Triglyceride-glucose index and combined indicators: effective indicators for screening NAFLD in snoring patients.


Journal

BMC pulmonary medicine
ISSN: 1471-2466
Titre abrégé: BMC Pulm Med
Pays: England
ID NLM: 100968563

Informations de publication

Date de publication:
24 Jul 2024
Historique:
received: 12 07 2023
accepted: 12 07 2024
medline: 26 7 2024
pubmed: 26 7 2024
entrez: 25 7 2024
Statut: epublish

Résumé

Nonalcoholic fatty liver disease (NAFLD) is a common complication in snoring patients, especially in patients with obstructive sleep apnea syndrome (OSA). Triglyceride-glucose (TyG) index was a simple indicator of metabolic status and a surrogate marker of insulin resistance. This study aimed to explore the relationship between NAFLD and TyG index in snoring patients. A retrospective study was conducted. The successive snoring patients enrolled in the Sleep Center of the First Affiliated Hospital of Fujian Medical University and had abdominal ultrasonography were included. The clinical characteristics of patients in different quartile TyG groups were compared. The relationship of the TyG index and NAFLD were valued via logistic regression models and restricted cubic spline analysis. The value of TyG index in predicting NAFLD was determined by receiver operating characteristic curve (ROC curve). A total of 463 NAFLD cases were found among the 654 snoring patients. TyG index was a risk factor of NAFLD in snoring patients (OR = 2.38, 95% CI = 1.71-3.36). The risk of NAFLD was much higher in patients with the highest quartile of TyG index (OR = 5.12, 95% CI = 2.85-9.22), compared with the lowest quartile group. Restricted cubic spline (RCS) analysis showed a significant dose-response relationship between TyG index and risk of NAFLD (p for non-linearity < 0.001). A combination of TyG, neck circumference and ESS score presented the acceptable AUC for the detection of NAFLD in snoring patients (0.746, 95% CI 0.701-0.790, p < 0.001). The TyG index was a risk factor of NAFLD in snoring patients. A combination of TyG, neck circumferences and ESS score could act as a convenient and effective indicator for screening NAFLD in snoring patients.

Identifiants

pubmed: 39049008
doi: 10.1186/s12890-024-03166-8
pii: 10.1186/s12890-024-03166-8
doi:

Substances chimiques

Triglycerides 0
Blood Glucose 0
Biomarkers 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

359

Subventions

Organisme : National Natural Science Foundation of China
ID : 82170101

Informations de copyright

© 2024. The Author(s).

