Beyond insulin resistance: insights into the clinical utility of TyG and TG/HDL-C in hospitalized patients.

IF 2.5
Rafailia Gidari, Marina Ioannidou, Iraklis Leonidis, Djordje S Popovic, Theocharis Koufakis
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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.

胰岛素抵抗之外:TyG和TG/HDL-C在住院患者中的临床应用
背景:甘油三酯-葡萄糖(TyG)指数和甘油三酯-高密度脂蛋白胆固醇(TG/HDL-C)比值是胰岛素抵抗和心脏代谢风险的替代指标,但它们在住院患者中的解释尚不清楚。方法:在本横断面研究中,我们评估了101例连续内科住院患者的TyG和TG/HDL-C与临床特征、实验室参数和入院原因的关系。结果:这两个指标都与甘油三酯密切相关(TyG: ρ = 0.765, p)。结论:在住院患者中,TyG和TG/HDL-C反映了更广泛的心脏代谢-炎症-肾脏特征,需要谨慎解释和进一步研究。
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