Research Article

Evaluation of Relationship between Serum Liver Enzymes and Hypertension: A Cross-Sectional Study Based on Data from Rafsanjan Cohort Study

Table 1

Demographic, selected medical and laboratory characteristics of study participants by blood pressure groups (n = 9930).

CharacteristicsOverall (n = 9930)Blood pressure groups
Normal (n = 5656)Elevated (n = 297)Stage 1 hypertension (n = 1486)Stage 2 hypertension (n = 2491) value

Age-yr. no (%)<0.001
 35–453694 (100)2789 (75.50)38 (1.03)561 (15.19)306 (8.28)
 46–553059 (100)1699 (55.54)75 (2.45)499 (16.31)786 (25.69)
 ≥563176 (100)1167 (36.74)184 (5.79)426 (13.41)1399 (44.05)
 Mean ± SD49.94 ± 9.5647.13 ± 8.9756.14 ± 8.3949.41 ± 8.9255.91 ± 8.22<0.001
Gender-no (%)<0.001
 Female5307 (100)2964 (55.85)116 (2.19)634 (11.95)1593 (30.02)
 Male4623 (100)2692 (58.23)181 (3.92)852 (18.43)898 (19.42)
Education-no (%)<0.001
 ≤5 years3484 (100)1309 (47.04)122 (3.50)496 (14.24)1227 (35.22)
 6–12 years4817 (100)2978 (61.82)133 (2.76)734 (15.24)972 (20.18)
 ≥13 years1625 (100)1035 (63.69)42 (2.58)256 (15.75)292 (17.97)
Physical activity-no (%)<0.001
 Low2540 (100)1309 (51.54)87 (3.43)393 (15.47)751 (29.57)
 Moderate4906 (100)2832 (57.73)121 (2.47)713 (14.53)1240 (25.28)
 Heavy2484 (100)1515 (60.99)89 (3.58)380 (15.30)500 (20.13)
 Mean ± SD38.80 ± 6.3139.15 ± 6.5538.90 ± 6.4839.01 ± 6.7337.85 ± 5.31<0.001
BMI-no (%)<0.001
 <252866 (100)2058 (71.81)99 (3.45)334 (11.65)375 (13.08)
 25–29.94068 (100)2319 (57.01)122 (3.00)637 (15.66)990 (24.34)
 ≥302990 (100)1274 (42.61)76 (2.54)515 (17.22)1125 (37.63)
 Mean ± SD27.82 ± 4.9226.77 ± 4.5927.11 ± 4.4628.62 ± 4.8629.81 ± 5.01<0.001
Wealth score index-no (%)<0.001
 Low2335 (100)1301 (55.72)74 (3.17)315 (13.49)645 (27.62)
 Low-middle2849 (100)1546 (54.26)101 (3.55)447 (15.69)755 (26.50)
 Middle-high3974 (100)2338 (58.83)96 (2.42)599 (15.07)941 (23.68)
 High764 (100)463 (60.60)26 (3.40)125 (16.36)150 (19.63)
Alcohol consumption-no (%)<0.001
 Yes993 (100)654 (65.86)27 (2.72)170 (17.12)142 (14.30)
 No8918 (100)4990 (55.95)267 (2.99)1316 (14.76)2345 (26.30)
Cigarette smoking-no (%)<0.001
 Yes2544 (100)1586 (62.34)102 (4.01)377 (14.82)479 (18.83)
 No7367 (100)4058 (55.08)192 (2.61)1109 (15.05)2008 (27.26)
Opium consumption-no (%)<0.001
 Yes2345 (100)1446 (61.66)98 (4.18)335 (14.29)466 (19.87)
 No7566 (100)4198 (55.49)196 (2.59)1151 (15.21)2021 (26.71)
Diabetes-no (%)<0.001
 Yes1933 (100)654 (33.83)73 (3.78)239 (12.36)967 (50.03)
 No7997 (100)5002 (62.55)224 (2. 80)1247 (15.59)1524 (19.06)
Family history of hypertension in first-degree relatives-no (%)<0.001
 Yes5469 (100)2850 (52.11)136 (2.49)824 (15.07)1524 (30.33)
 No4461 (100)2806 (62.90)161 (3.61)662 (14.84)832 (18.65)
Family history of hypertension in second-degree relatives-no (%)0.019
 Yes1627 (100)961 (59.07)36 (2.21)257 (15.80)373 (22.93)
 No8303 (100)4695 (56.55)261 (3.14)1229 (14.80)2118 (25.51)

CharacteristicsOverall (n = 9991)Blood Pressure Groups
Normal (n = 5716)Elevated (n = 297)Stage 1 hypertension (n = 1486)Stage 2 hypertension (n = 2491)-value
Fatty liver<0.001
 Yes1013 (100)483 (47.68)20 (1.97)138 (13.62)372 (36.72)
 No8917 (100)5173 (58.01)277 (3.11)1348 (15.12)2119 (23.76)
Taking hepatotoxic drugs<0.001
 Yes2387 (100)858 (35.94)81 (3.39)267 (11.19)1181 (49.48)
 No7543 (100)4798 (63.61)216 (2.86)1219 (16.16)1310 (17.37)
 Cholesterol
 Mean ± SD198.66 ± 38.05196.19 ± 36.51206.32 ± 40.03205.30 ± 36.95199.39 ± 41.13<0.001
Triglycerides
 Median (interquartile range)145 (106–199)135 (99–189)141.5 (110–196)154 (115–214)160 (119–217)<0.001
LDL cholesterol
 Mean ± SD108.17 ± 30.29107.36 ± 28.81116.05 ± 31.28112.93 ± 30.15106.23 ± 33<0.001
HDL cholesterol
 Mean ± SD57.75 ± 10.8757.90 ± 10.8956.97 ± 11.3557.26 ± 10.4957.80 ± 10.990.135
FBS<0.001
 Elevated1669 (100)594 (35.59)80 (4.79)209 (12.52)786 (47.09)
 Mean ± SD113.28 ± 39.09107.18 ± 32.94121.06 ± 43.18111.16 ± 34.44127.52 ± 49.05<0.001
AST-no (%)0.051
 Elevated294 (100)145 (49.32)8 (2.72)51 (17.35)90 (30.61)
 Median (interquartile range)18 (15–22)17 (15–21)18 (15–22)19 (15–23)18 (15–22)<0.001
ALT-no (%)<0.001
 Elevated882 (100)461 (52.27)20 (2.27)175 (19.84)226 (25.42)
 Median (interquartile range)18 (13–25)17 (12–24)18 (13–23)20 (14–28)19 (14–26)<0.001
GGT-no (%)<0.001
 Elevated1010 (100)482 (47.72)35 (3.47)167 (16.53)326 (32.28)
 Median (interquartile range)21 (16–30)20 (15–29)22 (16.5–30)23 (18–33)23 (17–32)<0.001
ALP-no (%)<0.001
 Elevated966 (100)440 (45.55)32 (3.31)156 (16.15)338 (34.99)
 Median (interquartile range)216 (181–259)208 (175–250)224.5 (190–266)220 (186–265)229 (190–275)<0.001

Abbreviations: BMI: body mass index; FBS: fasting blood sugar; AST: aspartate aminotransferase; ALT: alanine aminotransferase; ALP: alkaline phosphatase; GGt: γ-glutamyl transferase.