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Limiting ghee, coconut oil advisable if you have fatty liver disease: Expert

As fatty liver disease is increasing in India, a noted hepatologist on Wednesday advised limiting consumption of saturated fats like ghee and coconut oil.  Fatty liver disease is related to obesity and diabetes. Consuming excessive carbohydrates can raise insulin levels, and chronic high insulin levels lead to insulin resistance. This disrupts metabolism and converts excess glucose into fatty acids, which are stored in the liver. It can be classified into two main types: alcoholic fatty liver disease (AFLD) and non-alcoholic fatty liver disease (NAFLD/MASLD) -- linked to liver inflammation and damage, eventually leading to fibrosis, cirrhosis, or liver cancer. "In the Indian context, if you have metabolic-disorder-associated fatty liver disease (previously NAFLD), remember to limit saturated fat sources in your diet," said Dr Abby Phillips, popularly known as LiverDoc, on the social media platform X.com. "This means limiting foods containing Ghee, clarified butter (north India), Coconut oil (south India), and Palm oil (processed/ ultra-processed foods)," he explained, adding that "saturated fats increase liver triglycerides and hence liver fat and inflammation." While ghee is traditionally considered healthy, the doctor noted that it "is not a superfood. It is a super danger. It is almost all fat, and more than 60 per cent is saturated (unhealthy) fat." He stressed the need to replace it with "healthier (vegetable) seed oils that have low saturated fat and trans-fat content." Dr Abby also recommended using a diverse range of seed oils in daily cooking. Instead of frying food items, he suggested "bake, boil, broil, grill, or steaming foods." He also called out to "increase portions of plant-based protein in daily meals and to add daily fresh cut fruit portions (instead of fruit juicing)." "This is far more important than limiting meat (including lean meat more than red meat), fish, and eggs -- all of which can be consumed in their recommended daily/weekly intake," the doctor said. Also Read: Mumbai monsoon: Surge in autoimmune diseases in women, doctors advise caution and suggest dietary tips 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

03 July,2024 01:21 PM IST | New Delhi | IANS
Jammwal made his Bollywood debut in 2011 with the action film

Mid-Day Premium Vidyut Jammwal: Kalarippayattu is my primary source of discipline

Known for his chiselled build and martial prowess, actor Vidyut Jammwal is set for a comeback to Tamil cinema after over a decade. In a reunion with Tamil film director A.R. Murugadoss along with actor Sivakarthikeyan, the trio is gearing up for their upcoming action-packed drama, SK23 (tentative working title). Earlier in February 2024, his last film, Crakk: billed as India’s first extreme sports action film, tanked at the box office; leading the fitness buff to join a French circus, in a bid to recover financial losses. With lessons learned, the 'Commando' star is eyeing a rebound as he gears up to crank up the weight machines at the gym.   During a shoot sequence for SK23 starring Kannada actress Rukmini Vasanth as the lead, Midday.com sat down with Vidyut to discuss themes of overcoming setbacks, the power of discipline and the courage to go bold while carving one’s unconventional path.   Rising from adversity: Choosebold 2.0Life’s unpredictable twists can leave us at a crossroads, torn between the conventional route and a road less taken. Opting for the latter may involve risks: yet those who choose it, are on a path to discover new encounters of life.  Recounting the response to his latest film, Jammwal admits, "I lost a lot of money because of Crakk’s failure.” Having co-produced the film with Abbas Sayyed and Paras Sanghvi, the Nora Fatehi starrer managed to collect only Rs 17 crore against a mounting budget of Rs 45 crore, according to box office collections. Reflecting on this failure, the actor shares, “The most important learning that came for me was, how will I deal with the financial setback.”  He continues, “Losing money comes with a lot of advice. People who’ve lost money in the past and friends who care about you tend to bombard you with countless suggestions. At that moment, it became important for me to disconnect from all the advice.”  Jammwal began training for in Kalaripayattu at the age of three in an ashram in Palakkad, Kerala which was run by his mother After the film bombed at the box office, he left Mumbai and went on to join a French circus. “There, I spent time with this contortionist: someone who can stretch their body parts to near-impossible levels. While observing them, I was blown. In my head, I thought, ‘Oh my God, how can somebody be so flexible’. It made me feel like the smallest person in that room.”  After spending some more time with Frenchmen, he flew back to Mumbai to find out that “everything had calmed down.” Three months after the film's release, the actor-producer was debt-free. We ask, how? “It’s a miracle,” comes the reply after fleeting ruminations. Nevertheless, Jammwal’s resilience has led him to collaborate with the Indian cricketer Virat Kohli to celebrate bold choices with a new TV campaign ‘Choosebold2.0’ for Royal Challenge Packaged Drinking Water. The campaign is a tribute to the ones who are ‘progressive and fearlessly play their own game in life.’  Also read: Why Alia Bhatt steers away from giving parenting advice The power of disciplineJammwal's ability to blend athleticism with a cinematic touch has solidified his position in action-oriented roles. Films such as 'Commando' (2013), "Commando 2" (2017), and 'Commando 3' (2019) showcase his mastery in choreographing and executing daring stunts on his own. It was only natural that we asked him about his fitness regimen next.  Speaking of which, he tells us, “My daily fitness routine is constantly evolving and tailored to specific skills I aim to enhance. I train 6 days a week with targeted workouts on different body segments. It includes a variety of exercises such as calisthenics and bodyweight training to improve my strength and flexibility.”  Also, movements of the fingers and toes is crucial as it controls the entire human system and organs, he adds. In 2018, Vidyut was recognised as one of the top martial artists in the world by a popular international website, ranking alongside legends like Bruce Lee, Jackie Chan, and Jet Li While action lies at the heart of his movies, he asserts that professional training and safety measures remain his top priority during extreme workouts. Renowned for practicing martial arts, his foundations lie in Kalarippayattu: Kerala’s ancient martial art form, known for its dynamic movements, weaponry techniques and emphasis on physical fitness and discipline  He continues, “For enhancing agility, flexibility and combat skills, I always turn to martial arts. This diversification of physical activities ensures that my workouts remain dynamic and well-rounded, contributing to my overall fitness goals. Kalarippayattu remains my primary source of discipline.” Known to perform his stunts in the movies, Jammwal takes us through a memory where he encountered the most challenging stunt of his life. “Out of all the stunts I've done recently, the train stunt in 'Crakk' really stands out for me. It's become my absolute favourite. But you know what left a mark on me? That stunt in 'Junglee' where I had to run alongside those majestic elephants, matching their pace. That experience, running with those incredible creatures, it's something I'll never forget!”   Balancing fitness with actingOver the years, Jammwal has developed a way to combine his passion for acting with his dedication to fitness. “My fitness program is an integral part of both my acting career and personal life. Whether I'm on set, requiring rigorous training, or at social gatherings, I effortlessly incorporate physical activity. I'm always in movement.”  Maintaining a rigorous workout regime along with martial arts training has emerged as key to both on-and off-screen wellness. Through training, he found his inspiration in telling stories. “As a martial artist, my primary objective is to showcase the rich tradition of Indian cinema within the action genre. I find great joy in blending intense action sequences with the emotional depth of romance, creating action-romantic films that captivate and entertain audiences.” Further speaking of his new project, he shares his excitement. “Reuniting with Murugadoss after our previous successful collaboration on 'Thuppakki' is incredibly exciting. We're crafting an intense action drama that promises to deliver gripping sequences and compelling storytelling.” The action buff attributes his journey to bold decisions. “My acting career and training in Kalaripayattu have instilled in me a profound sense of discipline and have been the driving force in my life. I believe that success isn't attained by blindly following others but by forging one's path. The only way to truly test your capabilities is to venture beyond the easy routes and carve your way.” Also read: Why is nutrition important during the monsoon season? Mumbai nutritionists tell

