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Mid-Day Premium Are labels on protein supplements deceptive? Experts reveal how

An open study from the Medicine Journal by Lippincott has found traces of arsenic, lead, copper and other life-threatening elements in 25 Indian protein manufacturing brands like Herbalife, Nutrela, Quista Pro Himalaya. Earlier in May, The Indian Council of Medical Research released 17 dietary guidelines for Indians that caution against the use of protein supplements.  The study notes that protein supplements are often mislabelled and deceptive in their contents. “Both arsenic and lead exposure, even at low levels, impact human health in the form of an increased risk of cancer, blood disorders, gastrointestinal diseases,” reveals Dr Cyriac Abby Philips who has led the research at Rajagiri Hospital, Aluva in Kerala. Findings from the study: 1. 25 protein supplements out of 36 (69.4 per cent) were mislabeled in protein content. 2. Most protein supplements did not meet the labelled and advertised protein content, while certain brands surpassed the stated levels, raising concerns about 3. potential “protein/amino-spiking.”3. In addition, the major brands contained detectable fungal toxins and pesticide residues.4. Herbal and dietary supplements (HDS), including protein-based formulations with or without added botanical ingredients, vitamins, minerals, amino acids, and other natural or synthetic products, are a growing concern for hepatotoxicity and are associated with liver injury, failure, and death.5. Compared to multinational manufacturing brands, Indian protein brands were of lower quality, associated with higher chances of contamination and poor manufacturing practices, and were at risk of including multiple liver toxic ingredients, mostly in the form of herbal blends.6. Briefly, 16 (64 per cent) brands out of 25 that had mislabeled protein content were made by India-based manufacturers.7. Heavy metals that negatively impact human health such as lead and arsenic were found within many major formulations. A wake-up call looms on the horizon for those consuming protein supplements for bodybuilding or dietary purposes. Given how major food companies including BournVita, Nestle, MDH, Everest Masale and more have come under FSSAI’s radar for selling mislabeled products, it becomes imperative to scan the labels.   How to read labels on protein supplements While consuming protein supplements, one must know how to read the labels accurately. Functional nutritionist Suyash Bhandari, Chief of iThrive Essentials, shares key factors to consider before investing in high-quality protein supplements: Check how clean the supplement isLook at the ingredients list for any additives such as artificial sweeteners, flavours, colours, emulsifiers and preservatives. Ideally, a clean protein supplement should have minimal ingredients, primarily the protein source. If sweeteners are included, natural options like stevia or monk fruit are preferable. Determine the type of protein used in the supplementThis could be whey protein (concentrate or isolate), plant-based proteins (such as pea or brown rice), essential amino acids, or animal-based proteins (such as beef or chicken). The source of the protein can affect its bioavailability and how well your body can absorb and use it. Consider the bioavailability of the proteinThis indicates how easily your body can absorb and utilise it. Essential amino acids generally have the highest bioavailability, followed by whey protein. Plant proteins tend to have lower bioavailability because they are harder for the body to break down and absorb. Look for certifications ensuring quality and safety This includes third party lab testing, certifications for being free from banned substances (important for athletes), and testing for contaminants like pesticides, insecticides and other toxins. Check whether the use of the supplement is authorised by regulatory bodies like the FSSAI. "Label Padhega India" initiative by Food Pharmer: Revant Himatsingka, a Kolkata-based content-creator has started a health movement against misleading food products. While encouraging people to read labels is just the beginning, it is equally crucial to comprehend the implications of that information, remarks Bhandari. Merely reading labels isn't sufficient. Consumers need to be educated on how to interpret the information provided and how to make decisions based on it. This involves understanding not only what the labels convey but also how to utilise that knowledge to make healthier and more optimal choices. Identify mislabelling on protein supplements  Sports nutritionist Aman Puri remarks that, in the case of buying herbal or ayurvedic alternatives, consumers need to check the percentage of the content that actually benefits their health. If a product steers clear of the quality, taste or composition testing, then it is a clear indicator that the supplement is not fit for standard consumption. If a plant protein supplement claims to be highly bioavailable or to contain all essential amino acids, it could be misleading. While these claims might be chemically accurate, plant proteins are generally harder to digest and absorb, meaning the body might not utilise all the amino acids effectively, adds Bhandari. Another indicator is the use of numerous unnamed additives and preservatives. These might not match what is listed on the label, or they might not be fully disclosed, which can mislead consumers about the product’s actual content. Incomplete labelling is a clear giveaway of non-genuine products. This includes missing details about the ingredients, nutritional facts, protein source and whether the product has been tested for allergens like soy and gluten. Some supplements might list only a few ingredients while omitting others, or use vague terms like "acceptance" to conceal preservatives and additives. Lack of transparency in these areas can indicate potential mislabelling, stresses Bhandari. Potential health risks Gym enthusiasts, athletes, and young people have increasingly turned to protein supplements as a lifestyle choice for muscle-building, Dr. Puneet Bhuwania, Consultant Nephrologist & Transplant Physician at Wockhardt Hospitals, Mira Road tells Midday.  “Consuming mislabelled protein supplements can lead to compromising muscle growth and recovery goals, gut problems mainly diarrhoea, bloating, dehydration, abdominal distress, and leg cramping,” informs Bhuwania. The contaminants such as heavy metals, pesticides or impurities in the protein supplements induce kidney and liver damage over time. Mindless use of protein supplements increases the glomerular filtration rate or eGFR and even creatinine levels by impairing the kidney functioning in the long run and one may even need dialysis or a transplant for survival.  Protein supplements are packed with added sugar leading to abnormal blood sugar levels and type 2 diabetes. Consuming mislabeled protein supplements can cause various health issues like nutrient deficiencies and muscle weakening resulting in malnourishment and muscle loss, putting excessive stress on the body. It is the need of the hour for everyone who takes protein supplements to beware of the risks and read labels without fail.    Are organs at risk? One’s kidney and liver are at a higher risk of getting damaged due to mislabeling of protein supplements. Continuously consuming these protein supplements containing undisclosed contaminants can lead to a piling of toxins in your kidney further leading to the development of chronic kidney diseases (CKD) and chronic liver diseases (CLCD).  Protein supplements are packed with added sugars, artificial sweeteners, and flavours that can disrupt your digestion process and cause abdominal pain.  Excessive protein consumption strains the liver which is responsible for metabolising and breaking down proteins. When a higher amount of protein is consumed, the liver has to work harder to process it.  However, this leads to liver damage in later life. A large number of protein supplements contain added ingredients and chemicals that can be harmful to the liver when taken in large quantities without the knowledge of an expert.    Get your daily dose of protein naturally To meet your daily protein quota through meals rather than supplements, Bhandari recommends focusing on incorporating animal-based foods into every meal. This strategy ensures you receive adequate protein and essential amino acids to meet your daily needs. Here are specific strategies: Incorporate sources such as eggs, chicken, beef, buffalo, or duck meat in each meal. Opt for free-range options to ensure higher quality and nutrient content. Aim to have animal protein in all three main meals of the day. This consistent intake helps spread out your protein consumption, making it easier to meet your daily quota. Prioritise free-range animal products. This not only supports better nutrition but also promotes sustainable and ethical farming practices. For vegetarians and vegans, meeting the protein quota can be challenging without supplements due to the absence of animal proteins, which are rich in essential amino acids. However, it is still possible with careful planning and combination of various plant-based protein sources, though supplements may still be necessary to fully meet daily protein needs. Also Read: Your no-nonsense meal plan to eating healthy Know your protein For those who consume proteins, understanding the ingredients commonly found in supplements involves focusing on the presence and quality of amino acids. Proteins are broken down into amino acids, which are essential for the body’s absorption and utilisation of protein.  A complete protein supplement should contain all nine essential amino acids: histidine, isoleucine, leucine, lysine, methionine, phenylalanine, threonine, tryptophan, and valine.  Whey protein, derived from milk, typically includes all essential amino acids and is considered a complete protein. Plant-based proteins may lack one or more essential amino acids individually, but when combined, such as rice and pea protein, they can offer a complete amino acid profile.  Animal-based proteins, like paleo or beef protein, derived from dehydrated animal muscle, also provide a complete set of essential amino acids. Collagen supplements, although containing amino acids, lack one or two essential ones and are not considered complete protein supplements.  Additionally, conditionally essential amino acids, which become necessary under stress or illness, are beneficial in a protein supplement. Branched-chain amino acids (BCAAs) leucine, isoleucine, and valineâ are crucial for muscle protein synthesis, with leucine being particularly significant.  A good protein supplement should have a high ratio of leucine. For individuals with gut health issues or poor protein absorption, essential amino acid supplements are recommended because they are pre-digested and more easily absorbed. In summary, when choosing a protein supplement, look for one that contains all nine essential amino acids, has a high ratio of BCAAs, particularly leucine, combines multiple sources if plant-based for a complete amino acid profile, and ensures high bioavailability and ease of digestion, especially for those with gut health concerns. While evaluating whey protein quality, different variables come into play. For instance, whey protein isolate and hydrolysate are more bioavailable than casein, whey protein concentrate, and plant protein. Protein quality depends upon the proportion of protein and the amount of amino acids present. While evaluating, also check for the amount of carbohydrates, fats, sugar, and added additives.  The ratio of BCAAs (leucine, isoleucine, and valine) should be 2:1:1. Physical properties of whey protein also depend upon palatability, mixability, texture, composition, smell, and consistency. Deciding which form of protein to opt for also depends on individual requirements, daily intake through diet, activity and tolerance level. Also Read: ICMR's new dietary guidelines advise against protein supplements

