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Relationship between blood pressure and serum alanine aminotransferase among adolescents |
Zhao Yanfei1, Chen Liqiao2, Fang Jiaying3, Ding Zan1 |
1 Baoan Central Hospital of Shenzhen, Shenzhen 518102, China;
2 Sun Yat-sen University Cancer Center, Guangzhou 510060, China;
3 Huadu District People's Hospital of Guangzhou, Guangzhou 510800, China |
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Abstract Objective To explore the relationships between the concentrations of serum alanine aminotransferase (ALT) and the levels of systolic(SBP)and diastolic blood pressure(DBP)among adolescents. Methods From February 2018 to June 2019, 7 805 students were enrolled in 9 junior and senior high schools in S〖JP2〗henzhen. Stratified analyses were performed according to gender, age (10-13 years old or 14-17 years old) and serum ALT quartiles (≤ 9 U/L, 10-11 U/L, 12-15 U/L, or >15 U/L). Results The SBP of adolescents was (112.87±12.00) mmHg and average DBP was (71.68±9.61) mmHg among the 7 805 adolescents. The blood pressure of the male group was higher than that of the female group, with SBP (115.81 vs 109.23) mmHg and DBP (73.15 vs 69.86) mmHg (P<0.001); stratified analysis by quartile of serum ALT level showed that blood pressure increased with the increase of ALT level (P<0.001); the generalized additive model showed that there was a correlation between blood pressure and serum ALT level in adolescents, SBP-ALT (r=0.113-0.279, P<0.001), DBP-ALT (r=0.088-0.208, P<0.001); the results of binary logistic regression analysis showed that hypertension was associated with elevated serum ALT (OR=3.411, 95%CI: 2.215-5.251) and boys (OR=3.684, 95%CI:2.594-5.231) among adolescents. Conclusion There is a correlation between elevated blood pressure and elevated serum ALT levels in adolescence, and the local government should increase the vigilance to monitor the simultaneous elevation of blood pressure and ALT in middle school students.
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Received: 08 December 2020
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