Limiting the use of mobile phones in making and taking calls may help reduce the risk of cardiovascular diseases, according to a top neurologist. Taking to social media platform X, Dr. Sudhir Kumar from Indraprastha Apollo Hospitals, said that limiting mobile phone use, along with other healthy lifestyle measures may be good for boosting heart health. “It is useful to limit the duration of taking and making calls in order to reduce the risk of CVDs,” said Kumar. “Ensure good sleep and minimise psychological stress,” he added, while also suggesting to quit smoking. He said this citing a recent Chinese study, published in the Canadian Journal of Cardiology, which showed an increased association between mobile phone use and heart diseases like stroke, coronary artery disease, atrial fibrillation, and heart failure. The number of mobile phone subscriptions has increased dramatically worldwide in recent decades and surpassed 8.2 billion in 2020, according to data From the International Telecommunication Union. At the same time, heart diseases have also surged significantly worldwide, including in India. Data from the World Heart Federation (WHF) showed deaths from cardiovascular disease (CVD) jumped globally from 12.1 million in 1990 to 20.5 million in 2021. The study by researchers from the Southern Medical University in China showed that weekly mobile phone usage time was positively associated with incident CVD risk. The risk was partly “explained by poor sleep, psychologic distress, and neuroticism”, the study showed. Further, the team noted that “mobile phones emit radiofrequency electromagnetic fields (RF-EMFs), which could induce hypothalamic-pituitary-adrenal axis deregulation, inflammatory reaction, and oxidative stress” -- these can affect heart and blood vessels, increasing the risk of CVD. The study included 444,027 individuals without a history of CVD. After more than 12 years of follow-up, CVD risk was identified in 56,181 individuals (12.7 per cent). Compared with participants who used a mobile phone less than 1 hour per week, those who used a mobile phone more than 1 hour had a significantly increased risk of incident CVD. The risk of CVD was also found to be higher in people with diabetes and current smokers. “Smoking and diabetes compound the risk of CVDs, and hence smokers should quit smoking and people with diabetes should keep blood sugars under control,” Kumar said. Also Read: Spend too much time in front of screens? That coupled with no exercise may lead to digital dementia 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 September,2024 12:06 PM IST | Mumbai | IANS
World Physical Therapy Day, celebrated annually on September 8, is dedicated to raising awareness about the vital role of physical therapy in promoting health, wellness, and quality of life. “Physiotherapy is a secret key to unlocking the path of better health,” poses Dhanalakshmi V, chief physiotherapist, Manipal Hospital (old airport road), Bangalore. Often associated with rehabilitation after injuries or surgeries, physiotherapy goes far beyond its traditional scope.“Physiotherapy has emerged as a powerful tool in improving both physical and mental health, offering a holistic approach that recognises the intricate connection between bodily function and cognitive well-being. This comprehensive approach extends far beyond traditional muscular and skeletal rehabilitation, providing a range of benefits that encompass mental health, cognitive function, and overall quality of life,” shares Shivangi Borkar, head of the department of physiotherapy, P. D. Hinduja Hospital and MRC. Ahead of World Physical Therapy Day, the medical experts will delve into the often-overlooked benefits of physiotherapy, extending beyond pain relief, and explore how physiotherapy can positively impact mental health, sleep patterns, and cognitive abilities. How can physiotherapy improve overall quality of life and well-being? Dhanalakshmi V: One of the major advantages of physiotherapy is its significant impact on physical health. Physical activity has been shown to improve mood, reduce symptoms of anxiety and depression, enhance mental function, and build confidence as well as self-esteem. Physiotherapy extends its scope to all age groups. Hydrotherapy in young kids helps improve strength and reduce hyperactivity. It also increases attention span in learning. Women’s wellness programs such as lamaze, post-delivery exercises, and pelvic floor rehab are known to have various health benefits. Over the years, geriatric (old age) support programs including fall prevention, and balance and coordination exercises are also gaining significant attention in the community for their significant benefits. Can physiotherapy be beneficial for individuals who do not have any specific health conditions? Dhanalakshmi V: We empower patients to learn, recognise, and develop the power to manage themselves through preventive strategies. Preventive physiotherapy involves taking proactive measures to protect your physical health and prevent potential physical issues that may arise in the future. This approach includes early assessments, personalised exercise programs, and education on maintaining proper movement patterns. Rather than waiting for injuries or discomfort, preventive physio focuses on strengthening your body, improving flexibility, and endurance, and reducing the risk of developing lifestyle conditions like hypertension, diabetes, high cholesterol, obesity, and heart-diseases. By establishing a regular routine of physical activity, these individuals can improve their overall health and well-being and physiotherapy contributes to every aspect of improving quality of life. How can physiotherapy help improve sleep quality and address sleep disorders? Dhanalakshmi V: Quality sleep plays a very important role in the optimal functioning of most, if not all, body systems. It is critical for tissue healing, pain modulation, cardiovascular health, and immune and mental function. Without adequate sleep, people can experience increased pain perception, depression, increased anxiety, attention deficits, and reduced quality of life. Most of the sleep disorders including Obstructive Sleep Apnea and Upper Airway Resistance Syndrome are associated with breathing disturbances and physiotherapy has a major role in providing appropriate breathing exercises and respiratory muscle training. This training aims to strengthen the pharyngeal, intercostal, and diaphragmatic muscles, which can reduce the collapsibility of the upper airway during sleep. Also, participating in low levels of aerobic exercise and progressive muscle relaxation techniques in those people enhances the quality of sleep. Further gentle stretching and myofascial release techniques for neck muscles, orofacial muscles, and temporomandibular (TM) joints can be useful in patients with Sleep Bruxism. Are there specific exercises or techniques that can be incorporated into a physiotherapy regimen to enhance sleep? Dhanalakshmi V: Physical therapists can educate patients about appropriate positioning for sleep called ‘Sleep Ergonomics’ considering the patient's diagnoses as well as addressing impaired bed mobility if needed. Pain is often considered to be one of the major contributing factors to poor sleep quality. Therefore, education for individuals about