Association between the Triglyceride Glucose Index and Hyperuricemia in Patients with Primary Hypertension: A

Shanshan Liu1, Zhixian Zhou2, Miao Wu2

  • 1Department of Cardiology, Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Nanchang, Jiangxi, China.

Insights

The triglyceride glucose (TyG) index is positively associated with hyperuricemia (HUA) in hypertensive patients. This link is stronger in individuals with grades 1-2 hypertension compared to grade 3 hypertension.

Area of Science:

  • Cardiovascular Medicine
  • Metabolic Syndrome Research
  • Nephrology

Background:

  • Hypertension is a global health concern.
  • Hyperuricemia (HUA) is linked to cardiovascular disease and kidney dysfunction.
  • The triglyceride glucose (TyG) index is emerging as a marker for insulin resistance and metabolic dysfunction.

Purpose of the Study:

  • To investigate the association between the TyG index and HUA in patients with grades 1-3 hypertension.
  • To explore potential differences in this association based on hypertension severity.

Main Methods:

  • A cross-sectional study of 1,707 hypertensive patients.
  • Calculation of the TyG index using Ln (triglycerides × fasting glucose/2).
  • Definition of HUA as uric acid ≥420 μmol/L.
  • Multivariate logistic regression, penalized spline regression, and generalized additive models were employed.
  • Stratified analyses were conducted for different hypertension grades.

Main Results:

  • A positive correlation was found between the TyG index and HUA (OR = 1.83; 95% CI: 1.40-2.39) after adjusting for covariates.
  • The correlation was linear across the TyG index range.
  • The association was stronger in patients with grades 1-2 hypertension (OR = 2.22; 95% CI: 1.44-3.42) than in those with grade 3 hypertension (OR = 1.58; 95% CI: 1.11-2.24).

Conclusions:

  • The TyG index is positively associated with HUA in hypertensive patients.
  • This association is more pronounced in patients with less severe hypertension (grades 1-2).
  • The findings suggest the TyG index may serve as a potential indicator for HUA risk in hypertensive populations.
Abstract

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