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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Chennai, Aug 3 (IANS) The Madurai district collector has banned the retail sale of flowers, vegetables and fruits taking into account the possibility of a Covid-19 spread due to the festival season. Madurai district administration has already banned entry to temples including the famous Madurai Meenakshi Temple till August 8 to prevent crowding and a possible spread of the virus.The Collector has also warned the closure of vegetable and fruit markets and flower market in Mattuthavani and the wholesale vegetable market if the traders don't follow the standard Covid protocols.Madurai District Collector, Dr S. Aneesh Shekhar has also warned the textile shops, commercial establishments and supermarkets that they would not be allowed to function if Covid protocols are not maintained properly.The decision of the Collector has come in the wake of an expected huge crowd in the busy commercial streets and fruit, vegetable, and flower markets of Madurai as festival days are coming in the "Aadi" month.The Tamil Nadu HR&CE department has already banned entry of devotees to 22 temples in Madurai district from Monday to August 8 including Madurai Meenakshi Temple which attracts huge crowds from all parts of south India during the "Aadi" month.--IANSaal/skp/
Eluru (Andhra Pradesh) - After ruling out contamination of water and milk for the mysterious illness reported in Eluru in West Godavari district in Andhra Pradesh, officials are now collecting vegetables samples from 20 affected places for testing.
"We are collecting vegetables samples from top 20 places. Cases are being reported in the entire Municipal Corporation area," Himanshu Shukla, West Godavari Joint District Collector told IANS.
To zero in on the places from where vegetables are procured, he said the patients are being asked for information.
"Till now, water has been tested for heavy metals, pesticides and any other toxin. I think we will not find anything in water. There are some test results which are to come," said Shukla.
With water and milk ruled out behind the mysterious disease, a team of experts on Monday evening suggested that vegetables be subjected to tests as well.
Officials have meantime sent urine and blood samples of the affected persons for testing.
Meanwhile, the cases of mysterious illness shot up to 455, of which 263 have been discharged, leaving 174 persons undergoing treatment.
Shukla said that they are getting support from All India Institute of Medical Sciences, National Institute of Nutrition, National Institute of Virology, National Centre for Disease Control, and Indian Council for Medical Research.
"Today, World Health Organisation has also come to our help. There are many agencies who are trying to find out the cause. So, gradually, we are trying to rule out the possibility," he said.
Teams of up to six experts from all these leading institutions are toiling to identify what the mysterious disease is all about.
According to a source in Eluru, mysterious illness cases had been reported in Andhra hospitals now and then for the past fortnight.
"Doctors thought that it was epilepsy (fits) and gave relevant treatment and sent away patients. But now Andhra hospitals have been instructed not to admit patients," said the source.
Cases started rising from Friday night and spiked on Saturday, reaching 455 by Monday night.
People affected by the mysterious illness complained of 3 to 5 minutes of epileptic fits without repetition, forgetfulness, anxiety, vomiting, headache, and back pain. (IANS)
Patna, Aug 23 (IANS) In order to avoid huge turn out during corona period, Patna district administration has ordered vegetables, fruits and meat shops to be opened for only four hours.Kumar Ravi, the District Magistrate of Patna issued fresh guidelines during unlock phase. Ravi is one of those officers who got infected of deadly virus earlier. Though he was recuperated well."It has been observed that residents are turning out in large numbers in the markets. Many of them are not wearing face masks and they are breaching social distancing norms as well. In such circumstance, the chances of Covid 19 infection transmission are very high. The time limitation will reduce volume in the market places," Ravi said.In Patna, 18,683 persons have tested positive for Covid while 116 infected patients have lost their lives. There are 15,572 patients have been recuperated from Covid infections. Patna currently have 2995 active cases including 279 cases appeared in last 24 hours. --IANSstr/sdr/rt
Compared to an influential diet for promoting human and planetary health, the diets of average Indians are considered unhealthy -- comprising excess consumption of cereals, but not enough consumption of proteins, fruits and vegetables, said a new study.
The findings by the International Food Policy Research Institute (IFPRI) and CGIAR research program on Agriculture for Nutrition and Health (A4NH) broadly apply across all states and income levels, underlining the challenges many Indians face in obtaining healthy diets.
"The EAT-Lancet diet is not a silver bullet for the myriad nutrition and environmental challenges food systems currently present, but it does provide a useful guide for evaluating how healthy and sustainable Indian diets are," said the lead author of the research article, A4NH Program Manager Manika Sharma.
"At least on the nutrition front we find Indian diets to be well below optimal."