sleep positions for pain-free or pain-reduced sleep may help limit sleep disruption. For example, a person with lower back pain may benefit from learning to sleep on their side (sleep side-lying position) with a pillow between their knees or on their back (supine position) with pillows under their knees. This may help reduce the increased curvature of the back. A consultation with a physiotherapist can help you identify the underlying cause behind your lack of sleep and suggest a way to improve your sleep quality. How does physiotherapy contribute to improving mental health, and what specific conditions can it benefit? Borkar: Exercise, a cornerstone of physiotherapy practice, plays a crucial role in enhancing overall well-being, particularly for patients dealing with various neurological and psychological conditions. It's well-established that regular physical activity can improve mental health by boosting serotonin levels, making it an effective intervention for those with depression. The prescribed exercise routines in physiotherapy not only stimulate the release of endorphins, often referred to as 'feel-good' hormones, but also contribute to a sense of accomplishment and self-efficacy, further bolstering mental resilience. Chronic pain, a common issue addressed in physiotherapy, often has profound effects on mental health. By effectively managing and reducing chronic pain, physiotherapists indirectly contribute to improved mental well-being. The relationship between persistent pain and mental health disorders like depression and anxiety is well-documented, and alleviating physical discomfort can lead to substantial improvements in psychological state. Can physiotherapy help improve brain function and prevent cognitive decline? Borkar: The impact of physiotherapy extends into the realm of cognitive function and memory. Physical activity, as prescribed by physiotherapists, has been shown to have profound effects on brain health. Regular exercise increases blood flow to the brain, ensuring a steady supply of oxygen and nutrients crucial for optimal cognitive function. This enhanced circulation supports the growth of new neural connections, a process known as neuroplasticity, which is essential for learning, memory formation, and overall brain health. In the context of preventing cognitive decline, physiotherapy offers promising interventions. Studies have shown that regular exercise can increase the size of the hippocampus, a brain region crucial for memory formation. This structural change correlates with improved memory function and potentially reduces the risk of age-related cognitive decline. Physiotherapy techniques that focus on improving balance and coordination have been found to enhance the brain's processing speed and reaction time. These improvements extend to cognitive abilities as well. Dual-task training, where individuals perform physical tasks while simultaneously engaging in cognitive challenges, has shown particular promise in improving cognitive-motor performance and potentially slowing cognitive decline. Can physiotherapy help delay the onset of dementia? Borkar: While exercise may not prevent dementia, it can certainly delay its onset by enhancing cognitive functions. Various game-based exercises are especially effective in this regard, as they help improve attention, memory, and problem-solving skills. For example, physiotherapists might give a patient three words or objects to remember—such as "parrot," "dish," and "water." After engaging them in another activity, they can ask them to recall these words, which helps improve their memory. Cognitive exercises incorporated into physiotherapy sessions include building block towers to enhance attention span, copying geometric shapes to sharpen visual-motor skills, and solving puzzles or performing simple arithmetic to boost brain activity. These exercises not only target specific cognitive abilities but also provide engaging and varied therapy sessions, increasing patient motivation and compliance. Are there any specific exercises or techniques that can target cognitive abilities, such as memory, attention, and problem-solving? Borkar: By incorporating a mix of physical exercises and cognitive activities, physiotherapists can significantly enhance a patient's mental function, confidence, and overall well-being. This integrated approach recognises that physical health and mental well-being are deeply interconnected, and addressing both simultaneously can lead to more comprehensive and lasting improvements. Specific exercises and techniques used in physiotherapy can target various cognitive abilities. Aerobic exercises, such as brisk walking, swimming, or cycling, have been consistently linked to improvements in memory and executive function. Coordination exercises, which require precise movements and hand-eye coordination, can enhance problem-solving skills and spatial awareness. Rhythmic exercises, including dancing or tai chi, have shown benefits in improving cognitive flexibility and processing speed. Resistance training, often incorporated into physiotherapy programs, has been associated with improved executive function and memory. The cognitive demands of planning and executing specific movements, combined with physical exertion, create a beneficial environment for brain health. Some physiotherapists also incorporate mindfulness techniques into their practice, which can enhance attention, focus, and overall cognitive awareness. Also Read: Physical inactivity on the rise: Experts share ways to incorporate exercise amid sedentary lifestyle and hectic schedules How can digital neuro-rehabilitation services enhance the benefits of physiotherapy? Borkar: Digital neuro-rehabilitation services are increasingly offering these types of interventions, especially for patients recovering from stroke, Parkinson's disease, and other brain injuries, providing them with valuable tools for recovery and mental fortitude. These digital platforms allow for more accessible and continuous care, enabling patients to engage in therapeutic exercises even outside of traditional clinical settings. The integration of cognitive exercises with physical therapy, along with the advent of digital rehabilitation services, represents an exciting frontier in healthcare, promising more effective and personalised treatments for a wide range of conditions affecting both body and mind. What is the importance of a personalised physiotherapy program? Borkar: From alleviating symptoms of mental health disorders to enhancing memory and potentially delaying the onset of dementia, the benefits of physiotherapy extend far beyond physical rehabilitation. However, it's important to note that while these exercises and techniques show great promise, the most effective approach often involves a personalised program. A qualified physiotherapist can develop a tailored plan that takes into account an individual's specific needs, health status, and goals. This personalised approach ensures that the interventions are not only effective but also safe and sustainable for each individual. As research in this field continues to evolve, the role of physiotherapy in promoting comprehensive health and well-being is likely to expand further, offering new hope and strategies for maintaining both physical and mental health throughout life.
