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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A team of Israeli researchers have identified five proteins in the SARS-CoV-2 virus that are responsible for severe vascular damage that could lead to heart attack or stroke.
While Covid-19 is largely known as respiratory disease, there has been a very high incidence of vascular disease and blood clotting, for example stroke and heart attack, among Covid patients.
Researchers from Tel Aviv University identified the five proteins from a total of 29 different proteins that make up the novel coronavirus. When the coronavirus enters the body, it begins to produce 29 proteins, the team said.
In the process of infection and the protein development, the "blood vessels turn from opaque tubes into kind of permeable nets or pieces of cloth, and in parallel there is an increase in blood clotting", said Dr Ben Maoz, Afrom the varsity's Department of Biomedical Engineering and Sagol School of Neuroscience.
The team thoroughly examined the effect of each of the 29 proteins expressed by the virus, and were successful in identifying the five specific proteins that cause the greatest damage to endothelial cells and hence to vascular stability and function.
"We tend to think of Covid as primarily a respiratory disease, but the truth is that coronavirus patients are up to three times more likely to have a stroke or heart attack. All the evidence shows that the virus severely damages the blood vessels or the endothelial cells that line the blood vessels. However, to this day the virus has been treated as one entity. We wanted to find out which proteins in the virus are responsible for this type of damage," Maoz said.
In the study, published in the journal eLife, the team used the RNA of each of the Covid-19 proteins and examined the reaction that occurred when the various RNA sequences were inserted into human blood vessel cells in the lab.
In addition, the team used a computational model which allowed them to assess and identify which coronavirus proteins have the greatest effect on other tissues, without having seen them 'in action' in the lab.
"Our research could help find targets for a drug that will be used to stop the virus's activity, or at least minimise damage to blood vessels," Maoz noted. (Agency)
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आयुर्वेद में विरुद्ध आहार - Viruddh Ahara in Ayurveda in Hindi
स्वास्थ्य के दृष्टिकोण से पौष्टिक भोजन का विशेष महत्व है. लेकिन शरीर का पोषण और ऊर्जा देने वाले खाद्य पदार्थों का सेवन गलत समय और गलत तरीके से किया जाए तो शरीर पर उसका प्रतिकूल असर भी पड़ सकता है. आयुर्वेद में वर्णित विरुद्ध आहार की अनूठी अवधारणा खान-पान की ऐसी ही विसंगतियों के बारे में बताती है. विरुद्ध आहार का अभिप्राय ऐसे दो भोजन या खाद्य पदार्थ से है जिसका एकसाथ सेवन करना स्वास्थ्य के दृष्टिकोण से हानिकारक सिद्ध हो सकता है. इसके अलावा गलत समय, गलत खुराक और गलत मौसम में भोजन का सेवन भी विरुद्ध आहार का कारण बन सकता है. विरुद्ध आहार कई तरह के रोगों जैसे त्वचा रोग, बवासीर, जुकाम, मधुमेह आदि का कारण बन सकता है. आइये जानते हैं कुछ ऐसे खाद्य पदार्थों के बारे में जिनका एक साथ सेवन विरुद्ध आहार का कारण बन सकता है -
विरुद्ध आहार - Viruddh Ahara in Hindi
भोजन के साथ फल : फलों का सेवन उत्तम स्वास्थ्य के लिए जरुरी है. लेकिन फलों के सेवन को लेकर कई तरह के सवाल आम लोगों के मन में उठते रहते हैं. मसलन, क्या फलों को भोजन के साथ लेना सही है? इसी तरह, क्या फलों का सेवन खाली पेट करना चाहिए या भोजन से कम से कम 30-40 मिनट पहले करना चाहिए? आयुर्वेद की माने तो यह वास्तव में फल की प्रकृति और व्यक्ति की पाचन शक्ति पर निर्भर करता है। फलों का सेवन भोजन के दौरान या भोजन से पहले या बाद में और साथ ही व्यक्ति के पाचन के अनुसार किया जा सकता है। भोजन के क्रम में पहले मीठे पदार्थों का सेवन करना चाहिए, उसके बाद खट्टा, नमकीन, तीखे, कड़वे और कसैला फलों का स्वाद लेना चाहिए। इसलिए मीठे फलों को भोजन के पहले भाग में शामिल किया जा सकता है।
फल के साथ दूध - दही : मीठे फलों के साथ दूध लेना ठीक है और इसका स्वास्थ्य पर कोई दुष्प्रभाव नहीं पड़ता। लेकिन खट्टे फल के साथ दूध से परहेज करना बेहतर है। आयुर्वेद के अनुसार किसी भी डेयरी प्रोडक्ट के साथ खट्टा फल नहीं खाने की सलाह दी जाती है क्योंकि यह पाचन को प्रभावित कर सकता है। साथ ही शरीर में विषाक्त पदार्थों का उत्पादन कर सकता है। साइनस, सर्दी-खांसी और एलर्जी का यह कारण बन सकता है।
मछली और दूध : आयुर्वेद में मछली और दूध का सेवन एक साथ करने की सख्त मनाही है. दोनों के एकसाथ सेवन से अपच और त्वचा रोग हो सकता है। इन दोनों की प्रकृति अलग - अलग होती है। दूध ठंडा होता है और मछलियाँ गर्म। इन्हें एक साथ लेने से दोष उत्पन्न होता है जिससे त्वचा रोग होने की संभावना प्रबल हो जाती है।
केला और दूध : आयुर्वेद में केला और दूध को एक साथ खाने की सलाह नहीं दी जाती है। आयुर्वेद इस संयोजन को विष के समान मानता है। ऐसा कहा जाता है कि यह शरीर में भारीपन पैदा करता है और दिमाग को धीमा कर देता है। लेकिन इसके बावजूद केला और दूध आपका प्रिय भोजन है तो यह सुनिश्चित करें कि केला बहुत पका हुआ हो। साथ ही पाचन संबंधी विकारों से बचने के लिए उसमें इलायची और जायफल मिला ले तो बेहतर होगा।