20 May,2024 11:08 AM IST | Mumbai | Ainie Rizvi
Calcium carbide releases acetylene gas which contains harmful traces of arsenic and phosphorus. File/Pic

Food regulator cautions traders not to use calcium carbide for fruit ripening

Keeping the use of banned calcium carbide in concern, the Food Safety and Standards Authority of India (FSSAI) has alerted fruit traders to strictly ensure compliance with the prohibition on calcium carbide for artificial ripening of fruits, particularly during the mango season.   In a statement, the FSSAI has also advised the Food Safety Departments of States and UTs to remain vigilant and take serious action and deal stringently against people indulging in such unlawful practices as per laws. The national food regulator has permitted the use of ethylene gas as a safer alternative for fruit ripening. "Ethylene gas can be used at concentrations up to 100 ppm, depending upon the crop, variety and maturity. Ethylene, a naturally occurring hormone in fruits, regulates the ripening process by initiating and controlling a series of chemical and biochemical activities," said the FSSAI. Calcium carbide releases acetylene gas which contains harmful traces of arsenic and phosphorus. These substances can cause serious health issues such as "dizziness, frequent thirst, irritation, weakness, difficulty in swallowing, vomiting and skin ulcers". "There are chances that calcium carbide may come in direct contact with fruits during application and leave residues of arsenic and phosphorus on fruits," the food regulator said. It further said that if any use of Calcium Carbide or any wrong practice of using ripening agents for the artificial ripening of fruits is noticed by the consumers, "the same may be brought to the notice of concerned State Commissioners of Food Safety for taking action against such violators". 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

20 May,2024 10:55 AM IST | Mumbai | IANS
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Here's why congenital heart disease remains a health concern in India

Congenital heart disease remains a significant concern in India, said health experts on Saturday, with a whopping 2,00,000 cases every year. Congenital heart defects (CHDs) can be defined as cardiac anomalies present since birth and cover a wide spectrum from small defects. “The prevalence of congenital heart disease is about 9/1000, which is approximately 200,000 per year. However, it is difficult to know the exact incidence rate due to a lot of disparity in the availability of facilities in rural areas in India,” Dr Mayur Jain, consultant - cardiothoracic surgeon & heart and lung transplant surgeon, P. D. Hinduja Hospital & MRC, Mahim, said. Dr Swati Garekar, senior consultant-paediatric cardiology, Fortis Hospital, Mulund noted that the number of babies with congenital heart defects (CHD) appears to be rising. “A big reason for this is that we are able to pick up more cases that were earlier undetected: Doctors are now more aware of how babies with CHD present to them in the OPD. They masquerade commonly as failure to gain weight or as repeated cough/cold/pneumonia episodes,” she told IANS. Atrial septal defect (ASD), ventricular septal defect (VSD), and patent ductus arteriosus (PDA) are the common types of CHDs. Newborns typically show symptoms such as rapid breathing, poor feeding, poor weight gain, bluish discolouration of skin, and recurrent chest infections. On the other hand, chest pain, shortness of breath, fatigue, headache, inadequate growth as per age, bluish discoloration of nails and lips, and recurrent chest infections may be common representations of CHD in older children. Dr Swati noted that the reasons for CHD are multifactorial. It includes “the state of mother's nutrition, vaccine status (like German measles), exposure to pollutants in her food, water, air, skin, medicines in the first two months of pregnancy”. Dr Mayur recommended maternal vaccination against rubella and flu, and abstinence from alcohol during pregnancy. He also advised daily folic acid supplements during the first trimester (first 12 weeks) of pregnancy to lower the “risk of giving birth to a child with congenital heart disease and other birth defects”. The doctor also advised women to keep diabetes under control and to avoid exposure to organic solvents, such as those used in dry cleaning, paint thinners, and nail polish remover during pregnancy.

