The insulin resistance by triglyceride glucose index and risk for dementia: population-based studyopen access
- Authors
- Hong, Sangmo; Han, Kyungdo; Park, Cheol-Young
- Issue Date
- Jan-2021
- Publisher
- BMC
- Keywords
- Alzheimer’s disease; Dementia; Dementia, vascular; Insulin resistance; TyG index
- Citation
- ALZHEIMERS RESEARCH & THERAPY, v.13, no.1, pp.1 - 10
- Indexed
- SCIE
SCOPUS
- Journal Title
- ALZHEIMERS RESEARCH & THERAPY
- Volume
- 13
- Number
- 1
- Start Page
- 1
- End Page
- 10
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/8066
- DOI
- 10.1186/s13195-020-00758-4
- ISSN
- 1758-9193
- Abstract
- Background
Insulin resistance is suggested to have negative effects on cognition; however, results from large population studies are lacking. In this study, the potential relationships between the triglyceride glucose (TyG) index, a simple surrogate marker of insulin resistance, and dementia were evaluated using a large-scale population dataset.
Methods
This was a retrospective, observational, cohort study using data from the National Health Information Database from 2009 to 2015 and included 5,586,048 participants 40 years age or older. The TyG index was used as a measure of insulin resistance, and participants were divided into quartiles based on TyG index. The incidence of dementia was assessed using hazard ratios (HRs) estimated with Cox proportional hazard modeling.
Results
During a median follow-up of 7.21 years, dementia was diagnosed in 142,714 (2.55%) participants. Alzheimer's disease (AD) and vascular dementia (VD) were diagnosed in 74.3% and 12.5% of the participants. Multivariate-adjusted HRs for patients in the TyG index 4th quartile were higher for dementia (HRs = 1.14; 95% confidence interval [CI] 1.12-1.16), AD (HRs = 1.12; 95% CI 1.09-1.14), and VD (HRs = 1.18; 95% CI 1.12-1.23) compared with the 1st quartile of TyG index; however, this had a small effect size (Cohen's d = 0.10, 0.08, and 0.13, respectively). These effects were independent of age, sex, smoking status, physical activity, body mass index, systolic blood pressure, and total cholesterol.
Conclusion
In this large population study, TyG index was associated with an increased risk of dementia, including AD and VD, that was independent of traditional cardiovascular risk factors, although the effect size of the TyG index was small.
- Files in This Item
-
- Appears in
Collections - 서울 의과대학 > 서울 내과학교실 > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/8066)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.