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Smokeless tobacco, betel nut drive oral cancer cases in India: Lancet

India has the highest number of oral cancer cases among countries in South Asia, driven by increased use of smokeless tobacco products like betel quid with tobacco, gutka, khaini; and areca nut, according to a study on Wednesday.  The study led by the International Agency for Research on Cancer (IARC) and published in The Lancet Oncology journal showed that India logged 83,400 of the 120,200 oral cancer cases globally caused by smokeless tobacco (chewed, sucked, inhaled, applied locally, or ingested) and areca nut (seed of the areca palm) in 2022. The consumption of areca nut (30 per cent) and betel quid with tobacco (28 per cent) were responsible for the most oral cancer cases among women, followed by gutka (21 per cent) and khaini (21 per cent). Among men, it was khaini (47 per cent), gutka (43 per cent), betel quid with tobacco (33 per cent), and areca nut (32 per cent). “Smokeless tobacco and areca nut products are available to consumers in many different forms across the world, but consuming smokeless tobacco and areca nut is linked to multiple diseases, including oral cancer,” said Dr Harriet Rumgay, a scientist in the Cancer Surveillance Branch at IARC. “We found that more than 120,000 people across the world were diagnosed with oral cancer that could have been caused by using smokeless tobacco or areca nut. Our estimates highlight the burden these products pose on health care and the importance of prevention strategies to reduce consumption of smokeless tobacco and areca nuts,” he added. The IARC study showed that 120,200 of the 389,800 oral cancer cases in 2022 could be caused by smokeless tobacco and areca nut use. This also means that by preventing smokeless tobacco and areca nut use, one-third (31 per cent) of all oral cancer cases could be avoided. Further, more than 95 per cent of all oral cancer cases caused by smokeless tobacco and areca nut use occurred in low- and middle-income countries (115,900 cases). India was followed by Bangladesh (9,700), Pakistan (8,900), China (3,200), Myanmar (1,600), Sri Lanka (1,300), Indonesia (990), and Thailand (785). While "control of tobacco smoking has improved, prevention of smokeless tobacco use has stalled, and areca nut remains largely unregulated,” said Dr. Isabelle Soerjomataram, Deputy Head of the Cancer Surveillance Branch at IARC. The study called for prioritising smokeless tobacco control, and developing a framework for areca nut prevention which must be integrated into cancer control programmes. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.

09 October,2024 04:31 PM IST | New Delhi | IANS
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Coffee, tea may prevent heart attack and stroke risk in lupus patients: Study

Consuming more caffeine, present in coffee, tea, and cocoa may improve heart health in people with lupus and rheumatoid arthritis, according to a study on Wednesday.  Patients with inflammatory rheumatic diseases, such as lupus and rheumatoid arthritis, are at higher risk of heart attack and stroke. This is both due to the disease and some treatments for them, particularly cortisone derivatives. To date, these patients were given conventional recommendations like quitting smoking, reducing cholesterol, and controlling high blood pressure, the new study published in the journal Rheumatology, added drinking caffeine to the list to boost their heart health. Researchers from Sapienza University of Rome, in Italy, suggested that caffeine, present in coffee, tea, and cocoa, actively helps endothelial progenitor cells, the group of cells that help regenerate the lining of blood vessels and are involved in vascular growth. “The present study is an attempt to provide patients with information on the possible role of diet in controlling the disease,” said the paper’s lead author, Fulvia Ceccarelli.  Caffeine not only acts as a stimulant effect on the body but also exerts an anti-inflammatory effect. It is because it binds with the receptors expressed on the surface of immune cells.  In the study, the team examined 31 lupus patients who did not have traditional cardiovascular risk factors using a seven-day food questionnaire.  After a week, the patient’s blood was measured to check blood vessels’ health. The result revealed that patients who consumed caffeine had better vascular health, as measured through endothelial cells, which form the important inner layer of blood vessels. Ceccarelli called for a longitudinal study to confirm the results and assess the real impact of coffee consumption on the disease course. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.

09 October,2024 12:26 PM IST | New Delhi | IANS
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Rising cardiac arrest, a sign for young India to focus on right approach to life

