{"title":"Beyond insulin resistance: insights into the clinical utility of TyG and TG/HDL-C in hospitalized patients.","authors":"Rafailia Gidari, Marina Ioannidou, Iraklis Leonidis, Djordje S Popovic, Theocharis Koufakis","doi":"10.1007/s42000-026-00830-y","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The triglyceride-glucose (TyG) index and triglyceride-to-high-density lipoprotein cholesterol (TG/HDL-C) ratio are established surrogate markers of insulin resistance and cardiometabolic risk, but their interpretation in hospitalized patients remains unclear.</p><p><strong>Methods: </strong>In this cross-sectional study, we evaluated associations of TyG and TG/HDL-C with clinical characteristics, laboratory parameters, and cause of admission in 101 consecutive internal medicine inpatients.</p><p><strong>Results: </strong>Both indices correlated strongly with triglycerides (TyG: ρ = 0.765, p < 0.001; TG/HDL-C: ρ = 0.861, p < 0.001) and were associated with renal dysfunction (urea: TyG ρ = 0.391, p < 0.001; TG/HDL-C ρ = 0.300, p = 0.002). Urea remained independently associated with TyG (β = 0.003, p = 0.033) and TG/HDL-C (β = 0.006, p = 0.003). Hematological (β=-0.815, p = 0.007) and infectious/fever of unknown origin admissions (β=-0.663, p = 0.039) were independently associated with lower TyG values.</p><p><strong>Conclusions: </strong>In hospitalized patients, TyG and TG/HDL-C reflect a broader cardiometabolic-inflammatory-renal profile, warranting cautious interpretation and further study.</p>","PeriodicalId":520640,"journal":{"name":"Hormones (Athens, Greece)","volume":" ","pages":""},"PeriodicalIF":2.5000,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hormones (Athens, Greece)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s42000-026-00830-y","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Background: The triglyceride-glucose (TyG) index and triglyceride-to-high-density lipoprotein cholesterol (TG/HDL-C) ratio are established surrogate markers of insulin resistance and cardiometabolic risk, but their interpretation in hospitalized patients remains unclear.
Methods: In this cross-sectional study, we evaluated associations of TyG and TG/HDL-C with clinical characteristics, laboratory parameters, and cause of admission in 101 consecutive internal medicine inpatients.
Results: Both indices correlated strongly with triglycerides (TyG: ρ = 0.765, p < 0.001; TG/HDL-C: ρ = 0.861, p < 0.001) and were associated with renal dysfunction (urea: TyG ρ = 0.391, p < 0.001; TG/HDL-C ρ = 0.300, p = 0.002). Urea remained independently associated with TyG (β = 0.003, p = 0.033) and TG/HDL-C (β = 0.006, p = 0.003). Hematological (β=-0.815, p = 0.007) and infectious/fever of unknown origin admissions (β=-0.663, p = 0.039) were independently associated with lower TyG values.
Conclusions: In hospitalized patients, TyG and TG/HDL-C reflect a broader cardiometabolic-inflammatory-renal profile, warranting cautious interpretation and further study.