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Original Article

The Association of Metabolic Syndrome and Serum γ-Glutamyl Transpeptidase: A 4-Year Cohort Study of 3,698 Korean Male Workers

Jung Hyun Lee1, Mi Hyang Um1, Yoo Kyoung Park1,2
Clinical Nutrition Research 2013;2(1):67-75.
Published online: January 29, 2013

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Corresponding author: Yoo Kyoung Park. Address: Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University, Seoul 137-701, Korea. Tel +82-31-201-3816, Fax +82-31-203-3816, ypark@khu.ac.kr
• Received: December 18, 2012   • Revised: January 1, 2013   • Accepted: January 6, 2013

© 2013 The Korean Society of Clinical Nutrition

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The Association of Metabolic Syndrome and Serum γ-Glutamyl Transpeptidase: A 4-Year Cohort Study of 3,698 Korean Male Workers
Clin Nutr Res. 2013;2(1):67-75.   Published online January 29, 2013
DOI: https://doi.org/10.7762/cnr.2013.2.1.67
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The Association of Metabolic Syndrome and Serum γ-Glutamyl Transpeptidase: A 4-Year Cohort Study of 3,698 Korean Male Workers
Clin Nutr Res. 2013;2(1):67-75.   Published online January 29, 2013
DOI: https://doi.org/10.7762/cnr.2013.2.1.67
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The Association of Metabolic Syndrome and Serum γ-Glutamyl Transpeptidase: A 4-Year Cohort Study of 3,698 Korean Male Workers
Image Image Image
Figure 1 Selection criteria for the study subjects.
Figure 2 Prevalence of MS in the subjects with normal and elevated GGT level according to amount of alcohol consumption. Obtained by chi-square test for categorical data, p < 0.001. MS: metabolic syndrome, GGT: gamma glutamyl transferase. Ranges for alcohol consumption; non-drinkers, ≤0 g/day; light drinkers, 0.1-15 g/day; moderate drinkers, 15.1-30 g/day; heavy drinkers, >30 g/day.
Figure 3 Adjusted hazard ratios for 4-year risks of MS according to serum GGT level at baseline (2004). *p < 0.01; †p < 0.001. Hazard ratios are adjusted for age.

Figure 1

Figure 2

Figure 3

The Association of Metabolic Syndrome and Serum γ-Glutamyl Transpeptidase: A 4-Year Cohort Study of 3,698 Korean Male Workers
Table 1 Characteristics of the subjects according to prevalence of MS in 2008*

MS: metabolic syndrome, Non-MS: non-metabolic syndrome, BMI: body mass index, WC: waist circumference, SBP: systolic blood pressure, DBP: diastolic blood pressure, HDL-C: high density lipoprotein-cholesterol, FBG: fasting blood glucose, HOMA-B: homeostasis model assessment of pancreatic β cell function (%), HOMA-S: homeostasis model assessment of insulin sensitivity, HbA1c: glycosylated hemoglobin, TG: triglyceride, ALT: alanine transaminase, AST: aspartate transaminase, GGT: gamma glutamyl transferase, LDL-C: low-density lipoprotein-cholesterol, TC: total cholesterol.

*Data are expressed as mean ± SD or n (%).

Table 2 Correlations between GGT and clinical variables

GGT: gamma glutamyl transferase, BMI: body mass index, WC: waist circumference, SBP: systolic blood pressure, DBP: diastolic blood pressure, HDL-C: high density lipoprotein-cholesterol, FBG: fasting blood glucose, HOMA-B: homeostasis model assessment of pancreatic β cell function (%), HOMA-S: homeostasis model assessment of insulin sensitivity, HbA1c: glycosylated hemoglobin, TG: triglyceride, LDL-C: low-density lipoprotein-cholesterol, TC: total cholesterol, ALT: alanine transaminase, AST: aspartate transaminase.

*Adjusted for age, BMI, ALT, AST, and alcohol consumption; †Adjusted for age, BMI, ALT, and AST.

Table 3 Characteristics of the subjects according to the GGT level in all subjects*

GGT: gamma glutamyl transferase, BMI: body mass index, WC: waist circumference, SBP: systolic blood pressure, DBP: diastolic blood pressure, HDL-C: high density lipoprotein-cholesterol, FBG: fasting blood glucose, HOMA-B: homeostasis model assessment of pancreatic β cell function (%), HOMA-S: homeostasis model assessment of insulin sensitivity, HbA1c: glycosylated hemoglobin, TG: triglyceride, LDL-C: low-density lipoprotein-cholesterol, TC: total cholesterol, ALT: alanine transaminase, AST: aspartate transaminase.

*Data are expressed as mean ± SD; Obtained by GLM and Homogeneity test. Adjusted for age, BMI, and alcohol.

Table 4 Adjusted hazard ratios for 4-year risks of MS and its components according to GGT level*

MS: metabolic syndrome, GGT: gamma glutamyl transferase, BMI: body mass index, WC: waist circumference, SBP: systolic blood pressure, DBP: diastolic blood pressure, HDL-C: high density lipoprotein-cholesterol, FBG: fasting blood glucose, HOMA-B: homeostasis model assessment of pancreatic β cell function (%), HOMA-S: homeostasis model assessment of insulin sensitivity, HbA1c: glycosylated hemoglobin, TG: triglyceride, LDL-C: low-density lipoprotein-cholesterol, TC: total cholesterol.

*Serum GGT level in 2004; Normal, < 68 IU/L; Elevated, ≥ 68 IU/L; Normal Q1; 0-17 IU/L; †p < 0.05; ‡p < 0.01; §p < 0.001. Adjusted for age.

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