Research Article

The Association between Metabolic Syndrome and Elevated Alanine Aminotransferase Levels in an Indigenous Population in Northern Taiwan: A Community-Based and Cross-Sectional Study

Table 1

Study population characteristics according to the presence of MetS.

VariablesTotalMetabolic syndrome value
NoYes
(n = 454)(n = 177)(n = 277)

Age (year)49.50 ± 16.0143.83 ± 16.9753.12 ± 14.26<0.001
SBP (mmHg)133.03 ± 21.26123.45 ± 18.21139.15 ± 20.84<0.001
DBP (mmHg)83.80 ± 13.8578.82 ± 12.5386.97 ± 13.74<0.001
WC (cm)88.62 ± 11.0081.23 ± 9.0893.37 ± 9.40<0.001
ALT (U/L)a22.00 (16–32)19.00 (15–26)24.00 (17–36)<0.001
FPG (mg/dL)a93.00 (86–104.25)87.00 (83–92)99.00 (90–117)<0.001
HbA1c (%)a5.90 (5.6–6.2)5.70 (5.5–5.9)6.00 (5.7–6.5)<0.001
HDL-C (mg/dL)50.47 ± 13.0556.40 ± 11.7946.68 ± 12.41<0.001
HS-CRP (mg/L)a1.48 (0.72–2.94)0.88 (0.4–2.2)1.90 (0.96–3.52)<0.001
TC (mg/dL)194.28 ± 39.79184.14 ± 33.21200.75 ± 42.27<0.001
Total bilirubin (mg/dL)a0.50 (0.40–0.70)0.50 (0.4–0.7)0.50 (0.4–0.7)0.24
TG (mg/dL)a114.00 (80–183)85.00 (62.0–115.5)143.00 (103.5–215.0)<0.001
Uric acid (mg/dL)6.36 ± 1.885.91 ± 1.786.65 ± 1.88<0.001
Men, n (%)215 (47.36%)94 (53.11%)121 (43.68%)0.0498

ALT0.001
 ≦36 U/L368 (81.06%)157 (88.70%)211 (76.17%)
 >36 U/L86 (18.94%)20 (11.30%)66 (23.83%)

BMI<0.001
 <18.510 (2.21%)8 (4.55%)2 (0.72%)
 18.5–24152 (33.55%)103 (58.52%)49 (17.69%)
 ≧24291 (64.24%)65 (36.93%)226 (81.59%)

HTN, n (%)172 (38.05%)35 (19.89%)137 (49.64%)<0.001
DM, n (%)94 (20.70%)5 (2.82%)89 (32.13%)<0.001
Hyperlipidemia, n (%)362 (79.74%)96 (54.24%)266 (96.03%)<0.001
Smoking, n (%)43 (13.78%)14 (12.28%)29 (14.65%)0.56
Alcohol drinking, n (%)71 (22.61%)22 (19.30%)49 (24.50%)0.29

Notes: clinical characteristics are presented as mean ± SD for continuous variables and n (%) for categorical variables. Variables with nonnormal distributions are log-transformed for analysis and shown as median (interquartile range). values were derived from the independent t-test for continuous variables and chi-square test for categorical variables. a is considered as log-transformed variables. SBP, systolic blood pressure; DBP, diastolic blood pressure; WC, waist circumference; ALT, alanine aminotransferase; FPG, fasting plasma glucose; HbA1c, glycated hemoglobin; HDL-C, high-density lipoprotein cholesterol; HS-CRP, high-sensitivity C-reactive protein; TC, total cholesterol; TG, triglyceride; BMI, body mass index; HTN, hypertension; DM, diabetes mellitus.