Study on the relationship between triglyceride glucose index and cerebral small vessel disease and its different imaging markers

Objective To investigate the relationship between triglyceride glucose (TyG) index and the total load of cerebral small vessel disease (CSVD) and its different imaging markers. Methods A total of 202 patients with CSVD admitted to The Third Hospital of Hebei Medical University from January 2020 to M...

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Main Authors: YIN Yuan⁃yuan, LUO Wei⁃gang, LIU Wan⁃hu, BU Wei, XU Yu⁃zhu, CAO Xiao⁃yun, REN Hui⁃ling
Format: Article
Language:English
Published: Tianjin Huanhu Hospital 2023-11-01
Series:Chinese Journal of Contemporary Neurology and Neurosurgery
Subjects:
Online Access:http://www.cjcnn.org/index.php/cjcnn/article/view/2783
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author YIN Yuan⁃yuan
LUO Wei⁃gang
LIU Wan⁃hu
BU Wei
XU Yu⁃zhu
CAO Xiao⁃yun
REN Hui⁃ling
author_facet YIN Yuan⁃yuan
LUO Wei⁃gang
LIU Wan⁃hu
BU Wei
XU Yu⁃zhu
CAO Xiao⁃yun
REN Hui⁃ling
author_sort YIN Yuan⁃yuan
collection DOAJ
description Objective To investigate the relationship between triglyceride glucose (TyG) index and the total load of cerebral small vessel disease (CSVD) and its different imaging markers. Methods A total of 202 patients with CSVD admitted to The Third Hospital of Hebei Medical University from January 2020 to May 2022 were selected. The clinical data of all patients were collected and TyG index was calculated. The lacunes, cerebral microbleeds (CMBs), white matter hyperintensity (WMH) and enlarged perivascular space (EPVS) were evaluated by MRI, and total load of CSVD score was calculated. Results 1) TyG index and total load of CSVD score: Logistic regression analysis showed the male (OR = 2.245, 95%CI: 1.017-4.957; P = 0.045), increase of age (OR = 1.084, 95%CI: 1.046-1.124; P = 0.000), hypertension (OR = 2.457, 95%CI: 1.189-5.078; P = 0.015) and increase of TyG index (OR = 2.657, 95%CI: 1.353-5.216; P = 0.005) were risk factors for moderate and severe total load of CSVD. 2) TyG index and imaging markers of CSVD: Logistic regression analysis showed the increase of TyG index was the risk factor of moderate and severe WMH (OR = 2.313, 95%CI: 1.095-4.885; P = 0.028), CMBs (OR = 1.690, 95%CI: 1.011-2.824; P = 0.045), lacunes (OR = 2.087, 95%CI: 1.235-3.525; P = 0.006), moderate and severe EPVS in basal ganglia (OR = 2.005, 95%CI: 1.190-3.378; P = 0.009). Conclusions TyG index is associated with the total load and various imaging markers of CSVD, which can be used as a valuable biomarker to evaluate CSVD and its severity.
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spelling doaj.art-c484fe85f5f547b588c0292dc63c14d12023-11-30T07:45:12ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312023-11-012311993100010.3969/j.issn.1672⁃6731.2023.11.0072737Study on the relationship between triglyceride glucose index and cerebral small vessel disease and its different imaging markersYIN Yuan⁃yuan0LUO Wei⁃gang1LIU Wan⁃hu2BU Wei3XU Yu⁃zhu4CAO Xiao⁃yun5REN Hui⁃ling6Department of Neurology, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei, ChinaDepartment of Neurology, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei, ChinaDepartment of Neurology, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei, ChinaDepartment of Neurosurgery, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei, ChinaDepartment of Neurology, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei, ChinaDepartment of Neurology, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei, ChinaDepartment of Neurology, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei, ChinaObjective To investigate the relationship between triglyceride glucose (TyG) index and the total load of cerebral small vessel disease (CSVD) and its different imaging markers. Methods A total of 202 patients with CSVD admitted to The Third Hospital of Hebei Medical University from January 2020 to May 2022 were selected. The clinical data of all patients were collected and TyG index was calculated. The lacunes, cerebral microbleeds (CMBs), white matter hyperintensity (WMH) and enlarged perivascular space (EPVS) were evaluated by MRI, and total load of CSVD score was calculated. Results 1) TyG index and total load of CSVD score: Logistic regression analysis showed the male (OR = 2.245, 95%CI: 1.017-4.957; P = 0.045), increase of age (OR = 1.084, 95%CI: 1.046-1.124; P = 0.000), hypertension (OR = 2.457, 95%CI: 1.189-5.078; P = 0.015) and increase of TyG index (OR = 2.657, 95%CI: 1.353-5.216; P = 0.005) were risk factors for moderate and severe total load of CSVD. 2) TyG index and imaging markers of CSVD: Logistic regression analysis showed the increase of TyG index was the risk factor of moderate and severe WMH (OR = 2.313, 95%CI: 1.095-4.885; P = 0.028), CMBs (OR = 1.690, 95%CI: 1.011-2.824; P = 0.045), lacunes (OR = 2.087, 95%CI: 1.235-3.525; P = 0.006), moderate and severe EPVS in basal ganglia (OR = 2.005, 95%CI: 1.190-3.378; P = 0.009). Conclusions TyG index is associated with the total load and various imaging markers of CSVD, which can be used as a valuable biomarker to evaluate CSVD and its severity.http://www.cjcnn.org/index.php/cjcnn/article/view/2783cerebral small vessel diseasetriglyceridesglucoseinsulin resistancerisk factorslogistic models
spellingShingle YIN Yuan⁃yuan
LUO Wei⁃gang
LIU Wan⁃hu
BU Wei
XU Yu⁃zhu
CAO Xiao⁃yun
REN Hui⁃ling
Study on the relationship between triglyceride glucose index and cerebral small vessel disease and its different imaging markers
Chinese Journal of Contemporary Neurology and Neurosurgery
cerebral small vessel disease
triglycerides
glucose
insulin resistance
risk factors
logistic models
title Study on the relationship between triglyceride glucose index and cerebral small vessel disease and its different imaging markers
title_full Study on the relationship between triglyceride glucose index and cerebral small vessel disease and its different imaging markers
title_fullStr Study on the relationship between triglyceride glucose index and cerebral small vessel disease and its different imaging markers
title_full_unstemmed Study on the relationship between triglyceride glucose index and cerebral small vessel disease and its different imaging markers
title_short Study on the relationship between triglyceride glucose index and cerebral small vessel disease and its different imaging markers
title_sort study on the relationship between triglyceride glucose index and cerebral small vessel disease and its different imaging markers
topic cerebral small vessel disease
triglycerides
glucose
insulin resistance
risk factors
logistic models
url http://www.cjcnn.org/index.php/cjcnn/article/view/2783
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