Volume : 7, Issue : 2, February - 2018
Renal and liver profile in pre and post menopause women attending OPD of a tertiary health care level institute of Haryana, India.
Dr. R. Tiwari, Indra Prasad Adhikari
Abstract :
<p> </p> <p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph; line-height:150%"><b><span lang="EN-IN" style="font-size:13.0pt;line-height:150%; font-family:"Times New Roman","serif";mso-fareast-font-family:"Times New Roman"">BACKGROUND: </span></b><span lang="EN-IN" style="font-size:13.0pt;line-height:150%; font-family:"Times New Roman","serif";mso-fareast-font-family:Calii; mso-fareast-language:EN-US;mso-bidi-language:HI">Menopause is a natural step in the process of ageing </span><span style="font-size:13.0pt;line-height:150%; font-family:"Times New Roman","serif";mso-fareast-font-family:"Times New Roman"; mso-ansi-language:EN-US">in a woman‘s life, when her menstruation stops and she is no longer fertile due to depletion of ovarian follicles. </span><span lang="EN-IN" style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"">Onset of menopause alters the liver functions the most common tests include testing for ALT,AST, Bilirubin and Albumin. Similarly renal function status also alters in terms of urea, creatinine and calcium.<span style="background:white"> Chronic kidney disease (CKD) in women is often accompanied by menstrual and fertility disorders as a consequence of kidney-mediated endocrine disturbances. </span><b style="mso-bidi-font-weight:normal">METHODOLOGY: </b>50 healthy premenopausal & 50 healthy <span style="mso-spacerun:yes"> </span>postmenopausal women</span><span lang="EN-IN" style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; color:black;mso-bidi-language:HI"> were included in study, 5 ml. of venous blood was taken in red vaccutainer and serum was separated. Liver profile and renal profile was estimated by enzymatic method in auto analyser. </span><b style="mso-bidi-font-weight:normal"><span lang="EN-IN" style="font-size:13.0pt; line-height:150%;font-family:"Times New Roman","serif"">RESULTS: </span></b><span lang="EN-IN" style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"">in the present study t</span><span style="font-size:13.0pt;line-height:150%; font-family:"Times New Roman","serif";mso-fareast-font-family:"Times New Roman"; mso-ansi-language:EN-US;mso-fareast-language:EN-US;mso-bidi-font-weight:bold">he mean</span><span lang="EN-IN" style="font-size:13.0pt;line-height:150%; font-family:"Times New Roman","serif""> values of kidney profile in </span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-font-weight:bold">premenopausal group</span><span lang="EN-IN" style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif""> was<span style="mso-spacerun:yes"> </span>found as (in mg/dl) </span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-font-weight:bold">urea</span><span lang="EN-IN" style="font-size: 13.0pt;line-height:150%;font-family:"Times New Roman","serif""> (</span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-font-weight:bold">22.22<span style="mso-spacerun:yes"> </span>± 5.07</span><span lang="EN-IN" style="font-size:13.0pt;line-height:150%; font-family:"Times New Roman","serif"">)</span><span style="font-size:13.0pt; line-height:150%;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman";mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-font-weight:bold">, creatinine,</span><span lang="EN-IN" style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"">( </span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-font-weight:bold">0.69 ± 0.13</span><span lang="EN-IN" style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"">)</span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-font-weight:bold"> calcium,</span><span lang="EN-IN" style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"">( </span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-font-weight:bold">9.73 ± 0.60</span><span lang="EN-IN" style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"">) ,</span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-font-weight:bold"> phosphorus</span><span lang="EN-IN" style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"">(</span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-font-weight:bold">3.06 ± 0.42</span><span lang="EN-IN" style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"">) and </span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-font-weight:bold"><span style="mso-spacerun:yes"> </span>in postmenopausal group</span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif""> </span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-font-weight:bold"><span style="mso-spacerun:yes"> </span>was found</span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif""> <span lang="EN-IN">as</span></span><span style="font-size:13.0pt;line-height: 150%;font-family:"Times New Roman","serif";mso-fareast-font-family:"Times New Roman"; mso-ansi-language:EN-US;mso-fareast-language:EN-US;mso-bidi-font-weight:bold"><span style="mso-spacerun:yes"> </span>urea</span><span lang="EN-IN" style="font-size: 13.0pt;line-height:150%;font-family:"Times New Roman","serif"">(</span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-font-weight:bold"> 25.94 ± 4.386</span><span lang="EN-IN" style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"">) </span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-font-weight:bold">, creatinine </span><span lang="EN-IN" style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"">( </span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-font-weight:bold">0.740 ± 0.136</span><span