Cases of cardiac arrest have seen a spurt in recent times, but the bigger question is the ability to diagnose and prevent such cases. The surge in rising cases of cardiac and non-communicable ailments has perplexed corporate India as well as the larger medical fraternity.  When Swiggy CEO Rohit Kapoor criticised the hustle culture advocating for a healthier approach to life, many youngsters followed him on social media. But, when it comes to practice, Gen-Z and millennials are more likely to follow odd-health practices than follow preventive measures. New and rising medical epidemicRising non-communicable diseases could be one explanation for these deaths. The World Health Organization states that non-communicable diseases (NCDs), such as heart disease, stroke, cancer, diabetes, and chronic lung disease, as collectively responsible for 74 per cent of deaths globally. These ailments are attributed as the most challenging lifestyle diseases to tackle in the 21st century. Of the non-communicable diseases, cardiovascular diseases (CVDs) have seen a rampant increase -- from 25.7 million cases in 1990 to 64 million in 2023. It’s also a baffling trend because data from the World Heart Federation found India accounts for 15 per cent of all diabetes cases worldwide. Also, 40-50 per cent of heart-related ailments are of those below the age of 55. Given the gravity of the situation, one would expect society and young people to adopt healthy practices. Unfortunately, a fast-paced lifestyle, digital practices, and blurring personal and professional lives do not lead to a conducive environment for healthy living. Rising cortisols and burnout syndromeThe constant pressure to excel, and achieve personal and professional goals, succumbing to peer group and societal pressures, and unhealthy eating habits lead to chronic stress and anxiety. This phenomenon contributes to additional cortisol production which in turn aggravates the underlying cardiovascular conditions and NCDs. WHO data as early as 2018 highlights how rising cortisol manifests into not only higher NCD but also endocrine and neurological symptoms. Clinical studies and recent cases point out that high cortisol could cause even loss of DNA. Focus on overall well-beingThe general perception is that ‘since I am young, I am immune to silent killers such as Diabetes, or CVDs’. Unfortunately, non-communicable diseases develop silently over the years. And, poor lifestyle choices practiced in the 20s and 30s set the stage for a health crisis in the future. Young professionals who are caught in the whirlwind of career building, often neglect basic health and work practices. A marked improvement is witnessed in awareness of stress and the role of sugar in diet. But even those who recognize risks associated with junk food, are unable to make the right dietary decisions. Sugar is often a hidden component in many products, including foods marketed as “healthy.” For instance, smoothies, energy bars, flavoured yoghurt, and even some salads contain excessive amounts of sugar, which may exacerbate NCD and stress. The normalisation of high levels of stress is dangerous. Over time, chronic stress leads to elevated cortisol levels, high blood pressure, and inflammation, all of which contribute to the development of heart disease. Mental well-being is also equally critical as physical health, yet it remains a low priority for many young people. Blaming societal pressures or corporate setup may not serve justice, rather one needs to acknowledge the clear problem. A more pragmatic yardstick incorporating physiological and psychological parameters needs to be developed. Young workers clearly need to change their perception of their own health from reactive to preventive. The belief that youth is a shield against serious health conditions is not only misguided but dangerous. Silent killers like cancer, cardiovascular disease, and diabetes don’t discriminate by age -- they thrive on neglect. (Dr. Manpreet Sethi is paediatric endocrinologist at Max Hospitals, Delhi NCR. She can be contacted at drmanpreetsethi@gmail.com). This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.

09 October,2024 11:48 AM IST | New Delhi | IANS
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Mid-Day Premium A guide to festive nutrition