07 September,2024 09:38 AM IST | Mumbai | Maitrai Agarwal
Migraines are a debilitating neurological condition characterised by acute headaches, often accompanied by nausea and heightened sensitivity to light and sound. While the exact cause of migraines remains unknown, research has shown that diet plays a crucial role in managing and potentially preventing migraines. By addressing nutritional deficiencies, identifying and avoiding trigger foods, and incorporating beneficial nutrients, individuals can find relief from this complex condition. In addition, maintaining proper hydration, eating balanced meals, and getting sufficient sleep are vital components of a migraine prevention strategy. As we observe National Nutrition Week, clinical nutrition consultant Neha Sahaya, and culinary nutrition and holistic wellness coach Eshanka Wahi delve into various aspects of nutrition and suggest dietary strategies that can empower individuals to manage their migraines effectively and enhance their overall well-being. Common nutritional deficiencies associated with migraines While the exact cause of migraines is multifactorial, certain nutritional deficiencies have been associated with an increased risk or frequency of migraines. Addressing these deficiencies can be an important part of managing migraine symptoms. Wahi shares five common nutritional deficiencies, and how to address them through diet and supplements. 1. Magnesium Role: Magnesium is crucial for nerve function and has a relaxing effect on blood vessels, which can help prevent migraines. Deficiency: Studies have shown that people with migraines often have lower levels of magnesium. Addressing through diet: Increase intake of magnesium-rich foods such as leafy greens (spinach, kale), nuts and seeds (almonds, sunflower seeds), legumes, whole grains, and avocados. Supplementation: Magnesium supplements, especially in the form of magnesium oxide or magnesium citrate, can be beneficial. A typical dose is 400-600 mg per day, but it's important to consult a healthcare provider before starting supplementation. 2. Vitamin B2 (Riboflavin) Role: Riboflavin is involved in energy production in cells and has been shown to reduce the frequency of migraines. Deficiency: Low levels of riboflavin have been linked to an increased risk of migraines. Addressing through diet: Include riboflavin-rich foods like eggs, lean meats, dairy products, nuts, and green vegetables. Supplementation: Riboflavin supplementation at 400 mg per day has been found effective in reducing migraine frequency. 3. Vitamin D Role: Vitamin D has anti-inflammatory properties and supports overall neurological health. Deficiency: Vitamin D deficiency has been linked to chronic pain conditions, including migraines. Addressing through diet: Consume foods rich in vitamin D like fatty fish (salmon, mackerel), fortified foods (milk, orange juice), and eggs. Sunlight exposure is also a natural source. Supplementation: Vitamin D3 supplements can be considered, especially in individuals with low sun exposure. A healthcare provider should determine the appropriate dosage based on blood levels. 4. Coenzyme Q10 (CoQ10) Role: CoQ10 is involved in mitochondrial energy production and has been shown to reduce migraine frequency. Deficiency: Some individuals with migraines may have lower levels of CoQ10. Addressing through diet: Include CoQ10-rich foods like organ meats (heart, liver), fatty fish, and whole grains. Supplementation: CoQ10 supplements (100-300 mg per day) may be beneficial for migraine prevention. 5. Omega-3 Fatty Acids Role: Omega-3s have anti-inflammatory properties that may help reduce the severity of migraines. Deficiency: A low intake of omega-3s relative to omega-6 fatty acids may be associated with an increased risk of migraines. Addressing through diet: Increase intake of omega-3-rich foods like fatty fish (salmon, sardines), flaxseeds, chia seeds, and walnuts. Supplementation: Fish oil supplements containing EPA and DHA can be considered. Please note that as with all supplements, it is essential to consult a healthcare provider to determine the right type and dosage. Identifying trigger foods Understanding personal dietary triggers is one of the primary steps in managing migraines. “Certain foods and ingredients are commonly associated with triggering migraine attacks, these include aged cheeses, alcohol (particularly red wine), chocolate, cured meats, food preservatives such as nitrates, nitrites, monosodium glutamate (MSG), artificial sweeteners like aspartame, and smoked fish. Each of these triggers can affect people differently; for instance, while some might find chocolate to be a significant trigger, others might not,” explains Sahaya.To identify personal triggers, she suggests keeping a detailed food diary which can prove to be incredibly helpful. “Recording everything you eat and noting any migraine symptoms that follow can reveal patterns and potential triggers. Once these potential triggers are identified, it is advisable to eliminate them from the diet for a period of 1 to 2 weeks. Gradually reintroducing each food item, one at a time, can help confirm whether they are indeed associated with migraine attacks. This methodical approach allows individuals to understand their bodies better and tailor their diets to avoid specific triggers,” explains the nutrition expert. Also Read: National Nutrition Week 2024: Planning to fast this festive season? Mumbai dieticians explain why nutritious eating is essential DASH for migraine prevention Adopting certain dietary patterns can also help in managing migraines. Sahaya suggests, “The Dietary Approaches to Stop Hypertension (DASH) diet, originally developed to lower blood pressure, promotes whole grains, fruits, vegetables, lean