Korean J Pediatr. 2019 Feb;62(2):48-54. doi: 10.3345/kjp.2018.06639. Epub 2018 Nov 23.
Serum alanine aminotransferase levels are closely associated with metabolic disturbances in apparently healthy young adolescents independent of obesity.
Korean journal of pediatrics
Ki Eun Kim, Kyung Suk Baek, Sol Han, Jung Hyun Kim, Youn Ho Shin
Affiliations
Affiliations
- Department of Pediatrics, CHA Gangnam Medical Center, CHA University School of Medicine, Seoul, Korea.
- Atmin Radiology and Health Promotion Center, Seoul, Korea.
PMID: 30477286
PMCID: PMC6382960 DOI: 10.3345/kjp.2018.06639
Abstract
PURPOSE: Liver metabolism plays a pivotal role in the development of metabolic disorders. We aimed to investigate the clinical and laboratory risk factors associated with alanine aminotransferase (ALT) levels in young adolescents from an urban population in Korea.
METHODS: A population of 120 apparently healthy adolescents aged 12-13 years was included in the cross-sectional design study; 58 were overweight or obese and 62 were of normal weight. We estimated anthropometric and laboratory measurements, including waist-to-height ratio, blood pressure, insulin sensitivity, aspartate aminotransferases (AST), ALT, and lipid profiles.
RESULTS: The mean ages of the overweight or obese and normal weight participants were 12.9±0.3 and 13.0±0.3 years, respectively. Height, weight, body mass index, waist circumference, waist-to-height ratio, systolic and diastolic blood pressure, AST, ALT, total cholesterol, low-density lipoprotein-cholesterol, triglyceride, insulin, and the homeostatic model assessment of insulin resistance (HOMA-IR) score were significantly higher and the high-density lipoprotein-cholesterol and quantitative insulin-sensitivity check index were significantly lower in the overweight/obese participants in comparison to the normal-weight participants (all P<0.05). In multivariate linear regression analysis, waist-to-height ratio, systolic blood pressure, and HOMA-IR score were independently and positively associated with serum ALT levels.
CONCLUSION: Screening for ALT levels in adolescents may help to differentiate those at risk of metabolic abnormalities and thus prevent disease progression at an early age.
Keywords: Adolescent; Alanine aminotransferase; Insulin resistance; Obesity; Waist-to-height ratio
References
- Int J Obes Relat Metab Disord. 2000 Nov;24(11):1453-8 - PubMed
- J Korean Med Sci. 2003 Dec;18(6):833-41 - PubMed
- Clin Liver Dis. 2004 Aug;8(3):549-58, viii-ix - PubMed
- J Gastroenterol Hepatol. 2005 Feb;20(2):327-9 - PubMed
- Pediatrics. 2005 May;115(5):e561-5 - PubMed
- Hepatology. 2005 Sep;42(3):641-9 - PubMed
- Int J Food Sci Nutr. 2005 Aug;56(5):303-7 - PubMed
- Diabetes Obes Metab. 2007 Jan;9(1):1-10 - PubMed
- J Pediatr Gastroenterol Nutr. 2007 Feb;44(2):228-36 - PubMed
- Obesity (Silver Spring). 2007 Mar;15(3):748-52 - PubMed
- Gastroenterology. 2007 Dec;133(6):1814-20 - PubMed
- Gastroenterology. 2008 Dec;135(6):1935-44, 1944.e1 - PubMed
- J Physiol Biochem. 2009 Mar;65(1):51-9 - PubMed
- Nat Rev Gastroenterol Hepatol. 2010 Apr;7(4):195-203 - PubMed
- BMC Pediatr. 2010 Oct 11;10:73 - PubMed
- Int J Obes (Lond). 2011 Jul;35(7):891-8 - PubMed
- World J Gastroenterol. 2010 Nov 14;16(42):5280-5 - PubMed
- Horm Metab Res. 2011 Feb;43(2):77-80 - PubMed
- Ann Nutr Metab. 2011 Oct;58(4):307-14 - PubMed
- Circulation. 2012 May 29;125(21):2595-602 - PubMed
- World J Gastroenterol. 2012 Aug 7;18(29):3775-81 - PubMed
- Lancet. 2012 Dec 15;380(9859):2095-128 - PubMed
- J Pediatr Gastroenterol Nutr. 2013 Jun;56(6):686-91 - PubMed
- J Pediatr Endocrinol Metab. 2012;25(9-10):945-9 - PubMed
- J Am Coll Cardiol. 2013 Aug 20;62(8):742-51 - PubMed
- J Paediatr Child Health. 2013 Apr;49(4):E281-7 - PubMed
- J Dig Dis. 2013 Sep;14(9):491-9 - PubMed
- BMC Pediatr. 2013 Jun 11;13:91 - PubMed
- Pediatr Obes. 2014 Dec;9(6):411-8 - PubMed
- Minerva Pediatr. 2014 Feb;66(1):23-30 - PubMed
- J Health Popul Nutr. 2014 Sep;32(3):411-9 - PubMed
- Dig Dis Sci. 2016 Jun;61(6):1700-6 - PubMed
- Korean J Pediatr. 2018 May;61(5):135-149 - PubMed
- Diabetologia. 1985 Jul;28(7):412-9 - PubMed
Publication Types