With the holiday season in full swing, the celebratory mood is in the air. While many devotees fast during Navratri, there is no shortage of tempting food. Whether you are visiting friends and family, or hosting them at home, a delicious spread is synonymous with the festive season. To help you maintain a balanced diet while mindfully indulging in your favourite treats, we’ve asked nutrition experts to share advice on how to navigate the festive season. From including essential nutrients, to using healthier alternatives without compromising on taste, and managing blood sugar levels while fasting, nutritionists share a broad scope of practical tips to help you enjoy the festive season to the fullest while nourishing your body and mind.  A balanced diet with essential nutrients “Festive meals can be both indulgent and nutritious if we focus on incorporating essential nutrients,” poses Suvarna Sawant (R.D.), chief dietician, and head of department, clinical nutrition and dietetics at Nanavati Max Super Speciality Hospital, Mumbai. She lists essential nutrients that must be strategically incorporated into your meals this festive season. Antioxidants for overall health They play a key role in protecting the body from oxidative stress and can be added through fruits like pomegranates, berries, and spices like turmeric and cinnamon. These antioxidants help prevent cellular damage and improve overall health. Fibre for preventing overeating Crucial for digestion and keeping you full, fibre preventing overeating during festivals. Whole grains such as barley, ragi, and oats can be added to sweet dishes like ladoos or savoury dishes like chapatis to increase fibre content. Vitamins for skin health Vitamins A, C, and E, are essential for immunity and skin health and can be found in fresh fruits and leafy greens. Adding salads or sides with vegetables like spinach and tomatoes will ensure a good intake of vitamins during festive feasts. Also Read: Navratri 2024: How Garba crosses boundaries and unites the worldHydration is key Moreover, hydration is vital during the festivities, especially when meals tend to be rich and dehydrating. Including water-rich foods like cucumbers and oranges or offering fruit-infused water can help maintain proper hydration. Minerals for muscle function Minerals such as calcium, potassium, and iron are necessary for bone health and muscle function. Ingredients like seeds, nuts, and leafy greens, along with natural sweeteners like jaggery, are great sources of these minerals. Healthy fats help maintain energy Finally, healthy fats can be added through nuts, seeds, and oils like olive oil, which help maintain energy and support brain and heart health. By focusing on these nutrients, festive meals can be delicious and nutritious. Swap sugar for jaggery to make Indian sweets healthier Traditional Indian sweets can also be made healthier by using alternative ingredients without sacrificing flavour, claims Sawant. She explains, “For example, ladoos can be made with whole grains like barley or ragi instead of refined flour, which adds fibre and essential nutrients. Replacing sugar with jaggery not only lowers the glycemic index but also provides minerals like iron. Adding dry fruits such as almonds, cashews, and raisins offers a source of healthy fats and antioxidants, making ladoos a more wholesome treat.” By making simple yet impactful changes, traditional sweets are reimagined to balance tradition and nutrition. The expert elaborates on how another popular festive treat can be made healthier, “Gulab jamun can be baked instead of fried, reducing unhealthy fats. The sugar syrup can be made with less sweetness or natural sweeteners like honey or stevia to reduce excess sugar. Infusing the syrup with flavours like cardamom and rose water can enhance taste while cutting down on sugar. These simple changes help transform traditional sweets into healthier, more nutritious options while still retaining their rich flavour. “ Roast, bake and air-fry your favourite snacks this festive season Unless one is not careful, deep-fried savoury snacks find their way onto our plates quite easily during the festive season. “Deep-fried options like samosas and pakoras can be swapped for healthier alternatives without compromising taste. Air-fried or baked samosas offer a similar crispy texture without the added fat from frying. These can be filled with nutritious ingredients like paneer, sprouts, chana, or corn, making them higher in protein and fibre. Similarly, pakoras can be air-fried or baked using ingredients like spinach, chickpeas, or sweet potatoes, giving them a crunchy texture with added nutritional benefits,” explains Sawant. She also recommends opting for roasted snacks such as roasted chickpeas or masala makhanas (fox nuts). “These are high in protein and fibre while providing a satisfying crunch, perfect for festive celebrations. Whether it’s incorporating healthier ingredients in sweets or choosing air-fried over deep-fried snacks, these small tweaks ensure that you can enjoy the flavours of the festival while still prioritising your health,” concludes Sawant.   Tips to mindfully indulge this festive season The festive season often brings with it a temptation to overindulge in delicious treats. While it's okay to enjoy the occasional indulgence, mindful eating can help you savour the flavours without compromising your health. Ananya Bhandare, certified health coach and founder of Jungly Delights shares mindful strategies to help you mindfully indulge: Allow yourself to indulge Don’t restrict yourself because this is the festive season, and you’re meant to enjoy it! Have a positive mindset and accept that you will be indulging instead of feeling guilty while doing it, which can slow down your digestion process. Sneak a healthy snack in I always recommend eating a snack or light meal before attending your festive celebrations. Typically, dinner is served late at these events. Instead of arriving starving to these meals, if you are already a little satisfied, you’re unlikely to overeat and binge on the heavier food. Also, try and balance your plate with the addition of vegetables and protein, along with the other food you’ll be indulging in. This will aid digestion and metabolism. Strike a balance Since it is difficult to restrain yourself when you are hosting or out, it is better to enjoy yourself. But when you are home, try to stick to simple meals without excess oil, sugar and salt. Finally, eat lots of vegetables and stay hydrated. Fibrous vegetables will be good for your gut and ensure a balance with all the other things you’ll be indulging in. This will help your metabolism as well. Also remember to keep sipping water through the day, because festive food and drinks can often leave us feeling dehydrated.  Drink creatively and slowly You can choose to drink in moderation, which is key. Instead of overdoing it and feeling awful the next day, try and savour your drinks and consume fewer in number. Also, avoid too many sugary drinks, and try to use cleaner options to add flavour to your drinks instead. Some examples include mint, lemon, cinnamon and even berries. Also Read: Navratri style inspiration: Must-try festive fashion to dazzle this seasonHow to manage blood sugar level fluctuations this Navratri Many devotees fast during Navratri, be it for a single day or the entirety of the period. However, for individuals with diabetes, fasting can present unique challenges due to its potential impact on blood sugar levels. “With careful planning and consideration, they can still participate in the tradition while maintaining stable blood sugar levels. However, diabetics with uncontrolled blood sugar levels should avoid fasting altogether,” cautions Dr. Anu Gaikwad, consultant diabetologist and head of the department, of geriatric medicine at DPU Super Specialty Hospital, Pune. She shares careful considerations to follow for fasting diabetics. Modifying eating plan for optimal blood glucose control Including kuttu, rajgiri or sama along with other high-carbohydrate foods in your daily meals can help provide energy sustenance without causing much stress on the blood sugar levels. Energy-requiring and long fasts are difficult, but it’s good to eat fatty and starchy foods like ghee or butter or low-fat plain yogurt. Even paneer and tofu with fibrous vegetables can help and are recommended. Sweets, processed food, soft drinks, fruit juices, and other high-calorie foods that can increase blood sugar rapidly are to be strictly avoided. Fasting approach for diabetics Diabetics should make necessary changes in fasting practices. Instead of skipping meals entirely for extended periods, diabetics can consume smaller, more frequent meals or snacks. This strategy can help manage blood sugar levels more effectively. They need to make sure to take the medical drugs advised by the physician and do not forget to actively track and record sugar level fluctuations, since the trend will be more dynamic during the fast cycle. The importance of staying hydrated To prevent dehydration, a common concern during fasting, it's essential to consume adequate fluids. Sweet beverages and sodas should be avoided, as they can exacerbate blood sugar spikes. Opt for water, herbal teas, or sugar-free electrolyte drinks to maintain hydration without affecting glucose levels. Identifying warning signs Symptoms such as excessive fatigue, dizziness, confusion, and blurred vision may indicate dangerously low or high blood sugar levels. If these occur, it's critical to break the fast immediately and consume something with glucose, like fruit or a glucose tablet, and seek medical assistance if necessary. 

