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Prolonged sitting poses death risks akin to obesity and smoking: Doctor

Does your occupation require you to sit for long hours? Beware, it may worsen your health and raise the risk of death similar to that of obesity and smoking, warned a doctor on Thursday.  “If you sit for more than 8 hours daily and don't do any physical activity, your risk of dying is similar to that posed by smoking and obesity,” Dr Sudhir Kumar, a neurologist from Indraprastha Apollo Hospitals, said in a post on social media platform The neurologist noted that “health hazards associated with prolonged sitting are increased risk of diabetes, hypertension, abdominal adiposity (obesity), elevated LDL cholesterol & triglycerides, heart attack, stroke, cancer, and premature death”. To counter the ill effects of prolonged sitting, Dr Sudhir suggested “60-75 minutes of moderately intense physical activity daily (such as brisk walking, running or cycling)”. However, he warned that sitting for more than 13 hours daily, while also doing exercise “cannot counter the ill-effects posed by prolonged sitting”. The doctor advised taking 5-minute standing or walking breaks after every 30-45 minutes of sitting while suggesting some measures to minimise sitting duration. “Prefer standing work desks, have meetings and coffee breaks in standing position, reduce leisure-time sitting (such as while watching TV, mobile phones, other electronic gadgets), and schedule 45-60 minutes walk daily,” Dr Sudhir said. Also Read: Around 55 pct will turn into obese children become obese, warns Mumbai doctor

23 May,2024 04:29 PM IST | Mumbai | IANS
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Around 55 pct will turn into obese children become obese, warns Mumbai doctor

Obesity is the king of all diseases, the endogenous causes of it are genetics, disease and pregnancy while exogenous factors are lifestyle, sleep, stress and gut microbiome. Currently, a large number of children eat calorie-rich food which tantalises their taste buds and gain weight. However, obesity not only causes weight gain but psychological burden on the child by increasing anxiety, depression, social isolation, eating disorders, mood disorders and developmental issues. To mark World Child Obesity Day (WCOD) on May 22 - Dr Sanajy Borude started Generation XL Obesity Foundation two years ago. The organisation creates awareness through various initiatives such as the Free Web Portal Dedicated Helpline for Childhood Obesity and the management of child obesity.  Borude remarks: “Obesity is the mother of most of the preventable diseases. It is a self-diagnosable disease that is on the rise globally. According to the World Obesity Atlas, 51 pct will be obese by 2035. However, 87 pct of doctors are unaware of how to treat childhood obesity. Timely intervention is essential for obese child = obese adult. Around 55 pct of obese children go on to be obese in adolescence, around 80 pct of obese adolescents will be obese in adulthood and around 70% will be obese over age 30." Lack of awareness about the causes and management of obesity is a factor that needs to be taken into consideration. The goal is to prevent the progression of obesity from mild to moderate to severe. To create further awareness, our foundation is organising ‘CMEs with Diagnostics’ nationwide and having the IMA and MMC accredited speakers as the faculty to address the child obesity issue. Obesity can be deadly but preventable. No child is fat alone. Children should be encouraged to eat a well-balanced diet, exercise daily and take medication, he adds. Devendra Fadnavis, Deputy Chief Minister Of Maharashtra said: “In Maharashtra, we get to see two extremes, one is underweight and malnourished children which is also a matter of concern and has been tackled by the Government. Now, child obesity is growing in children due to urban lifestyle. Through Ayushman Bharat Yojana initiated by PM Modi, pregnant women should take care and the journey of the child to adolescence should be monitored for timely intervention. Even the Central Government is organizing awareness programs for obesity such as Rashtriya Kishor Swasthya Karyakram for kids who have hit puberty are being focused on. If we can help them stay healthy then the future generation will be healthy." Fadnavis continues, "Child obesity is a problem and the Government is ensuring that at least two teachers should be trained in school who will have thorough knowledge regarding child obesity, nutrition, and other schemes. They should be able to identify kids progressing to obesity and the kids' parents should be counseled. This bigger initiative will be implemented in schools all over India. Schools should make the PT period compulsory for children. Schools without a playground should not be permitted, and the activities have also been made part of the curriculum. Mentioning calorie counts for food served in restaurants will be compulsory to know the calorie intake for creating awareness. In another move by the FSSAI, the manufacturers will have to mention all the nutrition information on the packaged food. Children will be encouraged to go from fast food to superfoods such as millet. So, alternate food in the form of superfood should be given to children.” Raj Thackeray, MNS Chief remarks: “Parents like to keep their children healthy and chubby but they don’t understand that being chubby itself means obesity. It is the responsibility of the doctor to educate parents and find ways to create awareness. Schools should ensure that they provide nutritious food as many children tend to eat unhealthy food in canteens. People were healthy when they were eating home-cooked food." Also Read: Are labels on protein supplements deceptive? Experts reveal how

