Journal of Inflammation Research,
Journal Year:
2023,
Volume and Issue:
Volume 16, P. 4821 - 4832
Published: Oct. 1, 2023
Objective:
This
study
aimed
to
evaluate
the
relationship
between
systemic
inflammation
response
index
(SIRI)
and
risk
of
stroke
its
subtypes
in
elderly
patients
with
hypertension
explore
predictive
accuracy
any
potential
effect
modifiers.
Methods:
The
included
4749
participants
no
history
at
baseline.
Cox
regression
was
used
estimate
adjusted
hazard
ratios
(HR)
95%
confidence
intervals
(CIs).
Interaction
tests
subgroup
analyses
were
conducted.
performance
various
inflammatory
indicators
for
compared
using
area
under
curve
(AUC),
continuous
net
reclassification
improvement
(NRI),
integrated
discrimination
(IDI).
Results:
During
a
median
follow-up
period
3.2
years,
640
strokes
recorded,
which
526
ischemic
remainder
hemorrhagic.
After
adjustment
confounders,
reference
group,
HRs
(95%
CI)
1.28
CI,
1.01–
1.64)
1.46
1.14–
1.88)
second
third
tertiles,
respectively.
We
observed
interactions
SIRI
homocysteine
levels
(<
15
vs.
≥
μmol/L)
(p
interaction
=
0.014)
on
risk.
Furthermore,
AUC,
NRI,
IDI
demonstrated
that
exhibited
better
value
when
other
indicators.
Similar
results
both
hemorrhagic
strokes.
Conclusion:
Elevated
significantly
associated
hypertension,
suggesting
as
promising
indicator
this
population.
However,
larger
prospective
studies
are
needed
confirm
these
findings.
Keywords:
index,
stroke,
elderly,
inflammation,
cohort
Journal of Clinical Medicine,
Journal Year:
2024,
Volume and Issue:
13(13), P. 3941 - 3941
Published: July 5, 2024
Background/Objectives:
Insulin
resistance
is
crucial
in
the
pathogenesis
of
Metabolic
Syndrome
(MetS),
type
2
diabetes
mellitus
(T2DM)
and
premature
atherosclerotic
cardiovascular
disease
(ASCVD).
The
triglyceride-glucose
index
(TyG
index),
a
validated
measure
insulin
resistance,
also
predicts
MetS,
T2DM,
severity
albuminuria
ASCVD.
There
are
scant
data
providing
mechanistic
insights
into
these
sequalae.
Accordingly,
we
investigated
relationship
between
TyG
biomarkers
inflammation,
oxidative
stress,
free
fatty
acid
(FFA)
levels
adipokine
dysregulation
cohort
comprising
both
controls
patients
with
nascent
MetS.
Methods:
Participants
(n
=
102)
included
59
MetS
43
controls.
People
diabetes,
ASCVD,
smoking
macro-inflammation
were
excluded.
Fasting
blood
was
obtained
for
plasma
monocyte
isolation.
Results:
Receiver
Operating
Characteristic
(ROC)
curve
analysis
revealed
that
an
excellent
predictor
area
under
0.87,
it
correlated
hepatic
adipose
tissue
resistance.
Both
serum
RBP-4
non-HDL
cholesterol
increased
significantly
over
tertiles
index.
Based
on
and/or
correlations,
oxidized
LDL,
nitrotyrosine,
C-reactive
protein,
endotoxin,
chemerin,
interleukin-6
toll-like
receptor
(TLR)-4
TLR-2
their
cellular
signaling
associated
Conclusions:
Increased
non-HDL-C
and,
most
importantly,
pro-inflammatory
pro-oxidant
state
could
be
advanced
as
potential
mechanisms
explaining
risk
T2DM
ASCVD
increasing
European journal of medical research,
Journal Year:
2025,
Volume and Issue:
30(1)
Published: Jan. 9, 2025
Various
measures
of
arterial
stiffness
have
been
linked
to
the
risk
cardiovascular
disease.
However,
relationship
between
estimated
pulse
wave
velocity
(ePWV),
a
novel
indicator
stiffness,
and
cardio-cerebrovascular
disease
remains
unclear.
This
study
investigated
ePWV
diseases.
A
total
17,708
participants
aged
45
years
older
enrolled
in
China
Health
Retirement
Longitudinal
Study
(CHARLS),
conducted
2011
2012,
with
7-year
follow-up
were
included.
Ultimately,
8242
respondents
included
study.
The
was
calculated
using
age
mean
blood
pressure.
