Predictive value of the combined triglyceride-glucose and frailty index for cardiovascular disease and stroke in two prospective cohorts
Abstract Background The triglyceride-glucose (TyG) index is a validated surrogate for insulin resistance, while frailty reflects cumulative physiological decline. The combined impact of TyG-Frailty Index (TyGFI) has not been adequately explored. This study aimed to investigate the association betwee...
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BMC
2025-08-01
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| Series: | Cardiovascular Diabetology |
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| Online Access: | https://doi.org/10.1186/s12933-025-02880-9 |
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| author | Yi-Chang Zhao Shi-Qi Wu Jia-Kai Li Zhi-Hua Sun Bi-Kui Zhang Rao Fu Miao Yan |
| author_facet | Yi-Chang Zhao Shi-Qi Wu Jia-Kai Li Zhi-Hua Sun Bi-Kui Zhang Rao Fu Miao Yan |
| author_sort | Yi-Chang Zhao |
| collection | DOAJ |
| description | Abstract Background The triglyceride-glucose (TyG) index is a validated surrogate for insulin resistance, while frailty reflects cumulative physiological decline. The combined impact of TyG-Frailty Index (TyGFI) has not been adequately explored. This study aimed to investigate the association between TyGFI and the risk of cardiovascular disease (CVD) and stroke. Methods A total of 5448 participants from the China Health and Retirement Longitudinal Study (CHARLS) and 1139 participants from the U.S. National Health and Nutrition Examination Survey (NHANES) were included. Multivariable logistic regression models were used to estimate associations with CVD and stroke, adjusting for demographic, clinical, and lifestyle covariates. Restricted cubic spline (RCS) and subgroup analyses were employed to examine dose–response relationships and interaction effects. Results Higher TyGFI levels were associated with older age, adverse metabolic parameters, and increased prevalence of hypertension, diabetes, and dyslipidemia. In fully adjusted models, the highest TyGFI quartile was significantly associated with increased risks of CVD (CHARLS: OR 15.09, 95% CI 9.65–23.60; NHANES: OR 4.98, 95% CI 2.04–12.19) and stroke (CHARLS: OR 21.12, 95% CI 6.44–69.23; NHANES: OR 12.98, 95% CI 2.58–65.17), with consistent dose–response trends confirmed by RCS analyses. Subgroup analyses further demonstrated the robustness of these associations across diverse demographic and clinical strata. Conclusions TyGFI is a strong and independent predictor of CVD and stroke in two nationally representative cohorts. By integrating metabolic and functional risk dimensions, TyGFI provides a more comprehensive risk stratification tool, with significant implications for early identification and prevention of cardiovascular events in aging populations. |
| format | Article |
| id | doaj-art-6a90c86c7d074fe4ac8d8bd7fde7e40a |
| institution | DOAJ |
| issn | 1475-2840 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Cardiovascular Diabetology |
| spelling | doaj-art-6a90c86c7d074fe4ac8d8bd7fde7e40a2025-08-20T03:04:22ZengBMCCardiovascular Diabetology1475-28402025-08-0124111510.1186/s12933-025-02880-9Predictive value of the combined triglyceride-glucose and frailty index for cardiovascular disease and stroke in two prospective cohortsYi-Chang Zhao0Shi-Qi Wu1Jia-Kai Li2Zhi-Hua Sun3Bi-Kui Zhang4Rao Fu5Miao Yan6Department of Pharmacy, The Second Xiangya Hospital, Central South UniversityDepartment of Pharmacy, The Second Xiangya Hospital, Central South UniversityDepartment of Pharmacy, The Second Xiangya Hospital, Central South UniversityDepartment of Pharmacy, The Second Xiangya Hospital, Central South UniversityDepartment of Pharmacy, The Second Xiangya Hospital, Central South UniversityDepartment of Pharmacy, The Second Xiangya Hospital, Central South UniversityDepartment of Pharmacy, The Second Xiangya Hospital, Central South UniversityAbstract Background The triglyceride-glucose (TyG) index is a validated surrogate for insulin resistance, while frailty reflects cumulative physiological decline. The combined impact of TyG-Frailty Index (TyGFI) has not been adequately explored. This study aimed to investigate the association between TyGFI and the risk of cardiovascular disease (CVD) and stroke. Methods A total of 5448 participants from the China Health and Retirement Longitudinal Study (CHARLS) and 1139 participants from the U.S. National Health and Nutrition Examination Survey (NHANES) were included. Multivariable logistic regression models were used to estimate associations with CVD and stroke, adjusting for demographic, clinical, and lifestyle covariates. Restricted cubic spline (RCS) and subgroup analyses were employed to examine dose–response relationships and interaction effects. Results Higher TyGFI levels were associated with older age, adverse metabolic parameters, and increased prevalence of hypertension, diabetes, and dyslipidemia. In fully adjusted models, the highest TyGFI quartile was significantly associated with increased risks of CVD (CHARLS: OR 15.09, 95% CI 9.65–23.60; NHANES: OR 4.98, 95% CI 2.04–12.19) and stroke (CHARLS: OR 21.12, 95% CI 6.44–69.23; NHANES: OR 12.98, 95% CI 2.58–65.17), with consistent dose–response trends confirmed by RCS analyses. Subgroup analyses further demonstrated the robustness of these associations across diverse demographic and clinical strata. Conclusions TyGFI is a strong and independent predictor of CVD and stroke in two nationally representative cohorts. By integrating metabolic and functional risk dimensions, TyGFI provides a more comprehensive risk stratification tool, with significant implications for early identification and prevention of cardiovascular events in aging populations.https://doi.org/10.1186/s12933-025-02880-9Triglyceride-glucose indexFrailty indexCardiovascular diseaseStrokePopulation-based cohort |
| spellingShingle | Yi-Chang Zhao Shi-Qi Wu Jia-Kai Li Zhi-Hua Sun Bi-Kui Zhang Rao Fu Miao Yan Predictive value of the combined triglyceride-glucose and frailty index for cardiovascular disease and stroke in two prospective cohorts Cardiovascular Diabetology Triglyceride-glucose index Frailty index Cardiovascular disease Stroke Population-based cohort |
| title | Predictive value of the combined triglyceride-glucose and frailty index for cardiovascular disease and stroke in two prospective cohorts |
| title_full | Predictive value of the combined triglyceride-glucose and frailty index for cardiovascular disease and stroke in two prospective cohorts |
| title_fullStr | Predictive value of the combined triglyceride-glucose and frailty index for cardiovascular disease and stroke in two prospective cohorts |
| title_full_unstemmed | Predictive value of the combined triglyceride-glucose and frailty index for cardiovascular disease and stroke in two prospective cohorts |
| title_short | Predictive value of the combined triglyceride-glucose and frailty index for cardiovascular disease and stroke in two prospective cohorts |
| title_sort | predictive value of the combined triglyceride glucose and frailty index for cardiovascular disease and stroke in two prospective cohorts |
| topic | Triglyceride-glucose index Frailty index Cardiovascular disease Stroke Population-based cohort |
| url | https://doi.org/10.1186/s12933-025-02880-9 |
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