Assessment of the Relationship Between Liver Enzymes and Cardiovascular Disease: A Study in Bangladeshi Adults
ABSTRACT Objectives Elevated liver enzyme levels are suggested to be associated with an increased risk of cardiovascular disease (CVD). However, few studies have explored the relationship between liver enzymes and myocardial infarction (MI). This study aimed to evaluate the potential association of...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2024-03-01
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| Series: | Endocrinology, Diabetes & Metabolism |
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| Online Access: | https://doi.org/10.1002/edm2.481 |
| _version_ | 1797246646458777600 |
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| author | Akibul Hasan Ali Newaj Aporajita Das Trisha Jaasia Momtahena Hafsa Nayan Chandra Mohanto Nurshad Ali |
| author_facet | Akibul Hasan Ali Newaj Aporajita Das Trisha Jaasia Momtahena Hafsa Nayan Chandra Mohanto Nurshad Ali |
| author_sort | Akibul Hasan |
| collection | DOAJ |
| description | ABSTRACT Objectives Elevated liver enzyme levels are suggested to be associated with an increased risk of cardiovascular disease (CVD). However, few studies have explored the relationship between liver enzymes and myocardial infarction (MI). This study aimed to evaluate the potential association of elevated liver enzymes with MI within a population group in Bangladesh. Methods In this cross‐sectional study, 348 participants were enrolled, 189 with MI in the CVD group and 159 in the control group. Serum levels of liver enzymes (AST, ALT and GGT) and other biochemical parameters were measured using standard methods. Multivariate logistic regression models were applied to determine the associations between elevated liver enzymes and CVD. Result In the CVD group, 51.6%, 30.9% and 67.7% of individuals had elevated serum AST, ALT and GGT levels, respectively. On the contrary, the control group had 17.0%, 15.1% and 35.2% of individuals with high serum AST, ALT and GGT levels, respectively. Overall, 71.8% of the subjects in the CVD group and 44.7% of the subjects in the control group had at least one or more elevated liver enzymes (p < 0.001). The mean level of all three liver enzymes was significantly higher in the CVD group than in the control group (p < 0.001). In both the CVD and control groups, males had higher levels of liver enzymes than females. In the regression models, the serum levels of AST, ALT and GGT showed a positive and independent association with the prevalence of CVD (p < 0.001). However, GGT showed the strongest association among the three enzymes. Conclusions This study shows a high prevalence of liver enzyme abnormalities in individuals with CVD. Serum levels of AST, ALT and GGT were independently associated with the prevalence of CVD. This suggests that measuring liver enzyme levels could be a useful marker in predicting CVD at an early stage. |
| first_indexed | 2024-04-24T19:46:06Z |
| format | Article |
| id | doaj.art-41b441b12b7f4bd8bc1ddc21d2e56427 |
| institution | Directory Open Access Journal |
| issn | 2398-9238 |
| language | English |
| last_indexed | 2024-04-24T19:46:06Z |
| publishDate | 2024-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Endocrinology, Diabetes & Metabolism |
| spelling | doaj.art-41b441b12b7f4bd8bc1ddc21d2e564272024-03-25T06:14:31ZengWileyEndocrinology, Diabetes & Metabolism2398-92382024-03-0172n/an/a10.1002/edm2.481Assessment of the Relationship Between Liver Enzymes and Cardiovascular Disease: A Study in Bangladeshi AdultsAkibul Hasan0Ali Newaj1Aporajita Das Trisha2Jaasia Momtahena Hafsa3Nayan Chandra Mohanto4Nurshad Ali5Department of Biochemistry and Molecular Biology Shahjalal University of Science and Technology Sylhet BangladeshDepartment of Biochemistry and Molecular Biology Shahjalal University of Science and Technology Sylhet BangladeshDepartment of Biochemistry and Molecular Biology Shahjalal University of Science and Technology Sylhet BangladeshDepartment of Biochemistry and Molecular Biology Shahjalal University of Science and Technology Sylhet BangladeshDepartment of Biochemistry and Molecular Biology Shahjalal University of Science and Technology Sylhet BangladeshDepartment of Biochemistry and Molecular Biology Shahjalal University of Science and Technology Sylhet BangladeshABSTRACT Objectives Elevated liver enzyme levels are suggested to be associated with an increased risk of cardiovascular disease (CVD). However, few studies have explored the relationship between liver enzymes and myocardial infarction (MI). This study aimed to evaluate the potential association of elevated liver enzymes with MI within a population group in Bangladesh. Methods In this cross‐sectional study, 348 participants were enrolled, 189 with MI in the CVD group and 159 in the control group. Serum levels of liver enzymes (AST, ALT and GGT) and other biochemical parameters were measured using standard methods. Multivariate logistic regression models were applied to determine the associations between elevated liver enzymes and CVD. Result In the CVD group, 51.6%, 30.9% and 67.7% of individuals had elevated serum AST, ALT and GGT levels, respectively. On the contrary, the control group had 17.0%, 15.1% and 35.2% of individuals with high serum AST, ALT and GGT levels, respectively. Overall, 71.8% of the subjects in the CVD group and 44.7% of the subjects in the control group had at least one or more elevated liver enzymes (p < 0.001). The mean level of all three liver enzymes was significantly higher in the CVD group than in the control group (p < 0.001). In both the CVD and control groups, males had higher levels of liver enzymes than females. In the regression models, the serum levels of AST, ALT and GGT showed a positive and independent association with the prevalence of CVD (p < 0.001). However, GGT showed the strongest association among the three enzymes. Conclusions This study shows a high prevalence of liver enzyme abnormalities in individuals with CVD. Serum levels of AST, ALT and GGT were independently associated with the prevalence of CVD. This suggests that measuring liver enzyme levels could be a useful marker in predicting CVD at an early stage.https://doi.org/10.1002/edm2.481associationBangladeshCVDliver enzymes |
| spellingShingle | Akibul Hasan Ali Newaj Aporajita Das Trisha Jaasia Momtahena Hafsa Nayan Chandra Mohanto Nurshad Ali Assessment of the Relationship Between Liver Enzymes and Cardiovascular Disease: A Study in Bangladeshi Adults Endocrinology, Diabetes & Metabolism association Bangladesh CVD liver enzymes |
| title | Assessment of the Relationship Between Liver Enzymes and Cardiovascular Disease: A Study in Bangladeshi Adults |
| title_full | Assessment of the Relationship Between Liver Enzymes and Cardiovascular Disease: A Study in Bangladeshi Adults |
| title_fullStr | Assessment of the Relationship Between Liver Enzymes and Cardiovascular Disease: A Study in Bangladeshi Adults |
| title_full_unstemmed | Assessment of the Relationship Between Liver Enzymes and Cardiovascular Disease: A Study in Bangladeshi Adults |
| title_short | Assessment of the Relationship Between Liver Enzymes and Cardiovascular Disease: A Study in Bangladeshi Adults |
| title_sort | assessment of the relationship between liver enzymes and cardiovascular disease a study in bangladeshi adults |
| topic | association Bangladesh CVD liver enzymes |
| url | https://doi.org/10.1002/edm2.481 |
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