03 July,2024 12:45 PM IST | Mumbai | Ainie Rizvi
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Mid-Day Premium MIDDAY EXPLAINS: Why nutrition matters during monsoon

The monsoon season is underway with occasional showers that are making every Mumbaikar happy. However, the rains bring with them different kinds of sicknesses and they cannot be taken for granted, as it can often lead to something worse. Even as we deal with these illnesses, food and nutrition are the two pillars our immunity rests on during this time of the year. Nutrition plays a very important role during season change; it is a vital factor that determines the health of a person. Varsha Gorey, clinical nutritionist at Apollo Hospitals in Navi Mumbai, sheds light, “Nutrition plays a very important role during season change. It is a vital factor that determines the health of a person. Be prepared for the monsoon as this season increases humidity and varying temperatures which are known to cause more infections and digestion complications.” Even though gastroenteritis, typhoid, dysentery, leptospirosis along with fever, cold and cough take over almost immediately, avoiding timely attention can lead to worsening health. “The monsoon season affects one's nutrition needs by increasing the demand for immune-boosting nutrients to combat the heightened risk of infections and illnesses. The damp and humid weather creates an environment conducive to the spread of waterborne and airborne diseases, making it essential to focus on a diet rich in vitamins, minerals, and antioxidants,” Gorey adds.With the monsoons here and sicknesses on the rise, mid-day.com spoke to Gorey and Sweedal Trinidade, chief dietician, P. D. Hinduja Hospital & MRC to dissect the importance of nutrition during the rainy season. They not only stress the simple steps that people can take to ensure eating a nutritious diet but also share steps on how to carry it out over the next few months. What is the importance of nutrition during the monsoon season? Trinidade: After a scorching heatwave, monsoons are a relief but along with playing in the rain and enjoying hot tea with bhajia, there are other challenges posed while maintaining optimal health status:   Risk of infection: Season change increases the risk of waterborne infection, and rather than falling prey to tempting snacky items a well-balanced diet consistently helps to keep your immune system strong and prevent communicable and non-communicable diseases. Digestive health: A healthy digestive system results in good gut health enabling maximum absorption of nutrients to help maintain the best nutrition status, enhance immunity and prevent communicable and non-communicable diseases. Energy levels: Monsoon weather calls for additional care to protect oneself from rain and harsh weather at times diet rich in proteins and antioxidants helps keep energy levels high and deal with fatigue and low energy. Hydration: Increased frequency of urination may discourage one from drinking adequate water or relying simply on warm beverages but hydration with plain water facilitates good digestion and maintains good energy levels too. Gorey: Nutrition plays a very important role during season change. It is a vital factor that determines the health of a person. Be prepared for the monsoon as this season increases humidity and varying temperatures which are known to cause more infections and digestion complications. A balanced diet of food that is taken in the right proportion and the right season has a lot of benefits such as enhancing the body’s immunity and improving digestion.What are some of the simplest ways to follow nutrition practices during monsoon? Trinidade: Here are some simple ways to follow nutrition practices during monsoon: Stay hydrated: Drink plenty of clean water and consume antioxidants-rich hydrating foods like watermelon, muskmelon, cucumbers, and coconut water along with seasonal produce. Include immunity-boosting foods: Do not underestimate the power of gourd vegetables, eat thick-skinned fruits like banana, melons, and sweet lime that are not only high in antioxidants but less prone to disease spread. Vegetables like leafy greens, and thin-skinned fruits should be washed thoroughly. Lastly include nuts and seeds to get your dose of omega 3 and boost your immune system. Balanced meals: Choose light, balanced meals like dal-rice, vegetable soup or stew, or khichdi to prevent digestive issues. Avoid junk, spicy and oily foods: Avoid junk, fried foods, heavy curries, and rich desserts to prevent digestive issues Pre-probiotics: Include pre-probiotic-rich foods like home-set curd, kefir, buttermilk, and fermented foods to support gut health. Include well-cooked foods: Avoid foods that are raw or partially uncooked. In the case of fruits and salads, consume them immediately after cutting and do not store them to prevent contamination and foodborne illnesses. Include warm beverages: Include warm soups, and beverages like drinks like tea, coffee, or ginger tea to help keep your body warm.Gorey: Following good nutrition practices during the monsoon season can be simple and effective with a few mindful steps. Take a nutrition-rich balanced diet, and start by incorporating different coloured fruits and vegetables which are abundant in vitamins and antioxidants. Opt for home-cooked meals over street food to minimise the risk of infections. Maintain good hygiene before eating or cooking food. Cooking with ingredients like garlic, ginger, and turmeric can enhance the immune-boosting properties of your dishes. Adequate hydration and proper hygiene practices, such as washing hands and food items thoroughly, are also crucial. Does the nutrition of a person depend on the age group? Which age groups are most affected during monsoon with sickness? Trinidade: Nutrition needs are based on Recommended Dietary Allowances (RDA), however, during monsoons, the following age groups are more susceptible to sickness: Paediatric population: Children and infants, as their immune system is in the developing stage. Geriatric population: Adults, as immunity weakens with age. Physiological conditions: Pregnant women are more vulnerable, as their immune