Abstract
Background: Some previous studies have suggested that elevated TG/HDL ratio is a risk factor for the development of insulin resistance.There is also evidence that TG/HDL ratios are ethnically diverse.Currently, there is still insufficient evidence on whether TG/HDL is a risk factor for the occurrence of insulin resistance in the US population. Therefore, we attempted to find out whether TG/HDL represents a risk factor for the occurrence of insulin resistance in the US population by studying the NHANES database (2017-2108).Methods: After adjusting the potential influencing factors, we used the method of multiple logistic regression to analyze the risk between TG/HDL and insulin resistance, and determined whether there was a linear relationship between TG/HDL and insulin resistance by smoothing curve fitting.At the same time, in order to verify the reliability of the results, we conducted a subgroup analysis.Results: We found that in the American population, increased TG/HDL ratio was a risk factor for insulin resistance (OR=2.47 (2.01,3.04)).At the same time, we found a saturation effect between TG/HDL ratio and insulin resistance.When the ratio was <0.84, the relationship between TG/HDL and the occurrence of insulin resistance was very significant (OR=21.24 (9.29,48.56)), and when the ratio was ≥0.84, the effect value was relatively reduced (OR=1.45(1.10,1.92)).Conclusions:In this study, we found that TG/HDL is negatively correlated with insulin resistance in the American population (except Hispanic Americans), and this effect is especially significant in people with higher education.