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ORIGINAL RESEARCH article

Front. Endocrinol.

Sec. Renal Endocrinology

Volume 16 - 2025 | doi: 10.3389/fendo.2025.1544591

This article is part of the Research Topic Addressing insulin resistance and hyperinsulinemia for cardiovascular disease prevention View all 6 articles

Associations between the triglyceride-glucose index and the risk of heart failure in patients undergoing maintenance hemodialysis: a retrospective cohort study

Provisionally accepted
Qiuyue Zhang Qiuyue Zhang 1Kai Zhou Kai Zhou 1Yuchen Li Yuchen Li 1Yimiao Sun Yimiao Sun 1Hui Wu Hui Wu 1Xiaonan Qiu Xiaonan Qiu 1Ying Zhang Ying Zhang 1*Zhiyuan Liu Zhiyuan Liu 2*
  • 1 The Affiliated Hospital of Xuzhou Medical University, Xuzhou, China
  • 2 Sihong People's Hospital, Suqian, Jiangsu, China

The final, formatted version of the article will be published soon.

    Background: Although the triglyceride-glucose (TyG) index levels have been shown to be a reliable predictor of major adverse cardiovascular events (MACE), few studies have investigated their association with heart failure (HF), especially in patients on dialysis. We therefore aimed to investigate the relationship between the TyG index and the incidence of HF in patients undergoing maintenance hemodialysis (MHD). Methods: A total of 183 participants who underwent MHD in the Blood Purification Center of the Affiliated Hospital of Xuzhou Medical University from September 2008 to October 2023 were included and followed up until March 2024. The TyG index was calculated as ln [fasting triglycerides (mg/dL) × fasting blood glucose (mg/dL)/2].Participants were divided into two different groups according to the TyG index. The primary endpoint of this study was newly diagnosed HF events during the follow-up period. Cox proportional hazard models were used to examine the association between the TyG index and the risk of incident HF. To assess the dose-response relationship between TyG index and risk of HF, restricted cubic spline analysis was used.Results: Among the 183 participants, there were 61 incident cases of HF during a median follow-up period of 57 months. In comparison to the group with a lower TyG index, participants with a higher TyG index had a higher risk of HF (HR=2.590, 95%CI=1.490-4.500), regardless of whether a variety of potential confounders were adjusted. The association between TyG index and HF (P for non-linearity > 0.05) was confirmed by restricted cubic spline analysis.The TyG index was positively associated with the risk of incident HF in patients undergoing MHD, which indicates that the TyG index might be useful to identify people at high-risk for developing HF.

    Keywords: Triglyceride-glucose index, Heart Failure, Maintenance hemodialysis (MHD), Insulin Resistance, HF-related hospitalizations

    Received: 20 Dec 2024; Accepted: 11 Mar 2025.

    Copyright: © 2025 Zhang, Zhou, Li, Sun, Wu, Qiu, Zhang and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Ying Zhang, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, China
    Zhiyuan Liu, Sihong People's Hospital, Suqian, Jiangsu, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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