system is compromised. Immunocompromised individuals: People with chronic illnesses or compromised immunity, as they are more prone to infections.Gorey: Yes, the nutritional needs of a person vary significantly based on their age group, and certain age groups are more susceptible to illnesses during the monsoon season. Children and the elderly are particularly vulnerable due to their developing and often weaker immune systems, respectively. Also read: Monsoon brings surge in dengue cases: Doctors advise caution, early detectionChildren need a diet rich in essential vitamins and minerals to support their growth and bolster their immunity. Elderly individuals, on the other hand, require nutrient-dense foods that can aid in maintaining their immune function and overall health. By tailoring nutrition to meet the specific needs of these age groups, you can help mitigate the risks of monsoon-related illnesses and promote better health outcomes. Does the nutrition of a person change if he is prone to sicknesses during monsoon? Trinidade: Individuals prone to sickness have compromised immune status and may have increased nutrition needs. One may need immune-boosting foods. 1. Immune-boosting foods: Include foods rich in antioxidants, vitamins C and E, and beta-carotene, like fruits, vegetables, nuts, and seeds.2. Balanced diet: Include balanced meals like curd-khichdi, dal-rice, and freshly prepared vegetable soup to improve and maintain good digestion.3. Probiotics: A good balance of pre and probiotics not only improves digestion but also optimises the absorption of nutrients thereby boosting immunity.4. Good hydration: Adequate water intake, warm beverages and fruits with high water content like watermelon, cucumbers, and coconut water ensure adequate hydration status.5. Minerals and vitamins: The inclusion of electrolyte-rich foods like bananas (potassium), nuts, seeds and green vegetables (magnesium and zinc) improves electrolyte balance.6. Ginger and turmeric: Consume ginger and turmeric in food or tea form to gain benefits from the anti-inflammatory and immune-boosting properties.7. Vitamin C-rich foods: Vitamin C intake through foods like citrus fruits, bell peppers, and leafy greens helps to build immunity.8. Omega-3 rich foods: Include omega-3 fatty acid-rich foods like fatty fish, flaxseeds and walnuts to reduce inflammation.Gorey: Those who are immunocompromised, are at the most risk of falling ill. Cold, cough, fever and other problems are related to the upper respiratory tract. Followed by abdominal issues like diarrhoea. These are majorly waterborne diseases. If a person is prone to sickness during the monsoon, their nutritional needs may require specific adjustments to enhance their immune defences. Such individuals should focus on a diet rich in immune-boosting nutrients like vitamin C, vitamin D, zinc, and antioxidants. Incorporating plenty of fresh fruits, vegetables, nuts, and seeds can help fortify the immune system. Foods with natural antibacterial and antiviral properties, such as garlic, ginger, and turmeric, should also be included in daily meals. Probiotics like yogurt and fermented foods can support gut health, which is closely linked to immunity. Staying hydrated with boiled or filtered water and avoiding raw or undercooked foods can further reduce the risk of infections. By making these dietary adjustments, individuals who are more susceptible to illness during the monsoon can better protect themselves and maintain their health. What are some of the common sicknesses during monsoon that can be avoided by nutrition? Trinidade: Some of the common sicknesses that people can avoid during monsoon by following nutrition properly are:1. Acute gastroenteritis that includes diarrhoea, and vomiting: Mostly caused by contaminated water and food this can be easily prevented by eating cooked food, and avoiding raw uncooked food.2. Cold, cough, flu: Viral infections can be managed by consuming immune-boosting and anti-inflammatory foods like citrus fruits, nuts and seeds, ginger and turmeric.3. Cholera, typhoid, and dysentery: These can be prevented by drinking clean water, eating cooked food, and avoiding raw or unpeeled foods. Always carry food and water during travel to prevent mishaps.4. Fever, viral infections, and fungal infections: Caused by poor hygiene and low immunity, it can be prevented by maintaining good hygiene, eating nutrient-rich foods and staying hydrated.Gorey: During the monsoon season, several waterborne diseases like typhoid and acute gastroenteritis, often caused by contaminated water, can be avoided by ensuring safe drinking water. It is important to maintain good hygiene during monsoon. Wash fruits and vegetables before consuming.  Also, wash your hands thoroughly before cooking or eating food. Respiratory infections such as colds and flu are prevalent due to the increased humidity and can be combated with a diet rich in vitamin C from citrus fruits, berries, and leafy greens, as well as anti-inflammatory foods like ginger and turmeric. Gastrointestinal issues, including diarrhoea and food poisoning, can be prevented by consuming freshly prepared home-cooked and hygienic meals. Avoid eating raw foods as raw foods are directly susceptible to bacteria. Avoid eating raw fruits and vegetables when in restaurants or at buffets because they may be cut directly without washing. Avoiding street food. Probiotics like yogurt and fermented foods can also enhance gut health and resistance to infections. How can people eat a balanced diet while keeping nutrition in mind during monsoon? Trinidade: People can eat a balanced diet by following the following steps: 1. Include all food groups: Eat a range of fruits, vegetables, whole grains, lean proteins, and healthy fats.2. Include seasonal food produce: Include seasonal fruits and vegetables.3. Stay hydrated: Drink more water.4. Incorporate immune-boosting foods: Eat foods high in antioxidants, like turmeric, ginger, and citrus fruits.5. Include cooked food: Ensure proper cooking and heating of food to avoid foodborne illnesses. Avoid raw or unpeeled foods.7. Include balanced meals: Choose balanced meals like dal-rice, vegetable soup, or