Upper Normal Alanine Aminotransferase Range and Insulin Resistance in Korean Adolescents: Korean National Health and Nutrition Examination Survey, 2009–2010

Yoon Lee, Kyung Do Han, Jennifer Jaeeun Jung, Kee Hyoung Lee, Kyung-Hwan Cho, Yang-Hyun Kim

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3 Citations (Scopus)

Abstract

Background: Alanine aminotransferase (ALT) has been one of the most useful biomarkers reflecting liver damage. Some studies have proposed that serum ALT levels, even those within the conventional normal range, are associated with metabolic syndrome and fatty liver. Aims: We examined the correlation between ALT levels and insulin resistance (IR) and ALT cutoff value for high IR status in Korean adolescents. Methods: A total of 886 subjects (461 boys and 425 girls) who participated in the 2009–2010 Korea National Health and Nutrition Examination Survey were included in this study. Multivariable adjusted logistic regression analyses were used to examine the odds ratios and 95 % confidence intervals (CIs) of the prevalence of the highest quartile of the homeostasis model assessment of IR (HOMA-IR) according to the ALT quartile. The cutoff value of ALT for the highest HOMA-IR quartile (Q4) were obtained using receiver operating characteristic curve analysis. Results: The mean ALT value increased as the number of metabolic syndrome components increased, but in only boys (p for trend <0.001), while the IR quartile increased in both boys and girls (all p for trends <0.001). The prevalence of IR (Q4) was only increased in ALT (Q4) in boys after the adjustment for age, body mass index, and waist circumference (OR 2.49; 95 % CI 1.05–5.91; p for trend = 0.017). The cutoff values were 17.0 IU/L in boys and 11.0 IU/L in girls. Conclusions: The highest ALT quartile was associated with an increased prevalence of the highest quartile of IR in boys but not in girls.

Original languageEnglish
Pages (from-to)1700-1706
Number of pages7
JournalDigestive Diseases and Sciences
Volume61
Issue number6
DOIs
Publication statusPublished - 2016 Jun 1

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Nutrition Surveys
Alanine Transaminase
Insulin Resistance
Homeostasis
Confidence Intervals
Waist Circumference
Fatty Liver
Korea
ROC Curve
Reference Values
Body Mass Index
Biomarkers
Logistic Models
Odds Ratio
Regression Analysis
Liver

Keywords

  • Adolescents
  • Alanine aminotransferase
  • Insulin resistance
  • Korean National Health and Nutrition Examination Survey
  • Metabolic syndrome

ASJC Scopus subject areas

  • Physiology
  • Gastroenterology

Cite this

@article{35ac38d42f1e40b9a7e7df9a91fa9a44,
title = "Upper Normal Alanine Aminotransferase Range and Insulin Resistance in Korean Adolescents: Korean National Health and Nutrition Examination Survey, 2009–2010",
abstract = "Background: Alanine aminotransferase (ALT) has been one of the most useful biomarkers reflecting liver damage. Some studies have proposed that serum ALT levels, even those within the conventional normal range, are associated with metabolic syndrome and fatty liver. Aims: We examined the correlation between ALT levels and insulin resistance (IR) and ALT cutoff value for high IR status in Korean adolescents. Methods: A total of 886 subjects (461 boys and 425 girls) who participated in the 2009–2010 Korea National Health and Nutrition Examination Survey were included in this study. Multivariable adjusted logistic regression analyses were used to examine the odds ratios and 95 {\%} confidence intervals (CIs) of the prevalence of the highest quartile of the homeostasis model assessment of IR (HOMA-IR) according to the ALT quartile. The cutoff value of ALT for the highest HOMA-IR quartile (Q4) were obtained using receiver operating characteristic curve analysis. Results: The mean ALT value increased as the number of metabolic syndrome components increased, but in only boys (p for trend <0.001), while the IR quartile increased in both boys and girls (all p for trends <0.001). The prevalence of IR (Q4) was only increased in ALT (Q4) in boys after the adjustment for age, body mass index, and waist circumference (OR 2.49; 95 {\%} CI 1.05–5.91; p for trend = 0.017). The cutoff values were 17.0 IU/L in boys and 11.0 IU/L in girls. Conclusions: The highest ALT quartile was associated with an increased prevalence of the highest quartile of IR in boys but not in girls.",
keywords = "Adolescents, Alanine aminotransferase, Insulin resistance, Korean National Health and Nutrition Examination Survey, Metabolic syndrome",
author = "Yoon Lee and Han, {Kyung Do} and Jung, {Jennifer Jaeeun} and Lee, {Kee Hyoung} and Kyung-Hwan Cho and Yang-Hyun Kim",
year = "2016",
month = "6",
day = "1",
doi = "10.1007/s10620-015-4009-x",
language = "English",
volume = "61",
pages = "1700--1706",
journal = "American Journal of Digestive Diseases",
issn = "0002-9211",
publisher = "Springer New York",
number = "6",

