Combined effect of initial and longitudinal increases in γ-glutamyltransferase on incident metabolic syndrome: ARIRANG study

Dhananjay Yadav, Mi Young Lee, Jang Young Kim, Hoon Ryu, Ji Hye Huh, Keum Seok Bae, Song Vogue Ahn, Choon Hee Chung, Jong Taek Park, Sang Baek Koh

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Purpose: Although γ-glutamyltransferase (GGT) is well known to be associated with metabolic syndrome (MS), prospective data on baseline and longitudinal changes in GGT levels and incident cases of MS are limited. We aimed to examine prospective associations between changes in GGT levels over time, as well as at baseline, and incident MS in Korean adults. Materials and Methods: A total of 2579 Korean adults free of MS were followed up for 2.6 years. Data were collected from 2005- 2008 (baseline) and from 2008-2011 (follow-up). Serum GGT levels were determined by enzymatic methods. Results: During follow-up, 558 participants (21.6%) developed MS. A gradual increase in the incidence of MS was observed across GGT quartiles. After adjustment for confounding factors, the odds ratio and 95% confidence interval (CI) for new onset MS, comparing the highest to the lowest quartiles of baseline GGT, was 2.07 (95% CI: 1.52-2.80). The odds ratio for the highest GGT changes (>4 IU/L increase) in comparison to the lowest GGT changes (<-5 IU/L decrease) was 1.75 (95% CI: 1.32-2.33). Among participants with baseline GGT concentrations <the median, the odds ratio for incident MS, comparing participants with the highest GGT changes with the lowest GGT changes, was 1.52 (95% CI: 1.01-2.31). Among participants with baseline GGT concentration ≥the median, the corresponding odds ratio was 2.75 (95% CI: 1.84-4.10). Conclusion: High initial GGT concentration and increases in GGT concentration over time should be considered independent predictors of and to have a combined effect on incident MS.

Original languageEnglish
Pages (from-to)763-769
Number of pages7
JournalYonsei Medical Journal
Issue number4
StatePublished - Jul 2017

Bibliographical note

Funding Information:
This study was supported in part by a grant from the Korea Centers for Disease Control and Prevention (2005-E71013-00, 2006-E71002-00, 2007-E71013-00, 2008-E71004-00, 2009-E71006-00, 2010-E71003-00).

Publisher Copyright:
© Yonsei University College of Medicine 2017.


  • Cohort
  • Metabolic syndrome
  • γ-glutamyltransferase


Dive into the research topics of 'Combined effect of initial and longitudinal increases in γ-glutamyltransferase on incident metabolic syndrome: ARIRANG study'. Together they form a unique fingerprint.

Cite this