khichdi.8. Include pre-probiotics to support gut health.9. Limit junk food: Restrict processed and fried foods, which can be low in nutrients and high in calories.Gorey: Eating a balanced diet during the monsoon season while keeping nutrition in mind involves a few simple strategies. Focus on incorporating a variety of multi-coloured fruits and vegetables, such as citrus fruits, leafy greens, and gourds, which are rich in essential vitamins and antioxidants. Ensure that meals include adequate protein from sources like legumes, eggs, and lean meats, as protein is crucial for immune function and overall health. Whole grains such as brown rice, oats, and quinoa provide the necessary fibre and sustained energy. It’s also important to avoid raw or undercooked foods.How does the monsoon affect one's nutrition needs?Gorey: The monsoon season affects one's nutrition needs by increasing the demand for immune-boosting nutrients to combat the heightened risk of infections and illnesses. The damp and humid weather creates an environment conducive to the spread of waterborne and airborne diseases, making it essential to focus on a diet rich in vitamins, minerals, and antioxidants. Consuming plenty of fresh fruits and vegetables, especially those high in vitamin C and A, can help strengthen the immune system. The body’s hydration needs also change, as the humidity causes increased perspiration, necessitating adequate water intake to maintain electrolyte balance. Additionally, the digestive system can become more sensitive, so it’s important to consume easily digestible, freshly prepared foods and avoid street food to prevent gastrointestinal issues. Since a lot of people work from the office during the season, how can they eat nutritious meals? Trinidade: It is best to carry packed lunches or opt for low-calorie meals cooked at home style. Avoid junk and ready-to-eat foods.Gorey: For those working from the office during the monsoon season, eating nutritious meals can be both convenient and beneficial for maintaining health. Start by planning and preparing meals at home to ensure they are fresh and hygienic. Pack balanced lunches that include a variety of vegetables, whole grains, and lean proteins to sustain energy levels throughout the day. Including fruits like oranges and berries for snacks can provide essential vitamins and antioxidants. Opt for homemade snacks such as nuts, seeds, and yogurt, which are nutrient-dense and easy to carry. Include fresh soups in your meal. Staying hydrated is crucial, so keep a water bottle at your desk and consider herbal teas for an added immune boost. Avoid consuming street food and instead, if you must eat out, choose reputable places known for their hygiene. What are some of the nutritious meals and drinks that they can pack and take with them to work? Trinidade: 1. Roti sabzi and curd2. Vegetable khichdi 3. Vegetable pulao with curd4. Sprouts and curd5. Paratha with less oil Gorey: Consider preparing vegetable stir-fries with brown rice or quinoa, incorporating a variety of colourful vegetables and lean proteins like chicken or tofu. Sandwiches made with whole grain bread, filled with hummus, avocado, and fresh veggies, are another convenient option. Salads with a base of leafy greens, topped with nuts, seeds, and a protein source like boiled eggs or chickpeas, can be both nutritious and satisfying. For snacks, pack a mix of fresh fruits such as apples, oranges, and berries, or a container of mixed nuts and seeds for a quick nutrient boost. Homemade yogurt with a drizzle of honey and some granola can also be a delicious and healthy choice. When it comes to drinks, ensure you have plenty of water to stay hydrated. Herbal teas, such as ginger or peppermint, can be soothing and beneficial for digestion. Freshly squeezed fruit juices or smoothies made with a combination of fruits and vegetables can provide an extra dose of vitamins and minerals. What are some of the misconceptions that people have about the need for nutrition during the monsoon?Trinidade: Here are some of the most common misconceptions:Myth: Drinking less water is okay since the weather is cooler.Fact: Hydration is still crucial during the monsoon. Even if you don't feel as thirsty, your body still needs adequate water to function properly. Myth: Avoid all raw foods as they cause infections.Fact: While it's true that hygiene is important, completely avoiding raw foods isn't necessary. Ensure that fruits and vegetables are thoroughly washed and, where appropriate, peeled to avoid contamination. Myth: Spicy foods are best to prevent illness.Fact: While hot foods can be comforting in cooler weather, excessively spicy foods can irritate the digestive system. Myth: Monsoon is the best time to consume fried and heavy foodsFact: Fried foods can be harder to digest and may cause digestive issues. It is better to have a balanced diet. Myth: Herbal teas and concoctions can cure all monsoon-related ailments.Fact: While some herbal teas can boost immunity and help with digestion, they are not a solution for all ailments. Myth: Eating yogurt and other dairy products can cause colds.Fact: In case of cough, you may avoid curd but continue with milk products. Myth: Avoid seafood completely during the monsoon.Fact: While it’s true that the risk of contamination in seafood can be higher during the monsoon, completely avoiding it is not necessary.Gorey: One common misconception about nutrition during the monsoon is that drinking less water can prevent waterborne illnesses. In reality, staying hydrated is crucial during this season to support the body's immune system and maintain overall health. Another misconception is that eating spicy foods can ward off infections. While certain spices like ginger and garlic have antimicrobial properties, relying solely on spicy foods without ensuring proper hygiene and a balanced diet can still leave individuals vulnerable to illnesses. Additionally, there is a belief that avoiding fruits and vegetables during the monsoon can prevent digestive issues. However, these foods are essential sources of vitamins, minerals, and fibre that support immunity and digestion when properly cleaned and prepared.

