Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM on Bluesky
  • JABFM On Facebook
  • JABFM On Twitter
  • JABFM On YouTube
Research ArticleOriginal Research

Relationships between Alanine Aminotransferase Levels, Abnormal Liver Echogenicity, and Metabolic Syndrome

Chun-Hsien Hsu, Jen-Yu Wang, Yen-Lin Chen, Chuan-Chieh Liu, Yen-Lin Chang, Hsiao-Shuang Chen, Chun Pei and Dee Pei
The Journal of the American Board of Family Medicine July 2011, 24 (4) 407-414; DOI: https://doi.org/10.3122/jabfm.2011.04.100267
Chun-Hsien Hsu
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jen-Yu Wang
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Yen-Lin Chen
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Chuan-Chieh Liu
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Yen-Lin Chang
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Hsiao-Shuang Chen
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Chun Pei
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Dee Pei
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Figure 1.
    • Download figure
    • Open in new tab
    Figure 1.

    This graph shows the mean of the number of metabolic syndrome components among the 4 groups. The Y axis shows the number of the metabolic syndrome components and the X axis shows the 4 different groups. Group N: normal alanine aminotransferase (ALT) and liver echogenicity; group A: elevated ALT and normal liver echogenicity; group E: normal ALT and abnormal liver echogenicity; group AE: elevated ALT and abnormal liver echogenicity.

  • Figure 2.
    • Download figure
    • Open in new tab
    Figure 2.

    This graph shows the odds ratio of having metabolic syndrome among subjects with normal and elevated alanine aminotransferase (e-ALT) (upper line), and among subjects with normal and abnormal liver echogenicity (ab-echo) (lower line). The numbers of patients with normal and e-ALT were 2609 and 456, respectively; patients who had normal and ab-echo were 1338 and 1727, respectively. It should be noted that the comparison between patients with normal and e-ALT (upper line) did not consider whether they had ab-echo. Similarly, the comparison between patients with normal and ab-echo (lower line) did not consider whether they had e-ALT. In other words, only one abnormality was evaluated at a time.

  • Figure 3.
    • Download figure
    • Open in new tab
    Figure 3.

    Odds ratio for having metabolic syndrome between different groups. The upper line shows group AE compared with group N; the middle line shows group E compared with group N; and the lower line shows group A compared with group N. Group N: normal alanine aminotransferase (ALT) and liver echogenicity; group A: elevated ALT and normal liver echogenicity; group E: normal ALT and abnormal liver echogenicity; group AE: elevated ALT and abnormal liver echogenicity. All have a significance of P < .05. *Odds ratio, 1.734 (95% CI, 1.361–2.209) between groups AE and E; †Odds ratio, 2.73 (95% CI, 1.565–4.763) between groups E and A.

Tables

  • Figures
    • View popup
    Table 1.

    The Anthropometric and Metabolic Variables of Patients With or Without Metabolic Syndrome

    MetS(−)MetS(+)PPower†
    n2351714
    Age (years)70.2 ± 4.870.3 ± 5.0.5770.086
    Body mass index (kg/m2)22.7 ± 2.825.6 ± 2.7<.0011.000
    Waist circumference (cm)81.5 ± 7.991.0 ± 7.3<.0011.000
    Systolic blood pressure (mm Hg)130.0 ± 19.5141.1 ± 17.1<.0011.000
    Diastolic blood pressure (mm Hg)74.2 ± 11.180.3 ± 11.0<.0011.000
    Fasting plasma glucose (mg/dL)100.8 ± 16.3113.0 ± 27.0<.0011.000
    Total cholesterol (mg/dL)198.4 ± 33.2204.3 ± 36.2<.0010.981
    HDL-C (mg/dL)54.4 ± 14.042.9 ± 10.7<.0011.000
    LDL-C (mg/dL)124.0 ± 30.2127.5 ± 32.5.0090.772
    Log TG1.96 ± 0.182.19 ± 0.18<.0011.000
    Liver echogenicity (abdominal sonogram)*49%79%<.0011.000
    AST (U/L)26.1 ± 16.526.9 ± 15.2.2410.216
    ALT (U/L)24.4 ± 22.428.6 ± 18.3<.0010.995
    • Data are shown as mean ± SD.

    • * χ2 test was used.

    • † The retrospective power of an independent sample t test was calculated using SPSS general linear model procedures and that of the χ2 test was obtained using G*Power 3.00.10 software (Heinrich Heine, University of Dusseldorf, Germany).

    • MetS(−), without metabolic syndrome; MetS(+), with metabolic syndrome; HDL-C, high-density lipoprotein cholesterol; LDL-C, low-density lipoprotein cholesterol; Log TG, log transformation of triglyceride; AST, aspartate aminotransferase; ALT, alanine aminotransferase.

