Seroprevalence of Celiac Disease in Tribal Population of High Altitude Area in Northern India

Brij Sharma; Neetu Sharma; Vishal Bodh; Ashish Chauhan; Rajesh Sharma; Alka Singh; Sidhant Sharma; Amit Sachdeva

doi:10.7869/tg.743

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Seroprevalence of Celiac Disease in Tribal Population of High Altitude Area in Northern India

Brij Sharma¹, Neetu Sharma², Vishal Bodh¹, Ashish Chauhan¹, Rajesh Sharma¹, Alka Singh⁴, Sidhant Sharma, Amit Sachdeva³

¹Department of Gastroentrology, ²Department of Physiology, ³Department of Community Medicine, IGMC, Shimla, India. 4Department of Gastroenterology & Human Nutrition Unit, AIIMS, New Delhi, India.

Corresponding Author:

Dr. Amit Sachdeva

Email: dramitsachdeva2410@gmail.com

Abstract

Background: While celiac disease (CeD) is known to occur in many regions on the plains, there is a lack of data on its prevalence in high altitude area of India.

Methods: We screened serum samples of 332 participants in Lahaul and Spiti district of (mean altitude >4000 meter) Himachal Pradesh, for the estimation of prevalence of CeD in high altitude area. The screening of CeD was done using commercially available IgA human anti-tissue transglutaminase antibody (anti-tTG Ab) ELISA kit.

Results: Of 332 samples (mean age 31.5±15.9 years) screened, two were found to have a positive anti-tTG Ab at low titre, suggesting a seroprevalence of 0.6%.

Conclusions: The seroprevalence of CeD in high altitude area is 0.6%, almost equal to the rest of the country. The physicians working in high altitude areas need to be aware about CeD in their communities.