03 July,2024 12:23 PM IST | Mumbai | Nascimento Pinto
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Your favourite pani puri may increase risk of cancer, asthma: Expert

Love to binge on pani puri? Beware, eating pani puri laden with artificial colours may increase your risk of various cancers and asthma amongst a host of other health issues, according to an expert on Tuesday. Based on several complaints, Food Safety officials in Karnataka collected about 260 samples from roadside stalls. Of these, 22 per cent pani puris failed miserably at quality tests. About 41 samples contained artificial colours and cancer-causing agents, while 18 were found stale and unfit for human consumption. This comes after Karnataka’s Food Safety and Standards Department in late June passed an order imposing a fine of up to Rs 10 lakh and punishment from seven years up to life imprisonment for using artificial colours in chicken kebabs, fish, and vegetable dishes across the state. In March, Karnataka also banned the use of Rhodamine-B, an artificial colouring agent used in gobi manchurian and cotton candy. “Use of an excess amount of artificial food colours and flavouring agents to make the dish look more appealing and increase palatability carries various health risks, especially in those who frequently indulge in outside food,” Edwina Raj, Head of Services - Clinical Nutrition & Dietetics, Aster CMI Hospital, Bengaluru, told IANS. “Excessive exposure to such synthetic elements in food increases the risk of cancer, and disturbs gut health by increasing inflammation,” she added. The expert noted that it can also result in hyperactivity in children, allergic symptoms, and asthmatic attacks. Further, it can also lead to foodborne illnesses like typhoid if the water used in pani puri is contaminated. Artificial food colourings are added to food products to enhance their visual appeal and stability which in turn boosts taste and ensures consumer satisfaction. However, the use of dyes like Sunset Yellow, Carmoisine, and Rhodamine-B in food items raises several health risks. Edwina noted that instead of artificial agents one can consume foods that are made with “natural colour and flavour using beetroot, turmeric, saffron strands, etc”. Also Read: Monsoon brings surge in autoimmune diseases, doctors suggest dietary tips 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

02 July,2024 06:04 PM IST | New Delhi | IANS
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Medicines, behavioural interventions effective for quitting tobacco: WHO

A combination of medicines and behavioural therapies can help adults effectively quit tobacco, said the World Health Organization (WHO) on Tuesday releasing its first-ever clinical treatment guideline.   According to the global health body, of the world's 1.25 billion tobacco users, more than 750 million people or above 60 per cent wish to quit. Yet 70 per cent of people lack access to effective cessation services -- a gap caused due to challenges faced by health systems, including resource limitations, the WHO said. The WHO recommends a comprehensive set of tobacco cessation interventions, including behavioural support delivered by health-care providers, digital cessation interventions and pharmacological treatments in the first guideline on tobacco cessation. The guidelines, it said, are relevant for all adults seeking to quit various tobacco products, including cigarettes, water pipes, smokeless tobacco products, cigars, roll-your-own tobacco, and Heated Tobacco Products (HTPs). “This guideline marks a crucial milestone in our global battle against these dangerous products," said Dr Tedros Adhanom Ghebreyesus, WHO Director-General.  "It empowers countries with the essential tools to effectively support individuals in quitting tobacco and alleviate the global burden of tobacco-related diseases,” he added. Further, the WHO said combining medicines with behavioural interventions have significantly increased quitting success rates. The UN health body called on countries to provide these treatments at no or reduced cost to improve accessibility, particularly in low- and middle-income countries.  It also recommends varenicline, Nicotine Replacement Therapy (NRT), bupropion, and cytisine as effective treatments for tobacco cessation. 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.

02 July,2024 05:22 PM IST | New Delhi | IANS
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Lifestyle measures important to boost good cholesterol levels, says expert

Lifestyle measures are crucial to increasing the high-density lipoprotein (HDL) cholesterol, also known as the "good" cholesterol, said a top neurologist on Tuesday.  Taking to social media platform X, Sudhir Kumar, from Indraprastha Apollo Hospitals, Hyderabad explained that low HDL cholesterol levels can increase the "risk of heart attack and stroke". On the other hand, higher levels of good cholesterol can also protect against the "risk of heart attacks, stroke, and premature death". To increase the HDL-C levels, "lifestyle measures are key", said the doctor sharing some tips. Sudhir said that a good sleep of seven hours is essential for high HDL-C levels. "HDL-C levels sharply reduced in people sleeping for four hours or less," he said. Also Read: Mumbai monsoon: Surge in autoimmune diseases in women, doctors advise caution and suggest dietary tips He stated the need for aerobic exercises, such as running, brisk walking, cycling, or swimming, for which one should "aim for 4-5 sessions per week"; and three sessions per week of resistance (strength) training. "Combination of aerobic exercises and strength training has more beneficial effects on HDL-C levels than either of them alone," the doctor said. Further, Sudhir stressed the need to quit smoking as "HDL-C levels decrease with smoking, and increase after the cessation of smoking (among smokers)". The neurologist also called for maintaining adequate hydration as "chronic under-hydration and habitual low water intake are associated with higher cardiometabolic risks, including low HDL-C levels". Regarding dietary approaches, the doctor recommended the consumption of olive oil, avocado, nuts (a handful), and seeds like chia seeds; a low carbohydrate diet; choosing purple produce (rich in anthocyanins). "Several fruits and vegetables are very high in anthocyanins, such as eggplant, red cabbage, blueberries, blackberries, and black raspberries. Eat fatty fish often (salmon, tuna, mackerel, sardines) to boost HDL levels," Sudhir said. He also advised black coffee (5 cups or more/day) without additives, as "it is associated with higher HDL-C levels". He noted that green tea consumption is not associated with HDL-C levels. Further, the doctor advised to "lose weight (if obese or overweight)" and to manage stress via "meditation, relaxation, taking periodic vacations, engaging in hobbies, etc". 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

