Spondyloarthritis & psoriatic arthritis

Association between triglyceride-glucose index and carotid atherosclerosis in patients with psoriatic arthritis

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

TyG index was positively correlated with the burden of atherosclerosis in PsA patients, independent of traditional cardiovascular risk factors and psoriatic-related factors.

Study context

Population
Consecutive PsA patients receiving carotid US with integrated triglyceride-glucose (TyG) index
Participants
165 patients
Exposure
TyG index and carotid atherosclerosis
Outcome
Carotid atherosclerosis
Methodological detailsconsecutive patients, logistic regression, fully adjusted for sex, age, smoking, BMI, comorbidities and psoriatic-related variables
  • Consecutive patients
  • Logistic regression
  • Fully adjusted for sex, age, smoking, BMI, comorbidities and psoriatic-related variables

Main finding

As reported in the abstract

Carotid atherosclerosis

8.82

SD 0.50

Without carotid atherosclerosis

8.54

SD 0.55

Tertile 1

14.8%

Tertile 2

34.5%

Tertile 3

44.6%

Estimate (CI)
Per 1-unit increase in TyG index
unadjusted OR 2.65(1.39–5.05)
Per 1-unit increase in TyG index
fully adjusted OR 2.69(1.02–7.11)
Tertile 3vs Tertile 1
unadjusted OR 4.64(1.85–11.60)
Tertile 3vs Tertile 1
fully adjusted OR 5.10(1.54–16.93)

Observational data: associations, not effects.

Further findings

Carotid artery plaque, with increasing TyG index (continuous)

Estimate
Increasing TyG indexunadjusted OR 3.11 (CI 1.54–6.26)
Increasing TyG indexfully adjusted OR 3.61 (CI 1.15–11.38)
OutcomeEstimate
Carotid artery plaque, TyG index tertile 3 vs tertile 1Tertile 3vs Tertile 1unadjusted OR 10.20 (CI 2.83–36.82)
Carotid artery plaque, TyG index tertile 3 vs tertile 1Tertile 3vs Tertile 1fully adjusted OR 17.89 (CI 2.88–111.11)

Incremental predictive capacity of TyG index beyond established risk factors

Increase in discrimination ability
all P < 0.001

Original publication

Association between triglyceride-glucose index and carotid atherosclerosis in patients with psoriatic arthritis. Rheumatology (Oxford). Published 10 March 2023. doi:10.1093/rheumatology/kead100

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