Triglyceride-Glucose Index Is Not Associated With Lung Cancer Risk: A Prospective Cohort Study in the UK Biobank

BackgroundThe triglyceride-glucose (TyG) index is a practical substitute measure for insulin resistance (IR). The relationship between IR and lung cancer has been examined in previous studies; however, the findings have been controversial. In addition, previous studies had small sample sizes. Thus,...

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Autores principales: Lijie Wang, Shucheng Si, Jiqing Li, Yunxia Li, Xiaolu Chen, Fuzhong Xue, Wangang Ren
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:46af443737794acba6441bc59fedffd02021-11-17T05:11:13ZTriglyceride-Glucose Index Is Not Associated With Lung Cancer Risk: A Prospective Cohort Study in the UK Biobank2234-943X10.3389/fonc.2021.774937https://doaj.org/article/46af443737794acba6441bc59fedffd02021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fonc.2021.774937/fullhttps://doaj.org/toc/2234-943XBackgroundThe triglyceride-glucose (TyG) index is a practical substitute measure for insulin resistance (IR). The relationship between IR and lung cancer has been examined in previous studies; however, the findings have been controversial. In addition, previous studies had small sample sizes. Thus, we systematically examined the association between IR and lung cancer risk based on the UK Biobank with IR measured by the TyG index and further examined the interactions and joint effects for lung cancer.MethodsA total of 324,334 individuals free from any type of cancer at recruitment from the UK Biobank prospective cohort were included. The participants were predominantly between 40 and 70 years old. After adjusting for relevant confounders, multivariable Cox regression models were constructed to examine the relationship between the TyG index and the risk of lung cancer. We also checked the interactions and joint effects using a polygenic risk score (PRS) for lung cancer.ResultsDuring a median follow-up of 9 years, 1,593 individuals were diagnosed with lung cancer. No association was found between the TyG index and lung cancer risk after multivariate Cox regression analysis adjusted for risk factors (hazard ratio: 0.91; 95% confidence interval: 0.64–1.18). No interaction or joint effects for genetic risk and the TyG index were observed.ConclusionThe TyG index was not associated with the risk of lung cancer. Our results provide limited evidence that IR is not correlated with the risk of lung cancer.Lijie WangLijie WangShucheng SiShucheng SiJiqing LiJiqing LiYunxia LiYunxia LiXiaolu ChenXiaolu ChenFuzhong XueFuzhong XueWangang RenFrontiers Media S.A.articlelung cancerinsulin resistanceUK Biobanklongitudinal studytriglyceride-glucose indexNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENFrontiers in Oncology, Vol 11 (2021)
institution DOAJ
collection DOAJ
language EN
topic lung cancer
insulin resistance
UK Biobank
longitudinal study
triglyceride-glucose index
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle lung cancer
insulin resistance
UK Biobank
longitudinal study
triglyceride-glucose index
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Lijie Wang
Lijie Wang
Shucheng Si
Shucheng Si
Jiqing Li
Jiqing Li
Yunxia Li
Yunxia Li
Xiaolu Chen
Xiaolu Chen
Fuzhong Xue
Fuzhong Xue
Wangang Ren
Triglyceride-Glucose Index Is Not Associated With Lung Cancer Risk: A Prospective Cohort Study in the UK Biobank
description BackgroundThe triglyceride-glucose (TyG) index is a practical substitute measure for insulin resistance (IR). The relationship between IR and lung cancer has been examined in previous studies; however, the findings have been controversial. In addition, previous studies had small sample sizes. Thus, we systematically examined the association between IR and lung cancer risk based on the UK Biobank with IR measured by the TyG index and further examined the interactions and joint effects for lung cancer.MethodsA total of 324,334 individuals free from any type of cancer at recruitment from the UK Biobank prospective cohort were included. The participants were predominantly between 40 and 70 years old. After adjusting for relevant confounders, multivariable Cox regression models were constructed to examine the relationship between the TyG index and the risk of lung cancer. We also checked the interactions and joint effects using a polygenic risk score (PRS) for lung cancer.ResultsDuring a median follow-up of 9 years, 1,593 individuals were diagnosed with lung cancer. No association was found between the TyG index and lung cancer risk after multivariate Cox regression analysis adjusted for risk factors (hazard ratio: 0.91; 95% confidence interval: 0.64–1.18). No interaction or joint effects for genetic risk and the TyG index were observed.ConclusionThe TyG index was not associated with the risk of lung cancer. Our results provide limited evidence that IR is not correlated with the risk of lung cancer.
format article
author Lijie Wang
Lijie Wang
Shucheng Si
Shucheng Si
Jiqing Li
Jiqing Li
Yunxia Li
Yunxia Li
Xiaolu Chen
Xiaolu Chen
Fuzhong Xue
Fuzhong Xue
Wangang Ren
author_facet Lijie Wang
Lijie Wang
Shucheng Si
Shucheng Si
Jiqing Li
Jiqing Li
Yunxia Li
Yunxia Li
Xiaolu Chen
Xiaolu Chen
Fuzhong Xue
Fuzhong Xue
Wangang Ren
author_sort Lijie Wang
title Triglyceride-Glucose Index Is Not Associated With Lung Cancer Risk: A Prospective Cohort Study in the UK Biobank
title_short Triglyceride-Glucose Index Is Not Associated With Lung Cancer Risk: A Prospective Cohort Study in the UK Biobank
title_full Triglyceride-Glucose Index Is Not Associated With Lung Cancer Risk: A Prospective Cohort Study in the UK Biobank
title_fullStr Triglyceride-Glucose Index Is Not Associated With Lung Cancer Risk: A Prospective Cohort Study in the UK Biobank
title_full_unstemmed Triglyceride-Glucose Index Is Not Associated With Lung Cancer Risk: A Prospective Cohort Study in the UK Biobank
title_sort triglyceride-glucose index is not associated with lung cancer risk: a prospective cohort study in the uk biobank
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/46af443737794acba6441bc59fedffd0
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