19 May,2024 10:17 AM IST | New Delhi | IANS
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Humans not at risk of deadly chronic wasting disease: Health study

A substantial species barrier is preventing the spread of deadly chronic wasting disease (CWD) seen in deer, elk, and moose to humans, found a study. CWD, also known as zombie deer disease, is highly transmissible and a type of prion disease -- degenerative diseases found in some mammals and primarily involve brain damage but can also affect the eyes and other organs. The deadly disease occurs when abnormal proteins fold, clump together, and eventually destroy the central nervous system in the brain. While CWD has never been found in humans, so far, Creutzfeldt-Jakob Disease (CJD) is the most common form of prion disease among humans. In the study, scientists from the National Institutes of Health in the US used a human cerebral organoid model to decode the risk of spread in humans. To validate the model, the team infected the organoids with human CJD prions (positive control). They then directly exposed the healthy human organoids for seven days with high concentrations of CWD prions from white-tailed deer, mule deer, elk, and normal brain matter (negative control). The results published in the journal Emerging Infectious Diseases showed none of the organoids became infected with CWD in the six months of observation. “This indicates that even following direct exposure of human central nervous system tissues to CWD prions, there is a substantial resistance or barrier to the propagation of infection,” according to researchers. However, they acknowledged that the “emergence of new strains with a lesser barrier to infection remains possible”. Yet they remain “optimistic that the inference of these current data is that humans are extremely unlikely to contract a prion disease because of inadvertently eating CWD-infected cervid meat” Also Read: Your nail colour can signal cancer risk: Study

18 May,2024 02:14 PM IST | Mumbai | IANS
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Your nail colour can signal cancer risk: Study

A coloured band (usually white or red) along the length of the nail may indicate the risk of developing cancerous tumours of the skin, eyes, and kidneys, finds a study. Scientists at the US National Institutes of Health (NIH) discovered the presence of a benign nail abnormality known as an onychopapilloma. Besides the coloured band, it also comes with thickening of the nail underlying the colour change, and thickening at the end of the nail. This may lead to the diagnosis of a rare inherited disorder, known as BAP1 tumour predisposition syndrome, that increases the risk of developing cancerous tumours, they noted. Mutations in the BAP1 gene drive the syndrome, “which normally acts as a tumour suppressor, among other functions,” revealed the findings published in JAMA Dermatology journal. The condition typically only affects one nail. However, in the study of 47 individuals with BAP1 syndrome from 35 families, about 88 per cent presented onychopapilloma tumours in multiple nails. “This finding is rarely seen in the general population, and we believe the presence of nail changes that suggest onychopapillomas on multiple nails should prompt consideration of a diagnosis of BAP1 tumour predisposition syndrome,” said Edward Cowen, head of Dermatology Consultation Services at NIH’s National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS). The team suggested that nail screening may be particularly valuable in a patient with a personal or family history of melanoma or other potential BAP1-associated malignancy. 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.

18 May,2024 12:10 PM IST | New Delhi | IANS
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Expert reveals the science behind hydration, detox water trends and skincare

