Association between triglyceride-glucose body mass index and risk of hypertensive disorders of pregnancy: a case-control study - Report - MDSpire

Association between triglyceride-glucose body mass index and risk of hypertensive disorders of pregnancy: a case-control study

  • By

  • Jun Liu

  • Haoran Ma

  • Xi Chen

  • Xueyun Chang

  • June 25, 2026

  • 0 min

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Clinical Report: Link Between Triglyceride-Glucose Body Mass Index and Hypertensive Disorders in Pregnancy

Overview

This study investigates the association between triglyceride-glucose body mass index (TyG-BMI) and hypertensive disorders of pregnancy (HDP). It finds that TyG-BMI is independently associated with increased HDP risk.

Background

Hypertensive disorders of pregnancy (HDP) are significant complications affecting maternal and fetal health, with global incidence rates ranging from 5% to 15%. They are a leading cause of maternal mortality and are associated with long-term cardiovascular risks for mothers.

Data Highlights

MeasureHDP GroupControl GroupP-value
TyG-BMI228.4 ± 44.6196.8 ± 36.2< 0.001

Key Findings

  • TyG-BMI was significantly higher in the HDP group compared to controls (228.4 vs. 196.8).
  • Each 10-unit increase in TyG-BMI was associated with a 30% increase in HDP risk (adjusted OR = 1.30, 95%CI: 1.16–1.46).
  • RCS analysis indicated a non-linear positive association between TyG-BMI and HDP risk.
  • ROC analysis showed TyG-BMI had an AUC of 0.782, outperforming TyG and BMI.
  • The association between TyG-BMI and HDP was consistent across all subgroups analyzed.

Clinical Implications

The findings suggest that TyG-BMI may serve as a valuable indicator for identifying pregnant women at risk for HDP. Clinicians should consider incorporating TyG-BMI assessments into routine evaluations of pregnant patients.

Conclusion

TyG-BMI is a significant independent predictor of hypertensive disorders in pregnancy.

Related Resources & Content

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  5. Recommendation: Hypertensive Disorders of Pregnancy: Screening | United States Preventive Services Taskforce
  6. Recommendation: Hypertensive Disorders of Pregnancy: Screening | United States Preventive Services Taskforce
  7. The effect of maternal pre-pregnancy body mass index on hypertensive disorders of pregnancy (HDP): a systematic review and dose-response meta-analysis of cohort studies involving 50 million pregnancies - ScienceDirect
  8. Recommendation: Aspirin Use to Prevent Preeclampsia and Related Morbidity and Mortality: Preventive Medication | United States Preventive Services Taskforce

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