Dinner with TV may not be a very healthy option: study

November 6, 2016

Nov 6: Families that eat dinner with the TV on tend to eat less healthy food and to enjoy the meals less than families who leave the TV off, according to a recent U.S. study.

Dinner

This was true even for families that were not paying attention to the TV and only had it on as background noise, the researchers write in the journal Appetite.

“Family meals are protective for many aspects of child health,” lead author Amanda Trofholz said by email, adding that parents can take this time to check in with children and teach them about setting limits on their diets.

“Having the TV on during the family meal may reduce the opportunity for this connection between family members and blunt the protective effects of the meal,” said Trofholz, a researcher at the University of Minnesota, Minneapolis.

To explore the link between TV watching during meals and risk factors for childhood obesity, the study team analyzed video recordings of 120 families that included a child aged 6 to 12. The families were recruited from primary care clinics in Minneapolis between 2012 and 2013 and were mostly from low-income and minority groups.

The families recorded two of their family meals using an iPad and reported to the research team what they had eaten and how much they had enjoyed it. The study team assessed the health of the meals themselves, whether a TV was being used and the emotional atmosphere of the meal.

Only one third of the families left the TV off during both recorded meals. About a quarter had the TV on for only one meal and 43 percent left the TV on during both meals. Of the families eating with the TV on, two thirds paid attention to the TV while the other third only had it on in the background.

Families who ate with no TV playing or with the TV on during only one meal enjoyed their meals more than those that watched during both meals. This was true regardless of whether families paid attention to the TV.

Families that didn’t watch TV during meals ate significantly healthier food than the others. Families that had the TV on but did not pay attention also ate more healthy food than families that actively watched TV while eating.

Families eating with the TV on also ate fast food for dinner significantly more often than those with TV-free meals. Children of TV-watching families were not more likely to be overweight or obese than children whose families did not watch TV during meals, however.

“A non-distracted meal environment, without the TV on, is an opportunity for children to enjoy eating, try novel foods and self-regulate eating when healthy options are provided,” said Eileen FitzPatrick, an assistant professor at The Sage Colleges in Troy, New York.

“Having the TV on during dinner is a distraction which may lead to ‘mindless eating’ including overeating without realizing it,” FitzPatrick, who was not involved in the study, said by email. FitzPatrick added that advertisements on TV market unhealthy foods to children and can shape what foods they prefer to eat for dinner.

Families should try to view the family meal as a family event rather than just a necessity, Trofholz said. “Families who see the family meal as a time to connect with and enjoy their families may be more likely to turn off the TV, have a higher quality meal, and enjoy the meal more.”

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News Network
February 26,2020

New York, Feb 26:  A new wearable sensor that works in conjunction with artificial intelligence (AI) technology could help doctors remotely detect critical changes in heart failure patients days before a health crisis occurs, says a study.

The researchers said the system could eventually help avert up to one in three heart failure readmissions in the weeks following initial discharge from the hospital and help patients sustain a better quality of life.

"This study shows that we can accurately predict the likelihood of hospitalisation for heart failure deterioration well before doctors and patients know that something is wrong," says the study's lead author Josef Stehlik from University of Utah in the US.

"Being able to readily detect changes in the heart sufficiently early will allow physicians to initiate prompt interventions that could prevent rehospitalisation and stave off worsening heart failure," Stehlik added.

According to the researchers, even if patients survive, they have poor functional capacity, poor exercise tolerance and low quality of life after hospitalisations.

"This patch, this new diagnostic tool, could potentially help us prevent hospitalizations and decline in patient status," Stehlik said.

For the findings, published in the journal Circulation: Heart Failure, the researchers followed 100 heart failure patients, average age 68, who were diagnosed and treated at four veterans administration (VA) hospitals in Utah, Texas, California, and Florida.

After discharge, participants wore an adhesive sensor patch on their chests 24 hours a day for up to three months.

The sensor monitored continuous electrocardiogram (ECG) and motion of each subject.

This information was transmitted from the sensor via Bluetooth to a smartphone and then passed on to an analytics platform, developed by PhysIQ, on a secure server, which derived heart rate, heart rhythm, respiratory rate, walking, sleep, body posture and other normal activities.

Using artificial intelligence, the analytics established a normal baseline for each patient. When the data deviated from normal, the platform generated an indication that the patient's heart failure was getting worse.

