After adjustment for age, sex, race, marital status, income, education, PA, BMI, smoking, alcohol consumption, CVD, hypertension, dyslipidemia, diabetes mellitus (DM), ghrelin, creatinine, and uric acid, the all-cause mortality rate tended to increase with TyG > 9.47, with a 40.6% increase in all-cause mortality for each increase in TyG; and the all-cause mortality tended to increase with TyG > 9.427. This evidence concerns the gene GHRL and metabolic syndrome.