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. Author manuscript; available in PMC: 2022 Apr 1.
Published in final edited form as: Nutr Res. 2020 Dec 26;88:34–43. doi: 10.1016/j.nutres.2020.12.023

Table 2:

Mean levels of MetS severity and liver-related factorsa

Overall Normal ALT, No Elevated NFS Unexplained elevated ALT,b without advanced fibrosis Elevated ALT above 97.5%tile without advanced fibrosis Fibrosis stage 3 or 4c Elevated NFS and Fib4 d
MetS & insulin resistance
 MetS-Z 0.2 [0.2, 0.3] 0.1 [0.1, 0.2] 0.7 [0.6, 0.8] 0.8 [0.7, 1.0] 1.7 [1.5, 1.9] 0.6 [−0.1, 0.7]
 No-glucose MetS-Z 0.1 [0.1, 0.1] 0.0 [0.0, 0.04] 0.5 [0.5, 0.6] 0.6 [0.4, 0.8] 0.8 [0.7, 1.0] 0.2 [−0.4, 0.7]
 Insulin 9.8 [9.4, 10.1] 8.8 [8.5, 9.1] 15.1 [13.9, 16.3] 14.8 [12.5, 17.0] 25.6 [17.1, 34.2] 24.7 [3.7, 45.8]
 HOMA-IR 2.7 [2.6, 2.8] 2.3 [2.3, 2.4] 4.5 [4.0, 4.9] 4.4 [3.6, 5.2] 8.8 [6.1, 11.5] 6.5 [2.1, 10.8]
Liver and other factors
 ALT 25.4 [24.9, 25.8] 21.5 [21.3, 21.7] 54.9 [52.6, 57.1] 93.0 [86.5, 99.1] 26.7 [22.4, 30.9] 31.8 [19.5, 44.1]
 AST 24.3 [24.0, 24.6] 22.3 [22.1, 22.5] 39.3 [37.3, 41.4] 64.1 [56.5, 71.6] 28.4 [23.5, 33.2] 56.7 [26.0, 87.4]
 ALT :AST ratio 1.1 [1.0, 1.1] 1.1 [1.1, 1.1] 0.7 [0.7, 0.8] 0.7 [0.6, 0.8] 1.1 [1, 1.2] 1.8 [1.2, 2.3]
 GGT 25.5 [24.7, 26.3] 22.7 [22.0, 23.4] 45.2 [41.8, 48.5] 62.2 [50.5, 74.0] 41.3 [32.1, 50.5] 84.9 [27.3, 142.5]
 hsCRPe 0.4 [0.4, 0.4] 0.4 [0.4, 0.4] 0.5 [0.4, 0.5] 0.4 [0.4, 0.5] 0.7 [0.5, 0.9] 1.0 [0.1, 1.9]
 NFS −2.4 [−2.5, −2.4] −2.5 [−2.5, −2.4] −2.6 [−2.7, −2.5] −2.7 [−3.0, −2.4] 1.3 [1.1, 1.4] 1.8 [1.3, 2.2]
a.

Presented: Means [95% CI]

b.

ALT >40 in males and >31 in females [12]

c.

NASH Fibrosis Score > 0.676

d.

NASH Fibrosis Score > 0.676 and Fib4 > 2.67

e.

n missing/not reported = 777