Références

Fan JG, Wei L, Zhuang H. Guidelines of prevention and treatment of nonalcoholic fatty liver disease (2018, China) [J]. J Dig Dis. 2019;20(4):163–73. https://doi.org/10.1111/1751-2980.12685 .
doi: 10.1111/1751-2980.12685 pubmed: 30444584
Younossi ZM, Koenig AB, Abdelatif D, et al. Global epidemiology of nonalcoholic fatty liver disease-Meta-analytic assessment of prevalence, incidence, and outcomes [J]. Hepatology (Baltimore MD). 2016;64(1):73–84. https://doi.org/10.1002/hep.28431 .
doi: 10.1002/hep.28431 pubmed: 26707365
Chalasani N, Younossi Z, Lavine JE, et al. The diagnosis and management of non-alcoholic fatty liver disease: practice guideline by the American Gastroenterological Association, American Association for the Study of Liver Diseases, and American College of Gastroenterology [J]. Gastroenterology. 2012;142(7):1592–609. https://doi.org/10.1053/j.gastro.2012.04.001 .
doi: 10.1053/j.gastro.2012.04.001 pubmed: 22656328
Marchesini G, Moscatiello S, Di Domizio S, et al. Obesity-associated liver disease [J]. J Clin Endocrinol Metab. 2008;93(11 Suppl 1):S74–80. https://doi.org/10.1210/jc.2008-1399 .
doi: 10.1210/jc.2008-1399 pubmed: 18987273
Perumpail BJ, Khan MA, Yoo ER, et al. Clinical epidemiology and disease burden of nonalcoholic fatty liver disease [J]. World J Gastroenterol. 2017;23(47):8263–76. https://doi.org/10.3748/wjg.v23.i47.8263 .
doi: 10.3748/wjg.v23.i47.8263 pubmed: 29307986 pmcid: 5743497
Cotter TG, Rinella M, Nonalcoholic Fatty LD. 2020: The State of the Disease [J]. Gastroenterology. 2020;158(7):1851-64. https://doi.org/10.1053/j.gastro.2020.01.052 .
Khazaie H, Negahban S, Ghadami MR, et al. Among middle-aged adults, snoring predicted hypertension independently of sleep apnoea [J]. J Int Med Res. 2018;46(3):1187–96. https://doi.org/10.1177/0300060517738426 .
doi: 10.1177/0300060517738426 pubmed: 29322844 pmcid: 5972254
Xia WH, Yang CL. Self-reported sleep characteristics are linked to type 2 diabetes in middle-aged and elderly individuals: a cross-sectional study based on NHANES [J]. Ir J Med Sci. 2023. https://doi.org/10.1007/s11845-023-03352-3 .
doi: 10.1007/s11845-023-03352-3 pubmed: 37246173
Tian Y, Li D, Mu H, et al. Positive correlation between snoring and dyslipidemia in adults: results from NHANES [J]. Lipids Health Dis. 2023;22(1):73. https://doi.org/10.1186/s12944-023-01839-7 .
doi: 10.1186/s12944-023-01839-7 pubmed: 37328831 pmcid: 10276450
Wang H, Gao Q, He S, et al. Self-reported snoring is associated with nonalcoholic fatty liver disease [J]. Sci Rep. 2020;10(1):9267. https://doi.org/10.1038/s41598-020-66208-1 .
doi: 10.1038/s41598-020-66208-1 pubmed: 32518245 pmcid: 7283303
Lam JC, Sharma SK, Lam B. Obstructive sleep apnoea: definitions, epidemiology & natural history [J]. Indian J Med Res. 2010;131:165–70.
pubmed: 20308741
Ahmed MH, Byrne CD. Obstructive sleep apnea syndrome and fatty liver: association or causal link? [J]. World J Gastroenterol. 2010;16(34):4243–52. https://doi.org/10.3748/wjg.v16.i34.4243 .
doi: 10.3748/wjg.v16.i34.4243 pubmed: 20818807 pmcid: 2937104
Tutunchi H, Naeini F, Mobasseri M, et al. Triglyceride glucose (TyG) index and the progression of liver fibrosis: a cross-sectional study [J]. Clin Nutr ESPEN. 2021;44:483–87. https://doi.org/10.1016/j.clnesp.2021.04.025 .
doi: 10.1016/j.clnesp.2021.04.025 pubmed: 34330512
Simental-Mendía LE, Simental-Mendía E, Rodríguez-Hernández H, et al. The product of triglycerides and glucose as biomarker for screening simple steatosis and NASH in asymptomatic women [J]. Ann Hepatol. 2016;15(5):715–20. https://doi.org/10.5604/16652681.1212431 .
doi: 10.5604/16652681.1212431 pubmed: 27493110
Zhang S, Du T, Zhang J, et al. The triglyceride and glucose index (TyG) is an effective biomarker to identify nonalcoholic fatty liver disease [J]. Lipids Health Dis. 2017;16(1):15. https://doi.org/10.1186/s12944-017-0409-6 .
doi: 10.1186/s12944-017-0409-6 pubmed: 28103934 pmcid: 5248473
Lee SB, Kim MK, Kang S, Triglyceride Glucose Index Is Superior to the Homeostasis Model Assessment of Insulin Resistance for Predicting Nonalcoholic Fatty Liver Disease in Korean Adults [J]. Endocrinol Metab (Seoul, Korea). 2019;34(2):179–86. https://doi.org/10.3803/EnM.2019.34.2.179 .
Wang Y, Shen R, Ge J. Association between self-reported snoring and metabolic-associated fatty liver disease: a cross-sectional analysis of the NHANES 2017–2018 [J]. Sleep Med. 2023;101:414–20. https://doi.org/10.1016/j.sleep.2022.11.029 .
doi: 10.1016/j.sleep.2022.11.029 pubmed: 36516525
Berry RB, Budhiraja R, Gottlieb DJ, et al. Rules for scoring respiratory events in sleep: update of the 2007 AASM Manual for the Scoring of Sleep and Associated events. Deliberations of the Sleep Apnea definitions Task Force of the American Academy of Sleep Medicine [J]. J Clin Sleep Medicine: JCSM: Official Publication Am Acad Sleep Med. 2012;8(5):597–619. https://doi.org/10.5664/jcsm.2172 .
doi: 10.5664/jcsm.2172
Brady EM, Bodicoat DH, Hall AP, et al. Sleep duration, obesity and insulin resistance in a multi-ethnic UK population at high risk of diabetes [J]. Diabetes Res Clin Pract. 2018;139:195–202. https://doi.org/10.1016/j.diabres.2018.03.010 .
doi: 10.1016/j.diabres.2018.03.010 pubmed: 29526681
Simental-Mendía LE, Rodríguez-Morán M, Guerrero-Romero F. The product of fasting glucose and triglycerides as surrogate for identifying insulin resistance in apparently healthy subjects [J]. Metab Syndr Relat Disord. 2008;6(4):299–304. https://doi.org/10.1089/met.2008.0034 .