}

TY - JOUR

T1 - Upper Normal Alanine Aminotransferase Range and Insulin Resistance in Korean Adolescents

T2 - Korean National Health and Nutrition Examination Survey, 2009–2010

AU - Lee, Yoon

AU - Han, Kyung Do

AU - Jung, Jennifer Jaeeun

AU - Lee, Kee Hyoung

AU - Cho, Kyung-Hwan

AU - Kim, Yang-Hyun

PY - 2016/6/1

Y1 - 2016/6/1

N2 - Background: Alanine aminotransferase (ALT) has been one of the most useful biomarkers reflecting liver damage. Some studies have proposed that serum ALT levels, even those within the conventional normal range, are associated with metabolic syndrome and fatty liver. Aims: We examined the correlation between ALT levels and insulin resistance (IR) and ALT cutoff value for high IR status in Korean adolescents. Methods: A total of 886 subjects (461 boys and 425 girls) who participated in the 2009–2010 Korea National Health and Nutrition Examination Survey were included in this study. Multivariable adjusted logistic regression analyses were used to examine the odds ratios and 95 % confidence intervals (CIs) of the prevalence of the highest quartile of the homeostasis model assessment of IR (HOMA-IR) according to the ALT quartile. The cutoff value of ALT for the highest HOMA-IR quartile (Q4) were obtained using receiver operating characteristic curve analysis. Results: The mean ALT value increased as the number of metabolic syndrome components increased, but in only boys (p for trend <0.001), while the IR quartile increased in both boys and girls (all p for trends <0.001). The prevalence of IR (Q4) was only increased in ALT (Q4) in boys after the adjustment for age, body mass index, and waist circumference (OR 2.49; 95 % CI 1.05–5.91; p for trend = 0.017). The cutoff values were 17.0 IU/L in boys and 11.0 IU/L in girls. Conclusions: The highest ALT quartile was associated with an increased prevalence of the highest quartile of IR in boys but not in girls.

AB - Background: Alanine aminotransferase (ALT) has been one of the most useful biomarkers reflecting liver damage. Some studies have proposed that serum ALT levels, even those within the conventional normal range, are associated with metabolic syndrome and fatty liver. Aims: We examined the correlation between ALT levels and insulin resistance (IR) and ALT cutoff value for high IR status in Korean adolescents. Methods: A total of 886 subjects (461 boys and 425 girls) who participated in the 2009–2010 Korea National Health and Nutrition Examination Survey were included in this study. Multivariable adjusted logistic regression analyses were used to examine the odds ratios and 95 % confidence intervals (CIs) of the prevalence of the highest quartile of the homeostasis model assessment of IR (HOMA-IR) according to the ALT quartile. The cutoff value of ALT for the highest HOMA-IR quartile (Q4) were obtained using receiver operating characteristic curve analysis. Results: The mean ALT value increased as the number of metabolic syndrome components increased, but in only boys (p for trend <0.001), while the IR quartile increased in both boys and girls (all p for trends <0.001). The prevalence of IR (Q4) was only increased in ALT (Q4) in boys after the adjustment for age, body mass index, and waist circumference (OR 2.49; 95 % CI 1.05–5.91; p for trend = 0.017). The cutoff values were 17.0 IU/L in boys and 11.0 IU/L in girls. Conclusions: The highest ALT quartile was associated with an increased prevalence of the highest quartile of IR in boys but not in girls.

KW - Adolescents

KW - Alanine aminotransferase

KW - Insulin resistance

KW - Korean National Health and Nutrition Examination Survey

KW - Metabolic syndrome

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U2 - 10.1007/s10620-015-4009-x

DO - 10.1007/s10620-015-4009-x

M3 - Article

C2 - 26703124

AN - SCOPUS:84951777731

VL - 61

SP - 1700

EP - 1706

JO - American Journal of Digestive Diseases

JF - American Journal of Digestive Diseases

SN - 0002-9211

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