23 May,2024 04:08 PM IST | Mumbai | mid-day online correspondent
Heatstroke occurs when the body can no longer control its temperature. Photo Courtesy: Sameer Abedi

Mid-Day Premium Organ damage and death by heatstroke: Doctors spell out health tips

The temperature in Mumbai has been inching closer to 40 degrees with a persistent heatwave alert from the IMD. Though Mumbai doctors are not yet receiving cases of heatstroke, they predict the rise in cases as the summer season marches into May.   Giving in to the soaring temperatures, Mumbaikars are spotted wearing sunglasses, caps and other headgear to keep their body temperature under normal limits. The sale of chilled water bottles and other fizzy drinks has shot up. Summer drinks like aam panna, nimbu paani and nariyal paani have taken centre stage.  While Mumbaikars are trying their best to keep themselves cool during this blazing heat, the risk of heat-induced ailments like heatstroke cannot be ignored. Considering this, dialled city health experts to seek guidance on how citizens can protect themselves from heatstrokes. Dr Bikky Chaurasia, consultant, internal medicine, Kokilaben Dhirubhai Ambani Hospital, Dr Gaurangi Shah, consultant - general medicine, P. D. Hinduja Hospital and MRC, and Dr Geeta Makhija Chhabria, consultant, general medicine, Jaslok Hospital & Research Centre share detailed guidance on heatstroke protection.   “Heatstroke occurs when the body can no longer control its temperature. The body's temperature rises rapidly, the sweating mechanism fails, and the body fails to cool down. When heatstroke occurs, the body temperature can rise to 106°F or higher within 10 to 15 minutes,” Shah tells  “Our body functions best at an internal temperature of about 37°C (98.6°F), but everyone has their own ‘normal’ body temperature which may be slightly higher or lower. Our bodies also constantly adapt their temperature to environmental conditions. It goes up when we exercise, for instance, and it is lower at night and higher in the afternoon than in the morning. The organ systems that work together to maintain body temperature are the nervous system, the muscular system, and the vascular system. Our internal body temperature is regulated by a part of our brain called the hypothalamus. The hypothalamus checks our current temperature and compares it with the normal temperature of about 37°C.” He adds, “If our temperature is too low, the hypothalamus ensures that the body generates and maintains heat. Contrastingly, if our current body temperature is too high, heat is given off or sweat is produced to cool the skin.”  When sweating and other mechanisms to reduce temperature fail, the body refuses to cool down and its temperature rises rapidly causing a heatstroke. Who is more at risk of heatstroke in summer? Chaurasia: Several factors can increase the risk of heatstroke for some individuals during the summer. These include:  1. Elderly individuals: Older adults may have less efficient heat regulation systems. 2. Children: They may be less aware of the need to hydrate or take breaks from physical activity. 3. People with chronic illnesses: Conditions like heart disease, diabetes, or obesity can make it harder for the body to regulate temperature. 4. Outdoor workers: Those who work outdoors are at higher risk due to prolonged exposure to high temperatures. 5. Athletes: Especially during intense training or competitions, athletes can be vulnerable to heatstroke if they don't take proper precautions. 6. Individuals with certain medications: Some medications can interfere with the body's ability to regulate temperature. 7. People living in urban areas: Urban heat islands can make cities significantly hotter than surrounding areas, increasing the risk of heat-related illnesses. Also Read: Aamsul Saar to Kokum Hummus: Try these refreshing Kokum-infused drinks and dishes to beat the Mumbai heat What can trigger a heatstroke? Chaurasia: Here are some reasons that can cause one to suffer from a heatstroke 1. High temperatures: Exposure to extreme heat, especially during heatwaves, can cause stress to the body's cooling systems. 2. Humidity: High humidity levels make it harder for sweat to evaporate, reducing the body's ability to cool down. 3. Dehydration: Insufficient fluid intake or excessive fluid loss through sweating can lead to dehydration, impairing the body's ability to regulate temperature. 4. Strenuous physical activity: Engaging in vigorous exercise or labour in hot conditions can generate excess heat, especially if proper hydration and rest are lacking. 5. Underlying health conditions: Certain medical conditions or medications can affect the body's ability to regulate temperature, increasing susceptibility to heatstroke. 6. Alcohol consumption: Alcohol can impair judgment and interfere with the body's ability to regulate temperature, increasing the risk of heat-related illnesses. 7. Clothing and environment: Wearing tight or heavy clothing, or being in confined spaces with poor ventilation, can contribute to heat buildup in the body. Are there any specific types of heatstroke depending on the severity? Shah: There are two forms of heatstroke -- Classic and exertional. Classic heatstroke typically affects elderly individuals with chronic medical conditions while Exertional heatstroke affects otherwise healthy people who engage in strenuous exercise in hot or humid weather. Classic heatstroke patients often present with hot, dry skin because of a failure of the normal sweating response, also known as anhidrosis. Whereas in exertional heatstroke, anhidrosis Instead, prolonged sweating occurs following the cessation of exercise. In elderly people who experience classic heatstroke, the mortality exceeds 50 per cent. The mortality rate in exertional heatstroke is less than 5 per cent. What are the common symptoms of heatstroke? Chhabria:  1. High body temperature: A core body temperature of 104 F (40 C) or higher, obtained with a rectal thermometer, is the main sign of heatstroke. 