doi: 10.1089/met.2008.0034 pubmed: 19067533
Pei H, Li S, Su X, et al. Association between triglyceride glucose index and sleep disorders: results from the NHANES 2005–2008 [J]. BMC Psychiatry. 2023;23(1):156. https://doi.org/10.1186/s12888-022-04434-9 .
doi: 10.1186/s12888-022-04434-9 pubmed: 36899383 pmcid: 10007799
Kang HH, Kim SW, Lee SH. Association between triglyceride glucose index and obstructive sleep apnea risk in Korean adults: a cross-sectional cohort study [J]. Lipids Health Dis. 2020;19(1):182. https://doi.org/10.1186/s12944-020-01358-9 .
doi: 10.1186/s12944-020-01358-9 pubmed: 32771021 pmcid: 7414547
Zou J, Wang Y, Xu H et al. The use of visceral adiposity variables in the prediction of obstructive sleep apnea: evidence from a large cross-sectional study [J]. Sleep & breathing = Schlaf & Atmung. 2020;24(4):1373–82. https://doi.org/10.1007/s11325-019-01980-7 .
Bikov A, Frent SM, Meszaros M, et al. Triglyceride-glucose index in Non-Diabetic, non-obese patients with obstructive sleep apnoea [J]. J Clin Med. 2021;10(9). https://doi.org/10.3390/jcm10091932 .
Loomba R, Sanyal AJ. The global NAFLD epidemic [J]. Nat Reviews Gastroenterol Hepatol. 2013;10(11):686–90. https://doi.org/10.1038/nrgastro.2013.171 .
doi: 10.1038/nrgastro.2013.171
Estes C, Razavi H, Loomba R, et al. Modeling the epidemic of nonalcoholic fatty liver disease demonstrates an exponential increase in burden of disease [J]. Hepatology (Baltimore MD). 2018;67(1):123–33. https://doi.org/10.1002/hep.29466 .
doi: 10.1002/hep.29466 pubmed: 28802062
Dewan NA, Nieto FJ, Somers VK. Intermittent hypoxemia and OSA: implications for comorbidities [J]. Chest. 2015;147(1):266–74. https://doi.org/10.1378/chest.14-0500 .
doi: 10.1378/chest.14-0500 pubmed: 25560865 pmcid: 4285080
Yamada J, Tomiyama H, Yambe M, et al. Elevated serum levels of alanine aminotransferase and gamma glutamyltransferase are markers of inflammation and oxidative stress independent of the metabolic syndrome [J]. Atherosclerosis. 2006;189(1):198–205. https://doi.org/10.1016/j.atherosclerosis.2005.11.036 .
doi: 10.1016/j.atherosclerosis.2005.11.036 pubmed: 16405892
Nassir FNAFLD. Mechanisms, treatments, and biomarkers [J]. Biomolecules. 2022;12(6). https://doi.org/10.3390/biom12060824 .
Li W, Wang Y, He F, et al. Association between triglyceride-glucose index and nonalcoholic fatty liver disease in type 2 diabetes mellitus [J]. BMC Endocr Disorders. 2022;22(1):261. https://doi.org/10.1186/s12902-022-01172-7 .
doi: 10.1186/s12902-022-01172-7
Rivière B, Jaussent A, Macioce V, et al. The triglycerides and glucose (TyG) index: a new marker associated with nonalcoholic steatohepatitis (NASH) in obese patients [J]. Diabetes Metab. 2022;48(4):101345. https://doi.org/10.1016/j.diabet.2022.101345 .
doi: 10.1016/j.diabet.2022.101345 pubmed: 35339664
Stefan N. Causes, consequences, and treatment of metabolically unhealthy fat distribution [J]. Lancet Diabetes Endocrinol. 2020;8(7):616–27. https://doi.org/10.1016/s2213-8587(20)30110-8 .
doi: 10.1016/s2213-8587(20)30110-8 pubmed: 32559477
Stefan N, Schick F, Häring HU. Causes, characteristics, and consequences of metabolically unhealthy normal weight in humans [J]. Cell Metabol. 2017;26(2):292–300. https://doi.org/10.1016/j.cmet.2017.07.008 .
doi: 10.1016/j.cmet.2017.07.008
Salmanroghani H, Salmanroghani R, Nourian M, et al. Turkish J gastroenterology: official J Turkish Soc Gastroenterol. 2019;30(2):163–70. https://doi.org/10.5152/tjg.2018.18004 . Evaluation of neck circumference as an easy and reliable predictor for non-alcoholic fatty liver disease [J].
Guasch-Ferré M, Bulló M, Martínez-González M, et al. Waist-to-height ratio and cardiovascular risk factors in elderly individuals at high cardiovascular risk [J]. PLoS ONE. 2012;7(8):e43275. https://doi.org/10.1371/journal.pone.0043275 .
doi: 10.1371/journal.pone.0043275 pubmed: 22905246 pmcid: 3419167
Patel P, Abate N. Role of subcutaneous adipose tissue in the pathogenesis of insulin resistance [J]. J Obes. 2013:489187. https://doi.org/10.1155/2013/489187 .
Li W, Kadler BK, Brindley JH, et al. The contribution of daytime sleepiness to impaired quality of life in NAFLD in an ethnically diverse population [J]. Sci Rep. 2022;12(1):5123. https://doi.org/10.1038/s41598-022-08358-y .
doi: 10.1038/s41598-022-08358-y pubmed: 35332193 pmcid: 8948283
Fishbein M, Castro F, Cheruku S, et al. Hepatic MRI for fat quantitation: its relationship to fat morphology, diagnosis, and ultrasound [J]. J Clin Gastroenterol. 2005;39(7):619–25. https://doi.org/10.1097/00004836-200508000-00012 .
doi: 10.1097/00004836-200508000-00012 pubmed: 16000931
Saadeh S, Younossi ZM, Remer EM, et al. The utility of radiological imaging in nonalcoholic fatty liver disease [J]. Gastroenterology. 2002;123(3):745–50. https://doi.org/10.1053/gast.2002.35354 .
doi: 10.1053/gast.2002.35354 pubmed: 12198701
Ryan CK, Johnson LA, Germin BI et al. One hundred consecutive hepatic biopsies in the workup of living donors for right lobe liver transplantation [J]. Liver transplantation: official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society. 2002;8(12):1114–22. https://doi.org/10.1053/jlts.2002.36740 .
Joy D, Thava VR, Scott BB. Diagnosis of fatty liver disease: is biopsy necessary? [J]. Eur J Gastroenterol Hepatol. 2003;15(5):539–43. https://doi.org/10.1097/01.meg.0000059112.41030.2e .
doi: 10.1097/01.meg.0000059112.41030.2e pubmed: 12702913