proteins, and low-fat dairy products. This diet is rich in essential nutrients such as magnesium, calcium, and potassium, which may help prevent migraines. By emphasising whole, unprocessed foods and reducing the intake of high-sodium and high-fat foods, the DASH diet supports overall health and can reduce migraine triggers associated with poor diet.” Hydration and balanced meals are critical Dehydration is a common migraine trigger, tells us Sahaya as she emphasises the importance of staying well-hydrated throughout the day. “Drinking plenty of water and consuming water-rich foods like fruits and vegetables can help in preventing migraine episodes. It is especially important to hydrate before, during, and after physical activity, as dehydration from exercise can also trigger migraines,” she adds.Skipping meals or fasting can lead to a drop in blood sugar, potentially triggering a migraine, cautions Sahaya. She recommends eating regular, and balanced meals to help stabilise blood sugar levels, which is crucial for those who experience migraines. “Including a source of protein, healthy fats, and complex carbohydrates in each meal can provide sustained energy and prevent blood sugar spikes and crashes,” she concludes. Lifestyle factors in migraine prevention In addition to dietary changes, certain lifestyle factors such as stress, sleep, and exercise can also play a significant role in migraine prevention. Below, Wahi delves into the impact of these lifestyle factors, and how you can leverage diet as a strategic tool to manage migraine. 1. Stress Impact: Stress is a common trigger for migraines. Chronic stress can deplete essential nutrients like magnesium and B vitamins, which are important for nerve function and energy production. Dietary interaction: A diet rich in magnesium, B vitamins, and omega-3 fatty acids can help mitigate the effects of stress. Omega-3s, for instance, have anti-inflammatory properties that can reduce stress-related inflammation. Management: Incorporating stress-relief practices like mindfulness, yoga, or meditation along with a balanced diet can help in reducing migraine frequency. 2. Sleep Impact: Poor sleep or irregular sleep patterns can trigger migraines. Sleep disturbances can affect hormone levels, increase inflammation, and lead to nutrient imbalances. Dietary Interaction: Certain foods and nutrients can support better sleep. For example, magnesium-rich foods like leafy greens and seeds can promote relaxation and improve sleep quality. Avoiding caffeine and sugar, especially close to bedtime, can also prevent sleep disturbances. Management: A consistent sleep schedule, coupled with a diet that supports relaxation and sleep, can be effective in managing migraines. 3. Exercise Impact: Regular physical activity can help reduce the frequency and intensity of migraines by improving circulation, reducing stress, and balancing neurotransmitter levels. However, intense exercise or dehydration can sometimes trigger migraines. Dietary interaction: Staying hydrated and consuming a balanced diet that supports energy levels is crucial. Electrolytes, such as potassium and magnesium, are important for preventing exercise-induced migraines. Management: Engaging in regular, moderate exercise and ensuring proper hydration and nutrition can help in the overall management of migraines. Dietary recommendations for individuals with irregular sleep patterns If you struggle with irregular sleep patterns, it may contribute to various health issues, including migraines. Wahi lists five simple recommendations to help individuals with irregular sleep patterns manage their migraines: 1. Maintain regular meal times Irregular eating patterns can disrupt blood sugar levels, leading to migraines. Try to eat at regular intervals, even if your sleep schedule is irregular. This helps stabilise blood sugar levels and prevent hunger-related migraines. 2. Choose nutrient-dense snacks Nutrient-dense snacks can provide sustained energy and prevent migraines. Opt for snacks rich in protein and healthy fats, such as nuts, seeds, yogurt, or hard-boiled eggs. These can help maintain energy levels during long shifts. 3. Focus on sleep-promoting nutrients Nutrients like magnesium and tryptophan can support better sleep, even if your schedule is irregular. Include foods like bananas, almonds, and turkey, which are rich in these nutrients. Herbal teas like chamomile can also help promote relaxation and sleep. 4. Avoid stimulants before sleep Caffeine and sugar can disrupt sleep, leading to migraines. Limit intake of caffeinated beverages and sugary foods before sleep. Instead, choose calming beverages like herbal tea. 5. Stay hydrated Dehydration can be exacerbated by irregular sleep patterns and night shifts, increasing migraine risk. Drink water consistently throughout your shift, and consider electrolyte-rich beverages if you’re particularly active or sweating a lot. Risks of combining migraine medications and supplements While supplements can provide additional support for migraine management, combining them with prescription migraine medications can have potential risks, warns Sahaya. “These risks primarily stem from possible interactions between the active ingredients in medications and supplements. For example, taking magnesium supplements in conjunction with certain medications can increase the risk of side effects such as diarrhoea or gastrointestinal discomfort. It is crucial to consult a healthcare provider before combining supplements with medications to avoid adverse interactions and ensure safe and effective migraine management,” she explains. Disclaimer: This information does not replace professional medical advice. Consult a qualified nutritionist or physician for personalised guidance.
