PMID- 34086260 OWN - NLM STAT- MEDLINE DCOM- 20211025 LR - 20211025 IS - 1559-0100 (Electronic) IS - 1355-008X (Linking) VI - 74 IP - 2 DP - 2021 Nov TI - The association between triglyceride-glucose index and the incidence of type 2 diabetes mellitus-a systematic review and dose-response meta-analysis of cohort studies. PG - 254-262 LID - 10.1007/s12020-021-02780-4 [doi] AB - ABSTARCT: AIMS: We aimed to assess the dose-response relationship between triglyceride-glucose (TyG) index and the incidence of type 2 diabetes mellitus (T2DM). METHODS: We performed a comprehensive systematic literature search using PubMed, Scopus, and Embase for records published from inception until 9 February 2021. The effect estimates were reported as relative risks (RRs). RESULTS: 270,229 subjects from 14 studies were included in this systematic review and meta-analysis. The pooled incidence of T2DM was 9%. Meta-regression analysis indicates that baseline age (coefficient: 0.67, p = 0.026), drinking (coefficient: 0.03, p = 0.035), and HDL (coefficient: -0.89, p = 0.035) affected the incidence of T2DM in future. High TyG index was associated with increased incidence of T2DM in pooled unadjusted (RR 4.68 [3.01, 7.29], p < 0.001; I(2): 96.6%) and adjusted model (adjusted RR 3.54 [2.75, 4.54], p < 0.001; I(2): 83.7%). Dose-response meta-analysis for the adjusted RR showed that the linear association analysis was not significant per 0.1 increase in TyG index (RR 1.01 [0.99, 1.03], p = 0.223). There is a non-linear trend (p < 0.001) for the association between TyG index and incidence of T2DM. The dose-response curve became increasingly steeper at TyG index above 8.6. CONCLUSIONS: TyG index was associated with the incidence of T2DM in a non-linear fashion. CI - (c) 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. FAU - Pranata, Raymond AU - Pranata R AUID- ORCID: 0000-0003-3998-6551 AD - Faculty of Medicine, Universitas Pelita Harapan, Tangerang, Indonesia. raymond_pranata@hotmail.com. FAU - Huang, Ian AU - Huang I AUID- ORCID: 0000-0003-1189-8453 AD - Faculty of Medicine, Universitas Pelita Harapan, Tangerang, Indonesia. AD - Department of Internal Medicine, Faculty of Medicine, Universitas Padjadjaran, Hasan Sadikin General Hospital, Bandung, Indonesia. FAU - Irvan AU - Irvan AD - Faculty of Medicine, Universitas Pelita Harapan, Tangerang, Indonesia. FAU - Lim, Michael Anthonius AU - Lim MA AD - Faculty of Medicine, Universitas Pelita Harapan, Tangerang, Indonesia. FAU - Vania, Rachel AU - Vania R AD - Faculty of Medicine, Universitas Pelita Harapan, Tangerang, Indonesia. LA - eng PT - Journal Article PT - Meta-Analysis PT - Systematic Review DEP - 20210604 PL - United States TA - Endocrine JT - Endocrine JID - 9434444 RN - 0 (Blood Glucose) RN - 0 (Triglycerides) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Blood Glucose MH - Cohort Studies MH - *Diabetes Mellitus, Type 2/epidemiology MH - Glucose MH - Humans MH - Incidence MH - Risk Factors MH - Triglycerides OTO - NOTNLM OT - Cohort OT - Diabetes OT - Insulin resistance OT - Metabolic OT - Triglyceride-glucose index EDAT- 2021/06/05 06:00 MHDA- 2021/10/26 06:00 CRDT- 2021/06/04 12:25 PHST- 2021/03/25 00:00 [received] PHST- 2021/05/25 00:00 [accepted] PHST- 2021/06/05 06:00 [pubmed] PHST- 2021/10/26 06:00 [medline] PHST- 2021/06/04 12:25 [entrez] AID - 10.1007/s12020-021-02780-4 [pii] AID - 10.1007/s12020-021-02780-4 [doi] PST - ppublish SO - Endocrine. 2021 Nov;74(2):254-262. doi: 10.1007/s12020-021-02780-4. Epub 2021 Jun 4.