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Abstract
This study aimed to compare the accuracy of novel lipid indices, including the visceral adiposity index (VAI), lipid accumulation product (LAP), triglycerides and glucose (TyG) index, TyG-body mass index (TyG-BMI), and TyG-waist circumference (TyG-WC), in identifying insulin resistance and establish valid cutoff values. This cross-sectional study used the data of 11,378 adults, derived from the United States National Health and Nutrition Examination Survey (1999–2016). Insulin resistance was defined as a homeostasis model assessment-insulin resistance value above the 75th percentile for each sex and race/ethnicities. The area under the curves (AUCs) were as follows: VAI, 0.735; LAP, 0.796; TyG index, 0.723; TyG-BMI, 0.823, and; TyG-WC, 0.822. The AUCs for TyG-BMI and TyG-WC were significantly higher than those for VAI, LAP, and TyG index (vs. TyG-BMI, p < 0.001; vs. TyG-WC, p < 0.001). The cutoff values were as follows: VAI: men 1.65, women 1.65; LAP: men 42.5, women 42.5; TyG index: men 4.665, women 4.575; TyG-BMI: men 135.5, women 135.5; and TyG-WC: men 461.5, women 440.5. Given that lipid indices can be easily calculated with routine laboratory tests, these values may be useful markers for insulin resistance risk assessments in clinical settings.
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1 Armed Forces Capital Hospital, Department of Emergency Medicine, Seongnam, Republic of Korea (GRID:grid.413897.0) (ISNI:0000 0004 0624 2238)
2 Hanyang University College of Medicine, Department of Internal Medicine, Seoul, Republic of Korea (GRID:grid.49606.3d) (ISNI:0000 0001 1364 9317)
3 Hallym University, Department of Emergency Medicine, Chuncheon, Republic of Korea (GRID:grid.256753.0) (ISNI:0000 0004 0470 5964)
4 College of Medicine, Chung-Ang University, Department of Emergency Medicine, Seoul, Republic of Korea (GRID:grid.254224.7) (ISNI:0000 0001 0789 9563)
5 Hallym University College of Medicine, Department of Thoracic and Cardiovascular Surgery, Chuncheon, Republic of Korea (GRID:grid.256753.0) (ISNI:0000 0004 0470 5964)
6 Hanyang University Guri Hospital, Department of Emergency Medicine, College of Medicine, Guri, Republic of Korea (GRID:grid.412145.7) (ISNI:0000 0004 0647 3212)
7 Hallym University, Department of Internal Medicine, Chuncheon, Republic of Korea (GRID:grid.256753.0) (ISNI:0000 0004 0470 5964); Hallym University College of Medicine, Division of Endocrinology and Metabolism, Chuncheon-si, Republic of Korea (GRID:grid.256753.0) (ISNI:0000 0004 0470 5964)