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Association Between Triglyceride-Glucose Index and Risk of Metabolic Dysfunction-Associated Fatty Liver Disease: A
Ru Zhang1, Qing Guan1, Mengting Zhang1
1School of Nursing, Nanjing Medical University, Nanjing, People's Republic of China.
Objective:
Insulin resistance (IR) is a major factor involved in the pathogenesis of metabolic dysfunction-associated fatty liver disease (MAFLD). Triglyceride-glucose (TyG) index, an easily detected surrogate marker of IR, has not been explored sufficiently on its relationship with incident MAFLD risk. This study sought to investigate the association of baseline TyG index with the risk of MAFLD in a Chinese cohort.
Methods:
This health check-up cohort was constructed with eligible 2056 Chinese from a community. The TyG index was calculated as ln (fasting triglyceride [mg/dL]×fasting glucose [mg/dL]/2). Cox proportion hazard models were used to evaluate the longitudinal association between baseline TyG index and the risk of MAFLD.
Results:
During an average follow-up of 2.5 ± 0.5 years, about 12.8% of the subjects developed MAFLD, and the incidence of MAFLD trended to increase with the quartile TyG index (P trend < 0.05). After adjusting for all confounders, TyG index was independently correlated with the risk of incident MAFLD (HR = 1.784, 95% CI = 1.383-2.302, P < 0.001), and the risk of MAFLD in the highest quartile of TyG index was two times higher than that in the lowest quartile (95% CI = 1.377-2.992, P = 0.001). The restricted cubic spline analysis showed that the relationship between TyG index and the risk of MAFLD was linear in males (P for total < 0.001; P for non-linearity = 0.746), but nonlinear in females (P for non-linearity = 0.040).
Conclusion:
A high baseline TyG index was independently associated with a high risk of incident MAFLD, and we might develop the strategy of MAFLD prevention based on the TyG index.
Insights
A high triglyceride-glucose (TyG) index is linked to an increased risk of developing metabolic dysfunction-associated fatty liver disease (MAFLD). This finding suggests the TyG index could aid in MAFLD prevention strategies.
Area of Science:
- Metabolic health
- Hepatology
- Cardiovascular risk factors
Background:
- Insulin resistance (IR) is a key factor in metabolic dysfunction-associated fatty liver disease (MAFLD) development.
- The triglyceride-glucose (TyG) index is a readily available marker for IR.
- The association between the TyG index and incident MAFLD requires further investigation.
Purpose of the Study:
- To examine the relationship between baseline TyG index and the risk of developing MAFLD.
- To assess the TyG index as a predictor for incident MAFLD in a Chinese cohort.
Main Methods:
- A health check-up cohort of 2056 Chinese individuals was established.
- The TyG index was calculated using fasting triglyceride and glucose levels: ln (fasting triglyceride [mg/dL]×fasting glucose [mg/dL]/2).
- Cox proportional hazard models and restricted cubic spline analysis were employed to evaluate the longitudinal association.
Main Results:
- Over a mean follow-up of 2.5 years, 12.8% of participants developed MAFLD, with incidence increasing across TyG index quartiles (Ptrend < 0.05).
- A higher baseline TyG index independently predicted increased MAFLD risk (HR = 1.784, P < 0.001).
- The highest TyG index quartile showed a twofold higher MAFLD risk compared to the lowest (95% CI = 1.377-2.992, P = 0.001). The relationship was linear in males and nonlinear in females.
Conclusions:
- Elevated baseline TyG index is independently associated with a higher risk of incident MAFLD.
- The TyG index may serve as a valuable tool for developing preventative strategies against MAFLD.
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