2. Altered mental state or behaviour: Confusion, agitation, slurred speech, irritability, delirium, seizures and coma can all result from heatstroke. 3. Alteration in sweating: In heatstroke brought on by hot weather, your skin will feel hot and dry to the touch. However, in heatstroke brought on by strenuous exercise, your skin may feel dry or slightly moist. 4. Nausea and vomiting: You may feel sick to your stomach or vomit. 5. Flushed skin: Your skin may turn red as your body temperature increases. 6. Rapid breathing: Your breathing may become rapid and shallow. 7. Racing heart rate: Your pulse may significantly increase because heat stress places a tremendous burden on your heart to help cool your body. 8. Headache: You might experience a throbbing pain in your head. Also Read: Scorching summer in Maharashtra: Mumbai expert shares handy tips to protect children from the heat How can heatstroke be prevented? Chhabria: Heatstroke is predictable and preventable. Take these steps to prevent heatstroke during hot weather: 1. Drink plenty of fluids: Staying hydrated will help your body sweat and maintain a normal body temperature. 2. Avoid dehydrating fluids: Beverages like tea, coffee and alcohol cause the body to dehydrate raising the risk of summer ailments. 3. Wear loose-fitting, lightweight clothing: Wearing excess clothing or clothing that fits tightly won't allow your body to cool properly and also hamper the free flow of air leading to trapped heat in the body. 4. Protect against sunburn: Sunburn affects your body's ability to cool itself, so protect yourself outdoors with a wide-brimmed hat and sunglasses and use a broad-spectrum sunscreen with an SPF of at least 15. Apply sunscreen generously, and reapply every two hours — or more often if you're swimming or sweating. 5. Take extra precautions with certain medications: Be on the lookout for heat-related problems if you take medications that can affect your body's ability to stay hydrated and dissipate heat. 6. Never leave anyone in a parked car: This is a common cause of heat-related deaths in children. When parked in the sun, the temperature in your car can rise to 20 degrees F (more than 11 C) in 10 minutes. It's unsafe to leave a person in a parked car in warm or hot weather, even if the windows are open or the car is parked in the shade. If you park your car keep it locked to prevent your child from entering. 7. Don’t over-exert yourself during hot hours of the day:  If you can't avoid strenuous activity in hot weather, drink fluids and rest frequently in a cool spot. Try to schedule exercise or physical labour for cooler parts of the day, such as early morning or evening. 8. Get acclimated: Limit time spent working or exercising in heat until you're conditioned to it. People who are not used to hot weather are especially susceptible to heat-related illness. It can take several weeks for your body to adjust to hot weather. Also Read: Greasy and itchy skin in summer? Here is an easy guide for healthy skin during the hot season What complications can a heatstroke lead to? Shah: Complications of heatstroke include Acute Respiratory Distress Syndrome (ARDS), Disseminated Intravascular Coagulation (DIC), Acute Kidney Injury (AKI), liver injury, hypoglycaemia, rhabdomyolysis (severe muscle injury), and seizures. Despite normalisation of core temperature with cooling, many patients continue to display core temperature disturbances and multi-organ dysfunction. Research has shown that even reversible complications following heatstroke may take longer than seven weeks to resolve. Chabbria: Heatstroke can result in several complications including death, depending on how long the body temperature is high. It can cause vital organ damage like your brain or other vital organs to swell, possibly resulting in permanent damage. Death can occur if vital organ damage continues or is permanent and major.  What should one immediately do in case of a heatstroke? Chhabria: Heatstroke requires immediate medical treatment. If you’re waiting for an ambulance to arrive, try to cool the person as much as possible by: 1. Applying ice packs to the neck, groin and armpits.2. Encouraging them to drink slightly salted fluids, such as sports drinks or salted water.3. Have them lie down in a cool, shady, well-ventilated environment.4. Immersing them in cool water, if possible.5. Sprinkling water on them and blowing air across their bodies (evaporative cooling).6. Monitoring their breathing carefully and removing any airway blockages.7. Don’t give any medications, including aspirin and acetaminophen.8. Remove any clothing that is tight or heavy. At the hospital, the person with heatstroke may receive:1. Cooled intravenous fluids through a vein in their arm.2. Cooling blanket.3. Ice bath.4. Medication to prevent seizures.5. Supplemental oxygen. Sometimes cold-water lavage is necessary. This treatment uses catheters (thin, flexible tubes) to fill body cavities with cold water. This helps lower the body temperature overall. The catheter may go into the rectum or down the throat.Healthcare providers stop cooling treatments once the body reaches about 102 degrees Fahrenheit (38.9 degrees Celsius).  What OTC medications should be taken to ease the effects of heatstroke? Chaurasia: There is no specific medication to keep handy in heatstroke but a few things can be kept handy such as ors solution. Shah: Do not take paracetamol, aspirin or other such medicines to treat fever/high body temperature due to heatstroke. This worsens the condition and causes liver damage. Disclaimer: This information does not replace professional medical advice. Consult a qualified specialist or your physician for personalised guidance.

