본문 바로가기
KERD
논문KCI 등재

Relationship between the Serum De Ritis Ratio and Diabetes Tests in Korean Adults Who Underwent Health Screening at a General Hospital in Gyeonggi-do

0

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류기타자연과학

초록

The purpose of this study was to analyze the relationship between diabetes and liver function test results. Unlike type 2 diabetes mellitus (T2DM), hepatogenous diabetes is caused by abnormal liver function. In this study, the relationship between liver enzymes, aspartate aminotransferase (AST), alanine transaminase (ALT), and the AST/ALT ratio (De Ritis ratio), indicating liver function, and diabetes-related tests was analyzed. The results of the study showed a positive correlation between AST and glucose (r=0.14, P<0.01), ALT and glucose (r=0.21, P<0.01), AST and glycated hemoglobin (HbA1c) (r=0.15, P<0.01), and ALT and HbA1c (r=0.20, P<0.01). The De Ritis ratio showed a negative correlation with glucose (r=‒0.20, P<0.01) and HbA1c (r=‒0.14, P<0.01). The results of regression analysis with AST, ALT, and the De Ritis ratio as independent variables and glucose (R2=0.05) and HbA1c (R2=0.04) as dependent variables revealed that the independent variables had a statistically significant effect on the dependent variables. AST showed a lower correlation between blood glucose and glycated hemoglobin than ALT, and an increase in ALT caused a decrease in the De Ritis ratio. Therefore, the De Ritis ratio can be said to be meaningful in relation to diabetes-related tests.

Abstract

The purpose of this study was to analyze the relationship between diabetes and liver function test results. Unlike type 2 diabetes mellitus (T2DM), hepatogenous diabetes is caused by abnormal liver function. In this study, the relationship between liver enzymes, aspartate aminotransferase (AST), alanine transaminase (ALT), and the AST/ALT ratio (De Ritis ratio), indicating liver function, and diabetes-related tests was analyzed. The results of the study showed a positive correlation between AST and glucose (r=0.14, P<0.01), ALT and glucose (r=0.21, P<0.01), AST and glycated hemoglobin (HbA1c) (r=0.15, P<0.01), and ALT and HbA1c (r=0.20, P<0.01). The De Ritis ratio showed a negative correlation with glucose (r=‒0.20, P<0.01) and HbA1c (r=‒0.14, P<0.01). The results of regression analysis with AST, ALT, and the De Ritis ratio as independent variables and glucose (R2=0.05) and HbA1c (R2=0.04) as dependent variables revealed that the independent variables had a statistically significant effect on the dependent variables. AST showed a lower correlation between blood glucose and glycated hemoglobin than ALT, and an increase in ALT caused a decrease in the De Ritis ratio. Therefore, the De Ritis ratio can be said to be meaningful in relation to diabetes-related tests.

참고문헌 (18)