06 September,2024 11:40 AM IST | Mumbai | Maitrai AgarwalHave you ever been faced with a choice at a crossroads? A recent study may have finally figured out what our brains are doing when we indulge in spontaneous behaviour. The Brain Institute at Chapman University in California, US, conducted a study on how the brain triggers impulsive behaviour like leaping off a high-dive platform or coming up with novel ideas. They concentrated on a phenomenon where the human brain becomes more active one or two seconds before it takes action. Since the 1960s, neuroscientists have believed that this ramping is an indication that our brain is getting ready to act following the completion of an unconscious, premeditated decision. However, the new research offers another answer. The team found that many rapidly fluctuating neurons -- brain cells, interact to create slow fluctuations in brain activity that reach a threshold crossing event -- the final state, when the brain finally decides to act on the spontaneous decision by simulating neural networks and comparing them to recordings of human brain activity. Jake Gavenas from the institute suggested that, contrary to what was previously stated, “we are completely aware of this behaviour and in complete control of our brain.” “We may decide whether to act on this spontaneous decision or not, we can ignore the external stimuli -- the background noise that can cloud judgement,” he said. This study casts doubt on the notion that our behaviour is mostly dictated by our subconscious. Rather, it means that a great deal of spontaneous judgments still include unexplored aspects like creativity and memory recall, indicating that spontaneous behaviours originate from the intricate connections inside our brain networks. “We see similar slow-ramping signals before other kinds of spontaneous behaviours, like coming up with creative ideas or freely remembering things that have happened to you. A similar process might therefore underlie those phenomena, but only time and further research will tell,” Gavenas said. Also Read: Here's how love lights up different parts of the human brain 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 September,2024 09:57 AM IST | Mumbai | IANSDietary deficiency, which can be prevented, is a major risk factor for osteoporosis in women, said experts on Thursday. National Nutrition Week is observed annually from September 1 to September 7. The theme this year is ‘Nutritious Diets for Everyone’. Osteoporosis is a bone disease that weakens bones, making them thinner and more susceptible to fractures. The disease majorly affects women, particularly after menopause. Six crore people in India reportedly have osteoporosis and 80 per cent of them are women. A decline in oestrogen levels -- the female hormone essential for healthy bones -- directly affects bone density explains why women are more at risk. “The most important cause of osteoporosis is a dietary deficiency, which can be prevented with a recommended dietary allowance of 1200 gm per day of calcium and intake of vitamin 500-800iu every day,” Dr. Uma Kumar, Head of Rheumatology at AIIMS, New Delhi, told IANS. Major sources of proper nutrition to fight osteoporosis risk include egg, milk, almonds, green leafy vegetables, oranges, cheese, beans, cod liver oil, liver, yogurt, salmon, mushrooms, and tuna fish, the expert said. Some risk factors include high intake of steroids, previous history of fractures, advancing age, low body weight, family history of hip fracture, alcohol, smoking, and rheumatoid arthritis. People living in polar regions or with poor sunlight exposure can also be at risk. While the disease majorly strikes in old age, the care must begin from the youth, the experts said. “Women should ideally begin focusing on bone health from a young age, as bone mass peaks in the early 20s. By maintaining a nutrient-rich diet and engaging in regular weight-bearing exercise, women can build and preserve bone density, reducing their risk of osteoporosis later in life,” Dr. Lalit Kumar Lohia, Consultant- Orthopaedics, Manipal Hospital Dwarka, New Delhi, told IANS. Lohia noted that osteoporosis is a “silent disease” because it typically progresses without noticeable symptoms until a bone fracture occurs. However, there are some early signs that women should be aware of. “Low back pain is a frequent complaint. This pain may be persistent and is sometimes mistaken for normal ageing. Additionally, women with osteoporosis may experience generalised body pain and an unusual level of fatigue. The fragility of bones becomes evident when even minor injuries lead to fractures, especially in the hips, wrists, or spine,” the doctor said. What are the tests that can indicate osteoporosis risk? Kumar told IANS that all post-menopausal women above 65 age should be screened for osteoporosis for vitamin D, calcium (ionised calcium) and phosphate blood levels, and bone mass density along with risk factors like creatinine, thyroid (for secondary causes), and body weight. “Women must ideally begin screening from post-menopausal age based on risk factors and previous history of fractures. But if they are less than 65 years, and risk factors are present then they should be screened. In the case of diabetics, women must begin at age 40,” Kumar said. Postmenopausal women above age 40 can also go for a fracture risk assessment tool (FRAX) -- a test that can help determine a patient's 10-year risk of hip fracture and other major osteoporotic fractures, the expert added. The experts advised foods with high calcium content like milk and dairy products like eggs; fruits and foods fortified with Vitamin D. Adequate sunlight exposure may also help. They also stressed the need for at least 150 minutes of exercise per week. Moderate-intensity aerobic activity (cycling or fast walking), weight-bearing and resistance exercise are particularly important to prevent osteoporosis. Quit smoking and alcohol consumption is also imperative. Lohia noted that even after menopause, when the rate of bone loss accelerates due to lower oestrogen levels, continuing to prioritise bone health can make a significant difference in preventing fractures and maintaining the quality of life. Also Read: National Nutrition Week: Uncover the hidden power of nutrition on women's health — An expert guide 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
