Association between triglyceride-glucose index and fractional exhaled nitric oxide in adults with asthma from NHANES 2007-2012.

IF 3.9 2区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Lipids in Health and Disease Pub Date : 2024-11-03 DOI:10.1186/s12944-024-02323-6
Yao Pan, Lizhen Wu, Shiyi Yao, Jing Xia, Mohan Giri, Jun Wen, Sanmei Zhuang
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Abstract

Background: Several studies have shown a potential relationship between triglyceride-glucose index (TGI) and asthma. However, limited research has been conducted on the relationship between TGI and fractional exhaled nitric oxide (FeNO).

Methods: A total of 1,910 asthmatic individuals from the National Health and Nutrition Examination Survey (NHANES) database were included in this study. Linear regression analyses were used to investigate the relationship between TGI and FeNO in patients with asthma. Subsequently, a trend test was applied to verify whether there was a linear relationship between the TGI and FeNO. Finally, a subgroup analysis was performed to confirm the relationship among the different subgroup populations.

Results: Multivariable linear regression analyses showed that TGI was linearly related to FeNO in the asthmatic population. The trend test additionally validated the positive linear relationship between TGI and FeNO. The result of XGBoost revealed the five most influential factors on FeNO in a ranking of contrasted importance: eosinophil (EOS), body mass index (BMI), poverty-to-income ratio (PIR), TGI, and white blood cell count (WBC).

Conclusions: This investigation revealed a positive linear relationship between TGI and FeNO in patients with asthma. This finding suggests a potential relationship between TGI and airway inflammation in patients with asthma, thereby facilitating the prompt identification of irregularities and providing a basis for clinical decision making. This study provides a novel perspective on asthma management.

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2007-2012 年 NHANES 调查中哮喘成人的甘油三酯-葡萄糖指数与呼出一氧化氮分数之间的关系。
背景:多项研究表明甘油三酯-葡萄糖指数(TGI)与哮喘之间存在潜在关系。然而,有关甘油三酯-葡萄糖指数(TGI)与部分呼出一氧化氮(FeNO)之间关系的研究还很有限:本研究共纳入了来自美国国家健康与营养调查(NHANES)数据库的 1,910 名哮喘患者。采用线性回归分析法研究哮喘患者的 TGI 与 FeNO 之间的关系。随后,采用趋势检验来验证 TGI 与 FeNO 之间是否存在线性关系。最后,进行了亚组分析,以确认不同亚组人群之间的关系:结果:多变量线性回归分析表明,在哮喘人群中,TGI 与 FeNO 呈线性关系。趋势检验进一步验证了 TGI 与 FeNO 之间的正线性关系。XGBoost 的结果显示,嗜酸性粒细胞 (EOS)、体重指数 (BMI)、贫困收入比 (PIR)、TGI 和白细胞计数 (WBC) 是对 FeNO 影响最大的五个因素:这项调查显示,哮喘患者的 TGI 与 FeNO 之间存在正线性关系。这一发现表明哮喘患者的 TGI 与气道炎症之间存在潜在关系,从而有助于及时发现异常情况,为临床决策提供依据。这项研究为哮喘管理提供了一个新的视角。
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来源期刊
Lipids in Health and Disease
Lipids in Health and Disease 生物-生化与分子生物学
CiteScore
7.70
自引率
2.20%
发文量
122
审稿时长
3-8 weeks
期刊介绍: Lipids in Health and Disease is an open access, peer-reviewed, journal that publishes articles on all aspects of lipids: their biochemistry, pharmacology, toxicology, role in health and disease, and the synthesis of new lipid compounds. Lipids in Health and Disease is aimed at all scientists, health professionals and physicians interested in the area of lipids. Lipids are defined here in their broadest sense, to include: cholesterol, essential fatty acids, saturated fatty acids, phospholipids, inositol lipids, second messenger lipids, enzymes and synthetic machinery that is involved in the metabolism of various lipids in the cells and tissues, and also various aspects of lipid transport, etc. In addition, the journal also publishes research that investigates and defines the role of lipids in various physiological processes, pathology and disease. In particular, the journal aims to bridge the gap between the bench and the clinic by publishing articles that are particularly relevant to human diseases and the role of lipids in the management of various diseases.
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