학술논문

Association between the triglyceride-glucose index and carotid plaque incidence: a longitudinal study
Document Type
article
Source
Cardiovascular Diabetology, Vol 21, Iss 1, Pp 1-11 (2022)
Subject
Atherosclerotic cardiovascular disease
Triglyceride-glucose index
Carotid plaque
Cohort study
Diseases of the circulatory (Cardiovascular) system
RC666-701
Language
English
ISSN
1475-2840
Abstract
Abstract Background Carotid plaque and triglyceride-glucose (TyG) index are associated with insulin resistance. However, a highly debated question is whether there is an association between the TyG index and carotid plaque incidence. Thus we performed an in-depth longitudinal study to investigate the relationship between carotid plaque occurrence and the TyG index among Chinese individuals. Methods Two thousand and three hundred seventy subjects (1381 males and 989 females) were enrolled and followed up for three years. The subjects were stratified into four groups based on the quartile of the TyG index at baseline. Univariate and multivariate Cox proportional hazard models were conducted to examine the role of TyG played in the carotid plaque. The strength of association was expressed as hazard ratio (HR) and 95% confidence interval (CI). Results After three years of follow-up, 444 subjects were detected with newly formed carotid plaque. The overall 3-year cumulative carotid plaque incidence was 18.7%, and the risk of carotid plaque increased with elevated TyG index (p