Volume 19 Issue 8
Aug.  2021
Turn off MathJax
Article Contents
ZENG Rong, YAN Jiafu, ZHENG Keyang, WANG ZAuoguang, QU Fengxue, MU Yifan, CHENG Wenli. Relationship between fasting triglyceride glucose index and arteriosclerosis in patients with essential hypertension[J]. Chinese Journal of General Practice, 2021, 19(8): 1262-1264, 1286. doi: 10.16766/j.cnki.issn.1674-4152.002035
Citation: ZENG Rong, YAN Jiafu, ZHENG Keyang, WANG ZAuoguang, QU Fengxue, MU Yifan, CHENG Wenli. Relationship between fasting triglyceride glucose index and arteriosclerosis in patients with essential hypertension[J]. Chinese Journal of General Practice, 2021, 19(8): 1262-1264, 1286. doi: 10.16766/j.cnki.issn.1674-4152.002035

Relationship between fasting triglyceride glucose index and arteriosclerosis in patients with essential hypertension

doi: 10.16766/j.cnki.issn.1674-4152.002035
Funds:

 81370229

  • Received Date: 2021-04-13
    Available Online: 2022-02-16
  •   Objective  To study the ambulatory blood pressure and brachial-ankle pulse wave velocity (ba-PWV) in essential hypertension patients with different fasting triglyceride glucose index (TyG index) groups, and to explore the correlation between TyG index and ba-PWV.  Methods  This retrospective study selected 466 inpatients with essential hypertension from August 2014 to December 2015. According to TyG index, the patients were divided into three groups by trisection. The differences of ambulatory blood pressure and ba-PWV among the three groups were compared, and the influencing factors of ba-PWV were analyzed by multiple linear regression model.  Results  With the increase of TyG index, the ratios of hyperlipidemia and diabetes of the patients raised, the average BMI increased, and the levels of total cholesterol, triglyceride, low density lipoprotein cholesterol, uric acid and fasting blood glucose evaluated gradually. The average systolic and diastolic blood pressure of 24 hours in the highest TyG index group were significantly higher than those in the lowest TyG index group [(132.3±14.8) mm Hg vs. (127.0±14.9) mm Hg, P=0.003; (81.1±11.8) mm Hg vs. (77.8±11.5) mm Hg, P=0.038], the average heart rate of 24 hours in the highest TyG index group was significantly higher than that in the lowest TyG index group (P=0.002). Ba-PWV was significantly higher in the highest TyG index group than that in the lowest TyG index group [(1 734.6±908.1) cm/s vs. (1 560.2±312.5) cm/s, P=0.022]. Multiple linear regression analysis showed that age, 24-hour systolic blood pressure and TyG index were the affecting factors of ba-PWV.  Conclusion  TyG index was positively correlated with blood pressure, heart rate and ba-PWV. It can be used to predict atherosclerosis in clinical practice.

     

