Pattern of haemoglobin in people of high and low altitude of Khyber Pakhtunkhwa, Pakistan

Paper Details

Research Paper 01/07/2021
Views (858)
current_issue_feature_image
publication_file

Pattern of haemoglobin in people of high and low altitude of Khyber Pakhtunkhwa, Pakistan

Babar Ali, Anwar Khalid, Muhammad Ilyas, Muhammad Taj Akbar, Tehreem Fatima, Amin Jan, Shah Faisal, Abdullah, Ghulam Ishaq, Arif Jan, Faheem Jan
Int. J. Biosci. 19(1), 161-168, July 2021.
Keywords: Age, Altitude, Hemoglobin, KPK, Sex
Copyright Statement: Copyright 2021; The Author(s).
License: CC BY-NC 4.0

Abstract

The main objective of this study was to find out changes in level of haemoglobin concentration associated with high and low altitude areas of Khyber Pakhtunkhwa (KPK). A randomized blood samples were collected from 215 healthy male and female belonging to 20-50 years of age from June 2018 to November 2018. The subjects of the current study were selected from four different district of Khyber Pakhtunkhwa (Abbottabad, Dera Ismail Khan, Peshawar and Swat). Haemoglobin levels of the subjects were analyzed on Nihon Kohden Hematology analyzer (Celltac X MEK-6410K). There was an increase in haemoglobin level, at high altitude namely Abbottabad and Swat as compare to a selected low altitude region i.e. Dera Ismail Khan and Peshawar. We found statistically significant difference in Mean haemoglobin level at high-altitude region (14.25±1.40) and low-altitude region (13.58±1.28). Haemoglobin concentration increases in the blood with elevated altitudes and, thus, at high-altitude areas anemia was less frequent. The mechanism that produces the mean differences showed that altitude may play a vital role in haemoglobin production. This study provides the basis for future research in this area that explores the process of haemoglobin production at both cellular and molecular level. This will focus not only on haemoglobin or red blood cells but also on the tissues they supply.

Baker PT, Little MA. 1976. Man in the Andes. Dowden, Hutchinson & Ross; Exclusive distributor, Halsted Press.

Beallcm, Brittenham GM, Strohl KP, Blangero J, WilliamsBlangero S, Goldsteinmc, Decker MJ, Vargas E, Villena M, Soria R, Alarcon AM. 1998. Hemoglobin concentration of high‐altitude Tibetans and Bolivian Aymara. American Journal of Physical Anthropology 106, 385-400.

Beallcm, Reichsman AB. 1984. Hemoglobin levels in a Himalayan high altitude population. American Journal of Physical Anthropology 63, 301-306.

Beallcm. 2006. Andean, Tibetan and Ethiopian patterns of adaptation to high-altitude hypoxia. Integrative and comparative biology 46, 18-24.

Cohen JH, Haas JD. 1999. Hemoglobin correction factors for estimating the prevalence of iron deficiency anemia in pregnant women residing at high altitudes in Bolivia. Revista Panamericana de salud publica 6, 392-399.

Dapper DV, Nwauche CA, Siminialayi IM. 2009. Some haematological reference values for pre-primary and primary school aged children in Port Harcourt, Nigeria. Nigerian journal of clinical practice 12, 262-267.

Dill DB, Horvath SM, Dahms TE, Parker RE, Lynch JR. 1969. Hemoconcentration at altitude. Journal of applied physiology 27, 514-518.

Douglas CG, Haldane JS, Henderson Y, Schneider EC. VI. 1913. Physiological observations made on Pike’s Peak, Colorado, with special reference to adaptation to low barometric pressures. Philosophical Transactions of the Royal Society of London. Series B 203, 185-318.

Gilles HM. 1981. Haematology in tropical Africa. Clinical haematology 10, 697-705.

Hannon JP, Shields JL, Harris CW. 1969. Effects of altitude acclimatization on blood composition of women. Journal of Applied Physiology 26, 540-547.

Hawkins WW, Speck E, Leonard VG. 1954. Variation of the hemoglobin level with age and sex. Blood 9, 999-1007.

Health D. 1979. Life at High Altitude. The Institute of Biology’s Studies in Biology 12, 1. Edward Arnold Limited 41 Vedferd Street London WCIB 3DQ. http://www.merriam-webster.com/dictionary/blood

Huddleston B, Ataman E, d’Ostiani LF. 2003. Towards a GIS Based Analysis of Mountain Environment and Population. Rome: FAO.

Jelkmann W. 2012. Functional significance of erythrocytes. Erythrocytes (F. Lang, M. Föller, ed.), Imperial College Press, London 1-56.

Krantz SB. 1991. Erythropoietin. Blood 7, 419-434.

