The Associated Chambers of Commerce and Industry of India (ASSOCHAM), the apex trade association of the country, as part of its 'Illness to Wellness' campaign and in the light of the forthcoming 'World Diabetes Day' on Saturday unveiled a report on the findings of a National Level Survey conducted on the state of Diabetes in India.
The release was followed by a webinar on "Diabetes Free India" organized with the objective of cascading awareness and disseminating wisdom on diabetes management and its prevention, which was attended by a panel of eminent experts and doctors from across the country.
The survey report entitled "Diabetes in India" was produced by ASSOCHAM and the Delhi-based think tank, Thought Arbitrage Research Institute (TARI). The survey was designed and conducted by IMRB-Kantar and covered 2,33,672 people and 673 public health offices in 21 state clusters covering appropriate regions and age segments.
The key findings of the survey relate to the burden of diabetes and its primary causes or risk factors which lead to its rise and increasing spread in the country. According to the report, the prevalence of diabetes cases in India almost doubled from 42.6 million cases in 2005 to 85.4 cases in 2019.
Globally, on the other hand, the prevalence of diabetes increased from 273.4 cases in 2005 to 460 million cases in 2019. Small wonder then that India has the dubious distinction of becoming the global hub for diabetes cases with prevalence of cases increasing from 15.6 per cent to 18.6 per cent cases in the same interval.
Globally, diabetes accounts for 70.9 million DALYs (Disability-Adjusted Life Years) and 36.7 YLDs (Years Lived with Disability) in 2019. In India, diabetes accounts for 12.8 million DALYs, 6.7 million YLDs and 0.3 million deaths during the same time-period.
In terms of risk factors for diabetes, dietary habits related to high intake of junk / fried foods, most common in younger people today, has highest relative risk of 47 per cent. The next highest risk factors as elicited by the survey report relate to low physical activity (38 per cent), low intake of fruits and vegetables (28 per cent), and other causes such as stress, pollution, and high consumption of alcohol and carbonated/ sugary drinks.
Diabetes is a chronic disease that occurs either when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces. Over the time, uncontrolled diabetes leads to serious body's systems damage, especially the nerves and blood vessels. There are ample studies conducted by RSSDI (Research Society for the Study of Diabetes in India) which emphatically depict and highlights that diabetes is a major cause of blindness, kidney failure, heart attacks, stroke, and lower limb amputation.
The survey outlines the prevalence landscape of diabetes in that it accounts for 25 per cent of all NCDs in India at a rate of 2.9 percent. The disease incidence increases significantly in individuals above 35 years of age and affects men more than women.
The report also finds that about 16.8 per cent of the male adult population (15 years) and 14.6 per cent of the female adult population (15 years) on average are estimated to be diabetic. Prevalence of diabetes is highest in southern states including Puducherry, Kerala, Tamil Nadu, Andhra Pradesh and Telangana and lowest in Uttar Pradesh and Rajasthan.
In terms of sufferers seeking treatment for diabetes, the survey presented some important insights in this regard too. About 7 per cent of the respondents who were suffering from diabetes stated that they were not seeking any treatment at all. However, more than 56 per cent of the respondents stated that they are seeking treatment for more than one year, a fact testifying to the indisputable and inevitable morbidity of this disease.
Diabetes is proven through studies to be associated with a high risk of cardiac arrest and there have been substantial increases in new cases of diabetes during the Covid-19 pandemic due to various reasons. In the current situation, diabetes has become a serious health concern since large numbers of patients are already vulnerable to the coronavirus.
Thus, diabetic patients affected by Covid-19 can cause a major health crisis. Reports show that large occurrence of diabetes makes it a serious comorbidity in Covid-19 patients. Diabetes also imposes a substantial burden on society in the form of higher medical costs, lost productivity, premature mortality, and intangible costs in the form of reduced quality of life.