दही के सेवन का समय : दही का सेवन हमेशा दिन के समय करना चाहिए। रात के समय दही के सेवन से बचें। इससे कफ की प्रवृति बढ़ने की संभावना रहती है। साथ ही दही को गर्म नहीं करना चाहिए क्योंकि गर्म करने से दही के गुण खत्म हो जाते हैं। मोटापे, कफ रोग और रक्तस्राव विकारों और सूजन संबंधी बीमारियों वाले लोगों को इससे बचना चाहिए। खट्टे दही से बचना चाहिए क्योंकि इससे गैस्ट्राइटिस हो सकता है।
दूध और चावल : दूध और चावल को एक साथ लिया जा सकता है लेकिन इसका भी एक तरीका है. यदि पके हुए चावल को दूध के साथ मिलाकर सेवन किया जाए तो कोई नुकसान नहीं होता. दूध और चावल के साथ नमक का प्रयोग वर्जित है क्योंकि इससे अपच की समस्या हो सकती है।
मीठे खाद्य पदार्थ : रात के समय मीठे खाद्य पदार्थों के सेवन से बचना बेहतर है क्योंकि इससे कफ दोष बढ़ सकता है।
सब्जियां और दूध : हरी पत्तेदार सब्जियों और मूली का सेवन करने के बाद दूध पीने से बचना चाहिए। इससे अपच, त्वचा का रंग फीका पड़ना और त्वचा रोग हो सकते हैं।
यह भी पढ़े ► बीमारियों का वाहक है विरुद्ध आहार
A well balanced and nutritious diet plays an essential role in the holistic development of a child. The tiny toddlers tend to be highly selective when it comes to food which might miss out on the crucial components of their nutritious needs. It is therefore very important to ensure a substantial intake of nutrients for a child's proper growth and development which further can be provided with desirable milk powders or supplements. During the growing years of a child's life, some nutrients carry more weightage than others like that of proteins.Right from the initial years of infancy through adolescence, proteins fuel a child's physical and mental growth leading to stronger bodies and minds. Protein is a crucial component because it is responsible for building tissues such as muscles, skin and bones. Kids require more proteins during their childhood than at any other time in their lives. As suggested by the National Academies of Science, 1-3 year olds should get at least 13 grams a day, 4-8-year-olds should get at least 19 grams a day and 9-13-year-olds should get at least 34 grams a day, says Yashna Garg, CMO E-Commerce, ZeoNutra.Here are a few things she suggests to focus on in your child's development years --Try to engage your kid in as much physical activity from their initial years itself. Activities like -- dance, skating, cycling, swimming, etc. will not only help them to grow physically but mentally as well.Including foods rich in healthy fats is also very essential. Try to add olives, nuts, avocados and seafood which provide essential fatty acids and vitamin E.The best results are found by consuming just the milk powder in the milk without additional sugars. The compound has clinically the ideal amount of sweetness to intake by the kids to help them grow well. Kids these days are in high contact with electronic gadgets which restricts brain development and also increases lethargy in them. It is suggested to pursue them in brain teaser activities and reading books. (Siddhi Jain can be contacted at [email protected])--IANS<br>sj/ <br>
Toronto, Aug 5 (IANS) Scientists have identified a protein in the blood that could be responsible for an aggressive inflammatory response, known as a cytokine storm, which is also the leading cause of death in Covid-19 patients.The team, from the University of Alberta in Canada, analysed the blood plasma of 120 patients with Covid-19. They found that Covid-19 patients have significantly elevated levels of a protein called galectin-9 in their blood plasma. They also found a positive correlation between the levels of galectin-9 and pro-inflammatory cytokines released in the blood, which can lead to a cytokine storm."We have reported in the past that galectin-9 levels go up in HIV infection and with some cancers," said Shokrollah Elahi, Associate Professor in the School of Dentistry's Division of Foundational Sciences."However, when we compared the levels of galectin-9 in the Covid-19 patients to HIV and cancer patients, we could easily distinguish the Covid patients based on the galectin-9 levels," Elahi added. The findings have been published in the journal mBio.The discovery of elevated galectin-9 levels in Covid-19 patients is important because of the positive correlation between the protein and a wide range of pro-inflammatory cytokines."Cytokines as small cell-signalling proteins are involved in checks and balances in the immune system; they can turn on or turn off some cells to regulate the immune system," said Elahi."In the context of Covid, the problem is that there is a dysregulation of cytokine production - they are released very quickly in elevated levels. That's what we call a 'cytokine storm.'"Elahi found that galectin-9 is responsible for instructing immune cells to release the pro-inflammatory cytokines quickly in response to Covid-19 infection by binding to immune cells and forcing them to produce the cytokines. Further, as tissues are damaged as a result of inflammation, more galectin-9 is released from the cells, which activates more immune cells and releases more cytokines in a vicious cycle. The resulting cytokine storm damages tissue and organs, causes severe inflammation and can lead to death, Elahi said. Even if patients survive the storm, the dysregulation of the immune system can have ongoing consequences and could be associated with the condition known as post-Covid-19 syndrome or long Covid.--IANSrvt/bg
