceride-glucose index (TyG) and frailty vulnerability in middle-aged and older Chinese populations. This study aims to strengthen the scientific foundation for frailty prevention and management by analyzing the correlation between TyG and frailty, ultimately providing more targeted intervention strategies. METHODS: This study included middle-aged and older individuals who participated in the China Health and Retirement Longitudinal Study (CHARLS) from 2015. A multiple logistic regression model was constructed to assess the correlation between the TyG index and frailty. Additionally, restricted cubic spline (RCS) analysis was employed to evaluate the dose-response correlation between the two variables. RESULTS: Among the 3,978 participants included in the study, 667 individuals (16.8%) were identified with frailty. After adjusting for multiple factors in a logistic regression model, it was determined that individuals in the highest quartile group of the TyG index had a 1.43 times higher risk of frailty compared to those in the lowest quartile group (OR = 1.43, 95% CI: 1.10 ~ 1.85,  = 0.007). The RCS analysis further revealed a positive dose-response relationship, indicating that a higher TyG index was associated with an increased risk of frailty in middle-aged and older adults. CONCLUSION: Research has shown a significant positive linear relationship between an increased TyG index and a higher prevalence of frailty in middle-aged and older individuals. Elevated TyG index levels could signal an increased vulnerability to frailty among individuals.

摘要

目的:针对中国中老年人群,探讨甘油三酯-血糖指数(TyG)与衰弱易感性之间关联的研究较少。本研究旨在通过分析TyG与衰弱之间的相关性,为衰弱的预防和管理提供更科学的依据,从而制定更具针对性的干预策略。 方法:本研究纳入了2015年参加中国健康与养老追踪调查(CHARLS)的中老年个体。构建多元逻辑回归模型,评估TyG指数与衰弱之间的相关性。此外,采用受限立方样条(RCS)分析评估两个变量之间的剂量-反应关系。 结果:在纳入研究的3978名参与者中,667人(16.8%)被确定为衰弱。在逻辑回归模型中对多个因素进行调整后,发现TyG指数最高四分位组的个体发生衰弱的风险是最低四分位组个体的1.43倍(OR = 1.43,95%CI:1.10~1.85,P = 0.007)。RCS分析进一步显示出正剂量-反应关系,表明较高的TyG指数与中老年成年人衰弱风险增加相关。 结论:研究表明,TyG指数升高与中老年个体衰弱患病率升高之间存在显著的正线性关系。TyG指数升高可能表明个体发生衰弱的易感性增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c38f/12074911/66d4fcba47ec/fpubh-13-1548222-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c38f/12074911/ffaa0ef74d1e/fpubh-13-1548222-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c38f/12074911/66d4fcba47ec/fpubh-13-1548222-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c38f/12074911/ffaa0ef74d1e/fpubh-13-1548222-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c38f/12074911/66d4fcba47ec/fpubh-13-1548222-g002.jpg

相似文献

[1]
Investigation of the association between the triglyceride-glucose index and the incidence of frailty among middle-aged and older adults: evidence from the China health and retirement longitudinal study.

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[2]
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[3]
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[6]
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[7]
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[10]
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本文引用的文献

[1]
Triglyceride-Glucose Index Levels Positively Associated with Higher Risk of Low Muscle Mass in Patients with Type 2 Diabetes.

Diabetes Metab Syndr Obes. 2024-9-7

[2]
Association of atherogenic index of plasma and triglyceride glucose-body mass index and sarcopenia in adults from 20 to 59: a cross-sectional study.

Front Endocrinol (Lausanne). 2024

[3]
Frailty: a global health challenge in need of local action.

BMJ Glob Health. 2024-8-9

[4]
Association of the triglyceride-glucose index and its related parameters with frailty.

Lipids Health Dis. 2024-5-21

[5]
Relationship of Low Vitamin B6 Status with Sarcopenia, Frailty, and Mortality: A Narrative Review.

Nutrients. 2024-1-4

[6]
Association between the triglyceride glucose index and low skeletal muscle mass: a cross-sectional study.

BMJ Open. 2024-1-9

[7]
The association between triglyceride-glucose index and its combination with obesity indicators and cardiovascular disease: NHANES 2003-2018.

Cardiovasc Diabetol. 2024-1-6

[8]
Relationship between triglyceride-glucose index baselines and trajectories with incident cardiovascular diseases in the elderly population.

Cardiovasc Diabetol. 2024-1-3

[9]
The triglyceride glucose index trajectory is associated with hypertension: a retrospective longitudinal cohort study.

Cardiovasc Diabetol. 2023-12-15

[10]
Frailty and sarcopenia: A bibliometric analysis of their association and potential targets for intervention.

Ageing Res Rev. 2023-12

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