title: Abnormal liver function test results are related to metabolic syndrome and BMI in Taiwanese adults without chronic hepatitis B or C.
abstract: BACKGROUND
  Metabolic syndrome (MS) is considered a cause of abnormal deposition of fat into hepatocytes, which might be associated with hepatic steatosis or abnormal liver function.
  
  
  OBJECTIVE
  The aim of this study was to explore the factors associated with MS and the relationship between MS and abnormal aspartate aminotransferase (AST), alanine aminotransferase (ALT) and gamma-glutamyl transferase (GGT) levels in Taiwanese subjects without chronic hepatitis B (CHB) or C (CHC).
  
  
  METHODS
  We enrolled 2539 Taiwanese adults without CHB or CHC (age range: 16-88 years old) and investigated the factors related to MS using the NCEP-ATP (National Cholesterol Education Program-Adult Treatment Panel) III criteria; body mass index (BMI) was measured using Asia-Pacific criteria.
  
  
  RESULTS
  The prevalence rate of MS in Taiwanese adults without CHB or CHC was 16.9% using the modified ATP III criteria and 15.4% using the International Diabetes Federation criteria. Males had a significantly higher prevalence rate than females (P<0.001), and subjects with MS were significantly older and had significantly higher BMI values and AST, ALT and GGT levels (all P<0.001). In univariate analyses, the abnormality of liver function test results were related to gender, level of fasting sugar, systolic blood pressure, triglyceride, high-density lipoprotein, BMI and MS (all P<0.05). Multivariate analysis showed that the male gender, a higher BMI value and MS were related to abnormal liver function test results. The cutoff value for ALT in relation to MS is 31 IU l(-1) for male and 18 IU l(-1) for female.
  
  
  CONCLUSIONS
  The prevalence of MS in Taiwanese adults without hepatitis B or C was found to be high, and MS and BMI were identified as being related to abnormal liver function test results in these adults.
authors.affiliation: Department of Occupational Medicine, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung, Taiwan.
authors.forename: M-H
authors.initials: MH
authors.lastname: Hsieh
authors.forename: C-K
authors.initials: CK
authors.lastname: Ho
authors.forename: N-J
authors.initials: NJ
authors.lastname: Hou
authors.forename: M-Y
authors.initials: MY
authors.lastname: Hsieh
authors.forename: W-Y
authors.initials: WY
authors.lastname: Lin
authors.forename: J-F
authors.initials: JF
authors.lastname: Yang
authors.forename: C-C
authors.initials: CC
authors.lastname: Chiu
authors.forename: J-F
authors.initials: JF
authors.lastname: Huang
authors.forename: N-C
authors.initials: NC
authors.lastname: Chang
authors.forename: C-L
authors.initials: CL
authors.lastname: Wang
authors.forename: C-Y
authors.initials: CY
authors.lastname: Dai
authors.forename: W-L
authors.initials: WL
authors.lastname: Chuang
authors.forename: M-L
authors.initials: ML
authors.lastname: Yu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000410:Alanine Transaminase / Q000097:blood*; D001219:Aspartate Aminotransferases / Q000097:blood*; D015992:Body Mass Index; D005260:Female; D019694:Hepatitis B, Chronic; D019698:Hepatitis C, Chronic; D006801:Humans; D008107:Liver Diseases / Q000201:enzymology* / Q000453:epidemiology; D008111:Liver Function Tests; D008297:Male; D024821:Metabolic Syndrome / Q000201:enzymology* / Q000453:epidemiology; D008875:Middle Aged; D009765:Obesity / Q000201:enzymology* / Q000453:epidemiology; D015995:Prevalence; D012307:Risk Factors; D013624:Taiwan / Q000453:epidemiology; D055815:Young Adult; D005723:gamma-Glutamyltransferase / Q000097:blood*
chemical_list: D005723:gamma-Glutamyltransferase; D001219:Aspartate Aminotransferases; D000410:Alanine Transaminase