  • loading
  • [1]
    HILL M A, YANG Y, ZHANG L, et al. Insulin resistance, cardiovascular stiffening and cardiovascular disease[J]. Metabolism, 2021, 119: 154766. DOI: 10.1016/j.metabol.2021.154766.
    [2]
    MORAIS P R, SOUSA A L, JARDIM TDE S, et al. Correlation of insulin resistance with anthropometric measures and blood pressure in adolescents[J]. Arq Bras Cardiol, 2016, 106(4): 319-326. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4845705/pdf/abc-106-04-0319.pdf
    [3]
    OHKUMA T, NINOMIYA T, TOMIYAMA H, et al. Brachial-ankle pulse wave velocity and the risk prediction of cardiovascular disease: An individual participant data meta-analysis[J]. Hypertension, 2017, 69(6): 1045-1052. doi: 10.1161/HYPERTENSIONAHA.117.09097
    [4]
    LIM J, PEARMAN M, PARK W, et al. Interrelationships among various measures of central artery stiffness[J]. Am J Hypertens, 2016, 29(9): 1024-1028. doi: 10.1093/ajh/hpw045
    [5]
    LU Y, PECHLANER R, CAI J, et al. Trajectories of age-related arterial stiffness in Chinese men and women[J]. J Am Coll Cardiol, 2020, 75(8): 870-880. doi: 10.1016/j.jacc.2019.12.039
    [6]
    SÃNCHEZ-GARCÍA A, RODRÍGUEZ-GUTIÉRREZ R, MANCILLAS-ADAME L, et al. Diagnostic accuracy of the triglyceride and glucose index for insulin resistance: A systematic review[J]. Int J Endocrinol, 2020: 4678526. doi: 10.1155/2020/4678526
    [7]
    LI M, ZHAN A, HUANG X, et al. Positive association between triglyceride glucose index and arterial stiffness in hypertensive patients: The China H-type Hypertension Registry Study[J]. Cardiovasc Diabetol, 2020, 19(1): 139. doi: 10.1186/s12933-020-01124-2
    [8]
    中国高血压防治指南修订委员会. 中国高血压防治指南2010[J]. 中华心血管病杂志, 2011, 39(7): 597-616. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGZ201108003.htm
    [9]
    LI S, GUO B, CHEN H, et al. The role of the triglyceride (triacylglycerol) glucose index in the development of cardiovascular events: A retrospective cohort analysis[J]. Sci Rep, 2019, 9(1): 7320. doi: 10.1038/s41598-019-43776-5
    [10]
    SANCHEZ-INIGO L, NAVARRO-GONZALEZ D, FERNANDEZ-MONTERO A, et al. The TyG index may predict the development of cardiovascular events[J]. Eur J Clin Invest, 2016, 46(2): 189-197. doi: 10.1111/eci.12583
    [11]
    SALAZAR M R, CARBAJAL H A, ESPECHE W G, et al. Comparison of two surrogate estimates of insulin resistance to predict cardiovascular disease in apparently healthy individuals[J]. Nutr Metab Cardiovasc Dis, 2017, 27(4): 366-373. doi: 10.1016/j.numecd.2016.12.002
    [12]
    MUNIYAPPA R, CHEN H, MONTAGNANI M, et al. Endothelial dysfunction due to selective insulin resistance in vascular endothelium: Insights from mechanistic modeling[J]. Am J Physiol Endocrinol Metab, 2020, 319(3): E629-E646. doi: 10.1152/ajpendo.00247.2020
    [13]
    JIA G, HABIBI J, AROOR A R, et al. Endothelial mineralocorticoid receptor mediates diet-induced aortic stiffness in females[J]. Circ Res, 2016, 118(6): 935-943. doi: 10.1161/CIRCRESAHA.115.308269
    [14]
    KUMAR R K, YANG Y, CONTRERAS A G, et al. Phenotypic changes in T cell and macrophage subtypes in perivascular adipose tissues precede high-fat diet-induced hypertension[J]. Front Physiol, 2021, 12: 616055. DOI: 10.3389/fphys.2021.616055.
    [15]
    DA SILVA A A, DO CARMO J M, LI X, et al. Role of hyperinsulinemia and insulin resistance in hypertension: Metabolic syndrome revisited[J]. Can J Cardiol, 2020, 36(5): 671-682. doi: 10.1016/j.cjca.2020.02.066
    [16]
    FIORENTINO T V, MARINI M A, SUCCURRO E, et al. Relationships of surrogate indexes of insulin resistance with insulin sensitivity assessed by euglycemic hyperinsulinemic clamp and subclinical vascular damage[J]. BMJ Open Diabetes Res Care, 2019, 7(1): e000911. DOI: 10.1136/bmjdrc-2019-000911.
    [17]
    ALIZARGAR J, BAI C H. Comparison of carotid ultrasound indices and the triglyceride glucose index in hypertensive and normotensive community-dwelling individuals: A case control study for evaluating atherosclerosis[J]. Medicina (Kaunas), 2018, 54(5): 71. doi: 10.3390/medicina54050071
    [18]
    WON K B, KIM Y S, LEE B K, et al. The relationship of insulin resistance estimated by triglyceride glucose index and coronary plaque characteristics[J]. Medicine (Baltimore), 2018, 97(21): e10726. DOI: 10.1097/MD.0000000000010726.
    [19]
    DA SILVA A, CALDAS A P S, HERMSDORFF H H M, et al. Triglyceride-glucose index is associated with symptomatic coronary artery disease in patients in secondary care[J]. Cardiovasc Diabetol, 2019, 18(1): 89. doi: 10.1186/s12933-019-0893-2
    [20]
    LUO E, WANG D, YAN G, et al. High triglyceride-glucose index is associated with poor prognosis in patients with acute ST-elevation myocardial infarction after percutaneous coronary intervention[J]. Cardiovasc Diabetol, 2019, 18(1): 150. doi: 10.1186/s12933-019-0957-3
    [21]
    WEXLER Y, AVIVI I, BARAK LANCIANO S, et al. Familial tendency for hypertension is associated with increased vascular stiffness[J]. J Hypertens, 2021, 39(4): 627-632. doi: 10.1097/HJH.0000000000002704
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(3)

    Article Metrics

    Article views (332) PDF downloads(9) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return