09 October,2024 10:33 AM IST | Mumbai | Maitrai Agarwal
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Chemotherapy, radiation for breast cancer may speed up biological ageing: Study

While advances in cancer therapies have greatly improved survival rates for breast cancer, new research on Tuesday showed that common treatments, including chemotherapy, radiation, and surgery, may accelerate the biological ageing process in survivors.  The study led by a team from the University of California - Los Angeles Health Sciences in the US suggests that the impact of breast cancer treatments on the body is more extensive than previously thought. The findings, published in the Journal of the National Cancer Institute, showed that breast cancer survivors, regardless of the type of treatment received, had significantly increased markers of cellular ageing -- such as DNA damage response, cellular senescence, and inflammatory pathways. These ageing markers increased the risk of earlier onset of fatigue, cognitive decline, frailty, and cardiovascular disease, said the team. The study called for making it crucial to understand the specific pathways involved to better target and manage them. “For the first time, we're showing that the signals we once thought were driven by chemotherapy are also present in women undergoing radiation and surgery,” said study lead author Judith Carroll, Associate Professor of psychiatry and biobehavioral sciences at UCLA. “While we expected to see increased gene expression linked to biological ageing in women who received chemotherapy, we were surprised to find similar changes in those who only underwent radiation or surgery,” she added. In the study, the team conducted a two-year longitudinal study that tracked women undergoing breast cancer treatment before receiving treatment and again following treatment to see how their biological ageing markers evolved. The team tracked the gene expression in their blood cells using RNA sequencing, focusing on markers that signal biological ageing. The data was then analysed using statistical models to help identify ageing-related changes. They found genes that capture cellular senescence (when cells stop dividing but don't die) and the inflammatory signal from these cells which indicated that their immune cells were ageing faster than normal. They also saw increases in genes that are expressed when there is DNA damage. Although chemotherapy did have a slightly different pattern, similar to what others have shown, they also noted changes in women who did not receive chemotherapy, the team said. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.

08 October,2024 11:17 AM IST | New Delhi | IANS
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Here’s how silent stroke can dent your brain health

While silent strokes may not be fatal as a normal brain stroke, it can still affect brain health and lead to cognitive issues such as memory and attention problems, said experts on Monday.  Silent stroke, also known as silent cerebral infarction, can go undetected for years. It does not have symptoms such as sudden weakness, speech difficulties, or facial drooping. It occurs when cerebral blood flow is transiently disrupted, leading to ischemic damage without overt clinical symptoms. However, “the condition can result in subtle neurocognitive deficits, such as memory issues and difficulties with attention, and increased risk of subsequent overt strokes, which are more severe and easily recognisable,” Dr Deepak Yadav, consultant, Neurology, Amrita Hospital, Faridabad, said. “Depending on the location of the clot, silent stroke can cause symptoms such as weakness in an arm or leg (which could cause a fall) or trouble speaking or seeing,” added Dr Aashka Ponda, consultant neuro-physician, Bhailal Amin General Hospital. The experts noted that key risk factors include hypertension, diabetes mellitus, obesity, and a sedentary lifestyle, all of which contribute to vascular dysregulation and atherosclerosis, conditions that affect the health of blood vessels and can lead to more serious cardiovascular events. “In India, the rising prevalence of these risk factors, coupled with increased psychological stress and dietary changes, has led to an uptick in silent strokes,” Yadav said. The experts recommended early neuroimaging assessments for identifying silent strokes before they cause significant harm. They suggested regular health screenings and lifestyle changes, such as improving diet with cutting down excessive salt, eating healthy, increasing physical activity, and managing stress to combat the risk of stroke. The doctors also advised to avoid smoking and tobacco consumption in any form and to also refrain from consumption of aerated drinks. Importantly, “keep your BP, cholesterol and blood sugar in check to ward off silent stroke risk,” Ponda said. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.