Cardio-cerebrovascular
diseases,
including
myocardial
infarction,
cerebral
intracerebral
haemorrhage,
categorised
as
cerebrovascular
Clinical
demographic
characteristics
collected.
Cox
proportional
hazards
model
used
explore
During
follow-up,
21.7%
(1791/8242)
developed
After
adjusting
for
potential
confounding
factors,
positively
associated
(adjusted
hazard
ratio:
1.16,
95%
CI
1.11–1.22,
P
<
0.001).
divided
into
quartiles,
regression
analysis
performed.
Participants
highest
quartile
had
128%
higher
than
those
lowest
quartile.
subgroup
showed
that
positive
association
remained
consistent
among
middle-aged
adults
across
different
Chinese
communities.
In
adults,
significantly
disease,
making
it
reliable
innovative
predictor
these
conditions.
Lipids in Health and Disease,
Journal Year:
2025,
Volume and Issue:
24(1)
Published: March 6, 2025
Frailty
is
a
multifactorial
syndrome
associated
with
adverse
health
outcomes.
The
metabolic
underpinnings
of
frailty,
particularly
lipid
metabolism,
are
not
fully
understood.
Unlike
isolated
fractions
or
inflammatory
markers,
atherogenic
index
plasma
(AIP)
integrates
profiles
and
systemic
inflammation.
However,
its
association
frailty
has
been
extensively
studied.
Six
thousand
four
hundred
participants
from
the
National
Health
Nutrition
Examination
Survey
(NHANES)
were
enrolled.
was
calculated
(FI),
scores
≥
0.21
indicating
frailty.
Logistic
regression
adjusted
for
demographic,
socioeconomic,
lifestyle
factors
evaluated
between
AIP
Restricted
cubic
splines
(RCS)
explored
nonlinear
associations,
subgroup
analyses
assessed
interactions
across
age,
sex,
race,
poverty
income
ratio,
smoking
status,
drinking
marital
status.
This
study
demonstrated
strong
dose-response
relationship
After
full
adjustment,
Individuals
in
quartile
3
4
showed
higher
odds
than
those
lowest
quartile,
ORs
(95%
CI)
1.26(1.01,1.57)
1.73(1.34,2.23),
respectively.
Continuous
measures
also
exhibited
significant
associations
(OR:
1.82,
95%
CI:
1.34-2.47).
RCS
analysis
that
risk
Subgroup
more
pronounced
females.
sensitivity
substantiated
stability
strength
results.
Our
findings
suggest
elevated
levels
independently
risk,
females,
highlighting
potential
as
cost-effective
biomarker
stratification.
Future
longitudinal
studies
needed
to
validate
AIP's
predictive
utility
uncover
underlying
mechanisms.
Lipids in Health and Disease,
Journal Year:
2024,
Volume and Issue:
23(1)
Published: June 21, 2024
Abstract
Background
The
anti-aging
protein
Klotho
has
diverse
functions
in
antioxidative
stress
and
energy
metabolism
through
several
pathways.
While
it
been
reported
that
α-Klotho
is
downregulated
patients
with
insulin
resistance
(IR),
the
association
between
IR
complex
controversial.
triglyceride-glucose
(TyG)
index
provided
a
practical
method
for
assessing
IR.
With
this
mind,
our
study
aimed
to
investigate
relationship
TyG
soluble
levels
US
populations,
both
without
diabetes
mellitus.
Methods
This
cross-sectional
analyzed
data
from
middle-aged
older
participants
National
Health
Nutrition
Examination
Survey
(NHANES)
conducted
2007
2016.
were
divided
into
two
groups
based
on
their
mellitus
status:
those
diabetes.
To
evaluate
concentration
of
each
group,
series
survey-weighted
multivariable
linear
regression
models
employed.
Furthermore,
examine
these
variables,
multivariable-adjusted
restricted
cubic
spline
curves
subgroup
analysis
generated.
Results
involved
6,439
adults
aged
40
years
or
older,
mean
age
57.8
±
10.9
years.
Among
them,
1577
(24.5%)
had
A
indicated
presence
significantly
affected
level.
After
considering
all
covariables,
revealed
decreased
by
32.35
pg/ml
(95%
CI:
-50.07,
-14.64)
one
unit
increase
(
p
<
0.001).
decline
elevated
was
more
pronounced
female
population.
In
mellitus,
non-linear
observed.
There
no
significant
correlation
observed
when
below
9.7.
However,
there
an
klotho
106.44
above
9.7
28.13,
184.74)
=
0.008).
Conclusion
Our
findings
suggested
may
influence
α-Klotho.
seem
be
sex
differences
individuals
Further
studies
are
necessary
validate
findings.