02 July,2024 01:14 PM IST | New Delhi | IANS
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Herpes led to major economic burden, productivity losses globally: Study

Genital herpes infections and their related complications caused billions of dollars in healthcare expenditures and productivity losses globally, according to a study on Tuesday.  The study is the first-ever global estimate of the economic costs of the condition, and was led by a team from the University of Utah Health and was done in collaboration with the World Health Organization (WHO). Herpes is caused by infection with one of two types of the herpes simplex virus (HSV). Acquired majorly in childhood, it can spread by oral contact and cause infections in or around the mouth (oral herpes or cold sores). The study, published in the journal BMC Global and Public Health, showed that around two-thirds of people (67 per cent) aged 0-49 globally have HSV-1. Approximately 13 per cent of the world’s population aged 15-49 years are living with HSV-2 infection. However, HSV is not limited to sores and blisters. It can cause other more serious complications, including a rare chance of mother-to-child transmission during childbirth, and increased risk of HIV infection, noted the study. It also called for greater investment in the prevention of herpes transmission, including concerted efforts to develop effective vaccines against this common virus. “The global costs of genital HSV infection and its consequences are substantial,” said the team in the paper. “HSV prevention interventions have the potential to avert a large economic burden in addition to disease burden; thus, efforts to accelerate HSV vaccine development are crucial,” they added. The study also details the associated economic cost estimates for genital herpes globally and by region. Wealthier countries bore the brunt of the costs: $27 billion, or 76.6 per cent of the total costs, were in high-and middle-income countries. Also read: Surge in autoimmune diseases in women, doctors advise caution and suggest dietary tips

02 July,2024 12:15 PM IST | Mumbai | IANS
A pre-monsoon shower lashes Fort on June 13. Pic/Sameer Markande

Mid-Day Premium Autoimmune diseases: Vaccines and diet tips for women to combat lupus, arthritis

