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Association between serum alanine transaminase levels and carotid intima-media thickness in adolescents
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Sisi HUANG1, Min ZHAO2, Jiahong SUN*, 3, Bo XI*, 1
Chinese Journal of School Health | 2025, 46(7) : 1042 - 1045
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Chinese Journal of School Health | 2025, 46(7): 1042-1045
• Disease Control •
Association between serum alanine transaminase levels and carotid intima-media thickness in adolescents
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Sisi HUANG1, Min ZHAO2, Jiahong SUN*, 3, Bo XI*, 1
Affiliations
  • 1Department of Epidemiology/Maternal and Child Health/Children's Cardiovascular Research Centre, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong Province, China
Published: 2025-07-25 doi: 10.16835/j.cnki.1000-9817.2025193
Outline
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Objective

To investigate the relationship between serum alanine transaminase (ALT) and carotid intima-media thickness (cIMT) in adolescents, providing evidence for early prevention and control strategies for cardiovascular structural abnormalities in adolescents.

Methods

Data were obtained from the third follow-up survey (from October to November 2023) of the "Huantai Children Cardiovascular Health Cohort", including 1 153 healthy adolescents with complete information. Analysis of variance (ANOVA) was used to compare cIMT across different ALT level groups, and multiple linear regression was employed to analyze the relationship between serum ALT levels and cIMT.

Results

Significant differences in cIMT were observed among Q1, Q2, and Q3 ALT level groups [(0.56±0.04) (0.57±0.04) (0.59±0.04)mm, respectively; F=3.61, P < 0.01]. After adjusting for covariates, multiple linear regression revealed a positive correlation between ALT levels and cIMT (β=0.18, P < 0.01). Gender subgroup analysis showed similar results in males (β=0.19, P < 0.01), but no statistically significant association was found in females (β=0.07, P=0.54).

Conclusions

Elevated serum ALT levels are associated with an increased risk of vascular structural damage in adolescents, especially in boys. Early detection and control of abnormal serum ALT levels can help to reduce early vascular structural damage and further reduce the risk of adverse cardiovascular events.

Alanine transaminase  /  Carotid arteries  /  Tunica media  /  Regression analysis  /  Adolescent
黄思思, 赵敏, 孙嘉鸿, 席波. 青少年血清谷丙转氨酶水平与颈动脉内中膜厚度的关联. 中国学校卫生, 2025 , 46 (7) : 1042 -1045 . DOI: 10.16835/j.cnki.1000-9817.2025193
Sisi HUANG, Min ZHAO, Jiahong SUN, Bo XI. Association between serum alanine transaminase levels and carotid intima-media thickness in adolescents[J]. Chinese Journal of School Health, 2025 , 46 (7) : 1042 -1045 . DOI: 10.16835/j.cnki.1000-9817.2025193
Year 2025 volume 46 Issue 7
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2
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Article Info
doi: 10.16835/j.cnki.1000-9817.2025193
  • Receive Date:2025-05-07
  • Online Date:2026-11-06
  • Published:2025-07-25
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History
  • Received:2025-05-07
  • Revised:2025-06-17
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    1Department of Epidemiology/Maternal and Child Health/Children's Cardiovascular Research Centre, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong Province, 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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