Relationship between the triglyceride-glucose index and coronary artery calcification in asymptomatic, non-diabetic patients undergoing maintenance hemodialysis

Coronary artery calcification (CAC) is positively and independently associated with cardiovascular disease (CVD) in patients undergoing maintenance hemodialysis (MHD). Insulin resistance is independently associated with CAC and is an important risk factor for CVD. The triglyceride-glucose (TyG) inde...

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Published in:Renal failure 2023-12, Vol.45 (1), p.2200849-2200849
Main Authors: Ding, Hong, Zhu, Jinhua, Tian, Ying, Xu, Li, Song, Lei, Shi, Ying, Mu, Dongxing, Chen, Ruoxin, Liu, Hong, Liu, Bicheng
Format: Article
Language:English
Subjects:
Asymptomatic
Biomarkers
Blood Glucose
Calcification
Calcification (ectopic)
Calcinosis
cardiovascular disease
Cardiovascular Diseases
Clinical Study
Coronary artery
coronary artery calcification
Coronary Artery Disease - diagnostic imaging
Coronary Artery Disease - etiology
Coronary vessels
Correlation analysis
Cross-Sectional Studies
Diabetes
Diabetes mellitus
Fasting
Glucose
Hemodialysis
Humans
Insulin Resistance
Laboratory testing
maintenance hemodialysis
non-diabetic
Regression analysis
Renal Dialysis - adverse effects
Risk Factors
Triglyceride-glucose index
Triglycerides
Veins & arteries
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description Coronary artery calcification (CAC) is positively and independently associated with cardiovascular disease (CVD) in patients undergoing maintenance hemodialysis (MHD). Insulin resistance is independently associated with CAC and is an important risk factor for CVD. The triglyceride-glucose (TyG) index is a reliable biomarker of insulin resistance. This cross-sectional, observational study aimed to investigate the relationship between the TyG index and CAC in asymptomatic non-diabetic patients undergoing MHD. The quantitative coronary artery calcification score (CACS) was calculated and expressed using the Agatston score. The TyG index was calculated as ln [fasting triglyceride (mg/dL) × fasting glucose (mg/dL)/2]. Multiple Poisson regression analysis, Spearman correlation analysis, and receiver operating characteristic (ROC) curves were used to investigate the relationship between the TyG index and CAC. The 151 patients were divided into three groups according to the tertiles of the TyG index. With an increase in the TyG index, the CACS significantly increased (Spearman's rho = 0.414, p 
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Insulin resistance is independently associated with CAC and is an important risk factor for CVD. The triglyceride-glucose (TyG) index is a reliable biomarker of insulin resistance. This cross-sectional, observational study aimed to investigate the relationship between the TyG index and CAC in asymptomatic non-diabetic patients undergoing MHD. The quantitative coronary artery calcification score (CACS) was calculated and expressed using the Agatston score. The TyG index was calculated as ln [fasting triglyceride (mg/dL) × fasting glucose (mg/dL)/2]. Multiple Poisson regression analysis, Spearman correlation analysis, and receiver operating characteristic (ROC) curves were used to investigate the relationship between the TyG index and CAC. The 151 patients were divided into three groups according to the tertiles of the TyG index. With an increase in the TyG index, the CACS significantly increased (Spearman's rho = 0.414, p &lt; 0.001). Poisson regression analysis indicated that the TyG index was independently related to the presence of CAC (prevalence ratio, 1.281 [95% confidence interval, 1.121-1.465], p &lt; 0.001). Furthermore, ROC curve analysis showed that the TyG index was of value in predicting the CAC in asymptomatic non-diabetic patients undergoing MHD, with an area under the curve of 0.667 (p = 0.010). 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Insulin resistance is independently associated with CAC and is an important risk factor for CVD. The triglyceride-glucose (TyG) index is a reliable biomarker of insulin resistance. This cross-sectional, observational study aimed to investigate the relationship between the TyG index and CAC in asymptomatic non-diabetic patients undergoing MHD. The quantitative coronary artery calcification score (CACS) was calculated and expressed using the Agatston score. The TyG index was calculated as ln [fasting triglyceride (mg/dL) × fasting glucose (mg/dL)/2]. Multiple Poisson regression analysis, Spearman correlation analysis, and receiver operating characteristic (ROC) curves were used to investigate the relationship between the TyG index and CAC. The 151 patients were divided into three groups according to the tertiles of the TyG index. With an increase in the TyG index, the CACS significantly increased (Spearman's rho = 0.414, p &lt; 0.001). Poisson regression analysis indicated that the TyG index was independently related to the presence of CAC (prevalence ratio, 1.281 [95% confidence interval, 1.121-1.465], p &lt; 0.001). Furthermore, ROC curve analysis showed that the TyG index was of value in predicting the CAC in asymptomatic non-diabetic patients undergoing MHD, with an area under the curve of 0.667 (p = 0.010). The TyG index is independently related to the presence of CAC in asymptomatic, non-diabetic patients undergoing MHD.</abstract><cop>England</cop><pub>Taylor &amp; Francis</pub><pmid>37133817</pmid><doi>10.1080/0886022X.2023.2200849</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Asymptomatic
Biomarkers
Blood Glucose
Calcification
Calcification (ectopic)
Calcinosis
cardiovascular disease
Cardiovascular Diseases
Clinical Study
Coronary artery
coronary artery calcification
Coronary Artery Disease - diagnostic imaging
Coronary Artery Disease - etiology
Coronary vessels
Correlation analysis
Cross-Sectional Studies
Diabetes
Diabetes mellitus
Fasting
Glucose
Hemodialysis
Humans
Insulin Resistance
Laboratory testing
maintenance hemodialysis
non-diabetic
Regression analysis
Renal Dialysis - adverse effects
Risk Factors
Triglyceride-glucose index
Triglycerides
Veins & arteries
title Relationship between the triglyceride-glucose index and coronary artery calcification in asymptomatic, non-diabetic patients undergoing maintenance hemodialysis
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