Insulin Resistance Indexes as Biomarkers of Lifetime Cardiovascular Risk among Adults from Peru
BACKGROUND: Cardiovascular disease (CVD) is the most prevalent cause of death from disease and disability in the world. Reliable markers are needed to assess and reduce cardiovascular risk. This study aimed to determine if insulin resistance indexes, triglycerides to HDL-cholesterol ratio (TG/HDL-C)...
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| Formato: | Artículo |
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2021
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| author | Rojas Humpire, Ricardo Josue Olarte Durand, Mely Alexandra Medina Ramirez, Sebastian Andre Gutierrez-Ajalcriña, Rosmery Canaza, Josue F. Huancahuire Vega, Salomon |
| author_browse | Canaza, Josue F. Gutierrez-Ajalcriña, Rosmery Huancahuire Vega, Salomon Medina Ramirez, Sebastian Andre Olarte Durand, Mely Alexandra Rojas Humpire, Ricardo Josue |
| author_facet | Rojas Humpire, Ricardo Josue Olarte Durand, Mely Alexandra Medina Ramirez, Sebastian Andre Gutierrez-Ajalcriña, Rosmery Canaza, Josue F. Huancahuire Vega, Salomon |
| author_sort | Rojas Humpire, Ricardo Josue |
| collection | Producción científica |
| description | BACKGROUND: Cardiovascular disease (CVD) is the most prevalent cause of death from disease and disability in the world. Reliable markers are needed to assess and reduce cardiovascular risk. This study aimed to determine if insulin resistance indexes, triglycerides to HDL-cholesterol ratio (TG/HDL-C), and triglyceride glucose index (TyG) are biomarkers for lifetime cardiovascular risk (CVR). METHODS: This analytical cross-sectional study was performed on health personnel from Huaycan Hospital in Peru. The QRISK model was used to measure lifetime CVR. The association and diagnostic accuracy for TyG calculated as Ln (TG (mg/dL) × glucose (mg/dL)/2) and TG/HDL-C ratio were determined using Poisson regression models and ROC curves with Youden index. RESULTS: In total, 291 adults (207 women and 84 men) were analyzed. In the adjusted Poisson models, each unit of TG/HDL-C increased 1.22-fold and 1.16-fold the probability of high lifetime CVR in men and women, respectively. However, each unit of TyG increased 1.98-fold in men and 3.25-fold in women the probability of high lifetime CVR. The optimal cutoff values of TG/HDL-C were 2.64 (AUC: 0.77), 3.90 (AUC: 0.80), and 2.64 (AUC: 0.74) for the overall population, men, and women, respectively. Likewise, the optimal cutoff values of TyG were 9.04 (AUC: 0.80), 8.95 (AUC: 0.79), and 9.04 (AUC: 0.80) for the overall population, men, and women, respectively. CONCLUSION: TG/HDL-C and TyG presented a significant association with lifetime CVR. However, TyG presented a stronger association than TG/HDL-C. Both TG/HDL-C and TyG are shown to be reliable markers for CVR in adults. |
| format | Article |
| id | oai:cris.upeu.edu.pe:20.500.15037/562 |
| institution | UPeU |
| language | English |
| publishDate | 2021 |
| publishDateRange | 2021 |
| publishDateSort | 2021 |
| record_format | dspace |
| spelling | oai:cris.upeu.edu.pe:20.500.15037/5622026-11-02T22:00:04ZInsulin Resistance Indexes as Biomarkers of Lifetime Cardiovascular Risk among Adults from PeruRojas Humpire, Ricardo JosueOlarte Durand, Mely AlexandraMedina Ramirez, Sebastian AndreGutierrez-Ajalcriña, RosmeryCanaza, Josue F.Huancahuire Vega, SalomonBACKGROUND: Cardiovascular disease (CVD) is the most prevalent cause of death from disease and disability in the world. Reliable markers are needed to assess and reduce cardiovascular risk. This study aimed to determine if insulin resistance indexes, triglycerides to HDL-cholesterol ratio (TG/HDL-C), and triglyceride glucose index (TyG) are biomarkers for lifetime cardiovascular risk (CVR). METHODS: This analytical cross-sectional study was performed on health personnel from Huaycan Hospital in Peru. The QRISK model was used to measure lifetime CVR. The association and diagnostic accuracy for TyG calculated as Ln (TG (mg/dL) × glucose (mg/dL)/2) and TG/HDL-C ratio were determined using Poisson regression models and ROC curves with Youden index. RESULTS: In total, 291 adults (207 women and 84 men) were analyzed. In the adjusted Poisson models, each unit of TG/HDL-C increased 1.22-fold and 1.16-fold the probability of high lifetime CVR in men and women, respectively. However, each unit of TyG increased 1.98-fold in men and 3.25-fold in women the probability of high lifetime CVR. The optimal cutoff values of TG/HDL-C were 2.64 (AUC: 0.77), 3.90 (AUC: 0.80), and 2.64 (AUC: 0.74) for the overall population, men, and women, respectively. Likewise, the optimal cutoff values of TyG were 9.04 (AUC: 0.80), 8.95 (AUC: 0.79), and 9.04 (AUC: 0.80) for the overall population, men, and women, respectively. CONCLUSION: TG/HDL-C and TyG presented a significant association with lifetime CVR. However, TyG presented a stronger association than TG/HDL-C. Both TG/HDL-C and TyG are shown to be reliable markers for CVR in adults.Articlehttps://pubmed.ncbi.nlm.nih.gov/33833874https://downloads.hindawi.com/journals/jnme/2021/6633700.pdfhttps://doi.org/10.1155/2021/6633700PMC801656810.1155/2021/6633700https://hdl.handle.net/20.500.15037/56233833874W3147724716enJournal of Nutrition and Metabolism2090-07242090-07322021-03-252026-06-13T08:17:25Z2026-06-13T08:17:25Z |
| spellingShingle | Rojas Humpire, Ricardo Josue Olarte Durand, Mely Alexandra Medina Ramirez, Sebastian Andre Gutierrez-Ajalcriña, Rosmery Canaza, Josue F. Huancahuire Vega, Salomon Insulin Resistance Indexes as Biomarkers of Lifetime Cardiovascular Risk among Adults from Peru |
| title | Insulin Resistance Indexes as Biomarkers of Lifetime Cardiovascular Risk among Adults from Peru |
| title_full | Insulin Resistance Indexes as Biomarkers of Lifetime Cardiovascular Risk among Adults from Peru |
| title_fullStr | Insulin Resistance Indexes as Biomarkers of Lifetime Cardiovascular Risk among Adults from Peru |
| title_full_unstemmed | Insulin Resistance Indexes as Biomarkers of Lifetime Cardiovascular Risk among Adults from Peru |
| title_short | Insulin Resistance Indexes as Biomarkers of Lifetime Cardiovascular Risk among Adults from Peru |
| title_sort | insulin resistance indexes as biomarkers of lifetime cardiovascular risk among adults from peru |
| url | https://pubmed.ncbi.nlm.nih.gov/33833874 https://downloads.hindawi.com/journals/jnme/2021/6633700.pdf https://doi.org/10.1155/2021/6633700 https://hdl.handle.net/20.500.15037/562 |
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