Living near gym may make you slimmer

Agencies
January 6, 2018

People who live close to gyms, pools and playing fields weigh less and have smaller waistlines than their counterparts residing farther away from exercise facilities, a UK study suggests.

Living far away from fast food outlets also appeared to help people maintain a lower weight and trimmer waist, although this connection wasn’t as strong as the proximity of gyms, researchers report in the Lancet Public Health.

“It is likely that communities without the neighborhood resources needed to encourage a healthy lifestyle put their residents at a higher risk of obesity,” said senior study author Steven Cummins of the London School of Hygiene & Tropical Medicine.

“This could be improved by restricting the number of new fast food outlets in a neighborhood and how close they can be to people’s homes, incentivizing operators of physical activity facilities to open in residential areas with few facilities, or funding local authorities to provide such facilities,” Cummins said by email.

Globally, more than 1.9 billion adults are overweight or obese, according to the World Health Organization. The condition contributes to a variety of common medical problems including heart disease, diabetes and certain cancers.

For the study, researchers examined data on weight, waist measurements and body fat for more than 400,000 men and women ranging in age from 40 to 70.

The study used data collected between 2006 and 2010 that included demographic characteristics like household income, as well as what types of eating and exercising options were available near people’s home addresses.

To determine exercise opportunities, researchers looked for indoor and outdoor facilities for sports and leisure activities such as gyms, swimming pools and playing fields. They didn’t consider public parks or cycling and walking paths.

On average, people had just one exercise facility within 1 kilometer (0.62 miles) of home. And almost one-third of participants had no options this close to where they lived, the study found.

People typically had to travel just 1.1 kilometers (0.68 miles) to reach a fast food outlet. Nearly one in five people had a fast food restaurant within a half-kilometer (0.31 miles) of home.

Better access to exercise options translated into a healthier weight.

Compared to people who had no facilities near home, people who had at least six places to work out weighed less, had a 1.22 centimeter (0.47 inch) slimmer waistline, and had a body fat percentage that was 0.81 percent lower on average.

At the same time, people who lived at least 2 kilometers (1.24 miles) from a fast food outlet had a waistline 0.26 centimeters (0.10 inches) smaller than individuals who lived less than a half-kilometer away, the study also found.

One limitation of the study is that not all fast food restaurants may have been included in the database, the authors note. The study also didn’t account for the proximity of healthy dining establishments near home, or the type of food and workout options close to where people worked.

The study was not a controlled experiment designed to prove whether or how neighborhood characteristics like the availability of gyms or greasy spoons might impact obesity rates.

It’s hard to rule out the possibility that healthier people may choose to live near the amenities they need to stay healthy, said Pablo Monsivais, author of an accompanying editorial and a nutrition and exercise researcher at Washington State University in Spokane.

But the study still suggests that where we live matters, Monsivais said by email.

“Individually, each of us makes choices that affect whether we maintain a healthy weight or put on pounds, but these choices are shaped by the environments we inhabit,” Monsivais added. “This study looked at just a few features of the environment, but research shows that things like green space, walkability, noise, air quality and the availability of healthy food choices all seem to matter for our health and body weight.”

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Agencies
June 28,2020

As the COVID-19 wave sweeps strongly across the country, including in Tamil Nadu, mental health experts say the pandemic has triggered panic attacks among those who tested positive for the virus, causing bouts of depression and even driving some to the brink of suicide.

According to experts, nervousness, fear of contamination, panic attacks, constant reassurance seeking behaviour, sleep disturbance, excessive worry, feelings of helplessness and probability of an economic slowdown are the major factors leading to depression and anxiety among the people.

Potential job losses, financial burden, uncertainty about the future and fears of running out of food and necessities add to the worries.

Online platforms too have seen a growing number of people seeking help for mental health issues, ranging from anxiety and loneliness to concerns over productivity and job loss since the outbreak of COVID-19.

Director of Institute of Mental Health here, Dr R Purna Chandrika said towards April end about 3,632 calls were received and psychiatric counselling was provided to 2,603 callers.

"We have dedicated services at our centres in the districts and the calls meant for government medical college hospitals are routed to the respective institutions," she said.

Due to heavy virus caseloads, making this city the major contributor to the state's tally, the Greater Chennai Corporation too started a free helpline to help residents cope up with stress during the pandemic.

"From the psychological perspective, we don't find a single human being who is not feeling some degree of stress or anxiety due to coronavirus. The intensity and impact varies from person to person," said Lt Col N T Rajan, director of Chennai-based Mastermind Foundation.

The organisation is involved in free counselling throughout India ever since the first case of the deadly virus was reported in the country.

The foundation's recommendation on not to deploy the vulnerable in the police force, especially those above 50 years and women personnel with children below five years for COVID-19 related duty, was accepted and implemented by the Punjab government.