Setting the tone for the panel discussion at the webinar, Anil Rajput, Chairperson, ASSOCHAM CSR Council, said: "This year marks the 100th anniversary of the discovery of insulin. It is, however, unfortunate that diabetes has been underrated as a global public health issue. This needs to be addressed on priority and we as a nation need to take urgent important steps to address this challenge. It is a fact that diabetes is one of the top three NCDs in India and with each year the burden of this disease is rising."
Dr. Banshi Saboo, President, Research Society for Study of Diabetes in India (RSSDI), said: "Diabetes prevention must be part of a larger national mission. Students should be taught 'Health Science' as a subject in schools which can help in preventing this disease and creating awareness about healthy lifestyles among our future generations. We must also change the age limit for the cyclical three-year testing protocol for sugar from 30 years presently to 25 years of age."
Dr. (Col.) Sudhir Tripathi, Chairperson and HOD, Endocrinology and Metabolism, Sir Ganga Ram Hospital New Delhi, said: "Diabetes can be prevented even at the pregnancy stage. Healthy mothers give birth to healthy children. We must also educate and inform people that this disease is reversible with healthy lifestyle and timely interventions.
Babies who are healthier, not obese, have a far lesser risk of developing diabetes in adulthood. It is advised that we must now have a National Diabetes Month in November to spread awareness and access about diabetes amongst people."
Dr. Dinesh Agarwal, Senior Consultant Internist and Head of Department, Department of Medicine Marwari Hospitals, Vice Chairman, RSSDI Assam Chapter, said: "One of the key risk factors and causes of diabetes is stress and junk food. Even children undergo a huge amount of stress these days due to a highly competitive and strained environment.
It is a fact that stress leads to hormonal changes which in turn can trigger diabetes in individuals. Add to this the fact that lack of exercise among both children and adults lead to an onset of the disease which could have easily avoided by following simple steps."
Dr. Rajesh Kesari, Founder and Director, Total Care Control, Delhi-NCR, said: "Diabetes free India is a dream for all of us. Diabetes, a chronic disease, has so many affected all of us either as families or as individuals. It is important to control this disease because not only does it cause many other diseases or co-morbidities and complications to take place, but also leads to a huge economic burden. The interesting aspect here is that 95 per cent of diabetes can be prevented, and it is important that we all work towards this."
The webinar was addressed by Shri Anil Rajput, Chairperson, ASSOCHAM CSR Council; Dr. Kaushik Dutta, Founder and Co-Director, Thought Arbitrage Research Institute (TARI), New Delhi and eminent doctors which included - Dr. Banshi Saboo, President, Research Society for Study of Diabetes in India (RSSDI), Dr. (Col.) Sudhir Tripathi, Chairperson and HOD, Endocrinology and Metabolism, Sir Ganga Ram Hospital New Delhi, Dr. Dinesh Agarwal, Senior Consultant Internist and Head of Department, Department of Medicine Marwari Hospitals, Vice Chairman, RSSDI Assam Chapter, and Dr. Rajesh Kesari, Founder and Director, Total Care Control, Delhi-NCR.
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The World Health Organization (WHO) has associated approximately 4.2 million premature deaths per year with health issues related to air pollution. According to the Global Burden of Disease (GBD) outdoor air pollution is related to more deaths than unsafe sex leading to HIV/AIDs, unsafe water, or malaria. Annual air pollution-related diseases also have a much higher death toll than Covid-19 to date.
With the country's air quality plummeting to hazardous levels after Diwali, people are complaining of respiratory trouble such as shortness of breath, wheezing, and incessant coughing. The high pollution levels are also likely to impact more people this year as a significant proportion of people who recovered from Covid-19 might not have completely healthy lungs. People are opting for various measures to combat the ill effects of pollution. Listed below are some important products that you can get your hands on to fight pollution.
1. Phillips Air Purifier: This purifier is the one product that everyone should own. It comes with 4 stage filtration and automatically senses the air quality and removes 99.97 per cent of airborne pollutants. It can purify a standard room within 12 minutes and provide real-time air quality feedback.
