Relationship between triglyceride-glucose index and new-onset hypertension in general population-a systemic review and meta-analysis of cohort studies

BACKGROUND: The triglyceride-glucose (TyG) index is an alternative biomarker for insulin resistance that may be connected to incident hypertension. We performed the meta-analysis to clarify the connection between TyG index and new-onset hypertension in the general population.

METHODS: We recruited cohort studies that assessed the association between TyG index and the risk of hypertension in the general population by searching the databases of PubMed, EMBASE, and Web of Science (SCI) from their inception dates until July 18, 2023. The primary focus of the study was on the hazard ratio (HR) of hypertension in relation to the TyG index. The adjusted HR and 95% confidence interval (CI) were pooled by the random-effects model. Subgroup analyzes stratified by age, sex, follow-up duration, body mass index (BMI), and ethnicity were performed.

RESULTS: Our analysis comprised 35 848 participants from a total of 7 cohort studies. The highest TyG index category showed a 1.51-fold greater risk of hypertension in the general population than the lowest category (HR = 1.51, 95%CI 1.26-1.80, p < .001). Consistent results were obtained using sensitivity analysis by eliminating one trial at a time (p values all <0.001). Subgroup analysis showed that the relationship between TyG index and hypertension was not substantially influenced by age, sex, BMI, participant ethnicity, and follow-up times (P for interaction all >0.05).

CONCLUSIONS: Elevated TyG index significantly increased the risk of new-onset hypertension in the general population. It is necessary to conduct the research to clarify the probable pathogenic processes underpinning the link between the TyG index and hypertension.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:46

Enthalten in:

Clinical and experimental hypertension (New York, N.Y. : 1993) - 46(2024), 1 vom: 31. Apr., Seite 2341631

Sprache:

Englisch

Beteiligte Personen:

Yang, Changqiang [VerfasserIn]
Song, Yue [VerfasserIn]
Wang, Peijian [VerfasserIn]

Links:

Volltext

Themen:

Cohort studies
Glucose
Hypertension
IY9XDZ35W2
Insulin resistance
Journal Article
Meta-Analysis
Meta-analysis
Review
Systematic Review
Triglyceride-glucose index
Triglycerides

Anmerkungen:

Date Completed 16.04.2024

Date Revised 16.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/10641963.2024.2341631

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM371046483