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Revista Cubana de Medicina
versão On-line ISSN 1561-302X
Resumo
YANES QUESADA, Marelys et al. Glycemia-triglyceride index as marker of insulin resistance in essential hypertensive patients. Rev cubana med [online]. 2020, vol.59, n.1 Epub 01-Mar-2020. ISSN 1561-302X.
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.
Palavras-chave : Glycemia-triglyceride index; insulin resistance; arterial hypertension.