2. GO2 Therapy, Portable Oxygen Cans: gO2therapy was launched in April 2021. It is the second generation of high-purity (99 per cent+) portable Oxygen can, which is highly useful in our day-to-day life situations like pollution and emergencies. gO2 therapy can be used to perform oxygen therapy at home to help the body fight the ill effects of the city's pollution and not only increase mental and physical performance among fitness enthusiasts but also help in dealing with respiratory issues.
3. SmileDrive Portable Air Quality Meter: This portable meter is a great way to detect air quality indoor and outdoor. It detects the air around through air scattering detection. The big monitor screen can be used easily at the home, office or outdoors in the car. It has an inbuilt rechargeable battery and runs 10 times faster to provide accurate readings.
4. Boldfit N95 Reusable Masks: The N95 face mask, as suggested by doctors provides personal protection against dust, allergens, fog haze and is anti-odour. It is made of activated carbon that has cotton to ensure that the skin remains fresh all day. It also provides protection against dust and could be worn outdoors and indoors.
5. Environics Envirochip: Envirochip is clinically tested and certified with proven health benefits. It protects you from the harmful effects of electromagnetic radiation. It helps to reduce stress and boosts protects your immunity so that you can use your tech gadgets safely.
The small chip comes with one-of-a-kind technology that helps nullify the harmful effect of e-radiation emitted by a laptop/ mobile phone/ Smart TV/ Monitor, etc without compromising device performance. You can easily stick the chip at the body of your laptop or mobile phone the chip built on the foundation of radiation protection technology, changes the nature of electromagnetic radiation, making it harmless to the human body. (Agency)
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In todays day and age with the kind of food available, nutrition is generally lacking in the growing kids. To build a strong immune system, children need the right and enough nutrients. Below are a few Superfoods which can help kids boost their immunity and help in their growth.
1. OZiva kids Superfood immunity Multi Gummies- OZiva Superfood Immunity Multi is a clean blend of powerful superfoods with Ayurvedic Herbs specially created to support enhanced immunity in children. It boosts and strengthens the immune system with plant-based Vitamin C, supports the production of white blood cells and antibodies to fight infections, reduces chances of infection with Zinc's anti-inflammatory properties,
helps keep the immune system balanced with Vitamin D by preventing it from overreacting, combats illnesses, increases immune cells and maintains healthy immune system with plant-based extracts of Elderberry, Amla and Acerola Cherry. These delicious gummies are easy to chew and are vegan with no preservatives, gelatin free, no artificial sweeteners, no artificial colour, soy-free. Recommended 1 gummy daily for children of age 5 years and above.
2. Fast&Up Charge Kids- Fast&Up provides high-quality supplements and vitamins to increase performance. Fast&Up Charge Kids has a triple action formula with Immunity Booster Herbs like Curcumin, Ginger and Tulsi which helps strengthen the body's defence system. It has essential nutrients, Active Vitamin C Complex, Natural Amla, 100% RDA Vitamin C which helps to boost immunity. Kids above the age group of 4+ can consume Fast&Up Charge Kidz.
3. NutriBears Daily Multivitamin Gummies- This advanced NutriBears Kid's Multivitamin Gummy supplement helps in filling the gaps in your child's diet. Fortified with a vitamin complex that contains Vitamins A, B5, B12, C, D, and E, as well as Folic Acid, Iodine, Magnesium and Zinc, our vitamin gummies taste great and give your child the boost they need to be at their physical and mental best.
4. Patanjali Nutrela Kid's SuperFood Nutrition Drink- Patanjali Nutrela Kid's Superfood is a scientifically designed advanced formula as per ICMR guidelines for every growing kid for 4-12 years in delicious chocolate flavour. An ideal blend of milk protein and vitamins with botanical extracts. It is 100 per cent vegetarian, GMO-free, gluten-free, no artificial colour, preservative-free and trans-fat-free. Balanced nutrition for active growth with essential amino acids.
