• Published on: Sep 15, 2021
  • 5 minute read
  • By: Dr Rakesh Rai

Everything About Liver Function Tests- Purpose & Significance

  • WhatsApp share link icon
  • copy & share link icon
  • twitter share link icon
  • facebook share link icon

Everything About Liver Function Tests- Purpose & Significance

Liver function tests are medical laboratory tests that measure the number of various substances in the blood that are released into your blood by liver cells or made by your liver. These substances are often called "liver enzymes" because they are enzymes that are produced exclusively by the liver to help regulate metabolism for processing chemicals, nutrients, and drugs.

A high level of any one of these may suggest an abnormal situation involving your liver. The most common symptoms associated with a problem involving your liver include nausea, vomiting, yellowing skin color (jaundice), fever, and abdominal discomfort such as pain on gentle pressing around about halfway down on the right side of the abdomen.

A liver function test is a blood test that evaluates an individual's liver function or sees if there may be a problem in this organ. Liver functions including leukocyte count, alkaline phosphatase, ALT/AST enzymes, and bilirubin levels are measured with results interpreted by physicians who then advise treatment options to relieve pain or reduce the risk of liver disease. If the level of these agents is elevated then the physician will typically recommend further diagnostics such as antibody testing for hepatitis B and C infections, ultrasounds, and biopsies.

Liver function tests are a series of blood tests used to evaluate liver function. Tests may include the following:

  • Inclusion of serum albumin or total proteins as variables in the SMA12 test
  • Albumin fractional catabolic rate (ACR) and erythrocyte sedimentation rate (ESR) measurements, which can be used as a surrogate marker for changes in hepatocellular activity
  • Visible change is indicative that hepatocytes have been damaged or destroyed, an indicator that liver disease is present.
  • Fractional synthetic rate of albumin synthesis calculated from measurements of serum creatinine and urinary urea nitrogen providing information about hepatocyte intracellular mass status with decreased album

The most common of these are aminotransferases ALT and AST. These enzymes are released into the bloodstream in excessive amounts by the cells that line the bile ducts that carry bile from the liver - where it gets made - to where it gets used up in digestion ??i.e., all over your body, not just in your liver but also near your kidneys) when there's any sort of problem with those cells or with damage done to them because of some other hurtful event.

In the context of a medical lab test, a liver function test is anyone that has to do with the liver. Serum bilirubin, alanine aminotransferase (ALT), aspartate aminotransferase (AST), and alkaline phosphatase are common ones. A veterinarian could use ultrasound as well as biochemistry analysis. These tests show how well your liver is performing its duty to remove toxins from your body and to make bile for those toxins.  Liver function tests are conducted to assess the liver's ability to convert inactive substances in your blood to active ones.

Alanine aminotransferase (ALT/SGPT): tests what process - amino acid, carbohydrate, or fat - your liver is having trouble breaking down to store sugar for later use indigestion. This test will only show what type of enzyme the liver has difficulty processing at this time, so if this is normal but an alkaline phosphatase test comes back abnormal, this means there may be a different illness affecting the liver.

The test can measure certain chemicals that are released because of metabolism and excreted from the body in urine, such as albumin.

The most common indicators measured by blood-based liver function tests include GGT, ALP, total bilirubin / conjugated/unconjugated bilirubin, ALT and ASAT.

A group of enzymes found in healthy livers called GOT (gamma-glutamyl transpeptidase) and GPT (gamma-glutamyltransferase) can also be measured to determine damage to liver cells.

Liver Function Tests (LFTs) are a group of tests that measure the levels and function of various substances in the blood leave before digestion and within the liver. These include enzymes and proteins made by the liver; cholesterol, copper, iron, calcium, sodium, potassium; bilirubin level; albumin levels. The LFTs can be used to help diagnose many diseases such as viral hepatitis or alcoholic liver disease.

A history would normally prompt additional testing such as abdominal imaging for gallstones or metabolic abnormalities like cirrhosis caused by alcohol consumption. Kidney function should be tested because high-protein diets may cause kidney problems too. A genetic test might be warranted if there is a family history of inheritance. Liver function tests are a group of blood tests that doctors might use to evaluate the liver's ability to gather and store glycogen (sugar) and protein, produce bile, filter the blood, and produce cholesterol.

Drugs can accumulate in liver cells, leading to changes in levels of enzymes. Enzymes that are elevated may indicate an inflammatory or viral process as well as the use of certain medications such as steroids which need some time to clear from the body after discontinuation. The test isn't specific for any disease but can show if there is a liver problem even before symptoms occur, including cirrhosis and early hepatitis B and C infections. When first conducted, rapid elevations or decreases might be indications of acute injury or pre-clinically chronic injury respectively.

