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Table 2 Prevalence of elevated serum liver enzymes in study participants (n = 9895)

From: Serum liver enzymes and diabetes from the Rafsanjan cohort study

Characteristic

Elevated ALT

P -value

Elevated AST

P -value

Elevated GGT

P -value

Elevated ALP

P -value

Age cat- no. (%)

< 0.001

 

0.905

 

< 0.001

 

< 0.001

 35–45

438(49.27)

 

112(37.58)

 

310(30.45)

 

215(22.10)

 

 46–55

268(30.15)

94(31.54)

335(32.91)

344(35.35)

 ≥ 56

183(20.58)

92(30.87)

373(36.64)

414(42.55)

Gender- no. (%)

< 0.001

 

0.621

 

0.001

 

0.827

 Female

348(39.15)

 

155(52.01)

 

595(58.45)

 

523(53.75)

 

 Male

541(60.85)

143(47.99)

423(41.55)

450(46.25)

Education-no. (%)

< 0.001

 

0.090

 

< 0.001

 

< 0.001

 ≤ 5 years

255(28.72)

 

122(40.94)

 

422(41.49)

 

463(47.63)

 

 6–12 years

444(50.00)

129(43.29)

443(43.56)

403(41.46)

 ≥ 13 years

189(21.28)

47(15.77)

152(14.95)

106(10.91)

Physical activity- no. (%)

0.009

 

0.042

 

< 0.001

 

0.006

 Low

381(42.86)

 

135(45.30)

 

450(44.20)

 

423(43.47)

 

 Moderate

409(46.01)

140(46.98)

493(48.43)

460(47.28)

 Heavy

99(11.14)

23(7.72)

75(7.37)

90(9.25)

BMI- no. (%)

 

< 0.001

 

< 0.001

 

< 0.001

 

0.038

 < 25

120(13.53)

 

53(17.79)

 

167(16.42)

 

249(25.62)

 

 25–29.9

429(48.37)

123(41.28)

464(45.62)

403(41.46)

 ≥ 30

338(38.11)

122(40.94)

386(37.95)

320(32.92)

WSI-no. (%)

< 0.001

 

0.137

 

< 0.001

 

< 0.001

 Low

213(23.99)

 

79(26.51)

 

274(26.94)

 

306(31.48)

 

 Low-middle

247(27.82)

90(30.20)

316(31.07)

276(28.40)

 Middle-high

328(36.94)

101(33.89)

372(36.58)

352(36.21)

 High

100(11.26)

28(9.40)

55(5.41)

38(3.91)

Alcohol consumption- no. (%)

< 0.001

 

0.006

 

0.945

 

0.045

 Yes

142(16.15)

 

43(14.78)

 

101(10.05)

 

114(11.83)

 

 No

737(83.85)

 

248(85.22)

 

904(89.95)

 

850(88.17)

 

Cigarette smoking -no. (%)

0.311

 

0.441

 

0.049

 

< 0.001

 Yes

213(24.23)

 

69(23.71)

 

232(23.08)

 

318(32.99)

 

 No

666(75.77)

222(76.29)

773(76.92)

646(67.01)

Opium consumption- no. (%)

0.001

 

0.227

 

0.583

 

< 0.001

 Yes

168(19.11)

 

60(20.62)

 

230(22.89)

 

307(31.85)

 

 No

711(80.89)

231(79.38)

775(77.11)

657(68.15)

Hypertension- no. (%)

0.391

 

0.019

 

< 0.001

 

< 0.001

 Yes

189(21.43)

 

83(28.23)

 

297(29.41)

 

317(32.82)

 

 No

693(78.57)

211(71.77)

713(70.59)

649(67.18)

Family history of diabetes in first-degree relatives- no (%)

0.134

 

0.402

 

0.053

 

0.102

 Yes

456(51.70)

 

152(51.70)

 

527(52.18)

 

452(46.79)

 

 No

426(48.30)

142(48.30)

483(47.82)

514(53.21)

Family history of diabetes in second-degree relatives- no (%)

0.767

 

0.322

 

0.940

 

0.021

 Yes

213(24.15)

 

65(22.11)

 

247(24.46)

 

208(21.53)

 

 No

669(75.85)

229(77.89)

763(75.54)

758(78.47)

Fatty liver- no. (%)

 

< 0.001

 

< 0.001

 

< 0.001

 

0.409

 Yes

167(18.93)

 

53(18.03)

 

165(16.34)

 

106(10.97)

 

 No

715(81.07)

241(81.97)

845(83.66)

860(89.03)

Hepatitis- no. (%)

0.318

 

0.016

 

0.930

 

0.865

 Yes

4(0.45)

 

3(1.02)

 

3(0.30)

 

3(0.31)

 

 No

878(99.55)

 

291(98.98)

 

1007(99.70)

 

963(99. 69)

 

Use of hepatotoxic drugs- no. (%)

0.207

 

0.254

 

< 0.001

 

< 0.001

 Yes

197(22.34)

 

79(26.87)

 

315(31.19)

 

304(31.47)

 

 No

685(77.66)

215(73.13)

695(68.81)

662(68.53)

Cholesterol- no. (%)

< 0.001

 

0.003

 

< 0.001

 

< 0.001

 Normal

394(44.32)

 

141(47.32)

 

433(42.53)

 

487(50.05)

 

 Elevated

495(55.68)

157(52.68)

585(57.47)

486(49.95)

Triglycerides- no. (%)

< 0.001

 

0.005

 

< 0.001

 

< 0.001

 Normal

557(62.65)

 

203(68.12)

 

596(58.55)

 

662(68.04)

 

 Elevated

332(37.35)

95(31.88)

422(41.45)

311(31.96)

LDL cholesterol- no. (%)

< 0.001

 

< 0.001

 

< 0.001

 

0.001

 Normal

633(71.28)

 

201(67.68)

 

699(68.73)

 

712(73.25)

 

 Elevated

255(28.72)

96(32.32)

318(31.27)

260(26.75)

HDL cholesterol- no. (%)

0.855

 

0.479

 

0.679

 

0.594

 Normal

885(99.55)

 

296(99.33)

 

1013(99.51)

 

970(99.69)

 

 Reduced

4(0.45)

2(0.67)

5(0.49)

3(0.31)

FBS- no. (%)

 

< 0.001

 

< 0.001

 

< 0.001

 

< 0.001

 Normal

677(76.15)

 

217(72.82)

 

696(68.37)

 

682(70.09)

 

 Elevated

212(23.85)

81(27.18)

322(31.63)

291(29.91)

  1. Abbreviations: BMI body mass index, FBS Fasting blood sugar, AST aspartate aminotransferase, ALT, alanine aminotransferase, ALP alkaline phosphatase, GGT γ-glutamyl transferase, WSI Wealth score index