Levine BD. 2002. Intermittent hypoxic training: fact and fancy. High altitude medicine & biology 3, 177-193.

Monge C. 1954. Man, climate and changes of altitude; recent studies in bioclimatology. Anales. Universidad Nacional Mayor de San Marcos. Facultad de Medicina 37, 459.

Niermeyer S, Zamudio S, Moore LG. 2001. The people. In: Hornbein TF, Schoene RB, eds. High altitude- an exploration of human adaptation. New York: Marcel Dekker 43-100.

Penaloza D, Arias-Stella J. 2007. The heart and pulmonary circulation at high altitudes: healthy highlanders and chronic mountain sickness. Circulation 115, 1132-1146.

Ramirez G, Bittle PA, Colice GL, Herrera R, Agosti SJ, Foulis PR. 1991. The effect of cigarette smoking upon hematological adaptations to moderately high altitude living. Journal of Wilderness Medicine 2, 274-286.

Sawhney RC, Malhotra AS, Singh T. 1991. Glucoregulatory hormones in man at high altitude. European journal of applied physiology and occupational physiology 62, 286-291.

Shaper AG, Lewis P. 1971. Genetic neutropenia in people of African origin. The Lancet 298, 1021-3.

Sheikh MK, Shaikh F, Price G. 2012. Pakistan: Regional rivalries, local impacts. DIIS Report.

Shier D, Butler J, Lewis R. 2015. Hole’s essentials of human anatomy & physiology. New York:mc Graw-Hill Education.

West JB. 2006. Human responses to extreme altitudes. Integrative and comparative biology 46, 25-34.

William DM. 1981. Racial differences of haemoglobin concentration; measured of iron, copper and zinc. AJ Nut 14, 1694-700.

Windsor JS, Rodway GW. 2007. Heights and haematology: the story of haemoglobin at altitude. Postgraduate medical journal 83, 148-151.

Winslow RM. 1987. Hypoxia, polycythemia and chronic mountain sickness.

Xing Y, Yan H, Dang S, Zhuoma B, Zhou X, Wang D. 2009. Hemoglobin levels and anemia evaluation during pregnancy in the highlands of Tibet: a hospital-based study. BMC Public Health 9, 336.

Related Articles

Integrated in silico and in vitro analyses reveal E-cadherin crosstalk and TF: FVIIa complex-mediated trophoblast motility via MEK/JNK activation

Kirthika Manoharan, Jagadish Krishnan, Vijaya Anand Arumugam, Shenbagam Madhavan*, Int. J. Biosci. 27(6), 136-144, December 2025.

Effect of flooding depth and harvest intensity on soil moisture dynamics and production of baobab (Adansonia digitata) seedlings

Sissou Zakari, Pierre G. Tovihoudji, Mouiz W. I. A. Yessoufou, Sékaro Amamath Boukari, Vital Afouda, Imorou F. Ouorou Barrè, Int. J. Biosci. 27(6), 127-135, December 2025.

Local food processing and associated hygienic quality in greater Lomé, Togo: Traditional cooked corn-based dough akpan wrapped in M. cuspidata, M. mannii and M. purpurea species leaves

Mamy Eklou, Komlan Edjèdu Sodjinou, Kodjo Djidjolé Etse, Awidèma Adjolo, Benziwa Nathalie Johnson, Bayi Reine Dossou, Yaovi Ameyapoh, Raoufou Radji, Akossiwoa M-L Quashie, Int. J. Biosci. 27(6), 114-126, December 2025.

Improving the microbiological quality of spices and spice blends using treatments accessible to SMEs/SMIs

Pingdwindé Marie Judith Samadoulougou-Kafando, Korotimi Traoré, Crépin Ibingou Dibala, Aboubacar Sidiki Dao, Josias Nikiema, Idrissa Taram, Adama Pare, Inoussa Salambéré, Donatien Kaboré, Charles Parkouda, Int. J. Biosci. 27(6), 102-113, December 2025.

Twin-row planting practice in village sugarcane (Saccharum officinarum L.) plantations during first ratoon under rainfed conditions in northern Côte d’Ivoire

Allé Yamoussou Joseph, Sawadogo Fatima, Traoré Mohamed Sahabane, Fondio Lassina, Int. J. Biosci. 27(6), 91-101, December 2025.

Prevalence of dengue infection in Delta State, Nigeria

P. A. Agbure, O. P. G. Nmorsi, A. O. Egwunyenga, Int. J. Biosci. 27(6), 82-90, December 2025.

Evaluation of silage quality of three sorghum varieties using in livestock systems of Burkina Faso

Barkwendé Jethro Delma, François Tapsoba, Nabèrè Ouattara, Gildas Marie Louis Yoda, Int. J. Biosci. 27(6), 72-81, December 2025.