The liver may be the body's most important gland. It synthesizes nutrients from fat, carbohydrates, and protein into a form that can be absorbed by the blood to supply the cells, brain, and other tissues with a continuous supply of fuel. The liver also acts as a storage center for high-density energy reserves in times of food shortage or famine.

In response to viruses or bacteria which enter from our gut through their ingestion of contaminated water or insects’ excretions for example), substances called antibodies are manufactured in great numbers by specialized cells in an inflammatory reaction known as acute hepatitis. LFT helps measure the liver's endurance, by testing erythrocyte count, serum albumin level, bilirubin level and prothrombin time.

It's normal for your erythrocyte count to drop over time as you age. This is due mainly to the production of fewer red blood cells in your bone marrow. It may provide an indication of what is happening inside the liver with regard to the regeneration of new cells. An elevated or persistently high level can indicate cirrhosis or cancer. If it's persistently high, then requires radiologic imaging for diagnosis.

The liver function tests are blood tests that tell the physician how well the liver is working. The enzymes GGT, ALT, AST, and ALP are primarily tested to examine what should be healthy activities through three phases of hepatic metabolism. Since these enzymes exist primarily in the liver, they do not normally show up in any other tissue or fluid other than the bloodstream. If there is a disease that affects the cells within the liver, then inflammatory processes will ensue. This will lead to excessive production of oxygen-free radicals to facilitate cell death and release toxins into circulation which can affect all body systems including altering enzyme quantities, so they bump up against their normal reference ranges for evaluation.

The purpose of liver function tests is to diagnose and monitor a person's condition, based on levels of certain enzymes in the blood.

A high level of transaminases might be due to a variety of diseases or conditions, including hepatitis, cirrhosis, biliary obstruction from gallstones, or pancreatitis. Liver disease disrupting the production and release of albumin will also produce abnormally low-level albumin which can be detected with this test. A qualitative determination can be made if large amounts of Clotting Factor VIII are released into the bloodstream - Hepaetous Patina (HP) - leading to severe bleeding episodes independent from coagulation defects where plasma clotting normally should take place.

Liver function tests measure the level of different substances produced or used by the liver, such as albumin. The liver conditions may include fatty liver (hepatic steatosis), alcoholic hepatitis, cirrhosis, and many disorders affecting other parts of the body which ultimately damage the working capacity of your liver. Liver function tests are not meant to detect acute hepatitis or mild cases of elevated enzyme levels that commonly resolve on their own. Normal results suggest that there is no abnormality with your kidneys. Abnormal livers often show high amounts of creatinine kinase (CK) and alanine aminotransferase (ALT).

The liver is the body's only organ able to break down toxic compounds, so its function must be checked. The example you gave -- SGPT, or aspartate aminotransferase -- measures the level of a major liver enzyme. High levels could indicate damage from drugs also used for weight loss, such as acetaminophen/paracetamol (Tylenol) or metformin (Glucophage). Too-low levels of hepatocyte enzymes mean that the liver's not functioning properly and may develop complications like hepatitis and cirrhosis.

Read Blog
5K Run for a Cause: How Community Fitness Drives Preventive Health Awareness

5K Run for a Cause: How Community Fitness Drives Preventive Health Awareness

Physical activity is one of the most effective tools for disease prevention, yet it remains underutilised in everyday life. Community-based fitness initiatives such as a 5K Run for a Cause play a powerful role in bridging this gap by making movement accessible, meaningful and socially engaging. These events combine the benefits of exercise with awareness-building, creating lasting impact on public health.

In India, lifestyle-related diseases such as diabetes, heart disease and obesity are rising rapidly. According to the Indian Council of Medical Research (ICMR) and National Family Health Survey (NFHS-5), physical inactivity is a major contributor to this growing burden. Events that encourage structured, enjoyable physical activity help counter this trend.

 

What Is a 5K Run for a Cause?

A 5K Run for a Cause is a short-distance running or walking event designed to promote fitness while supporting a health, social or community objective. Participants may run, jog or walk the 5-kilometre distance, making the event inclusive for people of varying fitness levels.

Beyond physical activity, these runs aim to:

  • raise awareness about preventive health
     

  • encourage active lifestyles
     

  • build community participation
     

  • support wellness-driven causes
     

 

Why 5K Is an Ideal Distance

The 5-kilometre distance is widely recognised as:

  • achievable for beginners
     

  • challenging enough to promote fitness
     

  • safe for most age groups with minimal training
     

WHO physical activity guidelines support moderate-intensity exercise like running or brisk walking for improving cardiovascular and metabolic health.

