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Positive Association between the Triglyceride-Glucose Index and Hyperuricemia in Chinese Adults with Hypertension: An
Chao Yu1,2,3, Tao Wang1,2,3, Wei Zhou1,2,3
1Center for Prevention and Treatment of Cardiovascular Diseases, the Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.
Insights
The triglyceride-glucose (TyG) index is linked to higher hyperuricemia risk in Chinese adults with hypertension. Higher TyG index levels significantly increase the likelihood of developing hyperuricemia.
Area of Science:
- Cardiovascular Research
- Metabolic Syndrome Studies
- Hypertension Research
Background:
- Previous research indicates a link between the triglyceride-glucose (TyG) index and hyperuricemia in the general population.
- The relationship between the TyG index and hyperuricemia specifically within hypertensive patient cohorts remains under-investigated.
- This study addresses this gap by examining the association in adult Chinese hypertensive patients.
Purpose of the Study:
- To investigate the relationship between the TyG index and hyperuricemia.
- To assess the TyG index as a potential indicator for hyperuricemia risk in hypertensive adults.
- To provide insights into metabolic derangements associated with hypertension and hyperuricemia.
Main Methods:
- A real-world observational study involving 13,060 adult Chinese hypertensive patients.
- The triglyceride-glucose (TyG) index was calculated using fasting triglyceride and glucose levels.
- Hyperuricemia was defined as serum uric acid concentration ≥420 µmol/L (7 mg/dL).
Main Results:
- A positive correlation was observed between the TyG index and serum uric acid levels (β = 38.03).
- The TyG index showed a significant positive association with hyperuricemia (OR = 2.04).
- Increased TyG index quartiles were associated with progressively higher risks of hyperuricemia, with the highest quartile showing a 2.79-fold increased risk.
Conclusions:
- The triglyceride-glucose (TyG) index is positively associated with serum uric acid and hyperuricemia in hypertensive adults.
- The TyG index may serve as a valuable biomarker for predicting hyperuricemia risk in this population.
- Findings highlight the interplay between metabolic factors and hyperuricemia in hypertension.
Background:
Previous studies have revealed the triglyceride-glucose (TyG) index is closely related to hyperuricemia in the general population. However, this relationship in hypertensive patients has not been reported. The aims of this study are to investigate the relationship of the TyG index and hyperuricemia in adult Chinese hypertension.
Methods:
The China H-type Hypertension Registration (an observational, noninterventional, and real-world study) was conducted from March 01, 2018, to August 31, 2018, in 16 communities in Wuyuan of China. The TyG index was calculated from fasting triglycerides (mg/dL) and fasting glucose (mg/dL)/2. Hyperuricemia was categorized by uric acid concentration ≥420 μmol/L (7 mg/dL).
Results:
Overall average TyG index of 13,060 adults with hypertension was 8.87; age was 63.81 years. The TyG index was positively correlated with serum uric acid by multiple linear regression analyses (β = 38.03; 95% CI: 34.55 to 41.51). Coincidentally, logistic analyses also demonstrated the TyG index had a positive correlation with hyperuricemia (OR = 2.04; 95% CI: 1.87 to 2.24). Strong linear associations of the TyG index with serum uric acid and hyperuricemia were confirmed by restricted cubic spline analysis. Compared with subjects in the lowest quartile (7.13 to 8.44) of the TyG index, subjects in the 2nd-4th quartiles had 1.25 (95% CI: 1.10 to 1.41), 1.63 (95% CI: 1.43 to 1.86), and 2.79 (95% CI: 2.41 to 3.24) times greater incident risk of developing hyperuricemia. The TyG index had significant correlations between male patients and hyperuricemia (OR = 2.01) by subgroup analysis.
Conclusion:
Positive associations were found between the TyG index and serum uric acid and between the TyG index and hyperuricemia in adults with hypertension. This trial was registered at clinicaltrials.gov as ChiCTR1800017274.
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