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Triglyceride-Glucose Index and the Risk of Stroke: A Systematic Review and Dose-Response Meta-Analysis

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单位: [1]Huazhong Univ Sci & Technol, Dept Neurol, Wuhan, Peoples R China
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关键词: triglyceride-glucose index insulin resistance stroke meta-analysis

摘要:
Insulin resistance (IR) is an independent risk factor of cardiovascular disease. Recent research has proposed a new inexpensive and reliable indicator of IR: triglyceride glucose index (TyG index). We aim to evaluate the dose-response association between the TyG index and stroke through meta-analysis. Literature published from inception until October 2021 were searched in PubMed, Embase, Cochrane Library and Web of science. Cohort studies published in English and focusing on the association between the TyG index and stroke were included in our meta-analysis. I-2 statistic and Chi-square were used to assess the heterogeneity. When I-2 >= 30 % or p <= 0.10, the random-effect model was used to pool the effect; otherwise, we chose the fixed-effect model. Eleven cohort studies, including 5 721 077 subjects and 95 490 stroke patients, were included in our study. After pooling the effect adjusted by multiple confounders, we found that compared with the lowest baseline TyG index group, the highest one was independently associated with increased stroke risk (RR: 1.27; 95 % CI, 1.24 to 1.29; I-2 = 6 %). Dose-response meta-analysis showed that the association between the two variables had a non-linear trend (p-nonlinearity < 0.0001; p-heterogeneity = 0.28). Subgroup analysis showed that the risk of ischemic stroke was positively correlated with TyG index (RR: 1.48; 95 % CI, 1.34 to 1.62; I-2 = 15 %), while we did not observe this correlation in hemorrhagic stroke patients. In patients with type 2 diabetes and acute coronary syndrome, the TyG index was linearly correlated with incident strokes. In conclusion, elevated TyG index is the independent risk factor for incident strokes (especially ischemic stroke).

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出版当年[2021]版:
大类 | 4 区 医学
小类 | 4 区 内分泌学与代谢
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 内分泌学与代谢
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出版当年[2020]版:
Q3 ENDOCRINOLOGY & METABOLISM
最新[2023]版:
Q3 ENDOCRINOLOGY & METABOLISM

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第一作者单位: [1]Huazhong Univ Sci & Technol, Dept Neurol, Wuhan, Peoples R China
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通讯机构: [1]Huazhong Univ Sci & Technol, Dept Neurol, Wuhan, Peoples R China [*1]Huazhong Univ Sci & Technol,Tongji Med Coll,Tongji Hosp,Dept Neurol,1095 Jiefang Ave,Wuhan 430000,Hubei,Peoples R China
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