5. Amazing Grass Kidz Superfood - Berry Blast- This nutritional smoothie combines the farm fresh greens with a rainbow of over 30 wholesome fruits and veggies providing kids with the whole food nutrition their growing bodies need and the amazing taste they'll love. This plant-based drink is dairy-free, Certified Organic by CCOF - Non-GMO and More. (Agency)
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Indians eat more fibre-rich plant based diet than people in the Western countries, reducing their risk of gut-related problems such as inflammatory bowel diseases like crohn's disease, Irritable Bowel Syndrome (IBS), colitis, and colon cancer, according to a research on Tuesday.
The international study, including researchers from the Indian Institute of Science Education and Research (IISER)- Bhopal, sought to understand the relationship between gut bacteria and inflammatory diseases.
"Increased intake of carbohydrate in the form of fibre such as wheat, vegetables, fruits and lentils, mostly found in Indian diet lowers the incidence of IBD, crohn's disease, colitis, colectral cancer, etc., than western diets that are generally meat-based," lead author Dr Vineet K. Sharma, Associate Professor, Department of Biological Sciences, IISER Bhopal, told IANS.
The human gut contains 300-500 types of bacteria that are necessary for our survival. These bacteria help in digestion, protect us from infections and even produce essential vitamins and neurochemicals.
Depending on the kind of bacteria that dominates the gut, human beings are generally classified into three "enterotypes" -- Prevotella, Bacteroides or Ruminococcus.
The study included 586 healthy samples from western and non-western populations including 200 samples from India, and 189 IBS samples from western populations.
The 200 gut samples from India were taken from people from several locations in -- Madhya Pradesh, Delhi-NCR, Rajasthan and Maharashtra, Bihar, and Kerala. It is also the largest gut metagenome study from India, as most such studies are largely based on the Western population.
The findings, published in the Nature's Biofilms and Microbiomes journal, showed that the Indian gut microbiome has the highest abundance of the Prevotella genus of bacteria, in particular, a species called Prevotella copri (P.copri).
This bacterium was also found to dominate the guts of other populations that consume a carbohydrate and fibre-rich diet, such as the Italian, Madagascarian, Peruvian, and Tanzanian. But, the gut microbiomes of people from Western countries like the US are dominated by Bacteroides.
Further, they found that P. copri is significant in the metabolism of complex polysaccharides and dietary fibres in non-western populations.
It is thus logical that this type of bacteria predominates the gut microbiome of the healthy Indian and non-western population that consumes a diet rich in plant-carbohydrates and fibres, Sharma explained.
"The proportion of P.copri in Indians is 30 per cent and can reach upto 60-70 per cent. Of the more than 1200 species of Prevotella, P.copri is the most abundant in Indian human gut," Sharma told IANS.
On the other hand, the guts of Western population were found to have other Prevotella species such as P. intermedia and P. nigrescens. These bacteria are usually found in the mouth, which points to a mouth-gut axis. These bacterial species are inflammatory and have high virulence and antibiotic resistance genes, making the Western population more susceptible to gut inflammatory diseases.
"Our insights would help in the development of new probiotics and prebiotics for different health-related conditions associated with the gut which is much needed for non-western populations," Sharma said.
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After a sombre year, people all over the world are finally ushering in the festive season with more joy and hope. For many, it will also be the first time they see their extended families and loved ones in over a year. Family gatherings obviously come with feasting, food and drink, however, if you are breastfeeding your baby, then there are some foods that you might want to steer clear of.
The key to a good breastfeeding diet is simply to be on a nutritious and healthy meal plan. After the rigorous process of watching what they eat, new mothers can finally relax and eat almost everything they had to give up for nine months. But this must be done in careful moderation because a newborn baby's diet is still entirely dependent on their mother's milk. Hence, it is important to make sure that mothers eat meals that are rich in nutrients, vitamins and minerals such as iron, calcium, potassium, Vitamin A and Vitamin D.
