In unadjusted analysis, compared with participants without any elevated liver enzymes, the OR of MetS was 1.50 (95 % CI: 1.35–1.65) for participants with one elevated liver enzyme, 1.67 (95 % CI: 1.44–1.94) for participants with two elevated liver enzymes, 2.11 (95 % CI: 1.65–2.69) for participants with three or four elevated liver enzymes, with a significant trend in OR with an increasing number of elevated liver enzymes ( Table 3 and Fig. 2 ).
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Evaluation of elevated serum liver enzymes and metabolic syndrome in the PERSIAN Guilan cohort study population.
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