Intermittent
cold
exposure
has
garnered
increased
attention
in
popular
culture,
largely
for
its
proposed
effects
on
mood
and
immune
function,
but
there
are
also
suggestions
that
the
energy
wasting
mechanisms
associated
with
thermogenesis
may
decrease
body
weight
fat
mass.
Considering
continued
worsening
prevalence
of
obesity
type
II
diabetes,
any
protocol
can
reduce
and/or
improve
metabolic
health
would
be
a
substantial
boon.
Here,
we
present
narrative
review
exploring
research
related
to
ICE
adipose
tissue.
Any
publicly
available
original
examining
repeated
bouts
outcomes
was
included.
While
does
not
consistently
lower
bodyweight
or
mass,
seem
evidence
as
positive
modulator
consequences
obesity,
such
glucose
tolerance
insulin
signaling.
Further,
increases
activity
brown
tissue
(BAT)
transitions
white
phenotype
more
line
BAT.
Lastly,
combined
exercise
do
provide
additional
benefit,
at
least
when
is
done
during
bouts.
The
majority
current
literature
based
rodent
models
where
animals
housed
rooms,
which
reflect
protocols
likely
implemented
humans
cold-water
immersion.
Future
could
specifically
characterize
via
water
immersion
combination
controlled
calorie
intake
clearly
determine
it
looking
reductions
Scientific Reports,
Journal Year:
2025,
Volume and Issue:
15(1)
Published: Feb. 24, 2025
Insulin
resistance
(IR)
is
strongly
associated
with
obstructive
sleep
apnea
(OSA).
Whereas,
few
studies
have
focused
on
the
potential
association
between
Metabolic
Score
for
Resistance
(METS-IR),
a
novel
non-insulin-dependent
IR
index,
and
OSA.
Subjects
from
National
Health
Nutrition
Examination
Survey
(NHANES)
spanning
2005-2008
2015-2018
were
recruited.
The
relationship
METS-IR
other
indices
OSA
was
explored
through
three
logistic
regression
analysis
models
restricted
cubic
spline
(RCS)
curves.
Receiver
operating
characteristic
(ROC)
curves
used
to
assess
diagnostic
value
of
these
indicators
On
basis
age,
sex,
race,
body
mass
index
(BMI),
hypertension,
diabetes,
cardiovascular
disease
(CVD),
subgroup
analyses
conducted
test
robustness
relationship.
A
total
8,306
participants
enrolled,
an
prevalence
30.69%.
After
adjusting
confounders,
METS-IR,
triglyceride
high-density
lipoprotein
cholesterol
(TG/HDL-C)
ratio,
glucose
Index
(TyG),
homeostatic
model
assessment
insulin
(HOMA-IR)
showed
positive
associations
prevalence.
In
highest
tertile
TG/HDL-C,
TyG
HOMA-IR,
2.96-fold,
1.42-fold,
1.29-fold,
1.41-fold
higher,
respectively,
compared
lowest
(METS-IR:
OR
=
2.96,
95%
CI:
2.50,
3.52,
P
<
0.0001;
TG/HDL-C:
1.42,
1.17,
1.73,
0.001;
index:
1.29,
1.07,
1.55,
0.008;
HOMA-IR:
1.41,
1.18,
1.69,
0.001).
ROC
revealed
that
had
accuracy
(AUC
0.652).
four
remain
stable
across
most
cases
(P
interaction
>
0.05);
however,
all
them
show
significant
interactions
diabetes
0.05).
positively
shows
superior
index.
Scientific Reports,
Journal Year:
2023,
Volume and Issue:
13(1)
Published: Nov. 22, 2023
Insulin
resistance
(IR)
plays
an
important
role
in
the
development
of
non-alcoholic
fatty
liver
disease
(NAFLD).
IR
markers
are
divided
into
two
types:
(1)
insulin-based
marker,
homeostatic
model
assessment
(HOMA-IR);
and
(2)
non-insulin-based
markers,
such
as
triglyceride-glucose
(TyG)
index,
TyG
index
with
body
mass
(TyG-BMI),
triglyceride/high-density
lipoprotein
cholesterol
ratio
(TG/HDL-c),
metabolic
score
for
(METS-IR).
The
often
associated
lipids.
aim
this
study
was
to
analyse
association
between
NAFLD
non-diabetic
population.
Baseline
data
non-NAFLD
groups
were
compared.
Logistic
regression
used
evaluate
relationship
five
risk.
odds
ratios
(ORs)
95%
confidence
intervals
(CIs)
calculated.
Receiver
operating
characteristic
(ROC)
curves
area
under
curve
(AUC)
ability
different
detect
NAFLD.
Subgroup
analyses
performed
obese
non-obese
subgroups.
This
found
a
positive
correlation
risk
elevation
(HOMA-IR,
TyG,
TyG-BMI,
TG/HDL-c,
METS-IR).
