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31 July 2026

Liver health and Alanine aminotransferase levels

The topic provides useful context on the rising burden of non-communicable liver diseases and public health challenges, which can be used to support answers on health sector issues, though it lacks the specificity of a government policy or report.

1 min read 2 questions 1 prelims

Notes

  • Liver diseases cause approximately two million deaths globally per year according to the WHO.
  • Viral hepatitis resulted in 1.3 million deaths in 2022, with 254 million chronic hepatitis B and 50 million chronic hepatitis C cases.
  • Metabolic dysfunction-associated steatotic liver disease (MASLD) is a rising burden linked to obesity and diabetes.
  • Alanine aminotransferase (ALT), or serum glutamic-pyruvic transaminase (SGPT), is an enzyme primarily found in liver cells.
  • ALT leaks into the bloodstream when liver cells are damaged or inflamed, serving as an early marker of injury.
  • ALT is also present in smaller amounts in muscles and the heart, meaning elevated levels do not exclusively indicate liver disease.
  • Normal ALT levels do not exclude significant liver disease, as levels can remain normal in MASLD or return to normal in advanced cirrhosis due to cell loss.
  • Risk factors for liver injury include obesity, diabetes, thyroid disorders, high cholesterol, viral hepatitis, long-term medication, alcohol consumption, and sedentary lifestyles.
  • Management of metabolic liver disease centers on lifestyle modifications: weight maintenance, reduced alcohol intake, dietary changes, and increased physical activity.

Questions

  1. Discuss the clinical significance of Alanine aminotransferase (ALT) as a biomarker for liver health and the limitations associated with its interpretation in identifying chronic liver diseases. 150 words
    Attempt this — 150 words in 8 min
    0 / 150 words 8:00
  2. The rising burden of metabolic dysfunction-associated steatotic liver disease (MASLD) poses a significant public health challenge in India. Analyze the lifestyle-related drivers of this trend and suggest policy-level interventions to promote liver health through preventive healthcare. 250 words
    Attempt this — 250 words in 11 min
    0 / 250 words 11:00

Prelims

  1. Which of the following statements regarding Alanine aminotransferase (ALT) is correct?