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Association study of aspartate aminotransferase/alanine aminotransferase ratio with diabetes risk in the Chinese population: a retrospective cohort study based on the DRYAD database
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Ying-ying ZHUANG1, 4, Wei ZHANG3, Xin-yue WANG1, 4, Jian GAO2
Modern Preventive Medicine | 2025, 52(1) : 188 - 192
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Modern Preventive Medicine | 2025, 52(1): 188-192
• Clinical Medicine and Prevention •
Association study of aspartate aminotransferase/alanine aminotransferase ratio with diabetes risk in the Chinese population: a retrospective cohort study based on the DRYAD database
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Ying-ying ZHUANG1, 4, Wei ZHANG3, Xin-yue WANG1, 4, Jian GAO2
Affiliations
  • Clinical Nutrition Department, Xiamen Hospital, Zhongshan Hospital Affiliated to Fudan University, Xiamen, Fujian 361015,China
Published: 2025-01-10 doi: 10.20043/j.cnki.MPM.202405353
Outline
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Objective

To investigate the relationship between the aspartate aminotransferase (AST) to alanine aminotransferase (ALT) ratio and the incidence of diabetes in the Chinese population.

Methods

Data of Chinese adults from 2010 to 2016 were extracted from the DRYAD database. Cox regression models were employed to explore the association between the AST/ALT ratio and diabetes incidence, while smooth curve fitting was used to identify non-linear relationships. A piecewise linear regression function was applied to determine the optimal risk threshold.

Results

A total of 86 145 participants were included in the study. After adjusting for covariates, a negative correlation was found between the AST/ALT ratio and diabetes incidence (HR=0.44, 95%CI: 0.38-0.51, P<0.001). The piecewise linear regression function identified the optimal risk threshold at 1.3. For values to the left of the threshold, HR=0.3, 95%CI: 0.2-0.3, P<0.001; for values to the right, HR=0.9, 95%CI: 0.7-1.2, P=0.561.

Conclusion

The AST/ALT ratio is a predictor of diabetes occurrence and is negatively correlated with diabetes incidence.

Aspartate aminotransferase  /  Alanine aminotransferase  /  Diabetes  /  Cox regression
庄滢滢, 张薇, 王新月, 高键. 中国人群天门冬/丙氨酸氨基转移酶比值与糖尿病发病风险的关联研究. 现代预防医学, 2025 , 52 (1) : 188 -192 . DOI: 10.20043/j.cnki.MPM.202405353
Ying-ying ZHUANG, Wei ZHANG, Xin-yue WANG, Jian GAO. Association study of aspartate aminotransferase/alanine aminotransferase ratio with diabetes risk in the Chinese population: a retrospective cohort study based on the DRYAD database[J]. Modern Preventive Medicine, 2025 , 52 (1) : 188 -192 . DOI: 10.20043/j.cnki.MPM.202405353
Year 2025 volume 52 Issue 1
40
20
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Article Info
doi: 10.20043/j.cnki.MPM.202405353
  • Receive Date:2024-03-20
  • Online Date:2026-10-29
  • Published:2025-01-10
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  • Received:2024-03-20
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    Clinical Nutrition Department, Xiamen Hospital, Zhongshan Hospital Affiliated to Fudan University, Xiamen, Fujian 361015,China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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