The combination of visceral adiposity and triglyceride-glucose indices as predictors of cardiovascular disease incidence in middle-aged and older adults

The integration of TyG with anthropometric indices strengthened its association with CVD incidence. While TyG-WWI and TyG-ConI exhibited the highest predictive ability in the CHARLS and MESA cohorts, respectively, TyG-WHtR consistently yielded the greatest improvement to traditional risk models. Elevated BP levels partially mediated this association. Early intervention targeting visceral adiposity and impaired insulin sensitivity is crucial for mitigating CVD incidence in middle-aged and older adults.

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Publication Details

Journal
European journal of medical research
Published
2026-01-28
DOI
https://doi.org/10.1186/s40001-026-03907-x
Primary Topic
Diabetes, Cardiovascular Risks, and Lipoproteins
Type
article
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article

The combination of visceral adiposity and triglyceride-glucose indices as predictors of cardiovascular disease incidence in middle-aged and older adults

Xiaodong Li, Jiawei Zhang, Zhipeng Hu, Yan Yin et al.
European journal of medical research
Diabetes, Cardiovascular Risks, and Lipoproteins
article

The combination of visceral adiposity and triglyceride-glucose indices as predictors of cardiovascular disease incidence in middle-aged and older adults

Xiaodong Li, Jiawei Zhang, Zhipeng Hu, Yan Yin, Xu Li, Lili Wang, Yanguang Li, Shangqiu Ning, Xu Liu, Ran Xiong, Yunlong Wang, Qiaoyuan Li
article en

Abstract

The integration of TyG with anthropometric indices strengthened its association with CVD incidence. While TyG-WWI and TyG-ConI exhibited the highest predictive ability in the CHARLS and MESA cohorts, respectively, TyG-WHtR consistently yielded the greatest improvement to traditional risk models. Elevated BP levels partially mediated this association. Early intervention targeting visceral adiposity and impaired insulin sensitivity is crucial for mitigating CVD incidence in middle-aged and older adults.

European journal of medical researchVol. 31(1)
Chinese Academy of Medical Sciences & Peking Union Medical College (CN), Beijing Anzhen Hospital (CN), Fu Wai Hospital (CN)
Good health and well-being
Openalex Percentile: Top 76%
Diabetes, Cardiovascular Risks, and Lipoproteins
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The combination of visceral adiposity and triglyceride-glucose indices as predictors of cardiovascular disease incidence in middle-aged and older adults — Xiaodong Li, Jiawei Zhang, et al. · European journal of medical research (2026) | TGRS Research Map | TGRS