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] |
Presented: Means [95% CI]
ALT >40 in males and >31 in females [12]
NASH Fibrosis Score > 0.676
NASH Fibrosis Score > 0.676 and Fib4 > 2.67
n missing/not reported = 777