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

Everything About Liver Function Tests- Purpose & Significance

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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.

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Lower Premiums for Health Score Achievers: How Preventive Wellness Rewards Healthy Choices

Healthcare costs are rising steadily across India, driven largely by lifestyle-related diseases and late-stage diagnosis. In response, organisations and insurers are shifting focus from reactive treatment to prevention. One of the most effective approaches emerging from this shift is offering lower premiums for health score achievers.

This model aligns personal health responsibility with financial incentives, creating a win–win situation for individuals, employers and insurers.

 

What Is a Health Score?

A health score is a composite indicator that reflects an individual’s overall health status.

It typically considers:

  • preventive health checkup results

  • lifestyle habits such as physical activity and sleep

  • key biomarkers like blood sugar, cholesterol and blood pressure

  • body composition indicators

The focus is on risk reduction, not perfection.

 

Why Health Score–Based Premiums Are Gaining Importance

According to NITI Aayog and EY-FICCI reports, preventive healthcare can reduce long-term medical costs by up to 30–40 percent.

Health score–linked premiums:

  • reward proactive behaviour

  • reduce claim frequency

  • encourage early detection

This shifts healthcare from illness management to health preservation.

 

The Preventive Healthcare Gap in India

NFHS-5 and ICMR data show:

  • many chronic diseases remain undiagnosed until advanced stages

  • preventive screenings are underutilised

  • lifestyle risks are increasing among working adults

Health score incentives help close this gap.

 

How Lower Premiums Motivate Behaviour Change

Financial Incentives Drive Consistency

When healthy habits are rewarded financially, individuals are more likely to:

  • attend regular screenings

  • improve diet and activity

  • monitor health metrics

Behaviour change becomes sustainable.

Focus on Improvement, Not Punishment

Modern health score models emphasise:

  • gradual improvement

  • personalised targets

  • achievable milestones

This avoids discouragement and promotes inclusion.

 

Benefits for Individuals

Reduced Insurance Costs

Lower premiums directly reduce out-of-pocket insurance expenses.

 

Better Health Awareness

Tracking health scores increases understanding of:

  • personal risk factors

  • lifestyle impact

  • preventive actions

Knowledge leads to better choices.

 

Early Disease Detection

Regular monitoring identifies:

  • prediabetes

  • early hypertension

  • lipid abnormalities

Early intervention prevents complications.

 

Benefits for Employers

Lower Healthcare Claims

Preventive health programs reduce:

  • hospitalisations

  • long-term treatment costs

This improves corporate insurance sustainability.

 

Improved Productivity

Healthier employees experience:

  • fewer sick days

  • better energy levels

  • improved focus

Wellbeing translates to performance.

 

Stronger Wellness Culture

Reward-based programs signal genuine employer commitment to health.

 

Benefits for Insurers

Health score–based premiums help insurers:

  • manage risk more accurately

  • reduce high-cost claims

  • promote preventive engagement

This supports long-term viability of insurance models.

 

Role of Preventive Health Checkups

Preventive screenings form the backbone of health scoring.

They help track:

  • metabolic health

  • cardiovascular risk

  • nutritional deficiencies

NITI Aayog identifies screening as the most cost-effective health intervention.

 

Addressing Privacy and Fairness Concerns

Responsible programs ensure:

  • data confidentiality

  • voluntary participation

  • non-discriminatory design

Transparency builds trust and engagement.

 

Making Health Scores Inclusive

Inclusive programs:

  • adjust for age and baseline health

  • reward progress

  • offer support for high-risk individuals

Equity is essential for success.

 

Integration with Digital Health Platforms

Digital tools enable:

  • real-time health tracking

  • personalised insights

  • long-term trend monitoring

This improves engagement and accuracy.

 

Long-Term Impact on Public Health

Widespread adoption of health score incentives can:

  • reduce lifestyle disease burden

  • shift focus to prevention

  • improve population health outcomes

WHO supports incentive-based preventive health strategies globally.

 

Challenges and How to Overcome Them

Common challenges include:

  • low initial engagement

  • lack of awareness

  • resistance to change

Solutions involve education, simplicity and continuous support.

 

Why Lower Premiums Are More Effective Than Penalties

Positive reinforcement:

  • motivates sustained behaviour change

  • reduces anxiety

  • builds trust

Punitive models often discourage participation.

 

Future of Health Score–Linked Premiums in India

As digital health infrastructure expands, health score–based models are expected to:

  • become more personalised

  • integrate AI-driven insights

  • support nationwide preventive strategies

This marks a shift toward value-based healthcare.

 

Conclusion

Lower premiums for health score achievers represent a powerful shift toward preventive, value-driven healthcare. By rewarding healthy behaviours, early screening and consistent wellness practices, these programs benefit individuals, employers and insurers alike. Financial incentives aligned with health outcomes encourage long-term behaviour change, reduce disease burden and create a sustainable healthcare ecosystem. In a country facing rising lifestyle diseases, health score–linked premiums are not just an incentive—they are a strategic investment in healthier futures.

 

References

  • World Health Organization (WHO) – Preventive Healthcare and Incentive Models
  • Indian Council of Medical Research (ICMR) – Lifestyle Disease and Prevention
  • National Family Health Survey (NFHS-5) – Adult Health Indicators
  • NITI Aayog – Preventive Healthcare and Insurance Reform Reports
  • EY-FICCI – Corporate Wellness and Healthcare Cost Studies

See all

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