Association of novel lipid indicators with the risk of stroke among participants in Central China: a population-based prospective study
BackgroundSeveral easily and inexpensively measured indicators of visceral adiposity dysfunction are currently available, but it remains unclear whether they are correlated with stroke risk in the community-dwelling population. We aimed to examine the longitudinal association of the triglyceridemic-...
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Frontiers Media S.A.
2023-10-01
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| Series: | Frontiers in Endocrinology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fendo.2023.1266552/full |
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| author | Qin Huang Qin Huang Li Yin Zeyu Liu Minping Wei Jie Feng Qing Huang Yunhai Liu Zunjing Liu Jian Xia Jian Xia Jian Xia |
| author_facet | Qin Huang Qin Huang Li Yin Zeyu Liu Minping Wei Jie Feng Qing Huang Yunhai Liu Zunjing Liu Jian Xia Jian Xia Jian Xia |
| author_sort | Qin Huang |
| collection | DOAJ |
| description | BackgroundSeveral easily and inexpensively measured indicators of visceral adiposity dysfunction are currently available, but it remains unclear whether they are correlated with stroke risk in the community-dwelling population. We aimed to examine the longitudinal association of the triglyceridemic-waist phenotypes, the triglyceride glucose (TyG) index, as well as TyG-related indicators with stroke risk.MethodsIn this study, we conducted a prospective cohort study in Hunan, a region located in Central China, where the prevalence of stroke is relatively high. We included a total of 20185 subjects aged ≥40 years between November 2017 and December 2018. Triglyceride glucose-body mass index (TyG-BMI) and triglyceride glucose-waist circumference (TyG-WC) were calculated as multiplying TyG index by BMI and WC, respectively. Triglyceride waist phenotypes were categorized into four phenotypes: HTGW (elevated triglyceride and enlarged WC), NTNW (normal triglyceride and normal WC); HTNW (high triglyceride and normal WC), and NTGW (normal triglyceride and enlarged WC). We constructed a multivariable Cox regression model to assess the association between these novel lipid indicators and the risk of stroke. Subgroup analysis was conducted to test the robustness of our research findings. ROC curve was used for assessing the predictive ability of different stroke risk indices.ResultsAfter 2 years of follow- up, 135 participants experienced new stroke events. After adjusting for potential confounders, we found that participants with HTGW had higher likelihood of stroke (HR: 1.96, 95% CI: 1.21 to 3.16). However, we did not find significant associations for HTNW (HR: 1.42, 95% CI: 0.91 to 2.21) and NTGW (HR: 1.09, 95% CI 0.67 to 1.78). when compared to participants in the first TyG quartile, those in the fourth TyG quartile were associated with a 2.06-fold (95% CI: 1.22, 3.50) risk of stroke. Each 1-SD increase in TyG, TyG-BMI, and TyG-WC was associated with a higher risk of stroke, with adjusted HRs of 1.34 (95% CI: 1.11 to 1.61), 1.35 (95% CI: 1.14 to 1.59), and 1.23 (95% CI: 1.04 to 1.46), respectively. In subgroup analyses, those positive relationships appeared to be stronger among male participants with lower levels of physical activity and smoking.ConclusionHTGW, along with higher levels of TyG and TyG-related indicators, were found to be associated with an elevated risk of stroke. HTGW and these novel lipid indicators might be reliable indicators to identify populations at elevated risk of stroke. |
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| id | doaj.art-713c6cade0ee4f93af8fe261d4846658 |
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| last_indexed | 2024-03-11T20:25:22Z |
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| spelling | doaj.art-713c6cade0ee4f93af8fe261d48466582023-10-02T16:33:04ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922023-10-011410.3389/fendo.2023.12665521266552Association of novel lipid indicators with the risk of stroke among participants in Central China: a population-based prospective studyQin Huang0Qin Huang1Li Yin2Zeyu Liu3Minping Wei4Jie Feng5Qing Huang6Yunhai Liu7Zunjing Liu8Jian Xia9Jian Xia10Jian Xia11Department of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, ChinaDepartment of Neurology, Peking University People’s Hospital, Beijing, ChinaDepartement of Chronic Disease, Hunan Provincial Center for Disease Control and Prevention, Changsha, ChinaDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, ChinaDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, ChinaDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, ChinaDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, ChinaDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, ChinaDepartment