Hydration is crucial to maintaining healthy skin, and detox water trends have gained popularity in recent years for their potential benefits. Dr Charu Sharma, head of dermatology, Cureskin, emphasises the science behind hydration, detox water, and skincare, offering valuable suggestions and tips. 1. The fundamental role of hydrationWater is the cornerstone of human physiology, and its significance extends to the skin. Adequate hydration ensures optimal cellular function within the skin, resulting in a healthy and youthful appearance. Conversely, dehydration compromises the skin barrier, leading to dryness, flakiness, and increased susceptibility to wrinkles. Sharma emphasises, “Maintaining optimal hydration is paramount for overall health and skincare. While eight glasses of water daily is a general guideline, individual requirements may vary based on activity level and climate.” 2. Detox water trends: Separating fact from fictionDetox water infused with fruits, vegetables, and herbs has emerged as a popular beverage. While these concoctions can enhance the palatability of water, there is no robust scientific evidence to suggest that detox water offers any significant detoxifying properties beyond plain water. However, the inclusion of certain fruits and vegetables can provide additional benefits. Fruits like lemon and berries are rich in antioxidants, which may help combat free radical damage and protect the skin from sun damage. Similarly, cucumber can add a refreshing element and provide essential electrolytes. 3. Hydration and skincare: A synergistic approachWhile water consumption is undeniably important, a comprehensive skincare routine is essential for achieving and maintaining radiant skin. Sharma recommends including a gentle cleanser, moisturiser, and sunscreen with broad-spectrum SPF protection, and maintaining a balanced diet rich in fruits, vegetables, and healthy fats as part of your skincare regimen. Also Read: Ultimate bridal skincare guide: Say ‘I do’ to radiant skin on your big day Sharma offers these evidence-based skincare tips: Twice-daily cleansing: Regularly eliminate dirt, oil, and makeup with a gentle cleanser formulated for your specific skin type. Meticulous moisturisation: A high-quality moisturiser helps retain hydration and strengthens the skin barrier. Choose a moisturiser suited to your skin type (oily, dry, or combination). Sun protection is non-negotiable: Daily applying sunscreen with SPF 30 or higher is essential to prevent pigmentation, and premature ageing decreases the likelihood of developing skin cancer. Dietary optimisation: Nourish your skin from within by consuming a balanced diet rich in fruits, vegetables, and whole grains. Also Read: Greasy and itchy skin in summer? Here is an easy guide for healthy skin during the hot season Adequate water intake is a cornerstone of healthy, glowing skin. While detox water may not be a definitive solution for detoxification, it can be a delightful way to increase fluid consumption.  Remember, consistency is key. For optimal results, combine proper hydration with a well-rounded skincare routine and a balanced diet. Disclaimer: This information does not replace professional medical advice. Consult a qualified specialist or your physician for personalised guidance.

17 May,2024 05:18 PM IST | Mumbai | mid-day online correspondent
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13-year-old girl fights Wilson's disease, liver failure and hepatitis A to live

The girl, Radha, was first presented to Sir Ganga Ram Hospital (SGRH) seven years ago, in 2017, with a liver problem, swelling in her stomach, and swelling in her legs, which was diagnosed as Wilson's disease In a case of medical marvel, a 13-year-old girl has fought all odds against Wilson's disease (a rare inherited condition), hepatitis A, and liver failure to live. The girl, Radha, was first presented to Sir Ganga Ram Hospital (SGRH) seven years ago, in 2017, with a liver problem, swelling in her stomach, and swelling in her legs, which was diagnosed as Wilson's disease. It is a rare genetic disease that leads to the accumulation of copper levels in several organs, especially the liver, brain, and eyes. She was under treatment and her condition was controlled via diet and medication. But her condition deteriorated when hepatitis A dealt a deadly blow to her already damaged liver, leading to acute chronic liver failure in March this year. "Radha's body turned like a battlefield as her illness worsened at an alarming rate. Her jaundice, accompanied by skyrocketing bilirubin levels (44), was a clear sign of failing liver function," said Dr. Naresh Bansal, senior gastroenterologist at SGRH. Further, the subtle development of hepatic encephalopathy (loss of brain function) sent her into a state of altered consciousness. Making the situation much worse, she also suffered catastrophic upper gastrointestinal blood vomiting where she was put on life support. The family was advised to consider a liver transplant as a life-saving option, and her mother decided to give up a portion of her liver. The transplant was successfully done in a 12-hour-long surgery led by Dr. Ushast Dhir, Director of liver transplant and hepatobiliary Surgery. Radha opened her eyes on the second day after the liver transplant, said Dr. Ushast. "It was the toughest case to make it possible for a young patient with Wilson disease to get the success of this transplant. It was difficult to counsel the family, briefing the importance of a liver transplant which was the only way to save her life. "The child was critical and a living donor liver transplant had to be performed in the perfect time frame," he added. "The girl has recovered very well and now is back home with siblings and getting ready to go back to school after summer vacation," the doctor said. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.