08 October,2024 10:08 AM IST | New Delhi | IANS
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Fusion of fun and fitness: How people are turning to Garba to stay fit

As Navratri celebrations grip Indian streets, people are preparing to don their favourite Kediyas and Chaniya Cholis, and dance to the high-intensity beats of Gujarati music. Garba, a significant part of the festivities, boasts of a fanbase beyond geographical or cultural boundaries. Over the past few years, its scope has also extended from a festive symbol to a fitness activity. Garba fitness classes and workout tutorials including elements of the dance form are gaining prominence. This folk dance, which entails high-power steps, has several health benefits, Alpesh Rawal, a Mumbai-based Garba instructor says, “It offers a holistic combination of physical and mental wellness. It makes for a good cardio workout for weight loss. The high-energy movements such as fast-paced footwork, twirls, etc., help in burning calories.” He adds, “It also enhances flexibility. Garba movements can improve overall mobility and muscle elasticity, also reducing the risk of injury.” Garba is also beneficial for other fitness outcomes. Satyajit Vora, founder of Power Garba fitness, states, “It improves your cardiovascular endurance which is the ability of the heart to supply oxygen to the muscles while exercising.” Garba steps, which involve fast movement, stretching, twirling, bending, etc., also help in building sustained fitness of muscles. Vora explains, “The ‘Hinch’ step involves a lot of twisting, so it engages the oblique muscles. Some Garba steps are a combination of squats and curtsy lunges, which give strength to your hamstring and quadriceps.” Garba elements in regular workouts Image for representational purposes only (Pic: iStock) Incorporating some elements of the dance form into regular workouts can give an innovative touch to exercise. Isha Gupta, fitness trainer and founder of FITMOTIVATION, reveals, “Our regular classes get a refreshing touch with Garba and Dandiya elements around this time of the year. Use of Dandiya sticks to do floor abs or squats can help in toning, while also being a good cardio element.” Garba during Navratri Experts believe that doing Garba even for the 10 days of Navratri can have a significant effect on fitness. Ruju Desai, an Ahmedabad-based fitness expert, says, “When you do Garba even during the festivities, it can have benefits. The moves include a lot of cardio elements like bending, twirling, knee-ups and jumps. In gyms and fitness classes, you usually do cardio for 30 to 40 minutes. But people are so enthusiastic about Garba that they end up dancing for three to four hours. So, it’s a different kind of workout which includes cultural elements as well.” Garba beyond Navratri While Garba is extensively practised around Navratri, its incorporation in exercise extends far beyond the nine-day festival. Power Garba, a 365-days Garba fitness programme designed by Vora, places folk dance at the centre of fitness. “People usually do Garba only for nine days or two to three months if they are attending classes before the festival. But it can be a good form of workout all-round the year,” comments Vora. Power Garba differs from traditional Garba as it includes an exclusive kind of music that blends traditional songs with high-power EDM beats. This is to blend devotion and fitness seamlessly. In Vora’s words, this fitness regime is 40 per cent Garba and 60 per cent exercise. Sarika Gal, a Mumbai resident who has been practising Power Garba for over two years now, says, “It is a high-octane energy workout. In a span of one hour, we end up burning around 600 to 700 calories. It also helps me reach my ‘10,000 steps per day’ goal. The steps that are involved in the workout also help in building agility. Even after the age of 40, it is a great way to maintain fitness and lose weight. Additionally, there are variations involved in the workout, which never lets you get bored.” Rawal, who is also a Power Garba and bungee fitness trainer, reveals, “We include elements like Dandiya sticks and dupatta in Garba fitness classes. Participants choose that over going to the gym, which can prove to be a boring experience for many.” Also Read: Navratri 2024: How Garba crosses boundaries and unites the world

07 October,2024 03:24 PM IST | Mumbai | Raaina Jain
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Vitamin C deficiency in elderly can cause abnormal bleeding, fatigue: Study

