Relationship between Serum Aminotransferase Levels and Meta¬bolic Disord¬ers in Northern China

Background: Increasing evidence suggests an association between ele­vated serum aminotransferase levels and metabolic disorders (metabolic syndrome, hyperlipemia and diabetes mellitus). However, the significance of relatively low levels of aminotransferases in relation to metabolic disorders has not...

Full description

Bibliographic Details
Main Authors: H Zhang, Yh Ding, Qm Li, J Sun, Sm He, Xw Feng, Yl Zhao, Xj Zhou, Yj Cai, C Wang, Xd Shi, Zf Wang, Q Zhou, Jq Niu
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2012-02-01
Series:Iranian Journal of Public Health
Subjects:
Online Access:https://ijph.tums.ac.ir/index.php/ijph/article/view/2614
_version_ 1818393806918123520
author H Zhang
Yh Ding
Qm Li
J Sun
Sm He
Xw Feng
Yl Zhao
Xj Zhou
Yj Cai
C Wang
Xd Shi
Zf Wang
Q Zhou
Jq Niu
author_facet H Zhang
Yh Ding
Qm Li
J Sun
Sm He
Xw Feng
Yl Zhao
Xj Zhou
Yj Cai
C Wang
Xd Shi
Zf Wang
Q Zhou
Jq Niu
author_sort H Zhang
collection DOAJ
description Background: Increasing evidence suggests an association between ele­vated serum aminotransferase levels and metabolic disorders (metabolic syndrome, hyperlipemia and diabetes mellitus). However, the significance of relatively low levels of aminotransferases in relation to metabolic disorders has not been fully investigated in the general population. We inves­tigated the association between serum amiontransferase levels and metabolic disorders using data from a survey in Jilin province, China. Methods: In 2007, a survey was conducted throughout Jilin, China, covering both urban and rural areas. A total of 3835 people, 18 to 79 years old including 1761 men and 2074 women, underwent real-time ultrasonography, blood tests including aspartate aminotransferase and alanine aminotransferase, and had interviews with a structured questionnaire. Results: Serum aminotransferase levels within the normal range were asso­ciated with metabolic syndrome independent of age, occupation, cultural and educational level, income, body mass index, waist circumference, smoking, and alcohol intake. Compared with the lowest level (<20 IU/L), the adjusted odds ratios for ALT levels of 20-29, 30-39, 40-49 and >50 IU/L were 1.92, 2.50, 2.97, and 3.52 in men, and 1.38 , 1.54, 3.06, and 2.62 in women, respectively. Near-normal serum aminotransferase levels asso­ciated with hyperlipemia, NAFLD, DM were also found in the study. Conclusions: Normal to near-normal serum aminotransferase levels are associated with metabolic disorders. Serum ALT levels of 21-25 IU/L for men, and 17-22 IU/L for women are suggested as cutoff levels that detect metabolic disorders affecting the liver.
first_indexed 2024-12-14T05:51:10Z
format Article
id doaj.art-573ddd75eb544e398ccfb355fdd6c341
institution Directory Open Access Journal
issn 2251-6085
2251-6093
language English
last_indexed 2024-12-14T05:51:10Z
publishDate 2012-02-01
publisher Tehran University of Medical Sciences
record_format Article
series Iranian Journal of Public Health
spelling doaj.art-573ddd75eb544e398ccfb355fdd6c3412022-12-21T23:14:44ZengTehran University of Medical SciencesIranian Journal of Public Health2251-60852251-60932012-02-01412Relationship between Serum Aminotransferase Levels and Meta¬bolic Disord¬ers in Northern ChinaH Zhang0Yh Ding1Qm Li2J Sun3Sm He4Xw Feng5Yl Zhao6Xj Zhou7Yj Cai8C Wang9Xd Shi10Zf Wang11Q Zhou12Jq Niu13Dept. of Hepatology, First Hospital, Jilin University, Changchun 130021, China Background: Increasing evidence suggests an association between ele­vated serum aminotransferase levels and metabolic disorders (metabolic syndrome, hyperlipemia and diabetes mellitus). However, the significance of relatively low levels of aminotransferases in relation to metabolic disorders has not been fully investigated in the general population. We inves­tigated the association between