As monsoons intensify in the Indian subcontinent, medical experts warn that women are at a heightened risk of developing autoimmune diseases. The rise has been linked to increased humidity, moisture and a decrease in atmospheric pressure in the air that develops around this time of the year.  Shedding light on the various autoimmune diseases, Dr Pratima Thamke, a consultant obstetrician and gynaecologist working with Motherhood Hospital, Mumbai informs that, “Women are more likely to develop diseases like rheumatoid arthritis, multiple sclerosis, scleroderma, psoriatic arthritis, lupus and thyroid disease during the monsoon season.” Autoimmune diseases develop when one’s body tissues are attacked by the immune system. Studies (mention which ones) show that this condition affects approximately 8 per cent of people worldwide, of which 78 per cent are women. But why specifically women, we ask? In response, Dr Rajeev Gupta, director of internal medicine at the CK Birla Hospital, Delhi shares that, “Women experience significant hormonal fluctuations throughout their lives, particularly during puberty, pregnancy and menopause. These changes, especially in oestrogen levels, influence the immune system and make women more susceptible to mistakenly attacking their healthy tissues (autoimmunity).” With a focus on women's higher risk for autoimmune diseases, health experts provide insights into common conditions, their symptoms and how to address them.  Common autoimmune diseases that women are prone to: Rheumatoid Arthritis (RA)Marked by persistent joint pain, swelling and stiffness, particularly in the hands, wrists and knees, this condition is triggered by an immune system attack on the synovium, the lining of the membranes surrounding the joints, often influenced by genetic and environmental factors.  Systemic Lupus Erythematosus (SLE)Symptoms of this condition include fatigue, joint pain, skin rashes and fever. It also affects organs like the kidneys and heart. Causes include an attack on healthy tissues by the immune system, influenced by genetic predisposition, hormonal changes and environmental triggers like sunlight.  Hashimoto's ThyroiditisThis condition exhibits symptoms like fatigue, weight gain, sensitivity to cold and depression due to an underactive thyroid. When the immune system attacks the thyroid gland, it leads to hypothyroidism; exacerbating this disease.  Multiple Sclerosis (MS)Signs of this disease include numbness, weakness, balance issues and vision problems due to nerve damage. This is usually triggered when the immune system attacks the myelin sheath protecting nerve fibers, possibly causes by genetic susceptibility and environmental factors like viral infections.  PsoriasisA very common condition marked by red, scaly skin patches that can be itchy or painful, often on the elbows, knee and scalp. It is activated when Immune system dysfunction causes rapid skin cell production.  Graves' diseaseSymptoms of this condition include weight loss, rapid heartbeat, irritability and bulging eyes due to an overactive thyroid. What causes this is when the immune system produces antibodies that stimulate the thyroid gland to produce excessive hormones.  Sjogren's syndromeMarked by dry eyes and mouth, joint pain and fatigue, often associated with other autoimmune diseases like RA. Under this condition, the immune system attacks glands that produce moisture.  Also read: Respiratory Infections, swine flu, dengue, malaria on the rise as monsoon begins Vaccine to prevent autoimmune diseases During the monsoon season, high humidity and stagnant water enhance the chances of acquiring infections. It's crucial to consider vaccinations that help prevent common monsoon-related illnesses. Here are some vaccines recommended by  Dr Puneet Mashru, who works as a consultant-rheumatologist with Sir H N Reliance Foundation Hospital:  Influenza vaccineThe flu can be more severe for individuals with autoimmune diseases. Annual flu shots are recommended to protect against seasonal influenza. Pneumococcal vaccinePneumonia is a significant risk during the monsoon. The pneumococcal vaccine helps prevent infections caused by the bacteria Streptococcus pneumoniae. Hepatitis A and B vaccines:Hepatitis A and B can be contracted through contaminated water or food, which is more common during the monsoon. Vaccination helps protect against these viral infections. Typhoid vaccine:Typhoid fever is a risk due to waterborne bacteria. Typhoid vaccines are recommended, especially in areas where typhoid is prevalent. Cholera vaccine:In areas prone to cholera outbreaks, this vaccine can help prevent infection caused by contaminated water. Dietary tips to heal from autoimmune diseases Foods to eat: Herbs like garlic, ashwagandha, nettle, reishi mushrooms have anti-inflammatory propertiesOther anti-inflammatory foods include leafy greens, colourful fruits, ginger, turmeric, nuts, chia seedsFruits and vegetables rich in essential vitamins and minerals Whole grains, oats, fruits and vegetables are rich in fibreLean proteins: chicken, greek yoghurt, fish, legumes, beans, lentils Additional Tips:Stick to natural sugars found in fruits and avoid products with added sugars.Your gut thrives on a diet rich in vegetables and fruits.Complement your diet with protein and non-refined oils like those from nuts, seeds, avocados and olive oil.Foods like sauerkraut, kimchi, kombucha and yoghurt (if dairy-tolerant) support gut health.Eliminate foods that cause adverse reactions, such as gluten or dairy, based on lab tests if necessary. Why do autoimmune diseases aggravate during monsoons? Thamke informs that the increased humidity creates a conducive environment for the spread of bacteria, viruses and fungi, which are known to trigger autoimmune responses. Furthermore, for individuals with autoimmune diseases, getting infected with these microorganisms can lead to heightened immune activity and subsequent flare-ups.  The body's immune system, already prone to misidentifying and attacking its tissues, can become further dysregulated when dealing with external pathogens. This heightened state of immune activity can result in worsening symptoms of autoimmune diseases such as rheumatoid arthritis, lupus and psoriasis.  Additionally, the drop in atmospheric pressure during the monsoon season can influence the body's physiological processes. Lower pressure can lead to joint swelling and increased pain, which is particularly problematic for individuals with autoimmune conditions affecting the joints, like rheumatoid arthritis.  Also, during monsoons often there is lack of sunlight leading to vitamin D deficiency. Vitamin D deficiency is potentially linked with various autoimmune diseases, she adds.  When someone with autoimmune disease experiences flare-ups they may spot symptoms like their joints becoming stiff and swollen, feeling unusually tired, low level of energy, skin rashes and redness, and digestive issues like diarrhea, stomach pain and nausea. To manage these symptoms, one should choose clothing fabrics that provide warmth to protect their joints from cold weather during the monsoon season. To effectively combat these symptoms it becomes essential to maintain hygiene, eat well-balanced foods with essential nutrients, and reduce stress. Do not neglect these symptoms and immediately consult the doctor for expert guidance and tailored treatment.  Treatments to tackle autoimmune diseasesGupta shares that treatments for autoimmune diseases are multifaceted, aiming to manage symptoms, control the immune response and improve the quality of life for patients. Commonly, medications form the backbone of treatment strategies. Nonsteroidal anti-inflammatory drugs (NSAIDs) and corticosteroids are frequently prescribed to reduce inflammation and reduce pain. Disease-modifying antirheumatic drugs (DMARDs) are used to slow the progression of diseases like rheumatoid arthritis and lupus. Biologic agents target specific components of the immune system and are particularly effective in cases where traditional medications fail. These drugs include tumour necrosis factor (TNF) inhibitors and interleukin inhibitors, which have revolutionised treatment outcomes for many autoimmune conditions. In addition to pharmacological treatments, lifestyle modifications and supportive therapies play a crucial role in managing autoimmune diseases. Regular exercise and a balanced diet can help reduce inflammation and improve overall health. Physical therapy is often recommended to maintain joint flexibility and strength, especially for conditions like multiple sclerosis and rheumatoid arthritis. In some cases, patients may benefit from alternative therapies like acupuncture and dietary supplements, although these should be approached with caution and under medical supervision. Ensuring sufficient sunlight and vitamin D during monsoonsThamke recommends spending more time outdoors, especially in the morning when the sun is not too harsh, which can ensure sufficient vitamin D. During monsoon, it becomes a rare sight to spot sunlight due to gloomy temperatures. You can increase your vitamin D intake by eating foods that are rich in vitamins for effective results. This includes vitamin-rich foods like mushrooms, green leafy vegetables, cheese and dairy products like milk, yoghurt and cheese.  Disclaimer: This information does not replace professional medical advice. Consult a qualified specialist or your physician for personalised guidance.  

02 July,2024 10:13 AM IST | Mumbai | Ainie Rizvi
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Zika virus majorly asymptomatic, can resemble dengue fever: Experts

