Table 4 Cutoff values for each parameter and their corresponding sensitivity, specificity, and odds ratios for insulin resistance.

From: Lipid indices as simple and clinically useful surrogate markers for insulin resistance in the U.S. population

Indirect parameters for insulin resistance

Men

Women

Cutoff value (sensitivity, Specificity, %)

Odds ratio* (95% CI)

Cutoff value (sensitivity, Specificity, %)

Odds ratio* (95% CI)

VAI

1.65 (67.3, 69.0)

4.71 (4.08–5.44)

1.65 (66.0, 68.2)

4.27 (3.71–4.90)

Hispanics

1.65 (76.0, 62.0)

5.22 (3.98–6.84)

1.95 (64.0, 66.5)

3.51 (2.75–4.48)

Non-Hispanic Whites

1.65 (72.1, 66.9)

4.76 (3.81–5.94)

1.55 (73.0, 66.2)

4.98 (4.01–6.19)

Non-Hispanic Blacks

1.25 (62.5, 73.3)

4.61 (3.32–6.40)

1.15 (69.6, 64.3)

4.09 (2.96–5.65)

Other race

1.35 (73.8, 61.1)

4.54 (2.84–7.25)

1.35 (77.9, 65.8)

6.04 (3.72–9.81)

LAP

42.5 (80.0, 66.4)

8.31 (7.06–9.78)

42.5 (74.4, 70.1)

6.97 (6.01–8.08)

Hispanics

49.5 (76.3, 66.8)

6.40 (4.86–8.43)

48.5 (75.9, 66.2)

5.99 (4.59–7.83)

Non-Hispanic Whites

42.5 (85.4, 63.4)

9.34 (7.14–12.23)

43.5 (75.2, 73.6)

7.90 (6.31–9.89)

Non-Hispanic Blacks

33.5 (78.3, 74.3)

10.27 (7.11–14.84)

36.5 (73.6, 68.8)

6.48 (4.61–9.12)

Other race

32.5 (82.8, 66.5)

9.94 (5.84–16.94)

28.5 (86.3, 68.3)

13.06 (7.40–23.03)

TyG index

4.665 (71.9, 61.8)

4.26 (3.68–4.92)

4.575 (69.2, 63.2)

4.10 (3.56–4.72)

Hispanics

4.755 (70.3, 66.8)

4.80 (3.71–6.22)

4.665 (66.3, 64.2)

3.33 (2.60–4.26)

Non-Hispanic Whites

4.665 (76.6, 60.7)

4.51 (3.59–5.68)

4.605 (71.5, 66.6)

4.67 (3.77–5.78)

Non-Hispanic Blacks

4.565 (68.4, 66.2)

4.07 (2.93–5.65)

4.455 (68.6, 64.2)

4.30 (3.12–5.93)

Other race

4.675 (66.7, 61.1)

3.44 (2.21–5.35)

4.565 (71.2, 67.7)

4.83 (3.06–7.63)

TyG-BMI

135.5 (72.5, 77.2)

8.62 (7.42–10.00)

135.5 (71.9, 76.9)

9.10 (7.84–10.57)

Hispanics

139.5 (72.7, 77.4)

8.32 (6.36–10.88)

135.5 (78.2, 70.6)

7.85 (5.98–10.31)

Non-Hispanic Whites

137.5 (72.6, 79.9)

9.17 (7.29–11.54)

132.5 (73.9, 79.8)

10.8 (8.64–13.58)

Non-Hispanic Blacks

132.5 (71.5, 77.9)

8.49 (6.04–11.94)

144.5 (68.6, 76.7)

7.18 (5.19–9.93)

Other race

124.5 (72.1, 77.6)

8.52 (5.34–13.59)

111.5 (79.1, 73.5)

10.87 (6.60–17.91)

TyG-WC

461.5 (80.4, 70.2)

10.33 (8.74–12.20)

440.5 (76.4, 73.6)

9.38 (8.05–10.94)

Hispanics

477.5 (75.6, 73.8)

9.05 (6.82–12.00)

462.5 (72.2, 76.0)

8.10 (6.22–10.55)

Non-Hispanic Whites

485.5 (76.0, 78.5)

10.59 (8.32–13.47)

440.5 (76.6, 76.6)

10.13 (8.03–12.78)

Non-Hispanic Blacks

456.5 (72.3, 80.0)

9.72 (6.84–13.80)

462.5 (69.6, 78.4)

8.15 (5.83–11.40)

Other race

451.5 (75.4, 80.4)

13.08 (7.88–21.70)

401.5 (77.9, 76.7)

11.69 (6.96–19.62)

  1. HOMA-IR homeostasis model assessment-insulin resistance, VAI visceral adiposity index, LAP lipid accumulation product, TyG index triglycerides and glucose index, BMI body mass index, WC waist circumference.
  2. *Adjusted for Age, race, smoking status, and blood pressure.
  3. Other race included non-Hispanic Asian and multi-racial Americans.