Association of alanine aminotransferase concentration with cardiometabolic risk factors in children and adolescents: the CASPIAN-V cross-sectional study
São Paulo med. j
;
136(6): 511-519, Nov.-Dec. 2018. tab
Article
in English
| LILACS
| ID: biblio-991697
ABSTRACT
ABSTRACT BACKGROUND:
It has been suggested that the levels of some liver enzymes, and especially alanine aminotransferase (ALT), might be correlatable with cardiometabolic risk factors. We investigated the relationship between ALT concentration and cardiometabolic risk factors among children and adolescents. DESIGN ANDSETTING:
This nationwide study in Iran was conducted within the framework of the fifth survey of a national surveillance program known as the Childhood and Adolescence Surveillance and PreventIon of Adult Non-communicable disease study (CASPIAN-V).METHODS:
The participants comprised 4200 students aged 7-18 years, who were recruited through multi-stage random cluster sampling in 30 provinces in Iran. Physical examinations and laboratory tests were conducted in accordance with standard protocols.RESULTS:
Overall, 3843 students (participation rate 91.5%) completed the survey. Mean ALT levels were significantly higher in individuals with dyslipidemia, in terms of elevated total cholesterol (TC) or LDL-cholesterol or triglycerides (TG), excess weight and dyslipidemia. Some cardiometabolic risk factors were associated with higher levels of ALT, with the following odds ratio (OR) and 95% confidence interval (CI)metabolic syndrome (OR 1.013; 95% CI 1.001-1.025); elevated TC (OR 1.060; 95% CI 1.039-1.081), elevated LDL (OR 1.031; 95% CI 1.016-1.046), elevated TG (OR 1.056; 95% CI 1.040-1.072) and dyslipidemia (OR 1.051; 95% CI 1.034-1.068).CONCLUSION:
This large population-based study revealed that some cardiometabolic risk factors were significantly associated with ALT levels. These findings suggest that an association with fatty liver is an underlying mechanism for development of cardiometabolic risk factors.
Full text:
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Index:
LILACS (Americas)
Main subject:
Cardiovascular Diseases
/
Metabolic Syndrome
/
Alanine Transaminase
Type of study:
Etiology study
/
Observational study
/
Prevalence study
/
Risk factors
Limits:
Adolescent
/
Child
/
Female
/
Humans
/
Male
Country/Region as subject:
Asia
Language:
English
Journal:
São Paulo med. j
Journal subject:
Cirurgia Geral
/
Cincia
/
Ginecologia
/
Medicine
/
Medicina Interna
/
Obstetr¡cia
/
Pediatria
/
Sa£de Mental
/
Sa£de P£blica
Year:
2018
Type:
Article
Affiliation country:
China
/
Iran
Institution/Affiliation country:
Ahvaz Jundishapur University of Medical Sciences/IR
/
Isfahan University of Medical Sciences/IR
/
Ministry of Education/IR
/
Ministry of Health and Medical Education/IR
/
Tehran University of Medical Sciences/IR
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