Zika virus that recently infected five people in Maharashtra’s Pune is majorly asymptomatic, but can resemble dengue fever, said health experts here on Monday. Zika virus disease (ZVD) is a mosquito-borne disease transmitted by Aedes mosquitoes, the mosquito which also transmits dengue, chikungunya, and yellow fever. It usually bites during the daytime. It is usually a mild to moderate severity disease in adults and requires no specific treatment. Common symptoms include mild fever, rashes, headache, muscle and joint pain, and inflammation of the underside of the eyelid, which normally lasts for 2-7 days. “Around 80 per cent of cases are estimated to be asymptomatic, though the accuracy of this figure is hindered by the wide variance in data quality,” Dr. Suruchi Mandrekar, Consultant Internal Medicine, Manipal Hospital, Pune, told IANS. On the other hand, “symptomatic cases are usually mild and can resemble dengue fever, and may include fever, red eyes, joint pain, headache, and a maculopapular rash,” the doctor said. Dr. Digvijay Adke, Consultant and In-charge, Emergency Department, DPU Super Specialty Hospital, Pune noted that “the rise in Zika virus cases, identical to dengue, is primarily owing to multiple factors including sudden weather changes, followed by clogging of drains and water accumulation in the surroundings along with poor personal hygiene practices at an individual level.” Meanwhile, Dr. Suruchi pointed out that Zika virus infection raises concerns during pregnancy as it can cause microcephaly and other brain malformations in some babies. In adults, it has been linked to Guillain-Barre Syndrome (GBS) and is known to affect human Schwann cells, that play an important role in supporting the development, function, and regeneration of peripheral nerves linked to movement, breathing, heartbeat, and digestion, among others. “Prevention involves decreasing mosquito bites in areas where the disease occurs, and proper use of condoms, as it can be sexually transmitted,” Dr. Suruchi said. Even as there is no current vaccine, the doctors called for efforts such as insect repellent, covering much of the body with clothing, and mosquito nets, and getting rid of standing water where mosquitoes reproduce. “It is advised to follow hygiene practices like regular washing of hands and refrain from consuming food from unhygienic spots, especially anything that is under-cooked. Including nutritionally rich elements in your daily diet like fruits and vegetables helps in building a strong immune system that helps fight against such vector-borne ailments,” Dr. Digvijay told IANS. Also Read: Hina Khan diagnosed with stage 3 breast cancer, survivors speak out 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

01 July,2024 02:11 PM IST | New Delhi | IANS
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Doctors face high burnout; clear boundaries for work & personal life crucial

While we call them beacons of hope, heroes of life, doctors often face extensive job pressures and long hours of duty, leaving them burnt out and with physical and emotional problems. Thus it is imperative to set clear boundaries to maintain a perfect work-life balance, health experts said on Monday on National Doctors Day.  National Doctors Day is celebrated on July 1 every year to appreciate the efforts of doctors, as well as to raise issues about them. “In many professions including the medical profession, it is easier for the work pressure to crawl in the personal time leading to easy and early burnout. Doctors should understand this and try to set clear boundaries between work life and personal hours,” shares Dr Meenakshi Jain, Assistant Professor, Psychiatry, Amrita Hospital, Faridabad. Jain said that given the strenuous work hours, requirement of high cognitive performance and often changing schedules, doctors should also try to take breaks if possible and have better communication with team members to improve work efficiency without extra stress. Set healthy boundaries. “As doctors, we are so preoccupied with patients' health that we tend to often neglect ourselves. Long and erratic work schedules and the enormity of taking responsibility for the lives of others are taxing. We should prioritise our health first,” informs Dr Tushar Tayal, Lead Consultant, Department of Internal Medicine, CK Birla Hospital, Gurugram. Citing that work-life balance is essential, the experts suggested a healthy and regular sleep-wake cycle is paramount. For good physical and mental health, the experts advised maintaining a regular schedule, avoiding skipping meals, exercising or brisk walking for 30 min daily, and developing some hobbies, among others. Dr Meenakshi also emphasised the importance of the emotional wellness of doctors. “Medical professionals touch the lives of so many people and inadvertently burden themselves with negative memories. Emotional expression thus is essential to build resilience and maintain well-being,” the experts said. Besides Yoga and meditation, the doctors must communicate with team members, join a peer support group, and must not hesitate to utilise psychological services, if necessary. “Doctors often underestimate their symptoms and many times do not reach out for help during work pressure and other reasons. Getting regular physical and mental health checkups is essential for all medical professionals,” Dr Meenakshi said. Also read: Yoga asanas to cultivate a flow of energy at work 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

01 July,2024 01:29 PM IST | Mumbai | IANS
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Low salt, less body fluids may help regenerate certain kidney cells: Study

 A short-term, low-salt diet along with less body fluids may help repair and even regenerate certain cells in kidneys, scientists in the US have reported after showing promising results in animal studies.  A loss of salt and body fluid can stimulate kidney regeneration and repair in mice, according to a study led by stem cell scientist Janos Peti-Peterdi from the Keck School of Medicine of the University of Southern California. atOptions = { 'key' : 'd0ddb8ef8f1a62a8cdd22fac27fc5ea7', 'format' : 'iframe', 'height' : 90, 'width' : 728, 'params' : {} }; This regenerative response relies on a small population of kidney cells in a region known as the macula densa (MD), which senses salt and exerts control over filtration, hormone secretion, and other key functions of this vital organ, according to the study published in The Journal of Clinical Investigation. Currently, there is no cure for this silent disease. By the time kidney disease is diagnosed, the kidneys are irreversibly damaged and ultimately need replacement therapies, such as dialysis or transplantation. To address this growing epidemic, Peti-Peterdi, first author Georgina Gyarmati, and their colleagues took a highly non-traditional approach. As opposed to studying how diseased kidneys fail to regenerate, the scientists focused on how healthy kidneys originally evolved. The team fed lab mice a very low salt diet, along with a commonly prescribed drug called an ACE inhibitor that further lowered salt and fluid levels. The mice followed this regimen for up to two weeks, since extremely low salt diets can trigger serious health problems if continued long term. In the region of the MD, the scientists observed regenerative activity, which they could block by administering drugs that interfere with signals sent by the MD. When the scientists further analysed mouse MD cells, they identified both genetic and structural characteristics that were surprisingly similar to nerve cells. In the mouse MD cells, the scientists also identified specific signals from certain genes, which could be enhanced by a low-salt diet to regenerate kidney structure and function. “We feel very strongly about the importance of this new way of thinking about kidney repair and regeneration,” said Peti-Peterdi. “And we are fully convinced that this will hopefully end up soon in a very powerful and new therapeutic approach.” 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.

01 July,2024 12:22 PM IST | New Delhi | IANS
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