of Neurology, Peking University People’s Hospital, Beijing, ChinaDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, ChinaNational Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, ChinaClinical Research Center for Cerebrovascular Disease of Hunan Province, Central South University, Changsha, ChinaBackgroundSeveral easily and inexpensively measured indicators of visceral adiposity dysfunction are currently available, but it remains unclear whether they are correlated with stroke risk in the community-dwelling population. We aimed to examine the longitudinal association of the triglyceridemic-waist phenotypes, the triglyceride glucose (TyG) index, as well as TyG-related indicators with stroke risk.MethodsIn this study, we conducted a prospective cohort study in Hunan, a region located in Central China, where the prevalence of stroke is relatively high. We included a total of 20185 subjects aged ≥40 years between November 2017 and December 2018. Triglyceride glucose-body mass index (TyG-BMI) and triglyceride glucose-waist circumference (TyG-WC) were calculated as multiplying TyG index by BMI and WC, respectively. Triglyceride waist phenotypes were categorized into four phenotypes: HTGW (elevated triglyceride and enlarged WC), NTNW (normal triglyceride and normal WC); HTNW (high triglyceride and normal WC), and NTGW (normal triglyceride and enlarged WC). We constructed a multivariable Cox regression model to assess the association between these novel lipid indicators and the risk of stroke. Subgroup analysis was conducted to test the robustness of our research findings. ROC curve was used for assessing the predictive ability of different stroke risk indices.ResultsAfter 2 years of follow- up, 135 participants experienced new stroke events. After adjusting for potential confounders, we found that participants with HTGW had higher likelihood of stroke (HR: 1.96, 95% CI: 1.21 to 3.16). However, we did not find significant associations for HTNW (HR: 1.42, 95% CI: 0.91 to 2.21) and NTGW (HR: 1.09, 95% CI 0.67 to 1.78). when compared to participants in the first TyG quartile, those in the fourth TyG quartile were associated with a 2.06-fold (95% CI: 1.22, 3.50) risk of stroke. Each 1-SD increase in TyG, TyG-BMI, and TyG-WC was associated with a higher risk of stroke, with adjusted HRs of 1.34 (95% CI: 1.11 to 1.61), 1.35 (95% CI: 1.14 to 1.59), and 1.23 (95% CI: 1.04 to 1.46), respectively. In subgroup analyses, those positive relationships appeared to be stronger among male participants with lower levels of physical activity and smoking.ConclusionHTGW, along with higher levels of TyG and TyG-related indicators, were found to be associated with an elevated risk of stroke. HTGW and these novel lipid indicators might be reliable indicators to identify populations at elevated risk of stroke.https://www.frontiersin.org/articles/10.3389/fendo.2023.1266552/fulltriglyceride glucose indextriglyceridemic-waist phenotypesstrokemetabolic syndromevisceral adiposity dysfunction |
| spellingShingle | Qin Huang Qin Huang Li Yin Zeyu Liu Minping Wei Jie Feng Qing Huang Yunhai Liu Zunjing Liu Jian Xia Jian Xia Jian Xia Association of novel lipid indicators with the risk of stroke among participants in Central China: a population-based prospective study Frontiers in Endocrinology triglyceride glucose index triglyceridemic-waist phenotypes stroke metabolic syndrome visceral adiposity dysfunction |
| title | Association of novel lipid indicators with the risk of stroke among participants in Central China: a population-based prospective study |
| title_full | Association of novel lipid indicators with the risk of stroke among participants in Central China: a population-based prospective study |
| title_fullStr | Association of novel lipid indicators with the risk of stroke among participants in Central China: a population-based prospective study |
| title_full_unstemmed | Association of novel lipid indicators with the risk of stroke among participants in Central China: a population-based prospective study |
| title_short | Association of novel lipid indicators with the risk of stroke among participants in Central China: a population-based prospective study |
| title_sort | association of novel lipid indicators with the risk of stroke among participants in central china a population based prospective study |
| topic | triglyceride glucose index triglyceridemic-waist phenotypes stroke metabolic syndrome visceral adiposity dysfunction |
| url | https://www.frontiersin.org/articles/10.3389/fendo.2023.1266552/full |
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