World Anti-Obesity Day: Is your child's obesity giving you nightmare?

November 26, 2016

New Delhi, Nov 26: After the United States of America, the epidemic of childhood obesity is gripping India. According to an international journal, by 2025, India will have over 17 million obese children and stand as second highest country in the world with obese children as per Pediatric Obesity.

obsThe rising prevalence of obesity in children is also bringing with it countless other adverse health effects, which make this condition a serious public health concern.

According to Satish Kannan, Co-founder and CEO of DocsApp, Obese children are at a greater risk of acquiring diabetes, high blood pressure, high cholesterol, cardiovascular diseases, bone and joint problems, sleep apnea, and social and psychological problems such as stigmatization and poor self-image.

Parents can be attributed to some degree for this problem as they often neglect the unhealthy dietary habits and patterns followed by these children. Popular culture that introduces them to junk food, snacks, colas etc and markets these items in the most attractive of ways adds to the issue.

Childhood obesity is a complex health issue which is not just influenced by unhealthy dietary habits, but also by the lifestyle and behavioral choices made by parents and children alike.

Children nowadays prefer to stay indoors than playing outside and are more exposed to screens like TV, tablets and mobile screens like never before. Meanwhile, there are parents who pressurise their kids to focus more on academics with little or no motivation to indulge in any outdoor games or sports. This lack of physical activity, which is a key determinant of energy expenditure and a fundamental part of energy balance and weight control, triggers obesity and chronic health conditions in them, said Kannan.

Genetic conditions are yet another factor that only increases the chances of obesity in children, which means children with overweight parents can also inherit the problem.

However, genetics alone cannot cause obesity. They merely increase one's propensity to put on weight easily. Ultimately, it's only the children who eat more calories than they need for their growth and energy who become obese.

No matter how much parents are to be blamed, the good news is that only they have the potential to influence their child's lifestyle and weight. For them, it can be difficult sometimes to figure out whether their child is overweight because a child may not look particularly heavy to be overweight.

Moreover, with a growing number of children becoming heavier at a younger age, they become used to seeing bigger children.

In such situations, determine the body fat directly is difficult and the diagnosis can be done through BMI rate. Children with a BMI equal to or exceeding the age-gender can be called obese.

Parents can do a lot to help their child maintain a healthy weight. To begin with, they can simply take charge as their role models by inculcating good habits in their children and encouraging them to be active and eat well by doing so themselves.

Parents must start a ritual of going for walks or cycling every day with their kids instead of watching TV or surfing the internet. This will not only make them realize that being active can be fun, it will be a great way for the entire family to spend time together.

Children crave for attention and care and those who are deprived of it, have a higher risk of obesity. So instead of using food as a comfort measure, parents must help them develop healthy eating habits by initiating ways to make their favorite dishes healthier, and reduce calorie-rich temptations by letting them enjoy those goodies as well once in a while as a treat.

Parents should also avoid serving their children oversized portions and start with small servings. They must also be encouraged to eat slowly in their set mealtimes. The mealtimes can be further utilised as an opportunity to catch up on their day to day activities.

Both the parents and children must make it a custom to eat healthy and aim for five or more portions of fruit and vegetables every day in the form of juices, smoothies, beans, and pulses, to ramp up their fiber, vitamins and minerals intake.

The idea is to get a maximum number of calories from healthier and nutrient-rich foods like fruit and vegetables, bread, potatoes, fish, chicken, rice and whole grains instead of sugary or high-fat foods like sweets, cakes, biscuits, sugary cereals, and sugar-sweetened fizzy drinks.

Children are the future pillars of a nation and their health and fitness are crucial for the overall growth and development of the country.

So, it becomes not just the responsibility of the parents, but the entire community around them including schools, child care settings and medical care providers, government agencies to be equally concerned about childhood obesity and take meaningful steps to nip the problem in the bud.

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News Network
February 12,2020

Washington, Feb 12: People who are optimistic may contribute to the health of their partners, staving off the risk factors leading to Alzheimer's disease, dementia and cognitive decline as they grow old together, according to a study.

The research, published in the Journal of Personality, followed nearly 4,500 heterosexual couples from the US Health and Retirement Study for up to eight years.

The researchers found a potential link between being married to an optimistic person and preventing the onset of cognitive decline, due to a healthier environment at home.

"We spend a lot of time with our partners.They might encourage us to exercise, eat healthier or remind us to take our medicine," said William Chopik, an assistant professor at the Michigan State University in the US.

"When your partner is optimistic and healthy, it can translate to similar outcomes in your own life. You actually do experience a rosier future by living longer and staving off cognitive illnesses," Chopik said.

An optimistic partner may encourage eating healthy foods, or working out together to develop healthier lifestyles, the researchers said.

For example, if a person quits smoking or starts exercising, their partner is close to following suit, they said.

"We found that when you look at the risk factors for what predicts things like Alzheimer's disease or dementia, a lot of them are things like living a healthy lifestyle," Chopik said.

"Maintaining a healthy weight and physical activity are large predictors.There are some physiological markers as well. It looks like people who are married to optimists tend to score better on all of those metrics," he said.

The researchers said there is a sense where optimists lead by example, and their partners follow their lead.

They also suggest that when couples recall shared experiences together, richer details from the memories emerge.

