After adjusting for age, smoking, alanine aminotransferase, serum creatinine and WBC, the hazard ratio of MetS for incident Hyper-CEA was 1.02 (95% CI, 0.84 to 1.22, P = 0.864) compared without MetS at baseline (Table 3, Supplemental Table S4). Here, GPT is linked to metabolic syndrome.