The Triglycerides and Glucose Index Is Associated with Mild Cognitive Impairment in Older Adults

Abstract

ABSTRACT Background It has been reported that insulin resistance is related to cognitive decline. The triglycerides and glucose (TyG) index, is a reliable and inexpensive surrogate test for detecting insulin resistance. Aims The goal of this study was to evaluate the association between the TyG index and the mild cognitive impairment (MCI) in older adults. Methods A total of 135 individuals, men and women aged 60 to 90 years, were enrolled in a case and control study. Individuals with a diagnosis of MCI (n = 65) were allocated into the case group and compared with individuals without MCI (n = 70) in the control group. Alcohol intake, diabetes duration ≥5 years, diagnoses of cerebrovascular disease, brain injury, folic acid deficiency, dementia, moderate or severe CI, major depressive disorders, and thyroid disease were exclusion criteria. Results Individuals in the case group exhibited higher waist circumference (97.9 ± 13.9 versus 93.5 ± 13.0, p = .001) and TyG index (5.0 ± 0.3 versus 4.1 ± 0.2, p = .001) than individuals in the control group. The TyG index ≥4.68 (OR 6.91; 95% CI 2.05–11.68) and waist circumference (OR 1.03; 95% CI 1.01–1.06) were positively associated with MCI, while education level (OR 0.44; 95% CI 0.30–0.61), occupation (OR 0.75; 95% CI 0.59–0.61), and exercise (OR 0.34; 95% CI 0.22–0.52) were inversely associated with MCI. After controlling for sex, age, waist circumference, education level, occupation, and exercise, a TyG index ≥4.68 remained significantly associated with MCI (OR 2.97; 95% CI 1.12–14.71). Conclusion The TyG index is independently associated with the presence of MCI in older people.