Chopik noted while there is a heritable component to optimism, there is some evidence to suggest that it's a trainable quality.

"There are studies that show people have the power to change their personalities, as long as they engage in things that make them change," Chopik said.

"Part of it is wanting to change. There are also intervention programs that suggest you can build up optimism," he added.

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Agencies
February 4,2020

Despite tremendous advances in treatment of congenital heart disease (CHD), a new global study shows that the chances for a child to survive a CHD diagnosis is significantly less in low-income countries.

The research revealed that nearly 12 million people are currently living with CHD globally, 18.7 per cent more than in 1990.

The findings, published in The Lancet, is drawn from the first comprehensive study of congenital heart disease across 195 countries, prepared using data from the Global Burden of Diseases, Injuries and Risk Factors Study 2017 (GBD).

"Previous congenital heart estimates came from few data sources, were geographically narrow and did not evaluate CHD throughout the life course," said the study authors from Children's National Hospital in the US.

This is the first time the GBD study data was used along with all available data sources and previous publications - making it the most comprehensive study on the congenital heart disease burden to date.

The study found a 34.5 per cent decline in deaths from congenital disease between 1990 to 2017. Nearly 70 per cent of deaths caused by CHD in 2017 (180,624) were in infants less than one year old.

Most CHD deaths occurred in countries within the low and low-middle socio-demographic index (SDI) quintiles.

Mortality rates get lower as a country's Socio-demographic Index (SDI) rises, the study said.

According to the researchers, birth prevalence of CHD was not related to a country's socio-demographic status, but overall prevalence was much lower in the poorest countries of the world.

This is because children in these countries do not have access to life saving surgical services, they added.

"In high income countries like the United States, we diagnose some heart conditions prenatally during the 20-week ultrasound," said Gerard Martin from Children's National Hospital who contributed to the study.

"For children born in middle- and low-income countries, these data draw stark attention to what we as cardiologists already knew from our own work in these countries -- the lack of diagnostic and treatment tools leads to lower survival rates for children born with CHD," said researcher Craig Sable.

"The UN has prioritised reduction of premature deaths from heart disease, but to meet the target of 'ending preventable deaths of newborns and children under 5 years of age,' health policy makers will need to develop specific accountability measures that address barriers and improve access to care and treatment," the authors wrote.

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Agencies
June 17,2020

Leading physicians are celebrating a small dose of good news that arrived Tuesday about dexamethasone, a cheap and widely used steroid shown to be able to save lives among COVID-19 patients, but also cautioning against releasing study results by press release during a global health emergency, like in the case of the latest dexamethasone study by University of Oxford.

"It will be great news if dexamethasone, a cheap steroid, really does cut deaths by one-third in ventilated patients with COVID19, but after all the retractions and walk backs, it is unacceptable to tout study results by press release without releasing the paper", Atul Gawande, surgeon and CEO of Haven Healthcare, tweeted.

"Bottom line is, good news," Dr. Fauci, America's foremost infectious diseases expert told a US newswire on Tuesday, soon after the dexamethasone results were announced in the UK.

Fauci, who has long championed the therapeutics-first view said that dexamethasone is a "significant improvement" in the available therapeutic options currently available.

On Medical Twitter and Facebook, doctors broadly agree that dexamethasone use aligns well with the way COVID19 attacks the body's immune system. Fauci said the results in the Oxford study make "perfect sense" in that context.

"We should see the number of people who actually survive go up, if the study holds up," virologist and epidemiologist Dr. Joseph Fair told a television network.

Global coronavirus cases crossed 8 million on Tuesday. In the US, Texas and Florida are facing a new wave of cases after lifting lockdown orders earlier than medical experts recommended. Amidst the relentless graph upwards, the dexamethasone study results injected hope for better survival rates among those most seriously ill.

World Health Organization chief scientist Soumya Swaminathan welcomed the results from the randomised control trial.

Dr Eugene Gu, Founder and CEO of CoolQuit tweeted that he is "genuinely impressed" with the UK dexamethasone trial. This may be a "game changer", he wrote.

"There's no conflict of interest as dexamethasone is a generic steroid. The mechanism of action makes sense because steroids can reduce cytokine storms and overactive immune systems that makes COVID-19 so deadly. The number needed to treat is 8 ventilated patients which is great."

The Oxford study found that dexamethasone reduced deaths by 35 percent in patients who needed treatment with breathing machines and by 20 percent in those only needing supplemental oxygen. Dexamethasone was one of 5 drugs studied in a large clinical trial in the United Kingdom named RECOVERY, short for Randomised Evaluation of COVID-19 Therapy.

Peter Horby, chief investigator of the University of Oxford clinical trial, said dexamethasone is the first drug to be shown to improve survival in COVID-19. Details of the study have not been released. The trial organisers said they made their announcement via a news release because of "the public health importance of these results." According to Horby's public comments, there was a lot of initial resistance to studying steroids.

During the study, 2,104 patients were randomly selected to be given 6 milligrams of dexamethasone once a day (either by mouth or by intravenous injection) for 10 days. That group was compared with 4,321 patients who received the usual care alone.

Researchers estimated that dexamethasone would prevent one death for every eight patients treated while on ventilators and one for every 25 patients on extra oxygen alone.

UK experts have called the study results a breakthrough in the fight against the virus. The researchers have promised they would publish the results soon.

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