05 September,2024 06:49 PM IST | Mumbai | IANSSpinal cord injury, one of the most devastating injuries to the human body, is becoming more common than ever, said experts on Thursday. Spinal Cord Injury Day is celebrated each year on September 5 to bring about awareness about the spinal cord. The spine is the backbone of the human body and maintaining its health is crucial for overall well-being, said the health experts. “With the increasing prevalence of sedentary lifestyles, poor posture habits, and the rise of technology use, spinal issues have become more common than ever,” Dr Arvind Kulkarni, Head - Spinal Surgeon, Mumbai Spine Scoliosis and Disc Replacement Centre, told IANS. The incidence of spinal cord injury in India is estimated to be around 20 per million with 2,500 fresh cases added every year. The condition is no longer limited to older adults but is increasingly affecting younger groups. “Spinal issues have significantly increased as a result of sedentary lifestyles brought on by longer screen times and more desk jobs. The prevalence of chronic back pain and neck problems, commonly known as "tech neck," has increased as more people develop bad postural patterns when using mobile devices or working at computers,” Kulkarni said. “There is a concerning trend of spine problems among young people as a result of improper posture and excessive usage of laptops, tablets, and mobiles, highlighting the need for early intervention and education on proper spinal care,” the doctor added. Minimally invasive techniques are becoming more common due to breakthroughs in spinal surgery. Compared to traditional operations, these methods have shorter recovery times, fewer risks, and less discomfort after surgery, which makes them a popular choice for many patients. However, high costs remain a concern. “While there are several new treatments for the spinal cord injury management including spinal cord stimulator, diaphragmatic stimulation and also experimental medicines, affordability is a major concern for patients in India,” Dr. Bibhudendu Mohapatra, Associate Director, Spine Services, Indian Spinal Injuries Centre, New Delhi. “I would like to see a day where all these technologies are available in our country at an affordable rate so that more and more patients can use it and get a better outcome from the spinal cord injury,” he added. To maintain good spinal health, the experts suggested awareness of the right posture, regular exercise, healthy weight management, mindful movement, and hydration and nutrition. Also Read: National Nutrition Week: Uncover the hidden power of nutrition on women's health — An expert guide 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
05 September,2024 02:32 PM IST | Mumbai | IANSLong-term exposure to fine particulate matter (PM2.5) air pollution is linked to a higher risk of infertility in men, according to a Danish study. The study led by researchers at the Nord Universitet in Denmark throws light on a significant worldwide health issue, infertility which affects one in every seven couples. Studies on sperm quality and the success of fertility treatments have found negative correlations with particulate air pollution; however, results on fecundability, or the probability of becoming pregnant, have been inconsistent, and no research has looked into the impact of transportation noise on infertility in men and women. The study, published in the journal BMJ, found that prolonged exposure to PM2.5 is associated with a higher risk of infertility in men. The team included 526,056 men aged 30-45 years, with fewer than two children, residing in Denmark between 2000 and 2017. Exposure to higher than average levels of PM2.5 over five years was associated with a 24 per cent increased risk of infertility in men aged 30-45 years. Since this is an observational study, it is impossible to determine a cause, said the researchers. They also recognised that their data on lifestyle characteristics and exposure to air pollution at work and during leisure activities may be incomplete and couples who are not attempting to conceive may not have been included. The study stresses the need to enact air pollution measures to raise birth rates worldwide. Governments can improve reproductive health outcomes by improving the environment and addressing air quality issues. By encouraging the fight for better air, a very basic human right for everyone, this proactive strategy may play a significant role in creating a population that is both healthier and more sustainable in the contemporary world. 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.
05 September,2024 01:08 PM IST | New Delhi | IANSSports-related concussions (SRC) may not be linked to long-term cognitive problems for non-professional players, according to a study on Wednesday. The research, published in the Journal of Neurology, Neurosurgery and Psychiatry (JNNP), showed that people who reported having any SRC in their lives performed marginally better cognitively than those with no concussion history. In fact, participants who had sustained SRC actually performed better cognitively in some domains than those who had never had a concussion, suggesting that sports activity may have preventive effects. Led by researchers from the University of New South Wales, Australia, an international team from the US, and the UK analysed data from over 15,000 participants aged 50 to 90. The research aimed to comprehend cognitive decline and ageing of the brain. "We hypothesise that there may be physical, social, and long-term behavioural effects of sports that may make for healthier adults in late life,” said lead author Dr. Matt Lennon, from UNSW's Centre for Healthy Brain Ageing (CHeBA). While people with one SRC had better working memory and reasoning capacity, participants with three or more SRCs had worse processing speed and attention. They also had a declining trajectory of verbal reasoning with age. The study suggests that there could be long-term benefits from sport that could outweigh any negative effects of concussions, which could have important implications for policy decisions around contact sport participation. "While these results do not indicate the safety of any sport in particular, they do indicate that overall sports may have greater beneficial effects for long-term cognitive health than the damage it causes, even in those who have experienced concussion. This finding should not be overstated, the beneficial effects were small and in people who had two or more sports-related concussions there was no longer any benefit to concussion. Additionally, this study does not apply to concussions in professional athletes, whose head injuries tend to be more frequent, debilitating and severe," noted Lennon. However, the study acknowledged some limitations, including the retrospective design of the study and the lack of inclusion of professional athletes, who face the concussion problem daily. 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.
