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 21,2020

Lower neighbourhood socioeconomic status and greater household crowding increase the risk of becoming infected with SARS-CoV-2, the virus that causes COVID-19, warn researchers.

"Our study shows that neighbourhood socioeconomic status and household crowding are strongly associated with risk of infection," said study lead author Alexander Melamed from Columbia University in the US.

"This may explain why Black and Hispanic people living in these neighbourhoods are disproportionately at risk for contracting the virus," Melamed added.

For the findings, published in the journal JAMA, the researchers examined the relationships between COVID-19 infection and neighbourhood characteristics in 396 women who gave birth during the peak of the Covid-19 outbreak in New York City. Since March 22, all women admitted to the hospitals for delivery have been tested for the virus, which gave the researchers the opportunity to detect all infections -- including infections with no symptoms -- in a defined population

The strongest predictor of COVID-19 infection among these women was residence in a neighbourhood where households with many people are common.The findings showed that women who lived in a neighbourhood with high household membership were three times more likely to be infected with the virus. Neighbourhood poverty also appeared to be a factor, the researchers said.Women were twice as likely to get COVID-19 if they lived in neighbourhoods with a high poverty rate, although that relationship was not statistically significant due to the small sample size.

The study revealed that there was no association between infection and population density.

"New York City has the highest population density of any city in the US, but our study found that the risks are related more to density in people's domestic environments rather than density in the city or within neighbourhoods," says co-author Cynthia Gyamfi-Bannerman."

The knowledge that SARS-CoV-2 infection rates are higher in disadvantaged neighbourhoods and among people who live in crowded households could help public health officials target preventive measures," the authors wrote.

Recently, another study published in the Journal of the American Planning Association, showed that dense areas were associated with lower COVID-19 death rates.

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Agencies
June 24,2020

New Delhi, Jun 24: Expanding the testing criterion for coronavirus, the Indian Council of Medical Research has said it should be made widely available to all symptomatic individuals across the country.

"Since test, track and treat' is the only way to prevent spread of infection and save lives, it is imperative that testing should be made widely available to all symptomatic individuals in every part of the country and contact tracing mechanisms for containment of infection are further strengthened," it said in an advisory on 'Newer Additional Strategies for COVID-19 Testing' on Tuesday.

In its revised testing strategy for COVID-19 issued on May 18, the Indian Council of Medical Research (ICMR) had advised testing for all symptomatic Influenza-like illness (ILI) among returnees and migrants within seven days of illness.

All hospitalised patients who develop ILI symptoms, symptomatic individuals living within hotspots or containment zones and healthcare and frontline workers involved in containment and mitigation of coronavirus were also advised testing.

The apex health research body has also advised authorities to enable all government and private hospitals, offices and public sector units to perform antibody-based COVID-19 testing for surveillance to help allay fears and anxiety of healthcare workers and office employees.

The earlier advisories on rapid antibody testing advisories had focused on areas reporting clusters (containment zones), large migration gatherings/evacuees centers and testing of symptomatic ILI individuals at facility level.

Besides, the ICMR on Tuesday also recommended deployment of rapid antigen detection tests for COVID-19 in combination with RT-PCR tests in all containment zones, all central and state government medical colleges and government hospitals, all private hospitals approved by the National Accreditation Board for Hospitals and Healthcare (NABH), all NABL-accredited and ICMR approved private labs, for COVID-19 testing.

All hospitals, laboratories and state governments intending to perform the point-of-care antigen tests need to register with ICMR to obtain the login credentials for data entry.

"ICMR advises all state governments, public and private institutions concerned to take required steps to scale up testing for COVID-19 by deploying combination of various tests as advised," the advisory added.

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Agencies
May 2,2020

Clinician-scientists have found that Irish patients admitted to hospital with severe coronavirus (COVID-19) infection are experiencing abnormal blood clotting that contributes to death in some patients.

The research team from the Royal College of Surgeons in Ireland found that abnormal blood clotting occurs in Irish patients with severe COVID-19 infection, causing micro-clots within the lungs.

According to the study, they also found that Irish patients with higher levels of blood clotting activity had a significantly worse prognosis and were more likely to require ICU admission.

"Our novel findings demonstrate that COVID-19 is associated with a unique type of blood clotting disorder that is primarily focussed within the lungs and which undoubtedly contributes to the high levels of mortality being seen in patients with COVID-19," said Professor James O'Donnell from St James's Hospital in Ireland.

In addition to pneumonia affecting the small air sacs within the lungs, the research team has also hundreds of small blood clots throughout the lungs.

This scenario is not seen with other types of lung infection and explains why blood oxygen levels fall dramatically in severe COVID-19 infection, the study, published in the British Journal of Haematology said.

"Understanding how these micro-clots are being formed within the lung is critical so that we can develop more effective treatments for our patients, particularly those in high-risk groups," O'Donnell said.

"Further studies will be required to investigate whether different blood-thinning treatments may have a role in selected high-risk patients in order to reduce the risk of clot formation," Professor O'Donnell added.

According to the study, emerging evidence also shows that the abnormal blood-clotting problem in COVID-19 results in a significantly increased risk of heart attacks and strokes.

As of Friday morning, the cases increased to 20,612 cases in Ireland, with 1,232 deaths so far, according to the Johns Hopkins University.

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