Lipids in Health and Disease,
Journal Year:
2024,
Volume and Issue:
23(1)
Published: June 22, 2024
The
triglyceride-glucose
(TyG)
index
is
a
risk
marker
for
arterial
stiffness;
however,
the
extent
to
which
TyG
associated
with
stiffness
via
lipids
and
inflammation
remains
unknown.
first
aim
was
probe
relationship
between
in
two
surveys.
second
clarify
whether
mediate
this
relationship.
Frontiers in Endocrinology,
Journal Year:
2024,
Volume and Issue:
14
Published: Jan. 4, 2024
Systemic
immune-inflammation
index
(SII),
a
novel
inflammatory
marker,
has
been
reported
to
be
associated
with
diabetic
kidney
disease
(DKD)
in
the
U.S.,
however,
such
close
relationship
DKD
other
countries,
including
China,
not
never
determined.
We
aimed
explore
association
between
SII
and
Chinese
population.
A
total
of
1922
hospitalized
patients
type
2
diabetes
mellitus
(T2DM)
included
this
cross-sectional
study
were
divided
into
three
groups
based
on
estimated
glomerular
filtration
rate
(eGFR)
urinary
albumin-to-creatinine
ratio
(ACR):
non-DKD
group,
stages
1-2
Alb
DKD-non-Alb+DKD
stage
3
group.
The
possible
was
investigated
by
correlation
multivariate
logistic
regression
analysis,
receiver-operating
characteristic
(ROC)
curves
analysis.
Moving
from
group
level
gradually
increased
(P
for
trend
<0.01).
Partial
analysis
revealed
that
positively
ACR
prevalence
DKD,
negatively
eGFR
(all
P<0.01).
Multivariate
showed
remained
independently
significantly
presence
after
adjustment
all
confounding
factors
[(odds
(OR),
2.735;
95%
confidence
interval
(CI),
1.840-4.063;
P
<
0.01)].
Moreover,
compared
subjects
lowest
quartile
(Q1),
fully
adjusted
OR
1.060
(95%
CI
0.773-1.455)
Q2,
1.167
0.995-1.368)
Q3,
1.266
1.129-1.420)
highest
(Q4)
Similar
results
observed
or
DKD-non-
Alb+DKD
among
quartiles.
Last,
ROC
best
cutoff
values
predict
1-
2,
DKD-non-Alb+
609.85
(sensitivity:
48.3%;
specificity:
72.8%),
601.71
43.9%;
72.3%),
589.27
61.1%;
71.1%),
respectively.
Higher
is
an
risk
severity
might
promising
biomarker
its
distinct
phenotypes
Lipids in Health and Disease,
Journal Year:
2024,
Volume and Issue:
23(1)
Published: July 30, 2024
Abstract
Background
Despite
the
known
association
between
chronic
inflammation
and
reduced
muscle
mass,
there
is
a
gap
in
research
regarding
systemic
immune-inflammation
index
(SII)
sarcopenic
obesity
(SO).
This
study
aims
to
assess
relationship
SII
SO
middle-aged
elderly
adults
mediating
role
of
triglyceride-glucose
(TyG).
Methods
cross-sectional
involved
2,719
participants
aged
45–90
years
who
underwent
health
check-ups.
was
evaluated
by
combining
sarcopenia
[assessed
handgrip
strength
appendicular
skeletal
(ASMI)]
with
(determined
body
fat
percentage).
Association
SO,
sarcopenia,
individuals
examined
using
multivariable
logistic
regression,
restricted
cubic
spline
analysis,
subgroup
analysis.
Bidirectional
mediation
analysis
conducted
determine
direct
indirect
effects
through
TyG.
Results
The
included
participants,
which
228
had
(8.4%).
prevalence
increased
as
quartiles
rose
(
P
for
trend
<0.001).
(per
SD
increase)
significantly
positive
both
(OR
=
1.69,
95%
CI:
1.43
~
1.99)
older
2.52,
1.68
3.77).
found
be
non-linear
nonlinear
<0.05).
In
addition,
showed
strong
negative
ASMI
across
all
participants.
still
shown
increase
risk
subgroups
gender,
mass
index,
waist
circumference,
smoking,
drinking,
hypertension,
diabetes,
dyslipidemia.
TyG
mediate
21.36%,
11.78%,
9.94%
associations
obesity,
respectively.
no
effect
on
>0.05).
Conclusions
Elevated
levels
were
associated
an
adults,
especially
population,
elevated
played
this
relationship.