23 May,2024 10:00 AM IST | Mumbai | Aakanksha Ahire
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Study links cannabis use with 11x higher risk of psychotic disorder

Teenagers who use cannabis are at 11 times higher risk of developing a psychotic disorder, according to a study on Wednesday.   The study, published in the journal Psychological Medicine, is the first to show an age-dependent association between self-reported cannabis use and subsequent psychotic disorder diagnosis. It suggests that the association between cannabis and psychotic disorders may be stronger than indicated by previous research. "We found a very strong association between cannabis use and risk of psychotic disorder in adolescence. Surprisingly, we didn't find evidence of association in young adulthood," said lead author Andre McDonald, a postdoctoral fellow at Medicinal Cannabis Research at McMaster University, Canada. "These findings are consistent with the neurodevelopmental theory that teenagers are especially vulnerable to the effects of cannabis," he added. The team surveyed data from over 11,000 youth in Ontario and found that "most teenagers who are diagnosed with a psychotic disorder likely have a history of cannabis use". The study adds to worries about early cannabis use, particularly as commercialised cannabis products, with a higher psychoactive compound, tetrahydrocannabinol or THC content, have become more widely available. THC is known to affect thinking, learning and remembering, create anxiety, panic, or paranoia, and lead to a faster heart rate and increase in blood pressure. The expert called for developing prevention strategies targeting teenagers. Also Read: Girl consumes 'smoky paan', undergoes surgery after hole observed in stomach 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/ reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever

23 May,2024 09:56 AM IST | Mumbai | IANS
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Why regular fish oil supplements could be bad for your heart, raise stroke risk

While fish oil supplements, rich in omega-3 fatty acids, are known to be good for heart health, a new study showed that regular consumption may raise the risk of heart disease and stroke.   For the study, an international team of researchers from China, the UK, and the US analysed the health of 415,737 participants (55 per cent women), aged 40-69, who regularly consumed oily and non-oily fish and fish oil supplements. The participants were surveyed between 2006 and 2010 and tracked until the end of March 2021 or death, whichever came first, based on medical records data. Their results, published in the open-access journal BMJ Medicine, showed that regular use of fish oil supplements had different roles in cardiovascular health, disease progression, and death. People with no known heart problems who regularly used fish oil supplements had a 13 per cent higher risk of developing atrial fibrillation, and a 5 per cent risk of a stroke. The risk of transitioning from good health to heart attack, stroke, or heart failure was 6 per cent higher in women and 6 per cent higher in non-smokers. In contrast, among those with known cardiovascular disease, regular fish oil supplements lowered the risk of progression from atrial fibrillation to a heart attack by 15 per cent, and from heart failure to death by 9 per cent. Age, sex, smoking, consumption of non-oily fish, high blood pressure, and use of statins and blood pressure-lowering drugs were found to determine the associations observed. Calling "this is an observational study, and no conclusions can be drawn about causal factors", the researchers stressed the need for further studies to determine the precise mechanisms. 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/ reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.