Auteurs

Yuqing Cai (Y)

Department of Respiratory and Critical Care Medicine, Respiratory Disease Research Institute, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, China.
Department of Respiratory and Critical Care Medicine, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou, 350212, China.

Jia Chen (J)

Department of Respiratory and Critical Care Medicine, Respiratory Disease Research Institute, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, China.
Department of Respiratory and Critical Care Medicine, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou, 350212, China.

Xiaoyu Deng (X)

Department of Respiratory and Critical Care Medicine, Respiratory Disease Research Institute, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, China.
Department of Respiratory and Critical Care Medicine, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou, 350212, China.

Biying Wang (B)

Department of Respiratory and Critical Care Medicine, Respiratory Disease Research Institute, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, China.
Department of Respiratory and Critical Care Medicine, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou, 350212, China.

Jiefeng Huang (J)

Department of Respiratory and Critical Care Medicine, Respiratory Disease Research Institute, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, China.
Department of Respiratory and Critical Care Medicine, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou, 350212, China.

Ningfang Lian (N)

Department of Respiratory and Critical Care Medicine, Respiratory Disease Research Institute, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, China.
Department of Respiratory and Critical Care Medicine, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou, 350212, China.

Ningfang Lian (N)

Department of Respiratory and Critical Care Medicine, Respiratory Disease Research Institute, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, China. 1533532863@qq.com.
Department of Respiratory and Critical Care Medicine, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou, 350212, China. 1533532863@qq.com.

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