Older adults suffering from abnormal bleeding, fatigue, and weakness, must be assessed for scurvy -- a disease caused by vitamin C deficiency, suggests a study on Monday. Detailing a case study of a 65-year-old woman with mobility issues and social isolation, the study published in CMAJ (Canadian Medical Association Journal) showed that scurvy, or vitamin C deficiency, is not just an 18th-century seafarers’ disease. Researchers from the University of Toronto in Canada implored clinicians to consider scurvy in patients with abnormal bleeding and nonspecific symptoms. The elderly patient visited the emergency department at a downtown Toronto hospital for leg pain and weakness, skin lesions, and discoloration. She also had several chronic health conditions. Mobility issues restricted her ability to go grocery shopping, cook, and perform other daily activities. She lived largely on canned soup and fish, with no fresh produce. “This case presents a complex example of food insecurity manifesting as an uncommon diagnosis,” said Dr. Sarah Engelhart, a general internist at Mount Sinai Hospital and the University of Toronto. The researchers noted that vitamin C deficiency is more common than expected in the 21st century. However, its diagnosis is often challenging as symptoms are often nonspecific, such as fatigue, weakness, and shortness of breath. The patient also smoked, which further contributes to vitamin C deficiency. Her symptoms improved once she started on vitamin C treatment, and a blood test for vitamin C deficiency eventually confirmed the diagnosis, said the doctors. “Clinicians should be alert to vitamin C deficiency when assessing patients, including children and isolated older adults,” the doctors said. The team noted that people who follow restrictive eating patterns (for example, those with autism spectrum disorder or those on a tea and toast diet), who smoke cigarettes, who have a substance use disorder, or who have malabsorption syndrome, can also be at risk of scurvy. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever

07 October,2024 12:17 PM IST | Mumbai | IANS
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Mid-Day Premium Navratri 2024: Expert skincare tips for fasting