Overall, the system accurately predicted the impending need for hospitalization more than 80 per cent of the time.

On average, this prediction occurred 10.4 days before a readmission took place (median 6.5 days), the study said.

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Agencies
June 4,2020

The World Health Organisation on Wednesday said that anti-malarial drug hydroxychloroquine (HCQ) will return to the solidarity trial for the potential treatment of coronavirus disease.

At a press conference in the WHO headquarters in Geneva, Director General Tedros Adhanom Ghebreyesus said: "On the basis of the available mortality data, the members of the committee recommended that there are no reasons to modify the trial protocol. The Executive Group received this recommendation and endorsed continuation of all arms of the solidarity trial, including hydroxychloroquine."

The world health body had temporarily suspended the usage of HCQ from the solidarity trial for coronavirus treatment on May 25 soon after a study published in one of the most reliable medical journals, which had suggested that the drug could cause more fatalities among COVID-19 patients.

However, the WHO chief said that the decision was taken as a precaution while the safety data was reviewed.

Ghebreyesus also said that the Data Safety and Monitoring Committee will continue to closely monitor the safety of all therapeutics being tested in the solidarity trial.

"So far, more than 3,500 patients have been recruited in 35 countries. WHO is committed to accelerating the development of effective therapeutics, vaccines and diagnostics as part of our commitment to serving the world with science, solutions and solidarity," he said.

Soon after HCQ was suspended from the trial, the Indian government had said that the antimalarial drug has been known for its benefits for a long time and its usage will be continued on the frontline workers, including police and healthcare professionals, as prophylaxis. The government had also said that studies were being conducted and the drug would be included in the clinical trial also for the treatment of coronavirus disease.

US President Donald Trump also had strongly advocated the use of HCQ and called it a "game-changer". He went to the extent of saying that he had taken the medicine.

Launched by WHO and partners, solidarity trial is an international clinical trial to find an effective treatment for COVID-19, including drugs to slow the progression of the disease or improve survival. The trial, which enrols patients from different countries, "will compare four treatment options against standard of care to assess their relative effectiveness against COVID-19", said WHO. 

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Agencies
July 7,2020

The World Health Organization (WHO) is reviewing a report that suggested its advice on the novel coronavirus needs updating after some scientists told the New York Times there was evidence the virus could be spread by tiny particles in the air.

The WHO says the Covid-19 disease spreads primarily through small droplets, which are expelled from the nose and mouth when an infected person breaths them out in coughs, sneezes, speech or laughter and quickly sink to the ground.

In an open letter to the Geneva-based agency, 239 scientists in 32 countries outlined the evidence they say shows that smaller exhaled particles can infect people who inhale them, the newspaper said on Saturday.

Because those smaller particles can linger in the air longer, the scientists - who plan to publish their findings in a scientific journal this week - are urging WHO to update its guidance, the Times said.

"We are aware of the article and are reviewing its contents with our technical experts," WHO spokesman Tarik Jasarevic said in an email reply on Monday to a Reuters request for comment.

The extent to which the coronavirus can be spread by the so-called airborne or aerosol route - as opposed to by larger droplets in coughs and sneezes - remains disputed.

Any change in the WHO's assessment of the risk of transmission could affect its current advice on keeping one-metre physical distancing. Governments, which also rely on the agency for guidance policy, may also have to adjust public health measures aimed at curbing the spread of the virus.

"Especially in the last couple of months, we have been stating several times that we consider airborne transmission as possible but certainly not supported by solid or even clear evidence," Benedetta Allegranzi, the WHO's technical lead for infection prevention and control, was quoted as saying in the New York Times.

WHO guidance to health workers, dated June 29, says that SARS-CoV-2, the virus that causes Covid-19, is primarily transmitted between people through respiratory droplets and on surfaces.

But airborne transmission via smaller particles is possible in some circumstances, such as when performing intubation and aerosol-generating procedures, it says.

Medical workers performing such procedures should wear heavy-duty N95 respiratory masks and other protective equipment in an adequately ventilated room, the WHO says.

Officials at South Korea's Centers for Disease Control said on Monday they were continuing to discuss various issues about Covid-19, including the possible airborne transmission. They said more investigations and evidence were needed.

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