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.
Objective:
The aim of this study was to investigate the association between the triglyceride glucose (TyG) index and hyperuricemia (HUA) in patients with grades 1-3 hypertension. Study Design. This is a cross-sectional study. A total of 1,707 patients from the cardiovascular department of Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine were studied. In this study, 899 patients with grades 1-2 hypertension were included, of which 151 had HUA; additionally, 808 patients with grade 3 hypertension were included, of which 162 patients had HUA. This study obtained all patient data from the electronic medical record system of the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine. The TyG index was calculated as Ln (triglycerides × fasting glucose/2). Hyperuricemia was defined as uric acid ≥420 μmol/L (7 mg/dL). Multivariate logistic regression, penalized spline regression, and generalized additive models were used to evaluate the association between the TyG index and HUA. Stratified analyses were performed to assess the association in populations with different grades of hypertension.
Results:
The average TyG index was 8.71 ± 0.58. After adjusting for correlated variables, the logistic regression analysis revealed a positive correlation between the TyG index and HUA (OR = 1.83; 95% CI: 1.40-2.39). Smooth curve fitting showed that this correlation was linear in the whole range of the TyG index. In the subgroup analysis, the TyG index more strongly associated with HUA in the grades 1-2 hypertension group (OR = 2.22; 95% CI: 1.44-3.42) compared to that in the grade 3 hypertension group (OR = 1.58; 95% CI: 1.11-2.24; P for interaction = 0.03). In addition, this association was consistent in all models.
Conclusion:
The TyG index was positively associated with HUA in patients with hypertension, and the association was more strongly confirmed in those with grades 1-2 hypertension rather than in those with grade 3 hypertension.
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