AUTHOR=Lai Tianjie , Guan Fenglei , Chen Yunxian , Hu Konghe 

TITLE=Cross-sectional comparison of the association between three different insulin resistance surrogates and frailty: NHANES 1999-2018

JOURNAL=Frontiers in Endocrinology

VOLUME=15

YEAR=2024

URL=https://www.frontiersin.org/journals/endocrinology/articles/10.3389/fendo.2024.1439326

DOI=10.3389/fendo.2024.1439326

ISSN=1664-2392

ABSTRACT=<sec><title>Background</title><p>The correlation between various insulin resistance surrogates and frailty remains under investigation in the scientific community.</p></sec><sec><title>Methods</title><p>Data from NHANES (1999-2018) were used. We utilized weighted binary logistic regression, trend tests, RCS analysis, and subgroup analysis to comprehensively assess the link between METS-IR, HOMA-IR, and TyG, and frailty risk.</p></sec><sec><title>Results</title><p>The results revealed a significant positive association between high levels of METS-IR, HOMA-IR, and TyG with the risk of frailty in all models. Notably, in model 4, the highest quintile of METS-IR showed the strongest link (OR: 2.960, 95% CI: 2.219-3.949), with HOMA-IR (OR: 2.522, 95% CI: 1.927-3.301) following closely behind. Trend tests revealed a positive trend between METS-IR, HOMA-IR, and TyG with the risk of frailty (P for trend &lt; 0.05). RCS analysis showed a linear relationship between METS-IR and the risk of frailty (P for nonlinearity &gt; 0.05). In contrast, HOMA-IR and TyG exhibited a U-shaped nonlinear relationship (P for nonlinearity &lt; 0.05).</p></sec><sec><title>Conclusion</title><p>The research identified a linear association between METS-IR and frailty risk, whereas HOMA-IR and TyG displayed a U-shaped, nonlinear relationship pattern with the risk of frailty. Among the varying levels examined, the linkage between METS-IR and frailty was most pronounced in the top quintile.</p></sec>