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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2010-5-3
pubmed:abstractText
Obesity is a heterogeneous disorder with metabolically healthy and unhealthy phenotypes and varying degrees of cardiometabolic complications. To evaluate whether alanine aminotransferase (ALT) could be used for identification of obese phenotypes, the authors measured ALT, adiponectin, leptin, leptin receptor, free leptin index, high-sensitivity C-reactive protein, fasting insulin, glucose, and full lipid profile in 486 (176 men and 310 women) normoglycemic first-degree relatives of patients with type 2 diabetes mellitus with negative medication history and hepatitis screen. Patients were classified into obesity phenotypes on the basis of the degree of adiposity and the International Diabetes Federation criteria for the metabolic syndrome. One hundred and thirty-seven (28%) patients were positive for the metabolic syndrome, 32 (7%) had normal weight but metabolically unhealthy phenotype, and 201 (41%) were obese but metabolically healthy. ALT showed significant positive correlations with body mass index, waist circumference, beta-cell function, insulin, homeostasis model assessment for insulin resistance, high-sensitivity C-reactive protein, total cholesterol, and triglycerides and increased with increasing number of metabolic syndrome components. Binary logistic regression analyses showed that higher ALT levels within the normal range were significantly associated with the metabolic syndrome. ALT could be used for identification of the metabolically obese phenotype. Lowering the ALT upper normal reference limit will facilitate earlier detection of risky phenotypes of obesity.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
1751-7176
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
12
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
301-8
pubmed:meshHeading
pubmed-meshheading:20433554-Adolescent, pubmed-meshheading:20433554-Adult, pubmed-meshheading:20433554-Alanine Transaminase, pubmed-meshheading:20433554-Biological Markers, pubmed-meshheading:20433554-Blood Glucose, pubmed-meshheading:20433554-Body Mass Index, pubmed-meshheading:20433554-Diabetes Mellitus, Type 2, pubmed-meshheading:20433554-Enzyme-Linked Immunosorbent Assay, pubmed-meshheading:20433554-Female, pubmed-meshheading:20433554-Genetic Predisposition to Disease, pubmed-meshheading:20433554-Humans, pubmed-meshheading:20433554-Logistic Models, pubmed-meshheading:20433554-Male, pubmed-meshheading:20433554-Metabolic Syndrome X, pubmed-meshheading:20433554-Middle Aged, pubmed-meshheading:20433554-Obesity, pubmed-meshheading:20433554-Pedigree, pubmed-meshheading:20433554-Phenotype, pubmed-meshheading:20433554-Predictive Value of Tests, pubmed-meshheading:20433554-Reference Values, pubmed-meshheading:20433554-Young Adult
pubmed:year
2010
pubmed:articleTitle
Higher levels of alanine aminotransferase within the reference range predict unhealthy metabolic phenotypes of obesity in normoglycemic first-degree relatives of patients with type 2 diabetes mellitus.
pubmed:affiliation
Department of Pathology, Faculty of Medicine, Kuwait University, Kuwait. segunade@yahoo.com
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't