05 September,2024 12:13 PM IST | New Delhi | IANSFrequent mobile phone use was positively linked with increasing the risk of cardiovascular disease, particularly in those who currently smoke and have diabetes. Furthermore, poor sleep, psychological distress, and neuroticism were identified as contributing factors to this connection, a study found on Wednesday. A paper in the Canadian Journal of Cardiology describes the outcomes of this extensive prospective cohort study. "Mobile phone use is a ubiquitous exposure in modern society, so exploring its impact on health has significant public health value. However, whether mobile phone use is associated with the risk of cardiovascular diseases, remains uncertain," Yanjun Zhang, MD, Division of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, China, explained. In this study, 444,027 people from the UK Biobank who self-reported their frequency of mobile phone use between 2006 and 2010 and had no history of cardiovascular illness, were included. At least one call per week was considered regular usage of a mobile phone. The composite outcome of acute stroke, coronary heart disease, atrial fibrillation, and heart failure was determined over a median follow-up period of 12.3 years using linked hospital and mortality information. Additionally, sleep patterns, psychological discomfort, and neuroticism were examined by researchers. "We found that sleep patterns, psychological distress, and neuroticism may be potential mechanisms of the association between mobile phone use and cardiovascular diseases. In addition, chronic exposure to radiation emitted from mobile phones could lead to oxidative stress and inflammatory response. Therefore, chronic radiation exposure from mobile phones in combination with smoking and diabetes may increase the incidence of increasing cardiovascular disease risk,” Xianhui Qin of Nanfang Hospital concluded. Further studies on this subject can help provide concrete evidence. 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.
05 September,2024 12:06 PM IST | New Delhi | IANSAfter undergoing successful treatment, a 31-year-old man has conquered generalised plaque psoriasis and fulfilled his aspiration of marriage. In 2016, Rahul Kumar (name changed) from Mumbai, proprietor of an events company, exhibited symptoms such as scaly or flaky skin, rashes on the scalp, trunk, upper and lower extremities sparing his palms, soles, face, and genitals, and nails. He tried ayurvedic and homeopathic treatment but couldn’t find any relief. Then, the patient came to Dr Rinky Kapoor for treatment. He was given regular medications for a few years. However, due to irregular usage of medicines, and side effects developing over time, his quality of life deteriorated, he was looking at marriage proposals, and all this took a toll on his mental state. He wanted to go off all applications and regular tablets and lead a better quality of life. Under the guidance of Dr. Rinky, he underwent a successful treatment. After his marriage, now, he is also considering family planning. Dr Rinky, MD DDV Dermatology, The Esthetic Clinics said, “Psoriasis is a chronic skin disease with no cure and causes a rash with itchy, scaly patches, most commonly on the knees, elbows, trunk and scalp. The current prevalence in the population is around 3 per cent, and the incidence seems to be increasing over the years. Current lifestyle patterns, stress, and the like may be contributing to it. In a typical Dermatology practice, 2 to 3 out of all OPD consults seen could be suffering from Psoriasis, depending on the type of practice."She adds, "This patient came to us in 2019. He had reddish, flaky, itchy patches on most areas of the body. The causative factor is unknown, though stress may have been a trigger. He was very distressed given the fact that there would be flakes of skin falling over from all over the body, with redness and burning sensation over some of them, and severe dryness on the skin. He was not able to find any matches for marriage, he was suffering from low confidence professionally too." Psoriasis extends beyond being merely a skin issue and is a multifaceted disease that affects various aspects of patients' lives. Those dealing with this condition not only suffer from their physical symptoms but also encounter numerous challenges in their everyday existence. The stigma and discrimination they face, coupled with feelings of loneliness and isolation, can hinder their productivity. This struggle often leads to adverse effects on their mental well-being. Furthermore, these challenges disrupt their daily activities, personal relationships, and employment opportunities. Because there is not much awareness regarding this, society feels that this is contagious, some sections of society feel these patients are cursed, etc. The chronic skin disease is also linked to cardiovascular disease, metabolic syndrome, and diabetes, and takes a toll on one’s self-esteem and mental health, worsening depression and anxiety. A lack of awareness and information leaves both patients and caregivers feeling overwhelmed. Campaigns aimed at raising awareness can play a crucial role in addressing stigma and discrimination. Support groups are vital in providing information to both patients and caregivers, as well as facilitating the sharing of personal stories and insights gained from the experiences of others. Dr Rinky further sheds light on the treatment for the patient. She explains, “Effective management of symptoms can provide relief to the patients. Initially, an oral medicine called Cyclosporin was started, which was continued for 4 years at 0.5 mg/kg gave 90 per cent clearance, higher doses caused gastrointestinal symptoms, and reduction of dose caused recurrences. Recently, serum lipid and sugar profiles started showing derangement. He was suggested to undergo another line of management called phototherapy where ultraviolet light is given to improve the skin. However since it is a time-bound therapy and needs frequent visits to the doctor’s clinic, this was out of the question for him." The expert then suggested that he should go for the latest class of medicines called Biologicals. Not many clinics are experienced in administering this modality since they have not been around for a long time in India. He was started on these injections in April 2024. With three months of this treatment over, he is currently on maintenance schedules.The advantages of this therapy are that it takes two minutes to do it, one can self-administer the injection himself/herself once they have been taught as the device is user-friendly, the dosage schedules are very convenient, the results are very quick, skin patches clearance rate is very high and there are negligible side effects, with minimal monitoring required. The quality of life of the patient just transforms within