17 May,2024 12:29 PM IST | New Delhi | IANS
Government Medical College, Hospital

Kozhikode Medical Hospital orders probe into 4-year-old's surgery goof-up

In what is believed to be another major goof-up at Kozhikode Medical College Hospital, a four-year-old girl, on Thursday, fell victim to serious medical negligence, and a probe has been ordered. According to relatives of the child, she came to the hospital because she had six fingers on one hand. “We were told that it could be removed through a minor surgery so we agreed. A while later, when the child was wheeled back, we were surprised to see the girl’s mouth was in plaster. We did not know what happened and then when we checked her hand, the sixth finger was still there,” said a relative. “We informed the nurse and when she heard it, she was smiling. We were told that there was a problem with her tongue too, and that was rectified. Soon the doctor came and apologised for the mistake and said the sixth finger will be removed, and took the child away,” added the relative. With this becoming news, the concerned authorities have ordered a probe into the matter. This incident comes at a time when this hospital is in the news after Harshina, a lady in her 30’s, was on a long protest for her complaint that after her c-section, the doctors left a pair of scissors in her abdomen, This complaint turned out to be true and the erring staff members have been identified. Also Read: How this miracle surgery saved the tongue of a 32-year-old woman in Mumbai 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

16 May,2024 04:06 PM IST | Mumbai | mid-day online correspondent
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High BP patients may suffer from kidney damage: Doctors

About 50 per cent of people with high blood pressure (BP) or hypertension are likely to experience kidney damage in the long term and may require dialysis or transplantation, said experts on Thursday ahead of World Hypertension Day. World Hypertension Day is observed every year on May 17 to raise awareness about the "silent killer" that affects a whopping 188.3 million people in India. "Uncontrolled hypertension may narrow, harden or weaken the arteries around the kidneys disturbing the kidney's process of filtering blood, regulating fluid and electrolytes in the body. Hypertension damages the blood vessels and filters in the kidney, and it is challenging to remove waste from the body," L H Suratkal, Nephrologist, at Lilavati Hospital told IANS. "Unmanaged hypertension causes scarring of kidney tissue kidney failure or end-stage renal disease (ESRD) leading to negative outcomes and deaths. About 30 per cent of people with hypertension tend to suffer from kidney damage in the long run and may require dialysis or transplantation," he added High BP is also known to affect the heart, brain, and eyes. According to health experts, a sedentary lifestyle, obesity, physical inactivity, and stress have increased the burden of hypertension in young Indians aged 15-60. Also Read: Uncontrolled hypertension in the young can raise risk of heart failure, vision loss and cognitive decline: Doctors "The number of patients suffering from kidney disorders is increasing. About 80 to 100 patients come for treatment every month. Of those patients who come for treatment with kidney problems, 50 to 75 per cent are found to have hypertension," Ruju Gala, Consultant Nephrologist & Renal Transplant Physician, Zynova Shalby Hospital Mumbai, told IANS. The doctor explained that hypertension wreaks havoc on the kidney structure by straining the blood vessels in the kidneys and causing nephrosclerosis, where the kidneys become hard and their ability to filter waste products declines "Hypertension also leads to an imbalance in the hormones and enzymes involved in managing blood pressure and maintaining fluid balance in the kidneys," Ruju. As per the World Health Organisation (WHO), if half of the people with hypertension in India keep blood pressure under control, at least 4.6 million deaths can be averted by 2040. To manage hypertension, the experts advised eating a nutritious diet, reducing sodium intake, maintaining an optimum weight, quitting smoking and alcohol, and avoiding intake of processed foods. 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.

16 May,2024 02:56 PM IST | New Delhi | IANS
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Infertility treatment can double risk of postpartum heart disease: Study