    • View popup
    Table 2.

    Components of Metabolic Syndrome in Different Groups According to Alanine Aminotransferase Level and Liver Echogenicity

    Group NGroup AGroup EGroup AEPPower‖
    n12281101381346
    Age (years)70.6 ± 5.1‡§70.5 ± 5.170.0 ± 4.7*69.5 ± 4.6*.0010.952
    BMI (kg/m2)22.1 ± 2.6‡§22.4 ± 2.8‡§24.1 ± 2.9*†§25.0 ± 2.9*†‡<.0011.000
    Waist (cm)80.0 ± 7.9‡§80.5 ± 7.9‡§86.0 ± 8.3*†§88.6 ± 8.0*†‡<.0011.000
    SBP (mm Hg)130.7 ± 20.3‡§130.4 ± 19.2133.7 ± 19.0*135.4 ± 18.1*<.0010.992
    DBP (mm Hg)74.1 ± 11.2‡§74.1 ± 10.7§76.5 ± 11.3*77.8 ± 11.3*†<.0011.000
    FPG (mg/dL)100.1 ± 13.8‡§103.2 ± 24.4§105.3 ± 22.4*§109.5 ± 24.2*†‡<.0011.000
    TC (mg/dL)197.3 ± 33.6‡§193.2 ± 37.3§201.3 ± 33.3*204.6 ± 36.2*†<.0010.977
    HDL-C (mg/dL)54.9 ± 14.7‡§54.6 ± 14.9‡§49.8 ± 13.1*†§47.3 ± 13.8*†‡<.0011.000
    LDL-C (mg/dL)122.9 ± 30.0‡117.8 ± 36.0‡§126.4 ± 30.3*†127.6 ± 32.7†.0010.951
    Log TG1.95 ± 0.18‡§1.97 ± 0.20‡§2.05 ± 0.20*†§2.12 ± 0.21*†‡<.0011.000
    • Data are shown as mean ± SD. Group N: normal ALT and liver echogenicity; group A: elevated ALT and normal liver echogenicity; group E: normal ALT and abnormal liver echogenicity; group AE: elevated ALT and abnormal liver echogenicity.

    • * P < .05 against group N.

    • † P < .05 against group A.

    • ‡ P < .05 against group E.

    • § P < .05 against group AE.

    • ‖ The retrospective power of one-way analysis of variance was calculated using SPSS general linear model procedures.

    • BMI: body mass index; SBP: systolic blood pressure; DBP: diastolic blood pressure; FPG: fasting plasma glucose; TC: total cholesterol; HDL-C: high-density lipoprotein cholesterol; LDL-C: low-density lipoprotein cholesterol; Log TG: log transformation of triglyceride.

PreviousNext
Back to top

In this issue

The Journal of the American Board of Family Medicine: 24 (4)
The Journal of the American Board of Family Medicine
Vol. 24, Issue 4
July-August 2011
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Relationships between Alanine Aminotransferase Levels, Abnormal Liver Echogenicity, and Metabolic Syndrome
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
4 + 7 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Relationships between Alanine Aminotransferase Levels, Abnormal Liver Echogenicity, and Metabolic Syndrome
Chun-Hsien Hsu, Jen-Yu Wang, Yen-Lin Chen, Chuan-Chieh Liu, Yen-Lin Chang, Hsiao-Shuang Chen, Chun Pei, Dee Pei
The Journal of the American Board of Family Medicine Jul 2011, 24 (4) 407-414; DOI: 10.3122/jabfm.2011.04.100267

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Relationships between Alanine Aminotransferase Levels, Abnormal Liver Echogenicity, and Metabolic Syndrome
Chun-Hsien Hsu, Jen-Yu Wang, Yen-Lin Chen, Chuan-Chieh Liu, Yen-Lin Chang, Hsiao-Shuang Chen, Chun Pei, Dee Pei
The Journal of the American Board of Family Medicine Jul 2011, 24 (4) 407-414; DOI: 10.3122/jabfm.2011.04.100267
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Methods
    • Results
    • Discussion
    • Conclusions
    • Acknowledgments
    • Notes
    • References
  • Figures & Data
  • References
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • In this Issue: Testing Characteristics of Patient-Centered Medical Homes, Patient Self-Care, Predicting Outcomes, and Practical Clinical Information
  • Google Scholar

More in this TOC Section

  • Successful Implementation of Integrated Behavioral Health
  • Identifying and Addressing Social Determinants of Health with an Electronic Health Record
  • Integrating Adverse Childhood Experiences and Social Risks Screening in Adult Primary Care
Show more Original Research

Similar Articles

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2025 American Board of Family Medicine

Powered by HighWire