Why Your Triglyceride-to-HDL Ratio Is A Powerful Marker for Metabolic Risk

Most people only hear about LDL and total cholesterol at their annual checkup — but there's one ratio hiding in your standard blood work that is a powerful predictor of metabolic health your doctor isn't talking about: your triglyceride-to-HDL ratio.
In this video, I break down:

✅ What the triglyceride-to-HDL ratio actually measures
✅ Why it's such a strong signal for insulin resistance and cardiovascular risk
✅ What your numbers mean and what's considered optimal
✅ Simple, evidence-based lifestyle changes to move your ratio in the right direction

If you've had a lipid panel and wondered what it's really telling you about your metabolic health, this video is for you.

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⚠️ DISCLAIMER: This video is for informational purposes only and is not medical advice. Consult your healthcare provider before making changes. Details: https://www.drhannahparr.com/disclaimer-disclosures

References
Chen Y, Chang Z, Liu Y, et al.
Triglyceride to High-Density Lipoprotein Cholesterol Ratio and Cardiovascular Events in the General Population: A Systematic Review and Meta-Analysis of Cohort Studies.
Nutr Metab Cardiovasc Dis. 2022;32(2):318-329.
https://pubmed.ncbi.nlm.nih.gov/34953633/

Miller M, Stone NJ, Ballantyne C, et al.
Triglycerides and Cardiovascular Disease: A Scientific Statement From the American Heart Association.
Circulation. 2011;123(20):2292-2333.
https://doi.org/10.1161/CIR.0b013e3182160726

McLaughlin T, Abbasi F, Cheal K, Chu J, Lamendola C, Reaven G.
Use of metabolic markers to identify overweight individuals who are insulin resistant.
Annals of Internal Medicine. 2003;139(10):802-809.
https://pubmed.ncbi.nlm.nih.gov/14678917/

Kang HT, Kim JK, Kim JY, et al.
Association between triglyceride-to-HDL cholesterol ratio and insulin resistance.
Nutrition, Metabolism and Cardiovascular Diseases. 2011.
https://pubmed.ncbi.nlm.nih.gov/21764572/

Arsenault BJ, Rana JS, Stroes ES, et al.
Beyond Low-Density Lipoprotein Cholesterol: Contributions of Non-HDL Cholesterol, Triglycerides, and the Total Cholesterol/HDL Cholesterol Ratio to Coronary Heart Disease Risk in Apparently Healthy Men and Women.
Journal of the American College of Cardiology. 2009;55(1):35-41.
https://doi.org/10.1016/j.jacc.2009.07.083

Lelis DF, Calzavara JVS, Santos RD, et al.
Reference Values for the Triglyceride-to-HDL Cholesterol Ratio and Its Association With Cardiometabolic Diseases in a Mixed Adult Population: The ELSA-Brasil Study.
Journal of Clinical Lipidology. 2021;15(5):699-711.
https://pubmed.ncbi.nlm.nih.gov/34389285/

Wakabayashi I, Daimon T.
Comparison of Discrimination for Cardiometabolic Risk by Different Cut-Off Values of the Ratio of Triglycerides to HDL Cholesterol.
Lipids in Health and Disease. 2019;18(1):156.
https://doi.org/10.1186/s12944-019-1155-7

Khalili S, Amouzegar A, Dorost SS, Azizi F, Salahi-Niri A.
Assessing the Predictive Value of Elevated Triglycerides, Triglyceride-Glucose Index (TyG), and TG/HDL Ratios for Cardiovascular Disease and Mortality During 20 Years of Follow-Up: Tehran Lipid and Glucose Study.
Clinical Biochemistry. 2025;136:110891.

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Видео Why Your Triglyceride-to-HDL Ratio Is A Powerful Marker for Metabolic Risk канала Dr. Hannah Parr