  1. Bhatt HB, "Fatty liver disease in diabetes mellitus", Hepatobiliary Surg Nutr, 4, pp.101~108 (2015)[DOI]
  2. Blendea MC, "Diabetes and chronic liver disease : etiology and pitfalls in monitoring", Clin Diabetes, 28, pp.139~144 (2010)[DOI]
  3. Okamura T, "Effect of alcohol consumption and the presence of fatty liver on the risk for incident type 2 diabetes : a population-based longitudinal study", BMJ Open Diabetes Res Care, 8, pp.e001629~ (2020)[DOI]
  4. Leite NC, "Non-alcoholic fatty liver disease and diabetes : from physiopathological interplay to diagnosis and treatment", World J Gastroenterol, 20, pp.8377~8392 (2014)[DOI]
  5. Lee SJ, "Diabetes mellitus and non-alcoholic fatty liver disease : diagnosis and treatment", J Korean Diabetes, 22, pp.38~45 (2021)[DOI]
  6. Niu H, "Nonlinear relationship between AST-to-ALT ratio and the incidence of type 2 diabetes mellitus : a follow-up study", Int J Gen Med, 14, pp.8373~8382 (2021)[DOI]
  7. Botros M, "The de ritis ratio : the test of time", Clin Biochem Rev, 34, pp.117~130 (2013)
  8. "Liver function tests"[URL]
  9. Kumar R, "Hepatogenous diabetes : an underestimated problem of liver cirrhosis", Indian J Endocrinol Metab, 22, pp.552~559 (2018)[DOI]
  10. Megyesi C, "Glucose tolerance and diabetes in chronic liver disease", Lancet, 2, pp.1051~1056 (1967)[DOI]
  11. Orsi E, "Hepatogenous diabetes : Is it time to separate it from type 2 diabetes?", Liver Int, 37, pp.950~962 (2017)[DOI]
  12. McClatchey KD, "Clinical laboratory medicine", pp.288~290 (2002), Williams & Wilkins
  13. Chen L, "Association between aspartate aminotransferase to alanine aminotransferase ratio and incidence of type 2 diabetes mellitus in the Japanese population : a secondary analysis of a retrospective cohort study", Diabetes Metab Syndr Obes, 14, pp.4483~4495 (2021)[DOI]
  14. Chen W, "Elevated AST", ALT ratio is associated with all-cause mortality and cancer incident, 2022, pp.36, e24356~
  15. Christman AL, "Low glycated hemoglobin and liver disease in the U.S. population", Diabetes Care, 34, pp.2548~2550 (2011)[DOI]
  16. Al-Jameil N, "Associated liver enzymes with hyperlipidemic profile in type 2diabetes patients", Int J Clin Exp Pathol, 7, pp.4345~4349 (2014)
  17. Stefan N, "Non-alcoholic fatty liver disease : causes, diagnosis, cardiometabolic consequences, and treatment strategies", Lancet Diabetes Endocrinol, 7, pp.313~324 (2019)[DOI]
  18. Yadav R, "The evaluation of serum amylase in the patients of type 2 diabetes mellitus, with a possible correlation with the pancreatic functions", J Clin Diagn Res, 7, pp.1291~1294 (2013)[DOI]

관련 논문AI추천

Normal Serum Aminotransferase Levels and the Metabolic Syndrome: Korean National Health and Nutrition Examination Surveys김대중, 김현창, 신혜원, 장영화, 최귀선연세대학교의과대학 · Yonsei Medical Journal2006 · 제47권 제4호Association of serum alanine aminotransferase and γ-glutamyltransferase levels within the reference range with metabolic syndrome and nonalcoholic fatty liver disease김용성, 김태현, 김학철, 손영우, 신새론, 심소연, 오용렬, 오효정, 윤석진, 조은영, 한아름대한간학회 · Clinical and Molecular Hepatology2011 · 제17권 제1호당뇨병 지표와 만성 B 형 간염 바이러스 감염의 상관 관계김인식, 박갑태, 안태호, 이정화, 현성희대한임상검사과학회 · 대한임상검사과학회지2013 · 제45권 제1호Serum Alanine Aminotransferase Level as a Risk Factor for Coronary Heart Disease Prediction in Koreans: Analysis of the Korea National Health and Nutrition Examination Survey (V-1, 2010 and V-2, 2011)Dongsun Kim, Kiyoung Kim, Kyu-Nam Kim대한가정의학회 · Korean Journal of Family Medicine2019 · 제40권 제2호The Relationship between Type 2 Diabetes Mellitus and Non-Alcoholic Fatty Liver Disease Measured by Controlled Attenuation Parameter김광준, 김도영, 김승업, 박경혜, 박준용, 배지철, 안상훈, 전영은, 전재윤, 정규식, 정재복, 한광협연세대학교의과대학 · Yonsei Medical Journal2016 · 제57권 제4호Effect of Nonalcoholic Fatty Liver Disease on the Development of Type 2 Diabetes in Nonobese, Nondiabetic Korean Men김범수, 배지철, 성기철, 조용균, 주관중, Chang Wook Chon, Hyun Sun Won, Tae Wan Kim거트앤리버 소화기연관학회협의회 · Gut and Liver2012 · 제6권 제3호

이 간행물의 다른 논문 (7건)