Rheumatoid arthritis

Association of triglyceride-glucose-related indexes with mortality risk in RA: a prospective cohort study using the National Health and Nutrition Examination Survey (NHANES) database

Rheumatology (Oxford)Published Prospective cohort study

Main finding · All-cause mortalityResult — go to the resultHazard ratio 1.60

Authors' conclusion

This study highlights the prognostic value of TyG-related indicators with thresholds for predicting mortality

Study context

Population
RA participants from NHANES, 1999 to 2018
Participants
764 participants
Exposure
Higher vs lower triglyceride-glucose (TyG)-related indexes
Outcome
All-cause and cardiovascular mortality
Methodological detailsNHANES database, Kaplan-Meier curves, restricted cubic splines, multivariate Cox proportional hazards model
  • NHANES database
  • Kaplan-Meier curves
  • Restricted cubic splines
  • Multivariate Cox proportional hazards model

Main finding

All-cause mortality · median follow-up of 82 months

Hazard ratio

1.60

P = 0.011

As reported in the abstract

All-cause deaths
235

Observational data: associations, not effects.

Further findings

OutcomeHRP value
Cardiovascular mortality · median follow-up of 82 monthsMultivariate Cox2.36P = 0.017
Cardiovascular mortality — Cardiovascular deaths
73

Non-linear association of cardiovascular mortality with TyG-WHtR, TyG-WC, TyG-BMI (restricted cubic splines (RCS))

P for non-linearity
< 0.05
Inflection point TyG-WHtR
6.11
Inflection point TyG-WC
869.84
Inflection point TyG-BMI
314.01

Effect modification by BMI, drinking, race and education

P for interaction
< 0.05

Sensitivity analyses

Supported positive associations between TyG-related indexes and mortality

Original publication

Association of triglyceride-glucose-related indexes with mortality risk in RA: a prospective cohort study using the NHANES database. Rheumatology (Oxford). Published 3 December 2025. doi:10.1093/rheumatology/keaf647

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