The list of foods to avoid during pregnancy is long, but thankfully breastfeeding moms can eat almost anything as long it is in moderation. The following foods should be consumed in small amounts if a woman is breastfeeding.
All food items with alcohol and caffeine content should be kept to a bare minimum. Alcohol especially is tricky, because even after having waited for 2-3 hours after the consumption of a drink, a baby can be exposed to it through breast milk, and this could potentially harm an infant's development, growth, and sleep patterns. And as for caffeine, while it is much safer than alcohol, it is recommended that nursing mothers limit their intake to about 300 milligrams per day.
Chocolate can be included back in the diet, as long as it is consumed in small quantities. This is because chocolate does contain theobromine, which is a stimulant and there is a small possibility of it leading to a breastfed infant being restless and fussy. Since any nutrient from the food the mother consumes gets transformed into breast milk, care should be taken to consume avoidable food items in very small amounts.
Stress producing foods or high calorific foods should be avoided: Carbonated beverages, Caffeine, packaged fruit juices with excess sugar, Peppermint or gums, salad dressings with high sodium should be completely avoided. Processed foods are quick and easy to prepare especially when you have a baby.
However, these foods contain preservatives and additives that are toxic for the baby which should be avoided. An expecting mother is suggested to get proper rest and keep stress at bay. While postpartum stress affects many new mothers, experts suggest that managing stress and anxiety is crucial to the well-being of both the mother and her infant. Stress may lead to reduced lactation and breastfeeding issues.
Avoid binge-eating during this time, despite the erratic hours that new parents are bound to experience. Carbonated drinks and junk food cravings should be substituted with healthier food options like nuts and fruits.(Rohit Shelatkar, VP at Vitabiotics, Fitness & Nutrition Expert)
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37 or 38 weeks pregnant, the finishing line seems so close yet so far. As one inch closer to their due date, often patience runs out and you may be ready to try everything possible to help induce labour naturally.
most women choose to speed things up naturally with food choices. Some look at these food groups as old wives' tales since there is limited evidence to prove these are hundred per cent successful in aiding labour.
Red Raspberry Leaf
Red raspberry leaf is known to help strengthen the uterus muscles and tone the pelvic floor- both of which can help prepare for the process of birth.
Studies have revealed that red raspberry leaves can help shorten labour and decrease the likelihood of a C-section or chances of an assisted birth using forceps/vacuum.
These leaves are commonly consumed in the form of tea by brewing the leaves in boiling water and then consuming the same. Since raspberry leaves can increase the frequency of Braxton hick's contractions, it is recommended to consume these past 34 weeks.
The orange and ripe papaya although thought to be prohibited in pregnancy can actually be consumed occasionally in moderation and is no longer considered harmful for pregnant women. However, it is the green unripe and raw papaya that contains latex, which is believed to have properties similar to that of the hormone oxytocin (released during labour for uterine contractions).
For this reason, unripe papaya is often a food choice amongst pregnant women who are naturally trying to induce labour during their last couple of days of gestation.
Pineapple is yet another fruit that is generally avoided by most pregnant women during pregnancy. Unfortunately, not many seem to know why this norm is popular.
Pineapple contains an enzyme known as bromelain which is believed to cause cervical ripening. Cervical ripening is the first step towards cervical dilation which could eventually lead to labour.
It is believed that the highest concentration of bromelain is present in the core of the pineapple. Pineapple is therefore consumed by pregnant women often in the last weeks of pregnancy in a bid to aid cervical ripening.
It is believed that dates can help with the process of cervical ripening while also improving the spontaneity of labour & reducing the chances of postpartum haemorrhage.
Studies have revealed that those who consume dates in their third trimester have a shorter first stage of labour and a quicker rate of cervical dilation.
It must also be kept in mind that although dates are high in fibre, they do contain high levels of sugar and are therefore to be avoided in cases of gestational diabetes or for those who have a yeast infection in pregnancy (yeast feeds of sugar).(Dr. Vanshika Gupta Adukia, Pregnancy/Childbirth & Lactation Specialist)
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