Infertility treatment patients were twice as likely to be hospitalised with heart disease in the year following delivery as spontaneously conceived patients, according to a study conducted by Rutgers Health experts using more than 31 million hospital records. Infertility patients were 2.16 times more likely to be hospitalised for hypertension, or dangerously elevated blood pressure than normally conceived patients. "Postpartum checkups are necessary for all patients, but this study indicates they are particularly important for patients who undergo infertility treatment to achieve a conception," said Rei Yamada, an obstetrics and gynecology resident at Rutgers Robert Wood Johnson Medical School and lead author of the study. The study authors say their results support standards of care that now call for an initial postpartum checkup three weeks after delivery, standards that some health systems have yet to adopt. Much of the elevated risk came in the first month after delivery, particularly for patients who developed dangerously high blood pressure. Also Read: India’s fertility rate plummets, doctors seek solutions "And these results aren't the only ones to indicate that follow-up should occur early," said Cande Ananth, chief of the Division of Epidemiology and Biostatistics in the Department of Obstetrics, Gynecology, and Reproductive Sciences at Rutgers Robert Wood Johnson Medical School and senior author of the study. "We have been involved in a series of studies over the past few years that have found serious risks of heart disease and stroke to various high-risk patient populations within those initial 30 days after delivery - risks that could be mitigated with earlier follow-up care." The study analyzed the Nationwide Readmissions Database, which contains nationally representative data on about 31 million hospital discharges and readmissions per year. The database contains diagnosis codes, which let researchers find specific populations and identify reasons for readmission. The researchers used data from more than 31 million patients who were discharged following delivery from 2010 to 2018, including 287,813 patients who had undergone any infertility treatment. Although infertility treatment predicted a sharply elevated risk of heart disease, the study authors said the relative youth of infertility treatment patients kept their overall risk fairly low. Just 550 of every 100,000 women who received infertility treatment and 355 of every 100,000 who conceived naturally were hospitalised with cardiovascular disease in the year after delivery. Also Read: Dating but not ready for sex? Here’re expert intimacy tips for successful romantic relationship The cause of the elevated risk of heart disease associated with infertility treatment remains unclear. The increase in heart disease could stem from the infertility treatments themselves, the underlying medical issues that made patients infertile or some other cause. "Looking forward, I'd like to see if different types of infertility treatment and, importantly, medications are associated with different risk levels," said Yamada. "Our data gave no information about which patients had undergone which treatment. More detailed information might also provide insight into how infertility treatment impacts cardiovascular outcomes." 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.

16 May,2024 02:19 PM IST | New Jersey | ANI
Every year, National Dengue Day is observed on May 16 in India. Image for representational purpose only. Photo Courtesy: istock

Nat'l Dengue Day: Factors contributing to the rising burden of dengue in India

Rising temperatures, unprecedented floods, and challenges in public health infrastructure are all contributing to the rising burden of dengue in India, said experts on Wednesday, ahead of National Dengue Day. Every year, National Dengue Day is observed on May 16 in India. The theme for this year is ‘Dengue Prevention: Our Responsibility for a Safer Tomorrow'. Dengue is a vector-borne disease transmitted through the bite of an infected mosquito and is endemic to more than 100 countries. “Dengue fever's widespread presence in India can be attributed primarily to the region's climate, which creates an ideal environment for Aedes mosquitoes, the primary vector for dengue virus transmission. These mosquitoes thrive in warm, humid conditions prevalent across many parts of India, particularly during the monsoon season,” said Dr Rohit Kumar Garg, Consultant, Department of Infectious Diseases, Amrita Hospital, Faridabad. Urbanisation and the density of the human population also facilitate the rapid spread of the virus. “The rising burden of dengue in India reflects these conditions, alongside challenges in public health infrastructure to control the spread and manage outbreaks effectively,” Dr Rohit said. According to the experts, the transmission of dengue is closely associated with three key factors: Rainfall, humidity, and temperature which dictate the geographies in which it spreads and the transmission rate. “Unpredictable rains, coupled with rampant construction and inadequate drainage systems, create stagnant water pockets that are ideal breeding grounds for mosquitoes,” Dr. Divya Gopal, Internal Medicine, Sir HN Reliance Hospital and Research Centre, told IANS. “Rising temperatures and unprecedented flooding have also encouraged the spread of mosquitoes well beyond their traditional breeding grounds, bringing dengue fever to areas never before threatened by these debilitating illnesses,” she added. Despite the challenges, progress has been made, particularly in the development and implementation of strategies for vector control in India, which can be seen in the declining cases and death rates. As per the data from the Health Ministry’s National Vector Borne Disease Control Programme (NVBDCP), dengue claimed 91 lives and affected 94,198 people in the country in India in 2023 -- a marked decline from 1,93,245 cases and 346 deaths in 2021. However, in 2022, the cases declined (23,3251) but deaths rose (303). Meanwhile, the World Health Organisation (WHO) has prequalified two dengue vaccines -- Japanese drug maker Takeda’s live-attenuated TAK-003 and Sanofi Pasteur’s CYD-TDV. “These vaccines offer hope for reducing the incidence of dengue, although their effectiveness depends on broader strategies including vector control, public awareness, and robust surveillance systems to monitor and respond to outbreaks efficiently,” Dr Rohit said. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.

15 May,2024 06:17 PM IST | New Delhi | IANS
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