Protein intake is a widely-discussed issue among those trying to achieve their fitness goals like building muscle mass or muscle loss after intensive fitness training. Since women tend to have lower quantities of lean mass and more fat mass compared to men, boosting protein can sustain the lean mass.
It has also been observed that most men are interested in hypertrophy, or a visible increase in the size of muscle cells. For women, who may not want to bulk up but rather lose visible fat and build lean muscle, nutritional requirements like protein needs can look different.
Protein and Protein Sources
Rightly called the 'building blocks of your body, protein is a macronutrient that serves various anatomical functions like the adequate flow of blood and oxygen through the body, digestion and regulation of hormone levels. Protein helps our muscles to repair and regrow after exercise and injury. It should also be noted that every gram of protein contains four calories, whereas that number for one gram of fat is nine calories.
Rich protein sources for both men and women include animal and plant-based sources like milk products, eggs, meat, soy, tofu, pulses, beans, black gram, and legumes, and a healthy person should consume all of these in combination to get high-quality proteins. ICMR-NIN says that protein requirements vary with age, physiological status and stress. More proteins are required by growing infants and children, pregnant women and individuals during infections and illness or stress. For people doing fitness training, protein requirements differ as well.
According to the Food Safety and Standards Authority of India (FSSAI), while the recommended daily allowance for a 55-kg woman (whether doing sedentary or heavy work) is 55 grams of protein, for pregnant women and breastfeeding women, this goes up significantly. When it comes to health supplements as protein shakes, women often have to make do with products made for men, since the market is saturated with those.
Doctor's Choice, a 2018-established health supplement brand, is launching a new range of women-centric protein supplements that also aid fat loss. DC's Lean Pro, a high-protein meal replacement for a lean and fit body, balances weight, having zero trans-fat, is sugar-free, has no preservatives and is gluten-free which is safe to use. Suggested by Nupur Vats, Co-Founder, Doctor's Choice, here are things female fitness enthusiasts should keep in mind about their protein intake:
1. Try to build and maintain a high-protein diet that significantly aids weight loss and helps with fitness performance. Just increasing protein intake won't magically give results and needs to be complemented with healthy food choices and regular workouts.
2. If you are taking protein supplements, avoid fake products that saturate the market and do more harm than good. Go for makers who swear by the quality and international standards. Put health before money.
3. Most protein powders are formulated focusing on male body requirements. Women simply need smaller doses of protein to reach their macronutrient needs. While some proteins do have male-specific ingredients, like testosterone boosters. These products should not be taken by women. It's suggested to women consume soy-based protein more since it has agents which boost estrogen levels in women and hence it's advised for males to consume it less.
4. Beyond just the protein content, women's protein powders have additional ingredients that a body needs. There are brands in the market that aim at different kinds of whey protein made just for women. Folic Acid is essential for pregnant women or is trying to be. It helps women fight the risk of strokes, heart disease, and several kinds of cancer. Vitamin B6 helps women maintain a healthy immune system and reduce heart disease.
Iron assists red blood cells in the transferring of oxygen throughout the body. As women lose a lot of blood in their menstrual cycles, women need more iron than men in order to fight fatigue or anaemia. Women's specific protein powders typically have a higher content of folic acid, vitamin B6, and iron, which is required for growth in females.
5. To improve the taste, the sugar content that many brands use in their protein powder formulas are high. Especially true for powders that are marketed directly to women. But the finest protein powders for women won't add a lot of sugars just to give users a boost in flavour. For a natural solution instead of processed sugar, look for brands that use natural sweeteners such as honey or stevia.
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