In
subjects,
AUC
TyG-BMI
larger
than
that
other
four
HOMA-IR
subjects.
population,
NAFLD,
including
can
be
respectively,
better
detection
compared
markers.
Cardiovascular Diabetology,
Journal Year:
2024,
Volume and Issue:
23(1)
Published: May 18, 2024
Abstract
Background
Insulin
resistance
(IR)
significantly
contributes
to
cardiovascular
disease
(CVD)
development.
Triglyceride
glucose
(TyG)
index
and
triglyceride
glucose-body
mass
(TyG-BMI)
are
recognised
as
convenient
proxies
for
IR.
However,
their
relationship
with
sudden
cardiac
arrest
(SCA)
remains
unclear.
Methods
This
prospective
cohort
analysis
included
355,242
UK
Biobank
participants
available
TyG
TyG-BMI
data
no
history
of
CVD.
Cox
proportional
risk
models
assessed
the
association
between
index,
SCA
risk.
Additionally,
Accelerated
Failure
Time
(AFT)
were
employed
investigate
timing
onset.
The
impact
dynamic
increases
in
levels
on
was
examined
using
restricted
cubic
spline.
Results
Over
a
median
follow-up
period
165.4
months
(interquartile
range
156.5–174
months),
1,622
cases
recorded.
Multivariate
regression
revealed
9%
increase
per
standard
deviation
(adjusted
hazard
ratio
(aHR)
=
1.09,
95%
confidence
interval
(CI)
1.04–1.15)
an
14%
(aHR
1.14,
CI
1.09–1.2).
AFT
indicated
earlier
times
occurrence
increasing
quintiles
compared
lowest
quintile
(P
trend
<
0.05).
linearly
0.54)
non-linearly
0.007)
correlated
gradual
levels,
respectively.
Sex-stratified
analyses
showed
stronger
associations
women.
Conclusions
Higher
associated
increased
onset,
particularly
Frontiers in Endocrinology,
Journal Year:
2024,
Volume and Issue:
14
Published: March 8, 2024
Importance
Little
is
known
about
the
relationship
between
metabolic
score
for
insulin
resistance
(METS-IR)
and
prognosis
of
hypertensive
patients
in
China.
Objective
To
investigate
association
novel
non–insulin‐based
METS-IR
index
cardiovascular
composite
endpoints
all-cause
mortality
Chinese
participants.
Design,
setting,
participants
This
cohort
study
used
data
from
China
H-Type
Hypertension
Project,
a
long-term
prospective
consisting
14234
southern
China,
with
baseline
March
to
August
2018.
The
median
follow-up
period
was
3.94
years,
as
2022.
analysis
July
2023
September
2023.
Exposures
H-type
hypertension
project.
calculation
formula
(Ln
(2
×
FPG)
+TG)
BMI/Ln
(HDL-C).
Main
outcomes
measures
Cardiovascular
events
cardiovascular,
were
identified
by
linking
database
health
care
system
through
October,
Results
A
total
14220
included
this
study.
prevalence
rates
disease
(CVD),
death,
death
2.59%
(369/14220),
2.79%
(397/14220),
5.66%
(805/14220),
respectively.
After
adjusting
confounding
factors
multivariate
logistic
regression
models,
significantly
positively
correlated
CVD,
mortality,
whether
categorical
or
continuous
variable.
Layered
showed
that
different
subgroups
endpoint
event.
Conclusions
relevance
large,
demonstrated
index,
new
IR
evaluation
independently
associated
higher
risk
among
population.
Importantly,
our
finding
provides
an
independent
indicator
evaluating
patients.
Frontiers in Neurology,
Journal Year:
2025,
Volume and Issue:
15
Published: Jan. 3, 2025
Stroke
is
a
significant
cerebrovascular
disease
and
remains
one
of
the
leading
causes
death
disability
worldwide.
Insulin
resistance
has
been
strongly
linked
to
incidence
stroke.
Employing
characteristics
metabolic
syndrome,
Metabolic
Score
for
Resistance
(METS-IR)
accurately
measures
insulin
resistance.
Nonetheless,
relationship
between
METS-IR
stroke
risk
not
well-established.
We
analyzed
data
from
National
Health
Nutrition
Examination
Survey
(NHANES)
covering
years
2007-2018.
Participants
providing
complete
self-reported
information
were
included
in
study.
utilized
weighted
multivariate
regression
explore
stroke,
performing
subgroup
analyses
as
well.
A
total
14,794
participants
included,
with
an
average
43.44
±
12.68.
The
overall
prevalence
was
3.79%,
higher
rates
observed
upper
tertiles.
An
increase
unit
associated
1%
(OR
=
1.01;
95%
CI:
1.01-1.02).
Interaction
tests
indicated
no
effects
gender,
smoking
status,
alcohol
consumption,
hypertension,
diabetes,
physical
activity,
or
serum
cholesterol
levels
on
this
relationship.
