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Normal serum aminotransferase concentration and risk of mortality from liver diseases: prospective cohort study

Open access
Hyeon, Chang Kim, Chung, Mo Nam, Sun, Ha Jee, Kwang, Hyub Han, Kyu Oh, Dae, Suh, Il·2004·BMJ

Abstract

OBJECTIVE: To examine the relation between the normal range of serum aminotransferase concentration and mortality from liver disease. DESIGN: Prospective cohort study. SETTING: Korea Medical Insurance Corporation study with eight years' follow up. PARTICIPANTS: 94,533 men and 47,522 women aged 35-59 years. MAIN OUTCOME MEASURE: Mortality from liver diseases according to death certificate. RESULTS: There was a positive association between the aminotransferase concentration, even within normal range (35-40 IU/l), and mortality from liver disease. Compared with the concentration < 20 IU/l, the adjusted relative risks for an aspartate aminotransferase concentration of 20-29 IU/l and 30-39 IU/l were 2.5 (95% confidence interval 2.0 to 3.0) and 8.0 (6.6 to 9.8) in men and 3.3 (1.7 to 6.4) and 18.2 (8.1 to 40.4) in women, respectively, The corresponding risks for alanine aminotransferase were 2.9 (2.4 to 3.5) and 9.5 (7.9 to 11.5) in men and 3.8 (1.9 to 7.7) and 6.6 (1.5 to 25.6) in women, respectively. According to receiver operating characteristic curves the best cut-off values for the prediction of liver disease in men were 31 IU/l for aspartate aminotransferase and 30 IU/l for alanine aminotransferase. CONCLUSION: People with slightly increased aminotransferase activity, but still within the normal range, should be closely observed and further investigated for liver diseases.

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Metadata

Authors
Hyeon, C. K., Chung, M. N., Sun, H. J., Kwang, H. H., Kyu Oh, D., & Suh, I.
Venue
BMJ
Publisher
BMJ
Published
2004-03-17
Volume
328
Issue
7446
Pages
983
ISSN
  • 0007-1447 (ISSN-L)
  • 0959-8138
  • 1468-5833
OpenAlex
W2167596859
Cited by
600
References
16
FWCI
10.80
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Normal serum aminotransferase concentration and risk of mortality from liver diseases: prospective cohort study. https://app.cochat.ai/papers/10.1136/bmj.38050.593634.63
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Hyeon, C. K., Chung, M. N., Sun, H. J., Kwang, H. H., Kyu Oh, D., & Suh, I. (2004). Normal serum aminotransferase concentration and risk of mortality from liver diseases: prospective cohort study. BMJ. https://doi.org/10.1136/bmj.38050.593634.63

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