Association between triglyceride-glucose index and phenotypic age acceleration: a cross-sectional study based on NHANES database

ObjectiveTo investigate the association between triglyceride-glucose (TyG) index and phenotypic age acceleration (PhenoAgeAccel), given the emerging importance of biological aging as a health determinant and the role of insulin resistance in aging-related processes.MethodsThis cross-sectional study...

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Main Authors: Zhili Zhao, Yan Liang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2025.1548690/full
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author Zhili Zhao
Zhili Zhao
Yan Liang
Yan Liang
author_facet Zhili Zhao
Zhili Zhao
Yan Liang
Yan Liang
author_sort Zhili Zhao
collection DOAJ
description ObjectiveTo investigate the association between triglyceride-glucose (TyG) index and phenotypic age acceleration (PhenoAgeAccel), given the emerging importance of biological aging as a health determinant and the role of insulin resistance in aging-related processes.MethodsThis cross-sectional study analyzed data from 13,291 adults aged ≥20 years in the National Health and Nutrition Examination Survey (1999–2010). The TyG index served as the exposure variable, calculated from fasting triglycerides and glucose levels. PhenoAgeAccel, derived from clinical biomarkers, was the outcome variable. Analyses adjusted for demographic, socioeconomic, and health-related covariates.ResultsA significant non-linear relationship was observed between TyG index and PhenoAgeAccel, with an inflection point at 9.60. In the fully adjusted model, each unit increase in TyG index was associated with 2.21 years increase in PhenoAgeAccel (95% CI: 1.99, 2.43). The association was stronger above the inflection point (β = 8.21, 95% CI: 7.59, 8.82) compared to below it (β = 0.56, 95% CI: 0.29, 0.83).ConclusionHigher TyG index levels are significantly associated with accelerated biological aging, particularly above a threshold of 9.60. These findings suggest the importance of metabolic health in biological aging processes and potential interventional strategies.
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spelling doaj-art-1bee939416af405c87b4ff9a2aac9c6a2025-08-20T03:51:58ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2025-05-011610.3389/fphys.2025.15486901548690Association between triglyceride-glucose index and phenotypic age acceleration: a cross-sectional study based on NHANES databaseZhili Zhao0Zhili Zhao1Yan Liang2Yan Liang3Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, ChinaWest China School of Nursing, Sichuan University, Chengdu, ChinaWest China School of Nursing, Sichuan University, Chengdu, ChinaDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, ChinaObjectiveTo investigate the association between triglyceride-glucose (TyG) index and phenotypic age acceleration (PhenoAgeAccel), given the emerging importance of biological aging as a health determinant and the role of insulin resistance in aging-related processes.MethodsThis cross-sectional study analyzed data from 13,291 adults aged ≥20 years in the National Health and Nutrition Examination Survey (1999–2010). The TyG index served as the exposure variable, calculated from fasting triglycerides and glucose levels. PhenoAgeAccel, derived from clinical biomarkers, was the outcome variable. Analyses adjusted for demographic, socioeconomic, and health-related covariates.ResultsA significant non-linear relationship was observed between TyG index and PhenoAgeAccel, with an inflection point at 9.60. In the fully adjusted model, each unit increase in TyG index was associated with 2.21 years increase in PhenoAgeAccel (95% CI: 1.99, 2.43). The association was stronger above the inflection point (β = 8.21, 95% CI: 7.59, 8.82) compared to below it (β = 0.56, 95% CI: 0.29, 0.83).ConclusionHigher TyG index levels are significantly associated with accelerated biological aging, particularly above a threshold of 9.60. These findings suggest the importance of metabolic health in biological aging processes and potential interventional strategies.https://www.frontiersin.org/articles/10.3389/fphys.2025.1548690/fullTyG indexphenotypic age accelerationinsulin resistancemetabolic dysfunctioncross-sectional studynational health and nutrition examination survey (NHANES)
spellingShingle Zhili Zhao
Zhili Zhao
Yan Liang
Yan Liang
Association between triglyceride-glucose index and phenotypic age acceleration: a cross-sectional study based on NHANES database
Frontiers in Physiology
TyG index
phenotypic age acceleration
insulin resistance
metabolic dysfunction
cross-sectional study
national health and nutrition examination survey (NHANES)
title Association between triglyceride-glucose index and phenotypic age acceleration: a cross-sectional study based on NHANES database
title_full Association between triglyceride-glucose index and phenotypic age acceleration: a cross-sectional study based on NHANES database
title_fullStr Association between triglyceride-glucose index and phenotypic age acceleration: a cross-sectional study based on NHANES database
title_full_unstemmed Association between triglyceride-glucose index and phenotypic age acceleration: a cross-sectional study based on NHANES database
title_short Association between triglyceride-glucose index and phenotypic age acceleration: a cross-sectional study based on NHANES database
title_sort association between triglyceride glucose index and phenotypic age acceleration a cross sectional study based on nhanes database
topic TyG index
phenotypic age acceleration
insulin resistance
metabolic dysfunction
cross-sectional study
national health and nutrition examination survey (NHANES)
url https://www.frontiersin.org/articles/10.3389/fphys.2025.1548690/full
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