{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T16:25:29Z","timestamp":1788884729446,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,1,3]],"date-time":"2023-01-03T00:00:00Z","timestamp":1672704000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005001","name":"Ahvaz Jundishapur University of Medical Sciences","doi-asserted-by":"publisher","award":["HCS\u20109820"],"award-info":[{"award-number":["HCS\u20109820"]}],"id":[{"id":"10.13039\/501100005001","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Endocrino Diabet &amp; Metabol"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Type 2 diabetes mellitus (T2DM) is among the world's top 10 leading causes of death. Additionally, prediabetes is a major risk factor for diabetes. Identifying diabetes co\u2010occurring disorders can aid in reducing adverse effects and facilitating early detection. In this study, we evaluated dyslipidaemia, metabolic syndrome (MetS), and liver enzyme levels in pre\u2010diabetic and T2DM patients in the Persian cohort compared to a control group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>In this cross\u2010sectional study, 2259 pre\u2010diabetes, 1664 T2DM and 5840 controls (35\u201370\u2009years) who were selected from the Hoveyzeh cohort centre were examined. Body mass index, blood pressure, fasting blood glucose (FBG), total cholesterol (TC), high\u2010density lipoprotein cholesterol (HDL\u2010C), triglyceride (TG) and liver enzymes: \u03b3\u2010glutamyltransferase (GGT), alanine aminotransferase (ALT) and aspartate aminotransferase (AST) were determined using the standard protocols. MetS subjects were also identified based on the National Cholesterol Education Program guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Prediabetes and T2MD were closely correlated with the lipid profile, MetS, and liver enzymes (ALT, GGT, ALT\/AST). MetS increases the risk of T2DM by 12.45 [95% CI: 10.88\u201314.24] fold, while an increase in ALT\/AST ratio increases the risk of T2DM by 3.68 [95% CI: 3.159\u20134.154] fold. ROC curve analysis also revealed the diagnostic roles of GGT, ALT, AST and the ALT\/AST ratio among pre\u2010diabetics, diabetics and the control group. The GGT level corresponds to the highest AUCs (0.685) with the highest sensitivity (70.25%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our results indicated a significant increase in liver enzymes, lipid profile and MetS status in both pre\u2010diabetic and T2MD subjects, with the differences being more pronounced in diabetic individuals. Consequently, on the one hand, these variables may be considered predictive risk factors for diabetes, and on the other hand, they may be used as diagnostic factors. In order to confirm the clinical applications of these variables, additional research is required.<\/jats:p><\/jats:sec>","DOI":"10.1002\/edm2.401","type":"journal-article","created":{"date-parts":[[2023,1,4]],"date-time":"2023-01-04T05:55:25Z","timestamp":1672811725000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Examining dyslipidaemia, metabolic syndrome and liver enzyme levels in patients with prediabetes and type 2 diabetes in population from Hoveyzeh cohort study: A case\u2013control study in Iran"],"prefix":"10.1002","volume":"6","author":[{"given":"Negar","family":"Dinarvand","sequence":"first","affiliation":[{"name":"Hyperlipidemia Research Center Ahvaz Jundishapur University of Medical Sciences  Ahvaz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bahman","family":"Cheraghian","sequence":"additional","affiliation":[{"name":"Alimentary Tract Research Center, Department of Biostatistics &amp; 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