Association between triglyceride glucose index and odds of hip fracture in patients with or without type 2 diabetes: a cross-sectional study - Report - MDSpire

Association between triglyceride glucose index and odds of hip fracture in patients with or without type 2 diabetes: a cross-sectional study

  • By

  • Dan Zhao

  • Huiling Bai

  • Cuiping Zhao

  • Juzhong Tian

  • Yawen Bo

  • July 13, 2026

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Link Between Triglyceride-Glucose Index and Hip Fracture Risk

Overview

This study investigates the relationship between the triglyceride-glucose (TyG) index and hip fracture risk in Chinese individuals, revealing that higher TyG levels are associated with hip fractures in those without type 2 diabetes, while no such association exists for those with diabetes.

Background

Hip fractures represent a significant public health concern, with increasing incidence projected globally. Insulin resistance, indicated by the TyG index, has shown variable associations with fracture risk, necessitating further exploration of its implications in individuals with and without type 2 diabetes.

Data Highlights

GroupOdds of Hip FractureP-value
Type 2 Diabetes27.5%0.734
Non-Type 2 Diabetes26.3%

Key Findings

  • TyG index calculated from fasting glucose and triglyceride levels.
  • Odds of hip fractures were similar in T2D (27.5%) and non-T2D (26.3%) groups.
  • Increasing TyG significantly reduced hip fracture odds in non-T2D individuals (OR = 0.45).
  • No significant association between TyG and bone mineral density in either group.
  • Significant interaction observed between T2D status and TyG on hip fracture odds (p < 0.01).

Clinical Implications

The findings suggest that TyG may have different implications for fracture risk assessment in individuals with and without type 2 diabetes.

Conclusion

The study highlights the importance of diabetes status in the relationship between the TyG index and hip fracture risk.

Related Resources & Content

  1. Frontiers in Endocrinology, 2026 -- Association between triglyceride glucose-body mass index and incident risk of heart failure among patients with type 2 diabetes: a real-world study
  2. Frontiers in Endocrinology, 2026 -- Triglyceride–glucose related index and its association with coronary heart disease risk in patients with metabolic dysfunction-associated steatotic liver disease: a retrospective analysis based on type 2 diabetes mellitus
  3. The Journal of Clinical Endocrinology & Metabolism, 2026 -- Identifying Fracture Risk Factors in Middle-Aged and Older Individuals with Type 2 Diabetes and Excess Weight
  4. Frontiers in Cardiovascular Medicine, 2026 -- Unveiling a J-shaped association between the triglyceride-glucose index and in-hospital major adverse cardiovascular events in patients with acute myocardial infarction: a retrospective cohort study of 1,065 patients
  5. Summary of Revisions: Standards of Care in Diabetes—2026 | Diabetes Care | American Diabetes Association
  6. Fracture risk and treatment thresholds in patients with diabetes - ScienceDirect
  7. Association of triglyceride-glucose index with bone mineral density and fracture: a systematic review - PMC
  8. Summary of Revisions: Standards of Care in Diabetes—2026 | Diabetes Care | American Diabetes Association
  9. Fracture risk and treatment thresholds in patients with diabetes - ScienceDirect
  10. Association of triglyceride-glucose index with bone mineral density and fracture: a systematic review - PMC

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