Navratri is a time of spiritual renewal and devotion, but fasting during this period can present challenges for skin health. Many often end up experiencing a host of skin issues because of heightened sensitivity due to restrictive diets. Fret not, maintaining healthy, glowing skin during Navratri fasting is possible. With the right balance of nutrient-dense foods, hydration, and a consistent skincare routine, you can avoid common issues like dryness, dullness, and breakouts. This Navaratri, dermatologists share expert guidance to help you take care of your skin from the inside out and maintain a radiant glow throughout the festival. Common skin and haircare challenges faced during Navratri fasting During Navratri, devotees often engage in prolonged fasting or restrictive diets that can pose several challenges to skin and hair health. Dr. Akanksha Sanghvi, dermatologist and founder of Oprava Aesthetics, explains, “Insufficient intake of essential vitamins and minerals during religious fast, can lead to depletion of vitamins such as A, C, D, E, and B-complex, as well as omega-3 fatty acids, which can negatively affect skin hydration, elasticity, and overall appearance.” She informs us that fasting may trigger increased cortisol levels, which can contribute to skin issues like acne or eczema flare-ups. Dr. Deepak Jakhar, consultant dermatologist at Dermosphere Clinic, further suggests that dehydration is a primary concern due to reduced water intake and the absence of hydrating foods. “Dehydration can leave the skin parched. This can lead to dry, flaky skin, and a loss of radiance. Moreover, a disrupted eating pattern and an unbalanced diet can trigger acne or breakouts, especially if you consume fried foods, dairy, or sugary items to break the fast. Sanghvi also cautions about the possible impact on hair, “Inadequate nutrition during fasting can lead to weakened strands, increased shedding, and even hair thinning. It’s crucial to maintain a balanced diet and ensure proper nutrient intake to support optimal skin and hair health during fasting periods.” 5 Nutrients for healthy skin and hair Fasting does not mean you have to compromise on nutrition, especially when it comes to skin health. Jakhar shares a list of nutrient-rich foods you can include in your meals to keep your skin glowing. Antioxidants (Vitamins A, C, E) These vitamins protect the skin from oxidative stress, helping to maintain collagen production and repair damaged skin. Apples, bananas, pomegranates, and spinach can provide the necessary nutrients to maintain healthy skin. Also include citrus fruits, pumpkin, and almonds into your diet. Zinc An essential mineral for skin healing and combating acne. Foods like nuts, seeds, and yogurt (if permitted in your fast) are great sources. Biotin Biotin is vital for maintaining skin hydration and elasticity. During fasting, consume foods like bananas and sweet potatoes to support your skin. Probiotics Gut health plays a crucial role in skin health. Fermented foods like yogurt and pickles can help balance gut flora, contributing to clearer skin. Probiotic-rich foods like yogurt also contain lactic acid, which can gently exfoliate the skin and improve texture. Omega-3 fatty acids These are anti-inflammatory and help in keeping your skin moisturized and plump. Flaxseeds, chia seeds, and walnuts are excellent sources of omega-3, promoting scalp health and reducing fasting-triggered hair loss. Also Read: Monsoon Skincare: Follow these tips for healthy skin during rainy season Fasting essentials for skin health "During Navratri fasting, it's essential to prioritise whole, nutrient-rich foods to maintain overall health and skin well-being,” says Sanghavi. Below, she shares fasting-friendly additions to your meals for improved skin health. Buckwheat flour Buckwheat flour is a highly nutritious alternative to traditional wheat flour. It contains about 13.3 grams of protein per 100 grams, making it an excellent plant-based protein source which is vital for repairing damaged skin cells and promoting new cell growth. Buckwheat is also a powerhouse of antioxidants, particularly rutin, which may help reduce inflammation and benefit acne-prone skin. It provides a range of B complex vitamins, essential for energy metabolism, along with important minerals like magnesium, iron, and zinc which support overall skin health and reduce inflammatory acne. Water chestnut flour Anti-inflammatory compounds in water chestnut flour called gallium and fisetin are known for their antioxidant properties that can soothe irritated skin, reducing redness and swelling, which is beneficial for sensitive or acne-prone skin. Incorporating dishes made with buckwheat or water chestnut flour can also be beneficial, as they are gluten-free and packed with nutrients. Kodo millet One can add kodo millet to their fasting meals which is a great source of dietary fibre and iron. The millet contains essential B vitamins, including niacin and riboflavin, which support skin cell regeneration, improve skin texture, and help maintain a healthy complexion. As compared to other fasting ingredients, kodo millets have a low glycemic index, which prevents sugar spikes during fasting and helps combat skin inflammation and redness, promoting a clearer complexion. How to prevent dry skin and dullness during fasting Dehydration and lack of nutrients often cause dry skin and dullness during fasting. Jakhar shares three ways to combat these issues: Stay hydrated Drink plenty of water between meals. Try coconut water, lemon water, or infused water with mint and cucumber to stay refreshed and hydrated. Herbal teas such as chamomile or green tea can also help boost hydration while providing antioxidants. Consume fruits and vegetables high in water content, like cucumbers, watermelon, and oranges. These will not only hydrate your skin but also provide essential nutrients Moisturise regularly Use a rich moisturizer with hydrating ingredients like hyaluronic acid, ceramides, and glycerin. Apply a thick moisturiser right after showering to lock in moisture. Avoid long, hot showers Hot water strips the skin of its natural oils. Opt for lukewarm showers and always moisturize immediately afterward to prevent dryness. Skincare products and ingredients to avoid during fasting “During Navratri fasting, while your body is going through detox, your skin may become more sensitive,” warns Dr Ishmeet Kaur, consultant dermatologist at Dermosphere clinic. It's important to avoid the following: Harsh exfoliants Physical scrubs can irritate, especially on dry, sensitive skin. Opt for gentle chemical exfoliants like lactic acid or skip exfoliation altogether if your skin feels too sensitive. Heavy creams or oils If your skin becomes oily or prone to breakouts during fasting, avoid using thick, greasy creams or oils that may clog your pores. Fragranced products Fragrances in skin care can cause irritation and dryness. Stick to fragrance-free, hypoallergenic products during fasting to prevent any reactions. How to address acne or breakouts Breakouts can be frustrating, especially during fasting. Jakhar lists how you can prevent and manage acne during Navratri: Avoid oily and sugary foods Excessive consumption of fried foods or sugary snacks to break the fast can lead to clogged pores and breakouts. Stick to healthier options like roasted nuts, fruits, or homemade snacks. Cleanse gently Wash your face twice daily with a gentle, non-comedogenic cleanser to remove excess oil and impurities. Look for ingredients like salicylic acid or tea tree oil, which help in controlling breakouts. Diet control Focus on anti-inflammatory foods like green leafy vegetables, nuts, and seeds. Avoid dairy if you notice a correlation between consumption and breakouts. Consult dermatologist If you experience sudden breakouts, discuss with your dermatologist regarding the need for specific treatment. Effective home remedies and natural skincare for Navratri If you prefer to keep your skincare routine natural during fasting, Kaur suggests a few simple remedies to keep your skin fresh and healthy: Honey and yogurt mask A smooth mix of 1 tablespoon of honey and 2 tablespoons of yogurt can deeply hydrate your skin in 15 to 20 minutes. Honey is a natural humectant, which means it retains moisture, while yogurt contains lactic acid for gentle exfoliation. This mask can also brighten the skin. Aloe vera gel Aloe vera is soothing, hydrating, and great for all skin types. Apply pure aloe vera gel on your face to calm irritation and provide a burst of hydration. Cucumber and rosewater toner For a refreshing and hydrating toner, blend cucumber juice and rosewater. This helps to cool, soothe, and tighten the skin. Gram flour and turmeric face pack Popular ingredients in Indian beauty rituals combine 2 tablespoons of gram flour and 1/2 teaspoon of turmeric with a little water for a quick face pack. This traditional remedy is excellent for exfoliating dead skin cells and brightening the complexion.