a few weeks of starting the treatment. The patient may not remember when he had such clear skin in a long time. The Mumbaikar got married in June 2024 and is planning a family now. One of the main reasons to start biologicals was also the fact that it can be taken by men who are planning to start a family. It is safe. The patient explains, “As I was detected with psoriasis, the emotional toll of this condition became challenging for me. I was stressed, depressed, frustrated, and lonely. The diagnosis came as a shocker and I cried to myself as it made me look different. I was embarrassed and often ridiculed for my appearance and patches. In social gatherings, I felt like an outsider, battling every awkward glance or whispered remark about my appearance. It wasn't just the physical pain; it was the weight of societal judgments that compounded my stress. I consulted many dermatologists who did help but I was always struggling with taking medicines and dealing with side effects, and incomplete results, daily. Despite this, I remained hopeful and committed to managing my condition. I owe a great deal to Dr Rinky Kapoor for her timely intervention. It was unbelievable, the way my skin cleared up." He continues, "Of course, I will be on basic minimum maintenance sessions, so that my disease remains under control, as psoriasis cannot be eradicated from the body. The frequency of the injections, the negligible side effect profile and the convenience of self-administration, the rapidity of results, have made my life much simpler and taken off a lot of stress related to my illness. I feel better now. I don’t need to hide my skin from anyone anymore. I'm happily married, something that once felt like an unattainable dream and I'm even considering starting a family. My wife knows about my disease, though she has never seen me in my worst days of the disease, as I was completely clear when we married. She knows that the disease is in remission, but I need minimum maintenance to keep it that way. However, at the back of our minds, we know that I have conquered a big aspect of the disease. He concludes, "I encourage others facing similar challenges to adhere strictly to their doctor's advice and refrain from self-medicating for effective management of their condition. Awareness is important and we must ensure that we are guided by the right healthcare providers about the wonders that current medical science has to offer. I don’t have to hide my scars now and present myself the way I am. Psoriasis is not the end of life, as the famous Hollywood movie says ‘Life is Beautiful'."
05 September,2024 09:34 AM IST | Mumbai | mid-day online correspondentIn a heartening tale, a pregnant woman, who was dealing with Rheumatoid Arthritis and Hypertension, has given birth to a premature baby girl weighing 1.6 kg, after which she needed NICU management for 35 days. Rinki Yadav, a 37-year-old woman who visited Wockhardt Hospitals in Mira Road with a history of Rheumatoid Arthritis, which she had been managing since 2015. She had experienced several miscarriages in the past. She got married on December 15, 2018, and got pregnant in September 2019, which ended in a miscarriage at 7 weeks with a spontaneous abortion. She immediately conceived again in November 2019, but unfortunately, this pregnancy also ended in a miscarriage at 7 weeks due to a Blighted Ovum. Her third pregnancy in April 2021 resulted in another miscarriage at 9 weeks, and further diagnosis revealed a Chromosomal abnormality, specifically Trisomy 21 (Down Syndrome) In September 2023, Yadav conceived for the fourth time and because of high risk pregnancy, she was strictly monitored throughout the pregnancy at the hospital. Unfortunately during this fourth pregnancy, she was diagnosed with Complete Placenta Previa and raised blood pressure, requiring her to be on bed rest throughout the duration. At around 30 weeks, she experienced heavy bleeding, prompting her to be admitted to the hospital again.Complete Placenta Previa is a deadly disease for both the mother and the foetus. The risks of severe bleeding in pregnancy can be life-threatening to both mother and the baby There is a 3-4 fold rise in the chance of a newborn death. It affects 0.3-2 per cent of pregnancies with a high risk of preterm labor, low birth weight, and complications at the time of birth.When she arrived at the hospital's emergency department, the on-duty doctors were prepared to attend to her, having been informed about her condition in advance. She was treated conservatively for 24 hours, where she was given steroid injections and magsulf infusion so that the baby would benefit from lung maturity and prevent further neurological complications. The hospital also conducted relevant investigations to assess the baby's condition. For two days, Yadav was kept under complete observation and the baby was monitored. Given the severity of the patient's condition and the potential risks to both her and the baby, the patient underwent a cesarean section. Dr Mangala Patil (consultant obstetrician & gynaecologist), Dr S N Agarwal (consultant senior gynaecologist), and Dr Nitu Mundhra (consultant pediatrician & neonatologist) carried out the procedure. Throughout this process, they had to ensure that the patient and her family were fully informed about the situation and the potential outcomes. As the baby was born prematurely having other complications, she was admitted to the NICU for 35 days to receive the necessary care. Dr Mangala Patil says, “Wockhardt Hospitals in Mira Road is a guiding light for families navigating the complexities of high-risk pregnancies and delicate newborn care needs in North Mumbai. The NICU is well-equipped with State-of-the-Art facilities to cater to emergencies with precision and efficiency. The seamless integration of infrastructure backup ensures that no matter how challenging the situation may be, there is always a robust support system to tackle any unforeseen circumstances swiftly and effectively. The hospital has set new standards in Neonatal care, prioritising successful outcomes without compromising on compassion or quality of service.” Yadav concludes, “Having undergone three abortions and experiencing a health crisis, I had little hope for the survival of my baby. Nevertheless, Wockhardt Hospitals in Mira Road defied my expectations. The advanced technology and skilled experts at the hospital turned what seemed impossible into reality. The moment I held my baby for the first time, tears of joy streamed down my face, overwhelming me with happiness. Our delight is immeasurable as our baby not only survived but is thriving, growing, and recognising us with each passing day. We are forever indebted to the team of doctors who saved the life of me and my baby."
04 September,2024 01:45 PM IST | Mumbai | mid-day online correspondentADVERTISEMENT
