medigraphic.com
SPANISH

Revista Cubana de Medicina

ISSN 1561-302X (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2020, Number 1

<< Back Next >>

Rev cubana med 2020; 59 (1)

Glycemia-triglyceride index as marker of insulin resistance in essential hypertensive patients

Yanes QM, Cruz HJ, Cabrera RE, González HO, Calderin BR, Yanes QMA
Full text How to cite this article

Language: Spanish
References: 16
Page: 1-11
PDF size: 267.83 Kb.


Key words:

glycemia-triglyceride index, insulin resistance, arterial hypertension.

ABSTRACT

Introduction: The glycemia-triglyceride index is used for the presumptive diagnosis of insulin resistance, which in hypertensive patients is related to the severity of high blood pressure.
Objective: To determine the utility of the glycemia-triglyceride index as a marker of insulin resistance in adult patients diagnosed with essential arterial hypertension.
Methods: A descriptive cross-sectional study was carried out in 232 patients diagnosed with essential arterial hypertension. The glycemia-triglyceride index was calculated and compared with HOMA index. For this analysis, ROC curve, Pearson correlation and Kappa index were used, p value less than 0.05 was considered significant.
Results: We obtained an 8.1 cut-off point, showing 98.6 sensitivity and 41.4 specificity. The area below the ROC curve showed 0.694 ≈ 0.7 value. Positive correlation was observed (p = 0.008). Kappa index = 88.4%.
Conclusions: The glycemia-triglyceride index turned out to be useful in patients with essential hypertension as a marker of insulin resistance with a cut-off point of 8.1.


REFERENCES

  1. García M, Prusakov A, Martínez E, Carbonel I. Tendencias y pronósticos de la hipertensión arterial en la provincia de Santiago de Cuba (2001-2015). Medisan. 2016;20(4):1029-39.

  2. Mendes E, Delgado E. Prevalencia, diagnóstico, tratamiento y control de la hipertensión arterial en España. Rev esp cardiol. 2016;69(6):572-78.

  3. Reaven G, Chen Y, Jeppesen J, Maheux P, Krauss R. Insulin resistance and hyperinsulinemia in individual with small density, low density, lipoproteins particles. J Clin Invest. 1993;92(2):141-6.

  4. Dojousel L, Flosom A, Province M. Dietary linoleic acid and carotid atherosclerosis. Am J Clin Nutr. 2003;77(4):819-52.

  5. León M, Benet M, Mas L, Willians S, Hermes L, León A. La hiperreactividad cardiovascular como factor predictivo de la hipertensión arterial en la mujer. Medisur. 2016;14(3):27-29.

  6. Ungera G, Benozzia S, Perruzzab F, Pennacchiottia, G. Triglycerides and glucose index: a useful indicator of insulin resistance. Endocrinol Nutr. 2014;61(2):533-40.

  7. Kang B, Yang Y, Lee E, Yang H, Kim H, Lim S. Triglycerides/glucose index is a useful surrogate marker of insulin resistance among adolescents. Int J Obes Lond. 2011;41(5):789- 92.

  8. Medina A, Batista T, Rodríguez B, Chaviano M, Jiménez N, Noda T. Factores de riesgo cardiovascular en adolescentes con hipertensión arterial esencial Gac Med Espirit. 2014;16(2):16-19.

  9. Pinel C, Chacón R, Castro M. Diferencias de género en relación con el Índice de Masa Corporal, calidad de la dieta y actividades sedentarias en niños de 10 a 12 años. 2017;46 (31):176-80.

  10. Gonzáles Suárez RM, Arranz MC. Secreción de insulina y sensibilidad a la insulina durante la prueba de tolerancia a la glucosa oral, en sujetos con tolerancia normal. Rev Cubana Endocrinol. 2000;11(1):23-30.

  11. Kang B, Yang Y, Lee E, Yang H, Kim H, Lim S. Triglycerides/glucose index is a useful surrogate marker of insulin resistance among adolescents. Int J Obes Lond. 2011;41(5):789- 92.

  12. González O, Arpa A G Herrera D. Valoración de la insulinorresistencia en pacientes con Síndrome metabólico. Rev Med Milit. 2013;14(2):23-30.

  13. Calderín R, Yanes M, Orlandi N. Diferentes métodos para cuantificar la sensibilidad a la insulina en el sujeto con señales precoces de insulinorresistencia y de Síndrome Insulinorresistencia. Revista Electrónica de Portales Médicos. 2008;12(17):1-4.

  14. Santiago Y, Soca M, Ricardo A, Marrero MM, Peña I. Síndrome metabólico en niños y adolescentes Rev Cubana Pediatr. 2012;84(1):11-21.

  15. Barceló MA, Rodríguez Poncelas A, Sáez M, Coll-de-Tuero G. The dynamic behaviour of metabolic syndrome and its components in an eight-year population-based cohort from the mediterranean. Plos One. 2017;12(5): 65-66.

  16. Bell J, George W, García M, Delgado E. Identificación del síndrome metabólico en pacientes con diabetes mellitus e hipertensión arterial. Medisan. 2017;21(10):23-28.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev cubana med. 2020;59