22 May,2024 02:11 PM IST | New Delhi | IANS
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Girl consumes 'smoky paan', develops a hole in stomach

Consuming a seemingly harmless liquid nitrogen-infused "smoky paan" landed a 12-year-old girl here on the operation table after a hole was observed in her stomach. The girl, whose identity has been withheld by Narayana Multispeciality Hospital here, underwent surgery recently. According to the hospital, the girl had consumed 'smoky paan' at a wedding reception in Bengaluru. The girl was diagnosed with a hole in her stomach (perforation peritonitis) necessitating emergency surgical intervention to prevent further complications, the hospital said in a statement. The patient underwent exploratory laparotomy with intra-op-OGD scopy and sleeve gastrectomy was swiftly conducted to address the critical condition, it said. "Intra-op OGD scopy- a procedure, where an endoscope, a flexible tube with a camera and light, is used during surgery to examine the esophagus, stomach, and duodenum-the first part of the small intestine," the hospital quoted Dr Vijay H S, who headed the team of doctors, which performed the operation, as saying. There was an unhealthy patch of about 4x5 cm on the lesser curvature of the stomach which was taken care of with sleeve resection (a part of stomach been removed), the hospital said, adding post surgery she had two days of ICU stay and was discharged after six days. Also Read: Nepali climber Kami Rita Sherpa climbs Mt Everest for record 30th time 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/ reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever

22 May,2024 11:25 AM IST | Mumbai | PTI
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Mid-Day Premium Traces of arsenic, copper, lead found in 25 Indian protein supplement brands

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  Aman Puri, founder of Steadfast Nutrition, a sports nutrition and wellness brand 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, Bhandari suggests that 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, adds Bhandari. Also Read: ICMR's new dietary guidelines advise against protein supplements

22 May,2024 10:04 AM IST | Mumbai | Ainie Rizvi
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Mid-Day Premium How does your mental wellbeing impact physical health

