Observational Study
Copyright ©The Author(s) 2025.
World J Hepatol. Jun 27, 2025; 17(6): 103217
Published online Jun 27, 2025. doi: 10.4254/wjh.v17.i6.103217
Table 1 Baseline demographic characteristics according to alanine aminotransferase, aspartate aminotransferase and gamma-glutamyl transferase levels, n (%)
VariablesAll patients (n = 2843)Disease severity spectrum
MANPOWER cut-offs
Physician diagnosis
Normal
Mild increase
Moderate increase
High increase (Q4)
Increased
Normal
NASH
No NASH
ALT, n = 682ALT, n = 740ALT, n = 702ALT, n = 719ALT, n = 1815ALT, n = 1028n = 712n = 2131
AST, n = 732AST, n = 719AST, n = 738AST, n = 654AST, n = 1356AST, n = 1487-
GGT, n = 475GGT, n = 549GGT, n = 530GGT, n = 522GGT, n = 1249GGT, n = 827-
Female1767 (62.15)371 (52.11)1396 (65.51)
    ALT478 (70.09)500 (67.57)422 (60.11)367 (51.04)1139 (62.75)628 (61.09)
    AST502 (68.58)467 (64.95)460 (62.33)338 (51.68)971 (71.61)796 (53.53)
    GGT345 (72.63)363 (66.12)316 (59.62)260 (49.81)855 (68.45)429 (51.87)
Age in years, mean (SD)48.4 (8.59)47.58 (8.54)48.67 (8.60)
    ALT48.37 (9.23)48.87 (8.44)48.63 (7.94)47.72 (8.72)48.35 (8.39)48.48 (8.95)
    AST48.42 (9.30)48.71 (8.45)48.47 (8.21)47.95 (8.35)48.74 (8.18)48.09 (8.94)
    GGT48.57 (8.69)48.26 (8.36)48.92 (8.29)47.8 (7.94)48.76 (7.93)47.81 (8.85)
Obesity2298 (80.83)610 (85.67)1688 (79.21)
    ALT512 (75.07)576 (77.84)583 (83.05)627 (87.20)1521 (83.80)777 (75.58)
    AST556 (75.96)569 (79.14)593 (80.35)580 (88.69)1140 (84.07)1158 (77.87)
    GGT379 (79.79)443 (80.69)454 (85.66)445 (85.25)1056 (84.55)665 (80.41)
Hypertension1642 (57.76)364 (51.12)1278 (59.97)
    ALT403 (59.09)423 (57.16)398 (56.70)418 (58.14)1045 (57.58)597 (58.07)
    AST409 (55.87)401 (55.77)438 (59.35)394 (60.24)807 (59.51)835 (56.15)
    GGT232 (48.84)304 (55.37)309 (58.30)302 (57.85)724 (57.97)423 (51.15)
Elevated cholesterol2063 (72.56)504 (70.79)1559 (73.16)
    ALT467 (68.48)528 (71.35)516 (73.50)552 (76.77)1354 (74.60)709 (68.97)
    AST508 (69.40)492 (68.43)576 (78.05)487 (74.46)1031 (76.03)1032 (69.40)
    GGT334 (70.32)419 (76.32)397 (74.91)394 (75.48)942 (75.42)602 (72.79)
Type 2 diabetes mellitus477 (16.78)134 (18.82)343 (16.10)
    ALT92 (13.49)114 (15.41)127 (18.09)144 (20.03)330 (18.18)147 (14.30)
    AST105 (14.34)116 (16.13)123 (16.67)133 (20. 34)235 (17.33)242 (16.27)
    GGT56 (11.79)72 (13.11)92 (17.36)107 (20.50)233 (18.65)94 (11.37)
Physician-diagnosed NASH712 (25.04)N/AN/A
    ALT39 (5.72)73 (9.86)224 (31.91)376 (52.29)645 (35.54)67 (6.52)
    AST43 (5.87)92 (12.80)247 (33.47)330 (50.46)515 (37.98)197 (13.25)
    GGT61 (12.84)86 (15.66)161 (30.38)277 (53.07)457 (36.59)128 (15.48)
ALT, U/L, mean (SD)50.22 (33.19)72.58 (38.58)42.76 (27.39)
    ALT19.81 (7.12)35.86 (4.12)51.56 (5.74)92.56 (37.08)64.91 (32.95)24.30 (8.83)
    AST23.44 (10.79)39.41 (20.47)54.70 (17.91)87.04 (39.09)68.93 (36.02)33.17 (17.71)
    GGT38 (25.63)40.62 (25.93)53.98 (27.21)73.32 (39.74)58.92 (34.63)40.68 (27.74)
AST, U/L, mean (SD)43.64 (25.69)58.75 (27.79)38.59 (22.83)
    ALT21.49 (9.77)34.42 (13.02)46.87 (11.22)70.99 (30.19)54.04 (25.17)25.28 (13.37)
    AST19.44 (6.32)33.52 (3.58)46.93 (4.71)78.14 (28.56)61.13 (26.14)27.70 (10.29)
    GGT33.67 (20.47)37.00 (16.10)46.30 (17.54)59.48 (29.37)49.94 (24.51)35.69 (19.29)
AST/ALT ratio, mean (SD)0.95 (0.44)0.90 (0.39)0.97 (0.46)
    ALT1.15 (0.70)0.96 (0.39)0.91 (0.20)0.79 (0.22)0.87 (0.22)1.10 (0.65)
    AST0.92 (0.38)0.94 (0.30)0.96 (0.55)0.99 (0.50)0.98 (0.53)0.92 (0.34)
    GGT0.95 (0.35)0.99 (0.48)0.95 (0.46)0.87 (0.29)0.94 (0.45)0.95 (0.32)
GGT, U/L, mean (SD)51.74 (37.64)71.4 (49.39)44.03 (28.39)
    ALT35.38 (26.30)41.01 (27.01)55.21 (33.40)71.92 (47.01)59.50 (40.65)36.40 (24.46)
    AST37.19 (29.83)41.91 (26.32)56.20 (34.55)70.74 (46.87)61.88 (42.22)41.42 (28.89)
    GGT21.03 (6.11)35.33 (3.66)50.19 (5.61)98.52 (47.17)67.74 (40.63)27.58 (9.68)