The triglyceride and glucose index and risk of nonalcoholic fatty liver disease: A dose–response meta-analysis

BackgroundThe triglyceride and glucose (TyG) index is associated with the risk of nonalcoholic fatty liver disease (NAFLD), but the dose−response relationship between them is still unknown. We conducted a comprehensive meta-analysis to study the dose−response association between the TyG index and th...

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Main Authors: Qin Ling, Jiawei Chen, Xiao Liu, Yi Xu, Jianyong Ma, Peng Yu, Kai Zheng, Fuwei Liu, Jun Luo
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2022.1043169/full
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author Qin Ling
Qin Ling
Jiawei Chen
Jiawei Chen
Xiao Liu
Yi Xu
Yi Xu
Jianyong Ma
Peng Yu
Kai Zheng
Fuwei Liu
Jun Luo
author_facet Qin Ling
Qin Ling
Jiawei Chen
Jiawei Chen
Xiao Liu
Yi Xu
Yi Xu
Jianyong Ma
Peng Yu
Kai Zheng
Fuwei Liu
Jun Luo
author_sort Qin Ling
collection DOAJ
description BackgroundThe triglyceride and glucose (TyG) index is associated with the risk of nonalcoholic fatty liver disease (NAFLD), but the dose−response relationship between them is still unknown. We conducted a comprehensive meta-analysis to study the dose−response association between the TyG index and the risk of NAFLD.MethodsWe systematically searched the Cochrane Library, PubMed, and Embase databases until July 2022 for relevant studies. The robust error meta-regression method was used to investigate the dose−response association between the TyG index and NAFLD. Summary relative risks (ORs) and 95% CIs were estimated by using a random-effects model.ResultsA total of 4 cohort and 8 cross-sectional studies were included, with 28,788 NAFLD cases among the 105,365 participants. A positive association for the risk of NAFLD was observed for each additional unit of the TyG index with a linear association (p=0.82), and the summary OR was 2.84 (95% CI, 2.01-4.01). In the subgroup analyses, a stronger association of the TyG index with NAFLD was shown in females than in males (men: OR=2.97, 95% CI 2.55-3.46, women: OR=4.80, 95% CI 3.90-5.90, Psubgroup<0.001).ConclusionThe TyG index may be a novel independent risk factor for NAFLD beyond traditional risk factors.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero, identifier (CRD42022347813).
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spelling doaj.art-4f17ea8160fe4fa2936cac178da883832023-01-19T06:36:31ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922023-01-011310.3389/fendo.2022.10431691043169The triglyceride and glucose index and risk of nonalcoholic fatty liver disease: A dose–response meta-analysisQin Ling0Qin Ling1Jiawei Chen2Jiawei Chen3Xiao Liu4Yi Xu5Yi Xu6Jianyong Ma7Peng Yu8Kai Zheng9Fuwei Liu10Jun Luo11Department of Cardiology, the Affiliated Ganzhou Hospital of Nanchang University, Jiangxi, ChinaThe Second Clinical Medical College of Nanchang University, Jiangxi, ChinaDepartment of Cardiology, the Affiliated Ganzhou Hospital of Nanchang University, Jiangxi, ChinaThe Second Clinical Medical College of Nanchang University, Jiangxi, ChinaDepartment of Cardiology, the Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, ChinaDepartment of Cardiology, the Affiliated Ganzhou Hospital of Nanchang University, Jiangxi, ChinaThe Second Clinical Medical College of Nanchang University, Jiangxi, ChinaDepartment of Pharmacology and Systems Physiology, University of Cinnati College of Medicine, Cincinnati, OH, United StatesDepartment of Endocrine, the Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, ChinaMedical Care Strategic Customer Department, China Merchants Bank Shenzhen Branch, Shenzhen, ChinaDepartment of Cardiology, the Affiliated Ganzhou Hospital of Nanchang University, Jiangxi, ChinaDepartment of Cardiology, the Affiliated Ganzhou Hospital of Nanchang University, Jiangxi, ChinaBackgroundThe triglyceride and glucose (TyG) index is associated with the risk of nonalcoholic fatty liver disease (NAFLD), but the dose−response relationship between them is still unknown. We conducted a comprehensive meta-analysis to study the dose−response association between the TyG index and the risk of NAFLD.MethodsWe systematically searched the Cochrane Library, PubMed, and Embase databases until July 2022 for relevant studies. The robust error meta-regression method was used to investigate the dose−response association between the TyG index and NAFLD. Summary relative risks (ORs) and 95% CIs were estimated by using a random-effects model.ResultsA total of 4 cohort and 8 cross-sectional studies were included, with 28,788 NAFLD cases among the 105,365 participants. A positive association for the risk of NAFLD was observed for each additional unit of the TyG index with a linear association (p=0.82), and the summary OR was 2.84 (95% CI, 2.01-4.01). In the subgroup analyses, a stronger association of the TyG index with NAFLD was shown in females than in males (men: OR=2.97, 95% CI 2.55-3.46, women: OR=4.80, 95% CI 3.90-5.90, Psubgroup<0.001).ConclusionThe TyG index may be a novel independent risk factor for NAFLD beyond traditional risk factors.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero, identifier (CRD42022347813).https://www.frontiersin.org/articles/10.3389/fendo.2022.1043169/fulltriglyceride and glucose indexnonalcoholic fatty liver diseasedose-responsemeta-analysisprognosis
spellingShingle Qin Ling
Qin Ling
Jiawei Chen
Jiawei Chen
Xiao Liu
Yi Xu
Yi Xu
Jianyong Ma
Peng Yu
Kai Zheng
Fuwei Liu
Jun Luo
The triglyceride and glucose index and risk of nonalcoholic fatty liver disease: A dose–response meta-analysis
Frontiers in Endocrinology
triglyceride and glucose index
nonalcoholic fatty liver disease
dose-response
meta-analysis
prognosis
title The triglyceride and glucose index and risk of nonalcoholic fatty liver disease: A dose–response meta-analysis
title_full The triglyceride and glucose index and risk of nonalcoholic fatty liver disease: A dose–response meta-analysis
title_fullStr The triglyceride and glucose index and risk of nonalcoholic fatty liver disease: A dose–response meta-analysis
title_full_unstemmed The triglyceride and glucose index and risk of nonalcoholic fatty liver disease: A dose–response meta-analysis
title_short The triglyceride and glucose index and risk of nonalcoholic fatty liver disease: A dose–response meta-analysis
title_sort triglyceride and glucose index and risk of nonalcoholic fatty liver disease a dose response meta analysis
topic triglyceride and glucose index
nonalcoholic fatty liver disease
dose-response
meta-analysis
prognosis
url https://www.frontiersin.org/articles/10.3389/fendo.2022.1043169/full
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