We all know feeling stressed can lead to a headache, but did you know mental health can impact your entire body? Our minds and bodies are intricately linked, and what affects one can significantly affect the other. Far from being a separate entity, mental wellbeing is intricately woven into the fabric of our physical health. When our minds are burdened by chronic stress, anxiety, or depression, the ripple effects course throughout our bodies. Our immune system, the body's first line of defence, can become compromised, leaving us more vulnerable to infections and hindering our ability to fight them off. This Mental Health Awareness Month, Yesha Mehta, therapist at The Mood Space delves into the connection between mind and body, and what can you do to better mental wellbeing. Stress hormonesFeeling anxious? Your body might be in ‘fight-or-flight’ mode. Our mental health can cause various psychosomatic illnesses due to the changes in the release of crucial hormones. When the body feels anxious our stress response, also known as fight or flight response, gets activated. This is an evolutionary response, which helps protect us from threats and gets activated by the production of hormones called cortisol and adrenaline. Frequent states of stress will increase the stress hormones in the body and may cause multiple illnesses. Also Read: How higher cortisol levels impact skin's barrier function The gut-brain connectionWhen your gut health suffers, so can your mood. Our brain and gut are closely related as more than 50 crucial hormones are produced in the gut. Many people who experience anxiety have often reported stomach aches, acid reflux, diarrhoea, and other gastronomical symptoms. Chronic anxiety can distort the balance of bacteria in the stomach causing conditions such as inflammatory bowel disease and irritable bowel syndrome. Sleepless nights, restless mindsSleeping too much or too little is a sign of poor mental health. Mental health struggles can disrupt your sleep cycle in several ways. Those suffering from depression tend to have lower energy levels and fatigue leading the individual to spend more time sleeping. Conversely, anxiety leads individuals to feel alert. Racing thoughts and restlessness can lead to insomnia. Those suffering from depression, anxiety, and stress often do not feel rested and refreshed when they wake up affecting day-to-day functioning. Poor sleep can aggravate underlying health conditions and mental health issues causing more distress. Matters of the heartProlonged depression, chronic stress, and anxiety have been associated with various cardiovascular illnesses. Long-term stress increases the production of cortisol in the body leading to inflammation. This inflammation causes plaque build-up in the arteries leading to heart problems. The fight or flight hormone, adrenaline, causes the heart to beat faster causing blood pressure. In an increased frequency, this would eventually damage the heart. Those suffering from chronic mental health concerns are at an increased risk of high blood sugar, cholesterol, heart attack, strokes, hypertension, and more. Decreasing stress and living a healthy life significantly improves heart health leading to longer life. Weakened immunityMental health also fundamentally changes how our body fights infections and viruses. Stress has been associated with a compromised immune system. Prolonged exposure to stress suppresses the immune response by decreasing lymphocytes, the white blood cells that are essential to ward off infections leading to more frequent bouts of common cold and cold sores. It also disables the swift recovery from infections leading to a longer sickness and more fatigue. Poor mental health can also exacerbate any existing underlying autoimmune conductions. Managing stress and anxiety is vital for healthy functions of the immunesystem. Loop of chronic pain Mental health also shares a bidirectional relationship with chronic pain. Depression can make people more sensitive to pain. This is due to the imbalances of neurotransmitters such as serotonin and dopamine. Low levels of these hormones change our perception of pain. Conditions like fibromyalgia, migraines, and back pain are often linked to mental health concerns. On the other hand, experiencing chronic pain can cause mental health disturbances. It brings about frustration and hopelessness making this a cyclical loop. Stressed skin Poor mental health also affects the skin. High stress levels result in oily skin thereby resulting in acne. Increased cortisol causes inflammation which can worsen inflammatory skin conditions such as psoriasis, eczema, and rosacea. Those experiencing anxiety often see its manifestation in the form of rashes or skin irritability. A toll on daily life Mental health disorders also affect day to day functioning of individuals. Those experiencing depression have low levels of energy and motivation and hence end up not completing tasks, have poor hygiene, and are not able to maintain a balanced life. Individuals dealing with anxiety tend to become hyper-vigilant and fearful in various aspects of every day resulting in a compromised quality of life. Taking charge of your well-beingRemember, prioritising your mental health is an investment in your overall well-being. By taking care of your mind, you're taking care of your body too. Now that Mehta has outlined the myriad ways in which mental well-being impacts physical health, she suggests adopting a holistic approach that addresses both your mind and body. A healthy mind and body go hand in hand, and by adopting these strategies, you can create a positive cycle that fuels your happiness and physical health. Move your body, boost your moodGet your blood pumping! Exercise helps manage poor mental health by allowing the body to release hormones like endorphins and serotonin. These hormones are chemicals that allow your body to feel good resulting in an uplifting mood. Aim for at least 30 minutes of moderate-intensity exercise most days of the week. They help you manage stress and anxiety better. Indulging in cardiovascular exercises brisk walking, running, swimming, cycling, and playing sports aids the release of the neurotransmitters. Find calm in the chaosMeditation helps one feel grounded and at peace. Practices like mindful meditation allow the individual to be in the present moment which in turn helps manage anxiety by reducing spiralling thoughts. It also allows people to view their thoughts as mere thoughts without interacting with them. This practice enables people to not get entangled in a loop of negative thoughts that cause stress or depression. Feed your gut, feed your mindThe gut and brain are closely linked to each other. The gut produces over 50 essential hormones, one of which is serotonin. Serotonin is also known as the happy hormone as it elevates mood and makes us feel happier. A poor diet can lead to disruptions in the gut microbiota causing an interference with the production of these hormones and aneurotransmitters. This results in low moods, fatigue, and mental health conditions. Rest and recharge Poor sleep hygiene can be detrimental to your mental health. Lack of adequate sleep has been shown to change activity in some parts of the brain. This results in irritability, poor decision-making, issues in problem-solving, and trouble controlling emotions. It is important to maintain a consistent sleep schedule with 8 to 9 hours of sleep. Create a relaxing bedtime routine that is easy to follow which signals your body that it is time to sleep. Keep away devices at least half an hour before bedtime as the blue light interferes with sleep. This will aid in the overall improvement of mood and energy levels. Strength does not mean soloHaving a support system during difficult times can make one feel a sense of belonging and that they are not alone. Speaking to friends and family who are there for you and can help you validate your feelings can help deal with mental health concerns. It can be helpful to confide in a loved one. Seeking professional helpOftentimes people underestimate the impact of mental health and its effects on physical health. That coupled with stigma around seeking support leads to poor management of mental health. Therapists and counsellors help in identifying the underlying stressors and can help with various strategies that will help manage the distress better. They provide a safe and confidential space to help you process your emotions and manage mental health concerns. In extreme cases, medical intervention may be necessary. Your mental health professional will guide you through the treatment.

