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. 2024 May 17;19(5):e0303333. doi: 10.1371/journal.pone.0303333

Table 1. Sex-specific general characteristics according to the tertile of alanine aminotransferase/aspartate aminotransferase ratio.

Korean men Korean women
T1 T2 T3 P for trend T1 T2 T3 P for trend
N 1639 1690 1672 2136 2199 2211
ALT, mg/dL 15.9 ± 0.14 22.8 ± 0.19 35.9 ± 0.19 <0.001 12.6 ± 0.08 17.3 ± 0.1 26.1 ± 0.1 <0.001
AST, mg/dL 24.9 ± 0.2 24.6 ± 0.2 26.4 ± 0.2 <0.001 22.2 ± 0.13 22.2 ± 0.13 23.7 ± 0.12 <0.001
ALT/AST ratio 0.644 ± 0.0029 0.923 ± 0.0018 1.352 ± 0.0018 <0.001 0.57 ± 0.002 0.779 ± 0.0012 1.098 ± 0.0012 <0.001
Age, years 64.1 ± 0.28 60 ± 0.27 55.3 ± 0.27 <0.001 60.3 ± 0.28 59.8 ± 0.24 58.4 ± 0.24 <0.001
HTN, n 763 (46.6) 780 (46.2) 799 (47.8) 0.614 765 (35.8) 877 (39.9) 987 (44.6) <0.001
DM, n 273 (16.7) 329 (19.5) 390 (23.3) <0.001 212 (9.9) 248 (11.3) 444 (20.1) <0.001
ALM, n 212 (12.9) 262 (15.5) 339 (20.3) <0.001 334 (15.6) 453 (20.6) 594 (26.9) <0.001
Alcohol consumption, n 1131 (69.0) 1179 (69.8) 1260 (75.4) <0.001 2002 (93.7) 2031 (92.4) 2080 (94.1) 0.054
BMI, kg/m2 23.2 ± 0.07 24.4 ± 0.07 25.8 ± 0.07 <0.001 22.8 ± 0.06 23.7 ± 0.07 25.1 ± 0.07 <0.001
Obesity based on BMI, n 414 (25.3) 658 (38.9) 973 (58.2) <0.001 468 (21.9) 647 (29.4) 1042 (47.1) <0.001
WC, cm 85.2 ± 0.21 88.3 ± 0.19 91.6 ± 0.2 <0.001 79.5 ± 0.19 81.8 ± 0.19 85.3 ± 0.19 <0.001
Obesity based on WC, n 468 (28.6) 672 (39.8) 957 (57.2) <0.001 556 (26.0) 756 (34.4) 1109 (50.2) <0.001
Insulin, uIU/mL 6.2 ± 0.1 7.7 ± 0.11 10.5 ± 0.11 <0.001 6.6 ± 0.09 7.5 ± 0.09 10.1 ± 0.09 <0.001
Glc, mg/dL 104 ± 0.56 106.8 ± 0.62 111.3 ± 0.63 <0.001 97.1 ± 0.38 99.8 ± 0.4 107.3 ± 0.4 <0.001
HOMA-IR 1.7 ± 0.03 2.1 ± 0.03 3 ± 0.03 <0.001 1.6 ± 0.03 1.9 ± 0.03 2.8 ± 0.03 <0.001
HOMA-β 60 ± 1.44 72 ± 1.23 92.5 ± 1.24 <0.001 72.6 ± 1.69 78.9 ± 1.51 94.7 ± 1.51 <0.001

All data in the KNHANES are presented as mean ± standard error for continuous variables and as frequency and percentage (%) for categorical variables. The ALT/AST ratios were sorted in ascending order and categorized into three groups (T1, T2, and T3) based on tertiles. Abbreviations: KNHANES, Korea National Health and Nutrition Examination Survey; ALT, alanine aminotransferase; AST, aspartate aminotransferase; HTN, hypertension; DM, diabetes mellitus; ALM, anti-lipidemic medication; BMI, body mass index; WC, waist circumference; Glc, fasting blood glucose; HOMA-IR, Homeostasis model assessment for insulin resistance; HOMA-β, HOMA for β cell.