Never start gymming without proper guidance from an expert. It could cost your life

Agencies
June 4, 2017

Jun 4: The heady profusion of modern gymnasiums, be it at home, office or elsewhere, has made workouts a rage, but exercising without a proper training regime and guidance can take a toll on your health, and even be fatal, warn experts.gym

A recent incident of a young software engineer in Kolkata dying after falling from the treadmill has only highlighted the risks of unmonitored workouts and over-exercise. According to fitness experts, a trainer must have a questionnaire regarding the client’s medical history and pre-training assessment to find out how far the person can push himself or herself.

“A person who is clueless about fitness, needs to have a fitness trainer who can fix a ‘goal of training’ for him. If somebody with a back or a joint pain wishes to lose weight and the trainer, unaware of his illness, puts him into a high intensity workout regime, the pain will only aggravate,” says Chinmoy Roy, a fitness trainer with the National Cricket Academy.

“A questionnaire and a pre-training assessment by the trainer should do the trick. It should ask if the person has any metabolic issues like diabetes or blood pressure, cardiac issues or joint pains because in case he suffers from any of these complications, the exercise and its intensity will be completely different,” he explained.

Citing the example of Cameroon footballer Marc-Vivien Foe who died of cardiac arrest while playing for his country in the Confederations cup in 2003, the physio said though death during exercise is a rare occurrence, every such incident should act as a wake-up call for everybody.

Some experts rue that most of the gyms lack certified trainers and a flexible client-specific fitness module. “I believe a fitness trainer should at times have a better understanding of anatomy than a doctor. A doctor is not asking you to pick up a hundred kg weight, but the trainer is. So he should know his job very well. However, more than 90% of the fitness trainers in city gyms lack proper certifications,” said noted fitness trainer Ranadeep Moitra.

While stating that certifications for fitness trainers have started in India, Moitra argued that theoretical knowledge is often not enough. “It’s good that some private organisations have started certain initiatives to train the fitness instructors. However, in a majority of cases, certification only involves clearing a theoretical exam,” he claimed.

Strongly criticising the random use of steroids in fitness training, Moitra said the onus is both on the trainers and the trainees. “The onus is also on the trainees. Today, people are using steroids just to look good in a night club. They are running behind outer beauty rather than inner strength. This mindset has to change,” Moitra said.

According to doctors, unaccustomed physical activity without any prior conditioning can lead to extreme consequences like sudden cardiac death. “Therefore, a trainer should guide you through these kinds of fitness training regimes. People should first condition their body for physical activities and gradually increase the level of exercise,” according to cardiologist Sushan Mukhopadhyay of Kolkata’s Apollo Gleneagles Hospitals.

To avoid serious health issues, the fitness centres should teach their trainers basic life-support therapy and provide them a shock defibrillator, if possible. “It is a must for people working as fitness trainers to be aware of basic life-support therapy so that they can do a basic cardiac massage,” said Mukhopadhyay.

“In nearly 50% of the cases of sudden cardiac deaths, the patients can be revived by giving shock treatment. Therefore. a shock defibrilator can be of good use in emergency situations,” he added.

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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
May 26,2020

Tedros Adhanom Ghebreyesus, the World Health Organisation's (WHO) Director-General, said that a clinical trial of hydroxychloroquine (HCQ) on COVID-19 patients has come to "a temporary pause", while the safety data of the the anti-malaria drug was being reviewed.

According to the WHO chief, The Lancet medical journal on May 22 had published an observational study on HCQ and chloroquine and its effects on COVID-19 patients that have been hospitalized, reports Xinhua news agency.

The authors of the study reported that among patients receiving the drug, when used alone or with a macrolide, they estimated a higher mortality rate.

"The Executive Group of the Solidarity Trial, representing 10 of the participating countries, met on Saturday (May 23) and has agreed to review a comprehensive analysis and critical appraisal of all evidence available globally," Tedros said in a virtual press conference on Monday.

The review will consider data collected so far in the Solidarity Trial and in particular robust randomized available data, to adequately evaluate the potential benefits and harms from this drug, he said.