The EAT-Lancet reference diet, published by the EAT-Lancet Commission on Food, Planet, and Health, implies that transforming eating habits, improving food production and reducing food wastage is critical to feed a future population of 10 billion a healthy diet within planetary boundaries.
While the EAT-Lancet reference diet recommends eating large shares of plant-based foods and little to no processed meat and starchy vegetables, the research demonstrates that incomes and preferences in India are driving drastically different patterns of consumption.
The study, a comparison of the Indian diet with the EAT-Lancet reference diet', co-authored by A4NH's Manika Sharma and Devesh Roy with IFPRI's Avinash Kishore and Kuhu Joshi, was recently published in the BMC Public Health.
Using consumption data from the 68th round of the National Sample Survey (2011-12), they compared diets across Indian states and income levels to the EAT Lancet reference diet.
The study compares differences in calorie consumption across income groups, urban and rural sectors, and geographical regions.
The findings show a disparity in overall calorie intake between income groups: the richest 10 per cent of households consume more than 3,000 kcals per person per day while the poorest 10 per cent consume only 1,645 kcals per person per day.
On average, the Indian total calorie intake is approximately 2,200 kcals per person per day, 12 per cent lower than the EAT-Lancet reference diet's recommended level.
"But we find it intriguing that despite lower calorie consumption levels, obesity is still rising in India," co-author and IFPRI Research Analyst Kuhu Joshi said.
The researchers offer sedentary lifestyles as a potential cause of the phenomenon, showcasing the complexity of the links between diet, lifestyle and health.
Compared to the EAT-Lancet's recommendation for a well-balanced diet, most Indian households' diets concentrate heavily in some food groups and lack others.
While the EAT-Lancet diet recommends that about one-third of daily calorie intake should come from whole grains, they make up 47 per cent of the average Indian diet.
In the poorest rural households, that number is as high as 70 per cent.
Meanwhile, the average Indian's caloric intake of fruits is less than 40 per cent of what the reference diet recommends.
Fruits, vegetables, and animal source foods are generally more expensive and inflate more quickly than processed foods and grains, the researchers report.
Therefore, the EAT-Lancet reference diet, which consists largely of fresh produce, poses a steep cost for the average household in India.
"Low affordability is only a part of a bigger picture, however," said IFPRI Research Fellow Avinash Kishore.
"We were surprised to see that even the richest households do not consume enough protein rich foods, fruits, and vegetables."
In comparison, the researchers found that urban households in the highest income group consume almost one third of their total daily calories from processed foods such as bread, bakery products, refined wheat flour, sweets and chips.
Processed foods account for 10 per cent of daily caloric intake in both urban and rural areas.
The researchers point to other relevant factors such as a lack of availability, accessibility, awareness, and acceptability as possible explanations for their findings.
New York, May 19 (IANS) A diet rich in fruits and vegetables given over a relatively short period of time was associated with significantly lower levels of markers for subclinical cardiac damage and strain in adults without preexisting cardiovascular disease (CVD), say researchers.Observational studies show that a healthy diet is linked to a reduced risk for CVD events, leading many to advocate for stronger public policy to promote healthy food choices. Critics, however, point to a dearth of evidence to support the hypothesis that adopting a healthy diet directly reduces CVD injury or is effective for the primary prevention of CVD.For the findings, published in the journal Annals of Internal Medicine, researchers from Beth Israel Deaconess Medical Centre in the US, studied data and stored serum specimens for 326 participants of the original DASH trial to compare the effects of diets rich in fruits and vegetables with a typical American diet in their effects on cardiac damage, cardiac strain, and inflammation in middle-aged adults without known preexisting CVD.The DASH diet is a lifelong approach to healthy eating that's designed to help treat or prevent high blood pressure (hypertension).The DASH diet plan was developed to lower blood pressure without medication in research sponsored by the US National Institutes of Health.It includes lots of whole grains, fruits, vegetables and low-fat dairy products. The DASH diet also includes some fish, poultry and legumes, and encourages a small amount of nuts and seeds a few times a weekThe study found that after eight weeks, participants in both the fruits and vegetables and the DASH diet groups had significantly lower concentrations of the biomarkers for subclinical cardiac damage and strain compared with control group. The authors hypothesize that dietary factors common to both the DASH and fruit-and-vegetable diets, such as higher amounts of potassium, magnesium, and fibre, may partly explain the observed effects.These findings strengthen recommendations for the DASH diet or increased consumption of fruits and vegetables as a means of optimising cardiovascular health, the researchers noted.--IANSbu/sdr/