The association of higher levels of within-normal-limits liver enzymes and the prevalence of the metabolic syndrome

Table 3 Logistic regression analysis for the presence of MetS in relation ALT quintiles*.

Men (N = 6561)	1^st Quintile	2^nd Quintile	3^rd Quintile	4^th Quintile	5^th Quintile
	ALT<16	16≤ALT<20	20≤ALT<23	23≤ALT<29	29≤ALT≤40
N	1196	1545	1121	1460	1239
Crude OR	1.0	1.5 (1.2 - 2.0)	1.7 (1.2 - 2.2)	2.7 (2.1 - 3.5)	3.6 (2.8 - 4.6)
Age adjusted OR	1.0	1.5 (1.2 - 2.0)	1.7 (1.3 - 2.3)	2.7 (2.1 - 3.5)	3.7 (2.8 - 4.8)
Multi-adjusted^† OR	1.0	1.6 (1.2 - 2.1)	1.7 (1.3 - 2.3)	2.8 (2.1 - 3.6)	3.7 (2.8 - 4.8)
Multi-adjusted + waist & BMI OR	1.0	1.5 (1.2 - 2.0)	1.7 (1.2 - 2.2)	2.8 (2.2 - 3.7)	3.7 (2.8 - 4.9)
Women (N = 3389)	1 ^st Quintile	2 ^nd Quintile	3 ^rd Quintile	4 ^th Quintile	5 ^th Quintile
	ALT<16	16≤ALT<19	19≤ALT<22	22≤ALT<27	27≤ALT≤35
N =	767	652	607	738	625
Crude OR	1.0	1.5 (1.1 - 2.0)	1.7 (1.2 - 2.3)	2.4 (1.8 - 3.2)	3.2 (2.4 - 4.2)
Age adjusted OR	1.0	1.4 (1.1 - 2.0)	1.6 (1.2 - 2.3)	2.5 (1.9 - 3.4)	3.3 (2.4 - 4.4)
Multi-adjusted^† OR	1.0	1.5 (1.1 - 2.0)	1.6 (1.2 - 2.2)	2.5 (1.9 - 3.4)	3.3 (2.5 - 4.4)
Multi-adjusted + waist & BMI OR	1.0	1.4 (1.0 - 2.0)	1.7 (1.2 - 2.3)	2.6 (1.9 - 3.5)	3.3 (2.4 - 4.5)

* The lower quintile was arbitrarily defined as 1.0
† Multi-adjusted means adjustments were made for age, exercise intensity, use of aspirin and statins, smoking status and alcohol consumption.
List of Abbreviations: ALT, alanine aminotransferase; MetS, metabolic syndrome; OR, odds ratio.

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