Association between systemic inflammation response index and risk of major adverse cardiovascular events in adults with and without metabolic syndrome: a prospective cohort study in Shanghai, Pudong - Takeaways - MDSpire

Association between systemic inflammation response index and risk of major adverse cardiovascular events in adults with and without metabolic syndrome: a prospective cohort study in Shanghai, Pudong

  • By

  • Qiqi Meng

  • Juzhong Ke

  • Xiaonan Wang

  • Hua Qiu

  • Qingping Liu

  • Jiaojiao Gao

  • Jiahui Song

  • Yang Liu

  • Qian Xu

  • Mengyao Wu

  • Bo Huang

  • Yuling Qian

  • Lin Song

  • Xiaonan Ruan

  • Kang Wu

  • Yi Zhou

  • June 16, 2026

  • 0 min

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  • 1

    The study enrolled 3,198 participants from Pudong, Shanghai, with a median follow-up of 43 months to assess the link between SIRI and MACE.

  • 2

    Higher SIRI quartiles correlated with unfavorable metabolic profiles in participants, regardless of metabolic syndrome status.

  • 3

    Participants with metabolic syndrome in the highest SIRI quartile had a 2.33-fold increased risk of MACE compared to non-MS participants in the lowest quartile.

  • 4

    RCS analysis indicated a linear positive association between SIRI and MACE risk among participants with metabolic syndrome.

  • 5

    The study found a significant non-linear interaction between SIRI and fasting plasma glucose affecting cardiovascular risk.

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