serum amiontransferase levels and metabolic disorders using data from a survey in Jilin province, China. Methods: In 2007, a survey was conducted throughout Jilin, China, covering both urban and rural areas. A total of 3835 people, 18 to 79 years old including 1761 men and 2074 women, underwent real-time ultrasonography, blood tests including aspartate aminotransferase and alanine aminotransferase, and had interviews with a structured questionnaire. Results: Serum aminotransferase levels within the normal range were asso­ciated with metabolic syndrome independent of age, occupation, cultural and educational level, income, body mass index, waist circumference, smoking, and alcohol intake. Compared with the lowest level (<20 IU/L), the adjusted odds ratios for ALT levels of 20-29, 30-39, 40-49 and >50 IU/L were 1.92, 2.50, 2.97, and 3.52 in men, and 1.38 , 1.54, 3.06, and 2.62 in women, respectively. Near-normal serum aminotransferase levels asso­ciated with hyperlipemia, NAFLD, DM were also found in the study. Conclusions: Normal to near-normal serum aminotransferase levels are associated with metabolic disorders. Serum ALT levels of 21-25 IU/L for men, and 17-22 IU/L for women are suggested as cutoff levels that detect metabolic disorders affecting the liver.https://ijph.tums.ac.ir/index.php/ijph/article/view/2614Alanine aminotransferaseMetabolic syndromeNon-alcoholic fatty liver diseaseUltrasonographyCutoff Levels
spellingShingle H Zhang
Yh Ding
Qm Li
J Sun
Sm He
Xw Feng
Yl Zhao
Xj Zhou
Yj Cai
C Wang
Xd Shi
Zf Wang
Q Zhou
Jq Niu
Relationship between Serum Aminotransferase Levels and Meta¬bolic Disord¬ers in Northern China
Iranian Journal of Public Health
Alanine aminotransferase
Metabolic syndrome
Non-alcoholic fatty liver disease
Ultrasonography
Cutoff Levels
title Relationship between Serum Aminotransferase Levels and Meta¬bolic Disord¬ers in Northern China
title_full Relationship between Serum Aminotransferase Levels and Meta¬bolic Disord¬ers in Northern China
title_fullStr Relationship between Serum Aminotransferase Levels and Meta¬bolic Disord¬ers in Northern China
title_full_unstemmed Relationship between Serum Aminotransferase Levels and Meta¬bolic Disord¬ers in Northern China
title_short Relationship between Serum Aminotransferase Levels and Meta¬bolic Disord¬ers in Northern China
title_sort relationship between serum aminotransferase levels and meta¬bolic disord¬ers in northern china
topic Alanine aminotransferase
Metabolic syndrome
Non-alcoholic fatty liver disease
Ultrasonography
Cutoff Levels
url https://ijph.tums.ac.ir/index.php/ijph/article/view/2614
work_keys_str_mv AT hzhang relationshipbetweenserumaminotransferaselevelsandmetabolicdisordersinnorthernchina
AT yhding relationshipbetweenserumaminotransferaselevelsandmetabolicdisordersinnorthernchina
AT qmli relationshipbetweenserumaminotransferaselevelsandmetabolicdisordersinnorthernchina
AT jsun relationshipbetweenserumaminotransferaselevelsandmetabolicdisordersinnorthernchina
AT smhe relationshipbetweenserumaminotransferaselevelsandmetabolicdisordersinnorthernchina
AT xwfeng relationshipbetweenserumaminotransferaselevelsandmetabolicdisordersinnorthernchina
AT ylzhao relationshipbetweenserumaminotransferaselevelsandmetabolicdisordersinnorthernchina
AT xjzhou relationshipbetweenserumaminotransferaselevelsandmetabolicdisordersinnorthernchina
AT yjcai relationshipbetweenserumaminotransferaselevelsandmetabolicdisordersinnorthernchina
AT cwang relationshipbetweenserumaminotransferaselevelsandmetabolicdisordersinnorthernchina
AT xdshi relationshipbetweenserumaminotransferaselevelsandmetabolicdisordersinnorthernchina
AT zfwang relationshipbetweenserumaminotransferaselevelsandmetabolicdisordersinnorthernchina
AT qzhou relationshipbetweenserumaminotransferaselevelsandmetabolicdisordersinnorthernchina
AT jqniu relationshipbetweenserumaminotransferaselevelsandmetabolicdisordersinnorthernchina