"The Executive Group has implemented a temporary pause of the HCQ arm within the Solidarity Trial while the safety data is reviewed by the Data Safety Monitoring Board. The other arms of the trial are continuing," Tedros added.

WHO initiated the Solidarity Trial, a plan to evaluate the safety and efficacy of four drugs and drug combinations against COVID-19 more than two months ago, which include HCQ.

According to the WHO, over 400 hospitals in 35 countries are actively recruiting patients and nearly 3,500 patients have been enrolled from 17 countries under the Solidarity Trial.

Tedros added that the safety concern over the drug related only to the use of HCQ and chloroquine in COVID-19, and "these drugs are accepted as generally safe for use in patients with autoimmune diseases or malaria".

"WHO will provide further updates as we know more," he added.

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Agencies
January 11,2020

Europe, Jan 11: Researchers have revealed the people who drink tea at least three times a week have healthy years of life and longer life expectancy.

The research was published in the European Journal of Preventive Cardiology, a journal of the European Society of Cardiology (ESC).

Dr Xinyan Wang, who is the author of the study, said: "Habitual tea consumption is associated with lower risks of cardiovascular disease and all-cause death. The favourable health effects are the most robust for green tea and for long-term habitual tea drinkers."
The analysis that was conducted included about 100,902 participants of the China-PAR project2 with no history of heart attack, stroke, or cancer.

Participants were classified into two groups: Habitual tea drinkers and never or non-habitual tea drinkers and followed-up for a median of 7.3 years.

The analyses estimated that 50-year-old habitual tea drinkers would develop coronary heart disease and stroke 1.41 years later and live 1.26 years longer than those who never or seldom drank tea. Compared with never or non-habitual tea drinkers, the habitual tea consumers had a 20 per cent lower risk of incident heart disease and stroke, 22 per cent lower risk of fatal heart disease and stroke, and 15 per cent decreased risk of all-cause death.

The potential influence of changes in tea drinking behaviour was suspected in a subset of 14,081 participants with assessments at two-time points. The average duration between the two surveys was 8.2 years, and the median follow-up after the second survey was 5.3 years.

Habitual tea drinkers who maintained their habit in both surveys had a 39 per cent lower risk of incident heart disease and stroke, 56 per cent lower risk of fatal heart disease and stroke, and 29 per cent decreased risk of all-cause death compared to consistent never or non-habitual tea drinkers.

Senior author Dr Dongfeng Gu said: "The protective effects of tea were most pronounced among the consistent habitual tea drinking group. Mechanism studies have suggested that the main bioactive compounds in tea, namely polyphenols, are not stored in the body long-term. Thus, frequent tea intake over an extended period may be necessary for the cardioprotective effect."

In a subanalysis by type of tea, drinking green tea was linked with approximately 25 per cent lower risks for incident heart disease and stroke, fatal heart disease and stroke, and all-cause death. However, no significant associations were observed for black tea.
Dr Gu noted that a preference for green tea is unique to East Asia.

Two factors may be at play. First, green tea is a rich source of polyphenols which protect against cardiovascular disease and its risk factors including high blood pressure and dyslipidaemia. Black tea is fully fermented and during this process, polyphenols are oxidised into pigments and may lose their antioxidant effects. Second, black tea is often served with milk, which previous research has shown may counteract the favourable health effects of tea on vascular function.

Gender-specific analyses showed that the protective effects of habitual tea consumption were pronounced and robust across different outcomes for men, but only modest for women. Dr Wang said: "One reason might be that 48 per cent of men were habitual tea consumers compared to just 20 per cent of women. Secondly, women had a much lower incidence of, and mortality from, heart disease and stroke. These differences made it more likely to find statistically significant results among men."

She said: "The China-PAR project is ongoing, and with more person-years of follow-up among women the associations may become more pronounced."

In conclusion, the authors have found that randomised trials are required to validate the results and to illustrate nutritional guidelines and advice for lifestyle.

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