Psychiatrists feel that further worsening situations could lead to severe mental health issues, even triggering suicidal tendencies.

"Further worsening depression may lead to severe mental health issues and suicidal tendencies," said Dr S Senthil Kumar, a psychiatrist.

However, not all of them require medicines, he added.

"The situation is serious. There should be counselling at three stages--on coping with the virus, how to face it if tested positive and how to face life once treated and discharged from the hospital," Rajan said.

Awareness was of paramount importance, he said and warned the pandemic could cause panic attacks while in hospital or drive them to the brink of suicide.

Tamil Nadu, one of the worst affected states with a virus count in excess of 74,000 as of Friday, has witnessed a few instances of suicides allegedly related to COVID-19.

Hari Singh, owner of popular 'Iruttu Kadai' halwa shop in Tirunelveli, allegedly died by committing suicide on Thursday after being tested positive for COVID-19. He was 80.

Earlier in May, two COVID-19 patients in their 50s allegedly committed suicide in separate instances, at the government hospitals they were admitted to for treatment.

In the city corporation limits, a three-member team comprising a psychiatrist, counsellor and a social worker work for the respective zones.

"We direct certain sections of people like those with withdrawal symptoms and people requiring pills, to visit the doctor at their corporation zonal at a specific time, for medicines," a health worker of the civic body said.

Health platform, Lybrate reported an increase of 180 per cent in online patient consultations related to mental health on its platform between March 1 and June 20 across the country.

The largest increase came from Mumbai and Delhi, followed by Pune, Ahmedabad, Chennai and Bengaluru.

The biggest jump was witnessed in the age group of 25 and 45 years.

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Agencies
March 11,2020

With the sales of chicken and mutton going down due to the coronavirus scare, it is the humble 'Kathal' (jackfruit) is emerging as an acceptable alternative.

'Kathal' is now selling at ₹120 per kilogram -- an increase of more than 120 per cent over the normal ₹50 per kilogram.

The jackfruit, in fact, is now priced higher than chicken which is selling at ₹80 per kilogram due to poor demand.

"It is better having a 'Kathal' biryani instead of a mutton biryani. It tastes reasonably good. The only problem is that 'Kathal' has been sold out in the vegetable market and is difficult to find," said Purnima Srivastava whose family savours non-vegetarian food on a regular basis.

The corona scare has hit poultry business so hard and the Poultry Farm Association recently organized a Chicken Mela in Gorakhpur to dispel the misconception that birds are carriers of the deadly virus.

"In fact, we gave away plateful of chicken dishes for Rs 30 to encourage people to savour the delicacies. We cooked one thousand kilograms of chicken for the Mela and the entire stock was sold out," said Vineet Singh, head of the Poultry Farm Association.

However, the Mela did not do much to dispel the fears about chicken, mutton or fish consumption amid the virus outbreak.

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Agencies
June 10,2020

Early treatment with the antiviral drug remdesivir has been found to reduce viral load and prevent lung disease in macaques infected with SARS-CoV-2 that causes COVID-19, according to a study.

The findings, published in the journal Nature on Tuesday, support the early use of remdesivir treatment in patients with COVID-19 to prevent progression to pneumonia.

Researchers from the National Institutes of Health in the US noted that remdesivir has broad antiviral activity and has been shown to be effective against infections with SARS-CoV and MERS-CoV in animal models.

The drug is being tested in human clinical trials for the treatment of COVID-19, they said.

Researcher Emmie de Wit and colleagues investigated the effects of remdesivir treatment in rhesus macaques, a recently established model of SARS-CoV-2 infection.

Two sets of six macaques were inoculated with SARS-CoV-2.

One group was treated with remdesivir 12 hours later -- close to the peak of virus reproduction in the lungs -- and these macaques received treatment every 24 hours until six days after inoculation.

In contrast to the control group, the researchers found that macaques that received remdesivir did not show signs of respiratory disease, and had reduced damage to the lungs.

Viral loads in the lower respiratory tract were also reduced in the treated animals; viral levels were around 100 times lower in the lower-respiratory tract of remdesivir-treated macaques 12 hours after the first dose, they said.

The researchers said that infectious virus could no longer be detected in the treatment group three days after initial infection, but was still detectable in four out of six control animals.

Despite this virus reduction in the lower respiratory tract, no reduction in virus shedding was observed, which indicates that clinical improvement may not equate to a lack of infectiousness, they said.

Dosing of remdesivir in the rhesus macaques is equivalent to that used in humans, the researchers noted.

They cautioned that it is difficult to directly translate the timing of treatment used in corresponding disease stages in humans, because rhesus macaques normally develop only mild disease.

However, researchers said the results indicate that remdesivir treatment of COVID-19 should be initiated as early as possible to achieve the maximum treatment effect.

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