lang="EN-IN" style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"">)</span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-font-weight:bold">,</span><span style="font-size:13.0pt; line-height:150%;font-family:"Times New Roman","serif""> </span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-font-weight:bold">calcium </span><span lang="EN-IN" style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"">(</span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-font-weight:bold">9.89 ± 0.598</span><span lang="EN-IN" style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"">)</span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-font-weight:bold">,</span><span style="font-size:13.0pt; line-height:150%;font-family:"Times New Roman","serif""> </span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-font-weight:bold">phosphorus</span><span lang="EN-IN" style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"">( </span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-font-weight:bold">3.20 ± 0.49</span><span lang="EN-IN" style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"">)</span><span lang="EN-IN" style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-font-weight:bold"> </span><span lang="EN-IN" style="font-size: 13.0pt;line-height:150%;font-family:"Times New Roman","serif"">.</span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:Calii;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:HI"> The p values for this were found as for <span style="mso-spacerun:yes"> </span>urea (p= <0.05), for creatinine (</span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:Calii;mso-bidi-language:HI"> </span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:Calii;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:HI">p = 0.115), calcium ( p= 0.185) & for <span style="mso-spacerun:yes"> </span>phosphorus(p=0.145) .</span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language: EN-US"> In present study liver parameters in premenopausal group of women<span style="mso-spacerun:yes"> </span>found as (U/L, mean </span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:Calii;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:HI">± </span><span style="font-size:13.0pt;line-height: 150%;font-family:"Times New Roman","serif";mso-fareast-font-family:"Times New Roman"; mso-ansi-language:EN-US;mso-fareast-language:EN-US">SD) of<span style="mso-spacerun:yes"> </span>SGOT was (</span><span style="font-size:13.0pt; line-height:150%;font-family:"Times New Roman","serif";mso-fareast-font-family: Calii;mso-ansi-language:EN-US;mso-fareast-language:EN-US;mso-bidi-language: HI">24.40 ± 4.58) </span><span style="font-size:13.0pt;line-height:150%; font-family:"Times New Roman","serif";mso-fareast-font-family:"Times New Roman"; color:black;letter-spacing:-.15pt;mso-ansi-language:EN-US;mso-fareast-language: EN-US"><span style="mso-spacerun:yes"> </span>and for SGPT it was found (</span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:Calii;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:HI">27.06 ± 6.61)<span style="mso-bidi-font-weight: bold"> &</span> for </span><span style="font-size:13.0pt;line-height:150%; font-family:"Times New Roman","serif";mso-fareast-font-family:"Times New Roman"; color:black;letter-spacing:-.15pt;mso-ansi-language:EN-US;mso-fareast-language: EN-US"><span style="mso-spacerun:yes"> </span>ALP was found (</span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:Calii;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:HI">74.56 ± 20.80)<span style="mso-bidi-font-weight: bold"> </span></span><span style="font-size:13.0pt;line-height:150%;font-family: "Times New Roman","serif";mso-fareast-font-family:"Times New Roman";mso-ansi-language: EN-US;mso-fareast-language:EN-US">and in postmenopausal group these<span style="mso-spacerun:yes"> </span>values were found as<span style="mso-spacerun:yes"> </span><span style="mso-spacerun:yes"> </span>(</span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:Calii;mso-ansi-language:EN-US;mso-fareast-language: EN-US;mso-bidi-language:HI">28.78 ± 5.39),<span style="mso-bidi-font-weight: bold">(</span>31.14 ± 4.42) & <span style="mso-bidi-font-weight:bold">(</span>86.16 ± 18.17) </span><span style="font-size:13.0pt;line-height:150%;font-family: "Times New Roman","serif";mso-fareast-font-family:"Times New Roman";mso-ansi-language: EN-US;mso-fareast-language:EN-US">respectively.</span><b><span lang="EN-IN" style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman";mso-bidi-language:HI">CONCLUSION</span></b><span lang="EN-IN" style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman";mso-bidi-language:HI">:</span><span style="font-size:13.0pt;line-height:150%;font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language: EN-US"> This study suggests that there is increase in liver and kidney profile parameters <span style="mso-spacerun:yes"> </span>in postmenopausal women as compared to premenopausal women i.e. postmenopausal women have more risk of liver and kidney damage hence a timely health check up must be intensified specially among postmenopausal women.</span><b style="mso-bidi-font-weight: normal"><span lang="EN-IN" style="font-size:13.0pt;line-height:150%;font-family: "Times New Roman","serif""><o:p></o:p></span></b></p>
Keywords :
Cite This Article:
Dr. R. Tiwari, Indra Prasad Adhikari, Renal and liver profile in pre and post menopause women attending OPD of a tertiary health care level institute of Haryana, India., GLOBAL JOURNAL FOR RESEARCH ANALYSIS : VOLUME-7, ISSUE-2, FEBRUARY-2018


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