 

Health Benefits of Participating in a 5K Run

Improved Cardiovascular Health

Running and brisk walking strengthen the heart, improve circulation and lower blood pressure. Regular participation reduces the risk of heart disease and stroke.

 

Better Metabolic Health

Physical activity improves insulin sensitivity and supports weight management. ICMR data shows that regular movement significantly reduces diabetes risk.

 

Enhanced Mental Wellbeing

Exercise releases endorphins that reduce stress, anxiety and depression. Community runs add a social element that further supports mental health.

 

Improved Musculoskeletal Strength

Running strengthens muscles, bones and joints, reducing the risk of age-related mobility issues.

 

Role of 5K Runs in Preventive Healthcare

Preventive healthcare focuses on reducing disease risk before illness develops. A 5K Run for a Cause supports prevention by:

  • promoting physical activity
     

  • encouraging regular movement habits
     

  • raising awareness about lifestyle diseases
     

  • motivating health-conscious behaviour
     

NITI Aayog identifies physical activity promotion as a key pillar of preventive healthcare in India.

 

Community Impact of a 5K Run for a Cause

Building Health Awareness

Runs often highlight specific causes such as heart health, diabetes prevention or mental wellbeing, reinforcing public health messages.

Strengthening Social Bonds

Community participation fosters shared goals and mutual motivation, increasing long-term adherence to healthy habits.

Encouraging Family Participation

Inclusive events encourage families to adopt healthier lifestyles together.

 

5K Runs and Corporate Wellness Programs

Corporate wellness programs increasingly include physical activity initiatives.

Benefits for organisations include:

  • improved employee engagement
     

  • reduced absenteeism
     

  • enhanced team bonding
     

  • positive employer branding
     

EY-FICCI reports show that wellness initiatives focused on physical activity deliver strong participation and measurable health benefits.

 

Accessibility and Inclusivity

A key strength of 5K runs is inclusivity.

They accommodate:

  • first-time runners
     

  • walkers
     

  • older adults
     

  • people transitioning to active lifestyles
     

This inclusiveness reduces barriers to participation.

 

Supporting Long-Term Behaviour Change

One-time events create awareness, but their true value lies in inspiring long-term change.

Participants often:

  • continue walking or running regularly
     

  • become more conscious of fitness
     

  • seek preventive health checkups
     

Lancet studies indicate that community-based physical activity initiatives can influence long-term health behaviours.

 

Safety and Health Considerations

For safe participation:

  • individuals should assess fitness levels
     

  • warm-up and cool-down are essential
     

  • hydration should be prioritised
     

  • those with medical conditions should seek medical advice
     

Proper guidance ensures benefits without injury.

 

Role of Awareness and Education

Successful runs integrate education through:

  • health talks
     

  • informational materials
     

  • screening camps
     

  • wellness resources
     

This combination reinforces preventive health messages.

 

Measuring Impact

Impact can be assessed through:

  • participation rates
     

  • follow-up health initiatives
     

  • employee engagement metrics
     

  • community feedback
     

Data-driven evaluation improves future program design.

 

Why 5K Runs Matter in India

India faces challenges such as:

  • rising sedentary lifestyles
     

  • limited health awareness
     

  • increasing chronic disease burden
     

Community fitness events provide a scalable, low-cost solution to promote active living and prevention.

 

Conclusion

A 5K Run for a Cause is more than a fitness event—it is a preventive health movement. By combining physical activity with purpose, these runs encourage healthier lifestyles, strengthen community bonds and raise awareness about long-term wellbeing. In a country where lifestyle diseases are growing rapidly, initiatives that make movement accessible and meaningful are essential. A simple 5K run can be a powerful step toward a healthier, more active society.

 

References

  • ICMR – Physical Activity and Lifestyle Disease Prevention Reports

  • National Family Health Survey (NFHS-5) – Physical Activity and Health Data

  • NITI Aayog – Preventive Healthcare and Physical Activity Promotion Strategy

  • WHO – Physical Activity and Health Guideline

  •  Lancet – Community Fitness and Preventive Health Studies

  • Statista – Fitness Events and Participation Trends India

  • EY-FICCI – Corporate Wellness and Physical Activity Reports

See all

Live Doctor consultation
Live Doctor Chat

Download Our App & Get Consultation from anywhere.

App Download
call icon for mobile number calling and whatsapp at secondmedic