Notably,
younger
than
60
years,
association
significantly
stronger
1.02;
1.01-1.03),
marked
interaction
(p
0.0061).
Our
findings
indicate
positive
correlation
increased
risk.
Early
intervention
targeting
may
be
viable
preventive
measure
against
particularly
individuals
under
age.
Diabetes Obesity and Metabolism,
Journal Year:
2024,
Volume and Issue:
26(9), P. 3552 - 3564
Published: June 9, 2024
Abstract
Aim
To
investigate
the
associations
of
metabolic
score
for
insulin
resistance
(METS‐IR)
with
all‐cause
and
cardiovascular
disease
(CVD)‐specific
mortality
potential
mediating
role
biological
ageing.
Methods
A
cohort
19
204
participants
from
National
Health
Nutrition
Examination
Survey
(NHANES)
1999–2018
was
recruited
this
study.
Cox
regression
models,
restricted
cubic
splines,
Kaplan–Meier
survival
curves
were
used
to
determine
relationships
METS‐IR
CVD‐specific
mortality.
Mediation
analyses
performed
explore
possible
intermediary
ageing
markers,
including
phenotypic
age
(PhenoAge)
(BioAge).
Results
During
a
median
follow‐up
9.17
years,
we
observed
2818
deaths,
which
875
CVD‐specific.
Multivariable
showed
that
highest
level
(Q4)
associated
increased
(hazard
ratio
[HR]
1.38,
95%
confidence
interval
[CI]
1.14–1.67)
CVD
(HR
1.52,
CI
1.10–2.12)
compared
Q1
level.
Restricted
splines
nonlinear
relationship
between
Only
above
threshold
(41.02
μg/L)
positively
correlated
death.
had
linear
positive
In
mediation
analyses,
found
PhenoAge
mediated
51.32%
(
p
<
0.001)
41.77%
association
mortality,
respectively.
For
BioAge,
proportions
21.33%
15.88%
0.001),
Conclusions
This
study
highlights
detrimental
effects
resistance,
as
measured
by
METS‐IR,
on
Moreover,
it
underscores
in
these
associations,
emphasizing
need
interventions
targeting
both
processes
mitigate
risks
disorders.
Cardiovascular Diabetology,
Journal Year:
2024,
Volume and Issue:
23(1)
Published: Aug. 7, 2024
Atrial
fibrillation
(AF)
is
acknowledged
as
a
disease
continuum.
Despite
catheter
ablation
being
recommended
primary
therapy
for
AF,
the
high
recurrence
rates
have
tempered
initial
enthusiasm.
Insulin
resistance
(IR)
has
been
established
an
independent
predictor
onset
of
AF.
However,
correlation
between
non-insulin-based
IR
indices
and
late
AF
in
patients
undergoing
radiofrequency
remains
unknown.
Frontiers in Endocrinology,
Journal Year:
2024,
Volume and Issue:
15
Published: Sept. 13, 2024
To
explore
the
association
between
Metabolic
Score
for
Insulin
Resistance
(METS-IR)
and
risk
of
cardiovascular
disease
(CVD)
death
in
patients
with
rheumatoid
arthritis
(RA).
Research Square (Research Square),
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 15, 2025
AbstractBackground:
Ischemic
heart
disease
(IHD)
represents
a
significant
global
health
burden.
The
Metabolic
score
for
insulin
resistance
(METS-IR)
an
innovative
tool
assessing
(IR),
well-established
factor
linked
to
cardiovascular
(CVD).
However,
the
association
between
METS-IR
and
IHD
within
United
States
population
has
yet
be
fully
clarified.
This
analysis
seeks
investigate
possible
relationship
IHD,
providing
insights
into
how
metabolic
factors
may
influence
risk
in
this
demographic.
Methods:
A
cross-sectional
was
executed
on
cohort
of
14,305
participants
selected
from
2007–2018
cycles
National
Health
Nutrition
Examination
Survey
(NHANES).
calculated,
recognized
through
self-reported
diagnoses
coronary
(CHD),
attack,
or
angina
pectoris.
To
assess
link
multivariate
logistic
regression
applied.
Interaction
effects
were
also
assessed,
smoothed
curve
fitting
utilized
provide
more
detailed
relationship.
Results:
included
participants,
among
whom
1,050
identified
as
having
IHD.
In
adjusted
model,
one-unit
unit
increase
2%
rise
odds
(OR:
1.02;
95%
CI:
1.01,
1.03).
categorical
analysis,
individuals
highest
quartile
showed
76%
higher
probability
opposed
those
lowest
1.76;
1.34,
2.31).
analyses
revealed
based
age
gender,
suggesting
that
correlation
varied
across
these
subgroups.
Conclusion:
Our
findings
indicate
increased
is
heightened
highlighting
its
potential
important
biomarker
evaluating
population.
Additional
longitudinal
studies
are
necessary
ascertain
causal