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Associations of metabolic score for insulin resistance and new-onset stroke in middle-aged and older adults: a national cohort study - PubMed

4 hours ago
  • #stroke risk
  • #insulin resistance
  • #METS-IR
  • Study investigates link between cumulative METS-IR (cumMETS-IR) and METS-IR change patterns with new-onset stroke in middle-aged and older adults using data from CHARLS.
  • Higher cumMETS-IR quartiles were associated with increased stroke incidence, with the highest quartile showing a 72% higher risk compared to the lowest.
  • Four distinct METS-IR change patterns identified: low-stable, low-to-moderate stable, moderate-to-high stable, and high-decreasing, with the high-decreasing pattern linked to the highest stroke risk.
  • Diastolic blood pressure (DBP) partially mediated the association between cumMETS-IR and stroke, accounting for 9.6% of the effect.
  • Findings suggest that monitoring METS-IR over time could aid in comprehensive metabolic assessment and stroke risk evaluation.