Clinical implications in the prevalence and associated cardiovascular factors of elevated serum alanine aminotransferase levels among elderly agricultural and fishing population in Taipei, Taiwan: experience at a teaching hospital.

J Investig Med

From the *NHI Dispute Mediation Committee, Ministry of Health and Welfare; Institute of Health and Welfare Policy, National Yang-Ming University; Department of Nursing, Kang-Ning Junior College of Medical Care and Management, Taipei, Taiwan; †College of Nursing, Taipei Medical University; New Taipei City Hospital; Oriental Institute of Technology, Taipei, Taiwan; ‡New Taipei City Hospital; Taipei Medical University, Taipei, Taiwan; Department of HealthCare Management, Yuanpei University, Hsinchu, Taiwan; §Faculty of Public Health, School of Medicine, Fu-Jen Catholic University, Taipei, Taiwan; ∥Cheng Hsin General Hospital; Faculty of Public Health, School of Medicine, Fu-Jen Catholic University, Taipei, Taiwan.

Published: January 2014

AI Article Synopsis

  • The study aimed to explore the prevalence and factors linked to high serum alanine aminotransferase (ALT) levels in elderly agricultural and fishing workers.
  • A total of 6,542 healthy adults participated in the research, revealing that 18.2% had elevated ALT levels, with a higher prevalence in men and a decrease as age increased.
  • Key associations with elevated ALT included male sex, younger age, and conditions like obesity and hypertension, with some differences noted between genders, particularly regarding metabolic conditions in men.

Article Abstract

Aim: To discuss the prevalence and associated factors related to an elevated serum alanine aminotransferase (ALT) level among the elderly agricultural and fishing population.

Methods: A total of 6542 (3989 males and 2553 females) healthy adults voluntarily admitted to a teaching hospital for a physical checkup in 2010 in Taipei, Taiwan. Fasting blood samples were drawn via venipuncture, and clinical nurses interviewed the study participants using a structured questionnaire from.

Results: The overall prevalence of an elevated serum ALT level was 18.2% and revealed a statistically significant decrease with increasing age (P < 0.001). The men exhibited a higher prevalence than the women (19.7% vs 15.9%; P < 0.001). Male sex; younger age; and presence of obesity, hypertension, hyperuricemia, and hypoalbuminemia were significantly associated with an elevated serum ALT level. Sex-related differences were also revealed. For the men, type 2 diabetes (odds ratio [OR], 1.23; 95% confidence interval [CI], 1.02-1.57), hypercholesterolemia (OR, 1.78; 95% CI, 1.22-2.83), hypertriglyceridemia (OR, 1.32; 95% CI, 1.04-1.73), and low high-density lipoprotein (OR, 1.26; 95% CI, 1.05-1.51) were significantly related to an elevated serum ALT level, but this was not so for the women. The disparity of ALT in age groups was revealed.

Conclusion: Several sex-related differences were indicated pertaining to the prevalence of an elevated serum ALT level among elderly specific occupational population.

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Source
http://dx.doi.org/10.2310/JIM.0000000000000018DOI Listing

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