Assessment of altitude induced effects on serum liver function, renal function and lipid profile within the population of Gilgit Baltistan’s District Gamba, reporting to Combined Military Hospital Skardu

Authors

  • Mustajab Alam Armed Forces Institute of Pathology (National University of Medical Sciences) Rawalpindi Pakistan
  • Hunain Habib Fazaia Medical College, Islamabad Pakistan
  • Naveed Asif Watim Medical College, Islamabad Pakistan
  • Bushra Anwar Fazaia Medical College, Islamabad Pakistan
  • Tahir Asad Armed Forces Institute of Pathology (National University of Medical Sciences) Rawalpindi Pakistan
  • Khizar Hameed Armed Forces Institute of Pathology (National University of Medical Sciences) Rawalpindi Pakistan

DOI:

https://doi.org/10.55629/pakjpathol.v35i3.816

Abstract

Objective: The objective of this study was to evaluate impact of high altitude on various parameters of Liver Function Tests, Renal Function Tests, and Lipid profiles in local population reporting to CMH Skardu.

Material and Methods: This Cross-sectional observational study was conducted in the department of pathology of CMH Skardu from January 2023 to August 2023. Participants underwent a comprehensive medical examination. Serum samples were obtained for the assessment of Liver Function Tests (LFTs), Renal Function Tests (RFTs) and lipid profiles of patients in clot activator vaccutainers and analyzed on Selectra Pro XI by their respective spectrophotometric methods. One way ANOVA and Pearson correlation were used to statistical analysis between different groups according to altitude and p value <0.05 was considered significant.

Results: The study involved 150 participants, with ages ranging from 28 to 71 years with the mean age of 46.5 ±10.71 years. Altitude varied between 1700 and 2500 meters among participants with mean altitude of 2018.6±21.9 meters. A total of 105(70%) participants were male, and 45(30%) participants were female. Significant negative correlations were observed between altitude and ALT (-0.227, p = 0.005) and AST (-0.212, p = 0.009) For ALT, AST, ALP, BUN, TGs, HDL, and LDL, there are significant differences among groups (p-values < 0.05). For BIL and Creatinine, there are no significant differences among groups (p-values > 0.05)

Conclusion: This study underscores the multifaceted nature of altitude's impact on human physiology, highlighting the need for comprehensive research to optimize health and performance in high-altitude environments.

Keywords: Altitude, Gilgit, Liver Function Tests, Renal Function Tests, Lipid

References

Lala V, Zubair M, Minter DA. Liver Function Tests. [Updated 2023 Jul 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from:

https://www.ncbi.nlm.nih.gov/books/NBK482489/

Cornelius CE. Liver function tests in the differential diagnosis of hepatotoxicity. In Hepatotoxicology 2020 Jan 16 (pp. 181-213). CRC Press.

Arshad AR, Islam F, Qayyum M. Renal vein thrombosis at high altitude. Pak Armed Forces Med J. 2021; 71(Suppl-1): S283-85.

DOI:https://doi.org/10.51253/pafmj.v71iSuppl-1.2444

Naeije R, Huez S, Lamotte M, Retailleau K, Neupane S, Abramowicz D, et al. Pulmonary artery pressure limits exercise capacity at high altitude. Eur Respir J. 2010; 36(5): 1049-55.

DOI: https://doi.org/10.1183/09031936.00024410

He L, Jiang Y, Su H, Li J, Cheng X. Vascular endothelial function assessed by postischemic diastolic blood pressure is associated with acclimatization and acute mountain sickness. High Alt Med Biol. 2016; 17(1): 11-5.

DOI: https://doi.org/10.1089/ham.2015.0070

Vats P, Ray K, Majumadar D, Amitabh, Joseph DA, Bayen S, et al. Changes in cardiovascular functions, lipid profile, and body composition at high altitude in two different ethnic groups. High Alt Med Biol. 2013; 14(1): 45-52.

DOI: https://doi.org/10.1089/ham.2012.1071

Ortiz-Prado E, Portilla D, Mosquera-Moscoso J, Simbaña-Rivera K, Duta D, Ochoa I, et al. Hematological parameters, lipid profile, and cardiovascular risk analysis among genotype-controlled indigenous Kiwcha men and women living at low and high altitudes. Front Physiol. 2021: 1769.

DOI: https://doi.org/10.3389%2Ffphys.2021.749006

Aryal N, Weatherall M, Bhatta YK, Mann S. Lipid profiles, glycated hemoglobin, and diabetes in people living at high altitude in Nepal. Int J Environ Res Pub Health. 2017; 14(9): 1041.

DOI: https://doi.org/10.3390/ijerph14091041

Naeije R, Chesler N. Pulmonary circulation at exercise. Compr Physiol. 2015; 5(1): 655-78.

DOI: https://doi.org/10.1002%2Fcphy.c100091

Sawka MN, Convertino VA, Eichner ER, Schnieder SM, Young AJ. Blood volume: importance and adaptations to exercise training, environmental stresses, and trauma/sickness. Med Sci Sports Exerc. 2000; 32(2): 332-48.

DOI: https://doi.org/10.1097/00005768-200002000-00012

Appenzeller O, Martignoni E. The autonomic nervous system and hypoxia: mountain medicine. J Auton Nerv Sys. 1996; 57(1-2): 1-12.

DOI: https://doi.org/10.1016/0165-1838(95)00093-3

Ward MP, Milledge JS. Griffith pugh, pioneer everest physiologist. High Alt Med Biol. 2002; 3(1): 77-87.

DOI: https://doi.org/10.1089/152702902753639595

Winslow RM, Samaja M, West JB. Red cell function at extreme altitude on Mount Everest. J Appl Physiol. 1984; 56(5), 1097-1103.

DOI: https://doi.org/10.1152/jappl.1984.56.1.109

Zhao Y, Wang X, Noviana M, Hou M. Nitric oxide in red blood cell adaptation to hypoxia. Acta Biochim Biophys Sin. 2018; 50(7): 621-34.

DOI: https://doi.org/10.1093/abbs/gmy055

Brito J, Siques P, Pena E. Long-term chronic intermittent hypoxia: A particular form of chronic high-altitude pulmonary hypertension. Pulm Circ. 2020; 10(1_suppl): 5-12.

DOI: https://doi.org/10.1177%2F2045894020934625

Bärtsch P, Swenson ER. Acute high-altitude illnesses. New Eng J Med. 2013;. 368(24). 2294-302. DOI: https://doi.org/10.1056/nejmcp1214870

Mallet RT, Burtscher J, Pialoux V, Pasha Q, Ahmad Y, Millet GP, et al. Molecular mechanisms of high-altitude acclimatization. Int J Mol Sci. 2023; 24(2): 1698. DOI: https://doi.org/10.3390%2Fijms24021698

Beall CM. Two routes to functional adaptation: Tibetan and Andean high-altitude natives. Proc Natl Acad Sci USA. 2007; 104 (suppl 1): 8655-60.

DOI: https://doi.org/10.1073/pnas.0701985104

Sample size calculator. (2023, July 08). Retrieved from [https://www.calculator.net/sample-size-calculat or.html]

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Published

27-09-2024

How to Cite

1.
Alam M, Hunain Habib, Asif N, Anwar B, Asad T, Hameed K. Assessment of altitude induced effects on serum liver function, renal function and lipid profile within the population of Gilgit Baltistan’s District Gamba, reporting to Combined Military Hospital Skardu . Pak J Pathol [Internet]. 2024 Sep. 27 [cited 2024 Nov. 21];35(3):124-9. Available from: https://pakjpath.com/index.php/Pak-J-Pathol/article/view/816