22 May,2024 09:35 AM IST | Mumbai | Maitrai Agarwal
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Chennai docs perform world's first keyhole surgery for brain tumour via eyebrow

In a significant medical feat, a team of neurosurgeons here removed a deeply seated insular brain tumour of a 44-year-old woman through a transformative and novel eyebrow keyhole approach.  "This unprecedented technique, being the world's first, marks an important advancement in the field of neuro-oncology," according to a statement from Apollo Cancer Centres (ACCs), Chennai, on Tuesday. During a check-up, following her bike accident, doctors at ACC found an incidental tumour within the delicate folds of the woman's dominant-side insular lobe of her brain. The insula, which is deeply embedded within the cerebral cortex, poses significant challenges for surgical intervention. It is surrounded by vital areas controlling functions such as speech and movement and is layered by a dense network of blood vessels. Traditional surgical approaches require navigating through critical brain tissue and blood vessels, risking paralysis, stroke, and language impairment. Often, patients must remain awake during surgery, adding to their distress and increasing the risk of complications such as seizures and brain bulges. Despite these risks, surgery remains the primary option. Also Read: How this miracle surgery saved the tongue of a 32-year-old woman in Mumbai The team opted for the new keyhole for brain tumour approach via a minuscule incision in the eyebrow to the insula by leveraging their prior experience with keyhole surgeries for skull base lesions. They said that the novel approach not only provides another alternative to removing these deep-seated brain tumours but also demonstrates "clinical excellence, efficiency and safety." "The impact of this achievement cannot be overstated. The eyebrow keyhole approach offers a transformative alternative to reach these deep-seated tumours inside the brain, minimising invasiveness, reducing collateral damage, and significantly enhancing patient safety and overall quality of life," said Hrishikesh Sarkar, Senior Consultant - Neurosurgery, Apollo Cancer Centres. The doctor said that the woman was discharged from the hospital within 72 hours and is now doing well. The woman, thanking the doctors, noted that the advanced treatment not only healed her but also "gave me hope, comfort, and a shorter return to normalcy." Also Read: Traces of arsenic, copper, lead found in 25 Indian protein supplement brands 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/ reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever

21 May,2024 05:11 PM IST | Mumbai | IANS
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Increase in nightmares, hallucinations during the day may signal onset of lupus

An increase in nightmares and hallucinations-- or 'daymares' -- may signal the onset of autoimmune disease such as lupus, according to an international research team on Tuesday. Lupus is an autoimmune inflammatory disease known for its effect on many organs, including the brain. These mental health and neurological symptoms, such as depression, hallucinations, and loss of balance, can act as an early warning sign that an individual is approaching a "flare," where their disease worsens for a period, said the team led by researchers at the University of Cambridge and King's College London in the UK. For the study, they surveyed 676 people living with lupus and 400 clinicians, as well as carried out detailed interviews with 69 people living with systemic autoimmune rheumatic diseases (including lupus) and 50 clinicians. The results, published in the journal eClinicalMedicine, showed that disrupted dream sleep was the most common symptom experienced by three in five patients. Of these, a third went on to develop lupus disease a year later. Just under one in four patients reported hallucinations, seen in 85 per cent of people with lupus. Further, three in five lupus patients and one in three with other rheumatology-related conditions also reported increasingly disrupted dreaming sleep -- usually vivid and distressing nightmares -- just before their hallucinations. The patients reported that the nightmares were often vivid and distressing, involving being attacked, trapped, crushed, or falling. Melanie Sloan from Cambridge University called on doctors to speak to their patients about these types of symptoms and write down each patient's progression. "Patients often know which symptoms are a bad sign that their disease is about to flare, but both patients and doctors can be reluctant to discuss mental health and neurological symptoms, particularly if they don't realise that these can be a part of autoimmune diseases," said Melanie, the lead author from the varsity's Department of Public Health and Primary Care. 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/ reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.

21 May,2024 01:51 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.

20 May,2024 03:52 PM IST | Mumbai | mid-day online correspondent
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