Association between ALT/AST and Muscle Mass in Patients with Type 2 Diabetes Mellitus

Objective. The alanine aminotransferase/aspartate aminotransferase (ALT/AST) ratio is thought to be related to metabolic disorders and insulin resistance. Type 2 diabetes mellitus (T2DM) is a high-risk population for low muscle mass. This study was performed to evaluate the association between ALT/A...

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Main Authors: Wenjie Ma, Wenchao Hu, Yuantao Liu, Lanjie He
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2022/9480228
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author Wenjie Ma
Wenchao Hu
Yuantao Liu
Lanjie He
author_facet Wenjie Ma
Wenchao Hu
Yuantao Liu
Lanjie He
author_sort Wenjie Ma
collection DOAJ
description Objective. The alanine aminotransferase/aspartate aminotransferase (ALT/AST) ratio is thought to be related to metabolic disorders and insulin resistance. Type 2 diabetes mellitus (T2DM) is a high-risk population for low muscle mass. This study was performed to evaluate the association between ALT/AST and muscle mass in subjects with T2DM. Method. This cross-sectional study enrolled 1068 subjects (566 males and 502 females) with T2DM. General information, medical history, and blood samples were collected. Skeletal muscle index (SMI) was detected using dual-energy X-ray absorptiometry. Logistic regression analysis was utilized to determine the correlation of ALT/AST and low muscle mass in subjects with T2DM. Multiple linear regression analysis was utilized to evaluate the association between ALT/AST, SMI and other metabolic characteristics. Result. Of all subjects, 115 men (20.3%) and 71 women (14.1%) presented low muscle mass. ALT/AST was related to an increased risk for low muscle mass in both genders. Multiple linear regression analysis displayed that SMI was negatively associated with ALT/AST, age, glycosylated hemoglobin (HbA1c), and high-density lipoprotein cholesterol (HDL) in male group. While in female group, SMI was positively associated with systolic blood pressure (SBP) and negatively associated with ALT/AST and age. Furthermore, ALT/AST was associated with age and BMI in both genders. Conclusion. ALT/AST was negatively associated with muscle mass in subjects with T2DM.
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spelling doaj-art-eadbc5db52a24827990a8163ae4e3f082025-08-20T02:21:39ZengWileyMediators of Inflammation1466-18612022-01-01202210.1155/2022/9480228Association between ALT/AST and Muscle Mass in Patients with Type 2 Diabetes MellitusWenjie Ma0Wenchao Hu1Yuantao Liu2Lanjie He3Department of EndocrinologyDepartment of EndocrinologyDepartment of EndocrinologyDepartment of EndocrinologyObjective. The alanine aminotransferase/aspartate aminotransferase (ALT/AST) ratio is thought to be related to metabolic disorders and insulin resistance. Type 2 diabetes mellitus (T2DM) is a high-risk population for low muscle mass. This study was performed to evaluate the association between ALT/AST and muscle mass in subjects with T2DM. Method. This cross-sectional study enrolled 1068 subjects (566 males and 502 females) with T2DM. General information, medical history, and blood samples were collected. Skeletal muscle index (SMI) was detected using dual-energy X-ray absorptiometry. Logistic regression analysis was utilized to determine the correlation of ALT/AST and low muscle mass in subjects with T2DM. Multiple linear regression analysis was utilized to evaluate the association between ALT/AST, SMI and other metabolic characteristics. Result. Of all subjects, 115 men (20.3%) and 71 women (14.1%) presented low muscle mass. ALT/AST was related to an increased risk for low muscle mass in both genders. Multiple linear regression analysis displayed that SMI was negatively associated with ALT/AST, age, glycosylated hemoglobin (HbA1c), and high-density lipoprotein cholesterol (HDL) in male group. While in female group, SMI was positively associated with systolic blood pressure (SBP) and negatively associated with ALT/AST and age. Furthermore, ALT/AST was associated with age and BMI in both genders. Conclusion. ALT/AST was negatively associated with muscle mass in subjects with T2DM.http://dx.doi.org/10.1155/2022/9480228
spellingShingle Wenjie Ma
Wenchao Hu
Yuantao Liu
Lanjie He
Association between ALT/AST and Muscle Mass in Patients with Type 2 Diabetes Mellitus
Mediators of Inflammation
title Association between ALT/AST and Muscle Mass in Patients with Type 2 Diabetes Mellitus
title_full Association between ALT/AST and Muscle Mass in Patients with Type 2 Diabetes Mellitus
title_fullStr Association between ALT/AST and Muscle Mass in Patients with Type 2 Diabetes Mellitus
title_full_unstemmed Association between ALT/AST and Muscle Mass in Patients with Type 2 Diabetes Mellitus
title_short Association between ALT/AST and Muscle Mass in Patients with Type 2 Diabetes Mellitus
title_sort association between alt ast and muscle mass in patients with type 2 diabetes mellitus
url http://dx.doi.org/10.1155/2022/9480228
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