Prevention & lipidsCross-sectional study

Triglyceride-Glucose-Waist-to-Height Ratio Index and Left Ventricular Diastolic Function in Military Athletes

JACC AdvPublished

  • cross-sectional analysis

Authors' conclusion

TyG-WHtR is age-independently associated with subclinical LVDF decline and lower exercise capacity in young, physically active military personnel. Whether insulin resistance reduction could improve diastolic function requires further study.

Study context

Population
Male and female military personnel aged 18 to 44 years151 male and 25 female military personnel · male 151 · female 25
Exposure
Higher-TyG-WHtR men vs Lower-TyG-WHtR men

Main finding

As reported in the abstract

TyG-WHtR and characteristics, higher- vs lower-TyG-WHtR men
GroupValueage
Higher-TyG-WHtR menTriglyceride-glucose-waist-to-height ratio (TyG-WHtR) 4.41 (interval as printed [4.13, 4.74])29 [23, 36] years
Lower-TyG-WHtR menTyG-WHtR 3.62 (interval as printed [3.38, 3.82])25 [21, 30] years

Observational data: associations, not effects.

Further findings

Age-independent correlation of TyG-WHtR with e' velocity and E/A

e' velocity τ
−0.382; 95% CI: −0.462 to −0.297
E/A τ
−0.265; −0.367 to −0.165
  • Benjamini-Hochberg-adjusted P < 0.001

e' velocity, multivariable regression

TyG-WHtR leading e' predictor, standardized β
−0.367; −0.491 to −0.242

Sex × TyG-WHtR interaction on e' velocity

statistically detectable
P = 0.012
  • underpowered

Original publication

Triglyceride-Glucose-Waist-to-Height Ratio Index and Left Ventricular Diastolic Function in Military Athletes. JACC Adv. Published 18 June 2026. doi:10.1016/j.jacadv.2026.102865

Summarised from the published abstract; every number is checked against it