Department of Biochemistry and Molecular Biology, Shahjalal University of Science and Technology, Sylhet, 3114, Bangladesh.
Sci Rep. 2021 Mar 23;11(1):6640. doi: 10.1038/s41598-021-86216-z.
Obesity is a global health concern because of its increasing trend both in developed and developing countries. A limited number of studies have evaluated the association of liver enzymes with both general and abdominal obesity in the general population; data for the Bangladeshi population are not available yet. This study aimed to assess the relationship of serum liver enzymes activity with both general and abdominal obesity in Bangladeshi adults. In total, 540 blood samples were obtained from the participants (388 males and 152 females) and analyzed for serum levels of ALT, AST, GGT, and ALP using standard methods. General obesity was defined as body mass index (BMI) ≥ 27.5 kg/m and abdominal obesity was defined as waist circumference (WC) ≥ 90 cm in males and ≥ 80 cm in females. The relationship between liver enzymes and obesity was evaluated by multivariate logistic regression models. Overall, 58% of participants in the general obesity group and 55% of the participants in the abdominal obesity group had at least one or more elevated levels of liver enzymes. The prevalence of elevated liver enzymes was significantly higher in the obesity group compared to the normal BMI and WC groups (p < 0.05 for all cases). The mean level of serum ALT, AST and GGT were significantly higher in the obesity group than the normal BMI group (p < 0.05). In the WC groups, mean AST and GGT were significantly higher in the obesity group compared to the normal group (p < 0.05). In regression analysis, serum levels of ALT showed an independent and significant association with general obesity, whereas, serum GGT showed a significant association with both general and abdominal obesity. In conclusion, a high prevalence of elevated liver enzymes was observed among participants included in the present study. Of the four enzymes, serum GGT was independently associated with both general and abdominal obesity. Further studies are required to understand the complex relationship between liver enzymes and obesity in the general population.
肥胖是一个全球性的健康问题,因为它在发达国家和发展中国家都呈上升趋势。只有少数研究评估了血清肝酶活性与普通人群中一般肥胖和腹部肥胖的关系;孟加拉国人群的数据尚不可用。本研究旨在评估血清肝酶活性与孟加拉国成年人一般肥胖和腹部肥胖的关系。总共从 540 名参与者(388 名男性和 152 名女性)中抽取了 540 份血样,并使用标准方法分析了血清丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)、γ-谷氨酰转移酶(GGT)和碱性磷酸酶(ALP)的水平。一般肥胖定义为体质指数(BMI)≥27.5kg/m2,腹部肥胖定义为男性腰围(WC)≥90cm,女性腰围≥80cm。通过多元逻辑回归模型评估了肝酶与肥胖的关系。总的来说,一般肥胖组中有 58%的参与者和腹部肥胖组中有 55%的参与者至少有一种或多种肝酶水平升高。与 BMI 和 WC 正常组相比,肥胖组中肝酶升高的比例显著更高(所有病例 p<0.05)。与 BMI 正常组相比,肥胖组血清 ALT、AST 和 GGT 的平均水平显著更高(p<0.05)。在 WC 组中,与正常组相比,肥胖组的平均 AST 和 GGT 水平显著更高(p<0.05)。在回归分析中,血清 ALT 水平与一般肥胖呈独立显著相关,而血清 GGT 与一般肥胖和腹部肥胖均呈显著相关。总之,本研究中纳入的参与者中存在较高比例的肝酶升高。在这四种酶中,血清 GGT 与一般肥胖和腹部肥胖均有独立相关性。需要进一步研究以了解普通人群中肝酶与肥胖之间的复杂关系。