Concordance between homeostatic model assessment and triglyceride glucose index in assessing insulin resistance among HIV-infected patients.

IF 1.5 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Saudi Medical Journal Pub Date : 2025-02-01 DOI:10.15537/smj.2025.46.2.20240769
Gokcen Gurkok Budak, Aslı Vatan, Ertuğrul Güçlü, Oğuz Karabay
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Abstract

Objectives: To evaluate the concordance between the triglyceride glucose (TyG) index and the homeostatic model assessment of insulin resistance (HOMA-IR) in assessing insulin resistance (IR) in people living with HIV (PLWH). Additionally, we aimed to estimate a cut-off value for the TyG index in PLWH.

Methods: This retrospective, observational study included medical records of patients diagnosed with HIV at Sakarya Training and Research Hospital from January 2019 to January 2024. Based on their HOMA-IR levels, PLWH patients were divided into 2 groups: Group A (patients without IR) and Group B (patients with IR).

Results: In this study, insulin resistance was investigated in 147 people living with HIV (PLWH) between the ages of 18-68. Our results showed a significant positive linear relationship between HOMA-IR and the TyG index (r=0.628, p<0.001). We found the TyG Index cut-off value to predict IR in people living with HIV (PLWH) to be 8.25.

Conclusion: Our study identified correlation between the TyG index and HOMA IR index in PLWH. The TyG index may serve as an effective alternative to HOMA-IR for evaluating insulin resistance in PLWH.".

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体内平衡模型评估与甘油三酯葡萄糖指数在评估hiv感染者胰岛素抵抗中的一致性
目的:评价甘油三酯葡萄糖(TyG)指数与胰岛素抵抗稳态模型评估(HOMA-IR)在评估HIV感染者(PLWH)胰岛素抵抗(IR)中的一致性。此外,我们旨在估计PLWH中TyG指数的临界值。方法:这项回顾性观察性研究包括2019年1月至2024年1月在Sakarya培训和研究医院诊断为HIV的患者的医疗记录。根据患者HOMA-IR水平将PLWH患者分为2组:A组(无IR患者)和B组(有IR患者)。结果:本研究调查了147例年龄在18-68岁之间的HIV感染者(PLWH)的胰岛素抵抗。我们的研究结果显示HOMA-IR与TyG指数呈显著的线性正相关(r=0.628, p)。结论:我们的研究确定了PLWH患者TyG指数与HOMA-IR指数之间存在相关性。TyG指数可作为评估PLWH胰岛素抵抗的有效替代HOMA-IR。
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来源期刊
Saudi Medical Journal
Saudi Medical Journal 医学-医学:内科
CiteScore
2.30
自引率
6.20%
发文量
203
审稿时长
12 months
期刊介绍: The Saudi Medical Journal is a monthly peer-reviewed medical journal. It is an open access journal, with content released under a Creative Commons attribution-noncommercial license. The journal publishes original research articles, review articles, Systematic Reviews, Case Reports, Brief Communication, Brief Report, Clinical Note, Clinical Image, Editorials, Book Reviews, Correspondence, and Student Corner.
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