Association between the new TyG indicator–TyHGB and gestational diabetes mellitus: results from the case–control and prospective cohort studies
Abstract Background Given the close relationship between lipids and gestational diabetes mellitus(GDM), the present study sought to examine the association between the triglyceride high-density cholesterol-glucose body index(TyHGB) and the risk of developing GDM. Methods In order to investigate the...
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BMC
2025-02-01
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| Series: | Journal of Translational Medicine |
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| Online Access: | https://doi.org/10.1186/s12967-025-06166-2 |
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| author | Ziyi Xu Changhui Li Nanzhu Wang Guojiao Song |
| author_facet | Ziyi Xu Changhui Li Nanzhu Wang Guojiao Song |
| author_sort | Ziyi Xu |
| collection | DOAJ |
| description | Abstract Background Given the close relationship between lipids and gestational diabetes mellitus(GDM), the present study sought to examine the association between the triglyceride high-density cholesterol-glucose body index(TyHGB) and the risk of developing GDM. Methods In order to investigate the relationship between TyHGB and GDM, a retrospective case–control study and a prospective cohort study were conducted involving 1862 individuals. A multifactorial logistic regression model was employed to assess the relationship between TyHGB and GDM, and to reduce potential bias and confounding variables, the association between TyHGB and GDM was evaluated using 1:1 propensity score further matching (PSM) multivariate logistic regression of post-PSM data. The restricted cubic splines(RCS) was used to observe the dose–response relationship between TyHGB and GDM. Receiver operating characteristic (ROC) curves were employed to evaluate the predictive accuracy of GDM. Subsequently, likelihood ratio tests were utilized to investigate the correlation between TyHGB and GDM in specific subgroups. Results After adjustment for all confounders, multivariate logistic regression analysis showed that TyHGB was significantly associated with the risk of developing GDM.The ROC curve shows the excellent predictive performance of the TyHGB index.TyHGB was better than other indices in predicting GDM in the first and second trimester. Conclusions This study demonstrates that TyHGB is independently associated with GDM risk. TyHGB may be used as a screening and monitoring tool for pregnant women at high risk of GDM rather than other lipid indicators. |
| format | Article |
| id | doaj-art-afa4f6198ebe4a93bea375e0aaa16f78 |
| institution | DOAJ |
| issn | 1479-5876 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Translational Medicine |
| spelling | doaj-art-afa4f6198ebe4a93bea375e0aaa16f782025-08-20T03:11:10ZengBMCJournal of Translational Medicine1479-58762025-02-0123111110.1186/s12967-025-06166-2Association between the new TyG indicator–TyHGB and gestational diabetes mellitus: results from the case–control and prospective cohort studiesZiyi Xu0Changhui Li1Nanzhu Wang2Guojiao Song3College of Traditional Chinese Medicine, Changchun University of Chinese MedicineThe Affiliated Hospital of Changchun University of Traditional Chinese MedicineThe Affiliated Hospital of Changchun University of Traditional Chinese MedicineThe Affiliated Hospital of Changchun University of Traditional Chinese MedicineAbstract Background Given the close relationship between lipids and gestational diabetes mellitus(GDM), the present study sought to examine the association between the triglyceride high-density cholesterol-glucose body index(TyHGB) and the risk of developing GDM. Methods In order to investigate the relationship between TyHGB and GDM, a retrospective case–control study and a prospective cohort study were conducted involving 1862 individuals. A multifactorial logistic regression model was employed to assess the relationship between TyHGB and GDM, and to reduce potential bias and confounding variables, the association between TyHGB and GDM was evaluated using 1:1 propensity score further matching (PSM) multivariate logistic regression of post-PSM data. The restricted cubic splines(RCS) was used to observe the dose–response relationship between TyHGB and GDM. Receiver operating characteristic (ROC) curves were employed to evaluate the predictive accuracy of GDM. Subsequently, likelihood ratio tests were utilized to investigate the correlation between TyHGB and GDM in specific subgroups. Results After adjustment for all confounders, multivariate logistic regression analysis showed that TyHGB was significantly associated with the risk of developing GDM.The ROC curve shows the excellent predictive performance of the TyHGB index.TyHGB was better than other indices in predicting GDM in the first and second trimester. Conclusions This study demonstrates that TyHGB is independently associated with GDM risk. TyHGB may be used as a screening and monitoring tool for pregnant women at high risk of GDM rather than other lipid indicators.https://doi.org/10.1186/s12967-025-06166-2Gestational diabetes mellitusTriglyceride glucose indexLipid index |
| spellingShingle | Ziyi Xu Changhui Li Nanzhu Wang Guojiao Song Association between the new TyG indicator–TyHGB and gestational diabetes mellitus: results from the case–control and prospective cohort studies Journal of Translational Medicine Gestational diabetes mellitus Triglyceride glucose index Lipid index |
| title | Association between the new TyG indicator–TyHGB and gestational diabetes mellitus: results from the case–control and prospective cohort studies |
| title_full | Association between the new TyG indicator–TyHGB and gestational diabetes mellitus: results from the case–control and prospective cohort studies |
| title_fullStr | Association between the new TyG indicator–TyHGB and gestational diabetes mellitus: results from the case–control and prospective cohort studies |
| title_full_unstemmed | Association between the new TyG indicator–TyHGB and gestational diabetes mellitus: results from the case–control and prospective cohort studies |
| title_short | Association between the new TyG indicator–TyHGB and gestational diabetes mellitus: results from the case–control and prospective cohort studies |
| title_sort | association between the new tyg indicator tyhgb and gestational diabetes mellitus results from the case control and prospective cohort studies |
| topic | Gestational diabetes mellitus Triglyceride glucose index Lipid index |
| url | https://doi.org/10.1186/s12967-025-06166-2 |
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