07 October,2024 10:16 AM IST | Mumbai | Maitrai Agarwal
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World Cerebral Palsy Day: Awareness is key to build an inclusive society

The government on Sunday observed the World Cerebral Palsy Day, with nation-wide awareness campaigns to foster an inclusive world for everyone. Under the leadership of the Department of Empowerment of Persons with Disabilities (DEPwD), the government marked the day with awareness campaigns across the nation. Various national institutes and regional centres under the Department hosted programmes to spread awareness about cerebral palsy and empower those affected by it. The World Cerebral Palsy Day serves as a platform to amplify the voices of individuals living with cerebral palsy (CP). This year's theme, ‘#UniquelyCP’, celebrates the uniqueness of the cerebral palsy community - their interests, passions, and identities - showing that they are not solely defined by their disability. The 2024 theme is a positive step towards raising awareness that a person's disability is not their entire identity. The theme emphasises that each person is special in their own way and that society must understand and embrace these unique identities. Cerebral palsy is often misunderstood, and those affected face numerous societal challenges. The aim of this day is to break these stereotypes and work towards building an inclusive society where individuals with cerebral palsy are respected for their identity and talents. According to Dr Sowmya M, Senior Consultant-Neurology, Aster RV Hospital, cerebral palsy is a neurological disorder caused by damage to the developing brain, leading to difficulties with movement, muscle tone, and posture. While the brain injury itself is non-progressive, symptoms can vary, from mild motor impairments to severe physical disabilities, and may evolve as the child grows. “Treatments such as occupational therapy, physical therapy, medications and surgical interventions can enhance mobility and quality of life. Timely intervention is essential, as it helps prevent complications and enables individuals with CP to achieve greater independence and manage conditions associated with it,” said the doctor. There is no cure though. Early treatment is the main mantra for celebral palsy. Timely intervention can be life-altering. Also Read: World Alzheimer's Day: Can hustle culture lead to Alzheimer's? Experts answer This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever

06 October,2024 10:30 PM IST | Mumbai | IANS
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Normal body weight before pregnancy could help avoid gestational diabetes: Study

About half the cases of gestational diabetes, a common pregnancy complication, could be avoided if body weight was maintained in the normal range, according to a study that followed almost two million births in Sweden from 2000 to 2020. Gestational diabetes, in which a pregnant woman develops high blood sugar levels, can increase the risk of type 2 diabetes later in life. Obesity and overweight, indicated by a higher-than-30 body mass index, have been studied to have adverse pregnancy outcomes. In this study, researchers at Linköping University, Sweden, estimated the extent to which pregnancy complications could be averted if women had normal weight before conceiving. "For example, we concluded that about half of all cases of gestational diabetes could potentially be prevented. This applies to both women born in Sweden and foreign-born women," Maryam Shirvanifar, a PhD student at Linköping University and first author of the study published in The Lancet Public Health journal, said. The researchers also found that over a quarter of pre-eclampsia cases could be avoided if a healthy weight is maintained prior to pregnancy. The condition involves high blood pressure and can be accompanied with severe headaches, vision problems such as blurring, and swelling in feet and ankles, among others.The study looked at both women born in Sweden and those who had moved to the country from regions around the world, including Europe, Latin America and South Asia. Efforts to promote a healthy weight could be beneficial to all women, regardless of ethnicity, according to lead researcher Pontus Henriksson, a senior associate professor at the Department of Health, Medicine and Caring Sciences at Linköping University. "A healthy weight is good for everyone. The earlier in life the better, because once obesity is established, it is difficult to treat," Henriksson said. Of the nearly two million pregnant women studied, close to 17,000 were born in South Asia. "The number of cases of gestational diabetes attributable to overweight and obesity was about four times higher for women born in South Asia, sub-Saharan Africa, and North Africa and the Middle East than for Swedish-born women, which is probably due to a higher prevalence of gestational diabetes in the former birth regions," the authors wrote. Some of the other complications the researchers looked at included infant death in the first year of life, premature births and unusual baby sizes at birth. They took data from national registers to analyse the relationship between a woman's body mass index prior to pregnancy and complications depending on which region of the world she was born in. "Promotion of a healthy weight in pregnancy has the potential to reduce the burden of adverse pregnancy outcomes and possibly reduce inequalities in reproductive health," the authors wrote.  Also Read: Obesity, diabetes, PCOS increasing gynaecological cancers among women: Experts This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever

06 October,2024 07:43 PM IST | Mumbai | PTI
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