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Aminotransferase levels, body mass index, and the risk of diabetes: a?prospective cohort study

机译:氨基转移酶水平,体重指数和糖尿病的风险:a?潜在的队列研究

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摘要

PurposeTo investigate whether the relationship between body mass index (BMI) and incident diabetes is modified by different alanine or aspartate aminotransferases (ALT or AST) levels. MethodsWe carried out an analysis of 6484 participants aged 40?years or older using data from the Korean Genome Epidemiology Study. The serum aminotransferase levels were stratified into low and high groups according to the median values and classified into three groups: both low, either high, and both high. To assess the association between BMI and incident diabetes according to the serum aminotransferase levels, multiple logistic regression models were used. ResultsIn participants with high levels of both ALT and AST, compared with the first BMI quartile, the adjusted odds ratios for incident diabetes of the second, third, and fourth BMI quartiles were 1.72 (95% confidence interval, 0.84–3.55), 2.19 (1.11–4.33), and 3.08 (1.60–5.90), respectively (Ptrend?
机译:Purposeto研究了身体质量指数(BMI)和入射糖尿病之间的关系是否通过不同的丙氨酸或天冬氨酸氨基转移酶(ALT或AST)水平来修饰。方法网络对6484岁或以上的参与者进行了分析,使用来自韩国基因组流行病学研究的数据。根据中值值分层血清氨基转移酶水平并分为3组:低,高,高。为了根据血清氨基转移酶水平评估BMI和入射糖尿病之间的关联,使用多元逻辑回归模型。结果汉普尔和AST的参与者与第一个BMI四分位数相比,第二,第三和第四BMI四分位数的入射糖尿病的调整后的差距为1.72(95%置信区间,0.84-3.55),2.19( 1.11-4.33)和3.08(1.60-5.90)(Ptrend?<?001)。在高ALT或AST的参与者中,调整后的优势比分别为3.58(1.23-10.41),2.65(0.90-7.76)和5.28(1.86-15.02)(PTREND?=Δ.005)。然而,在患有低ALT和AST水平的参与者中,高BMI与事件糖尿病的风险没有独立相关。结论是BMI和入射糖尿病在具有高氨基转移酶水平的个体之间的强烈关联,而在氨基转移酶水平低的那些中没有观察到任何关联。

著录项

  • 来源
    《Annals of epidemiology》 |2018年第10期|共12页
  • 作者单位

    Cardiovascular and Metabolic Disease Etiology Research Center Yonsei University College of Medicine;

    Cardiovascular and Metabolic Disease Etiology Research Center Yonsei University College of Medicine;

    Cardiovascular and Metabolic Disease Etiology Research Center Yonsei University College of Medicine;

    Cardiovascular and Metabolic Disease Etiology Research Center Yonsei University College of Medicine;

    Department of Internal Medicine Seoul National University Bundang Hospital;

    Cardiovascular and Metabolic Disease Etiology Research Center Yonsei University College of Medicine;

    Department of Occupational and Environmental Medicine Yonsei University Wonju College of Medicine;

    Department of Preventive Medicine Yonsei University College of Medicine;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 流行病学与防疫;
  • 关键词

    ALT; AST; Obesity; Diabetes; Korean;

    机译:ALT;AST;肥胖;糖尿病;韩国人;

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