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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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
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 25,2020

The COVID-19 pandemic and the subsequent lockdown saw many people turning chefs overnight, but those who could not turned to online delivery of food. And not just any food, as per a new report, Indians "craved the most for Biryani" during the lockdown.

The "StatEATistics report: The Quarantine Edition" from food delivery platform Swiggy found that Indians ordered biryani over "5.5 lakh times" from their favourite restaurants.

The new normal might have opened a pandora's box of behavioral changes, but some old habits die hard like the love for Biryani, which took the top spot for overall orders. It was followed by butter naan and masala dosa at 3,35,185 and 3,31,423, respectively.

Biryani has topped the list of most ordered dishes for the fourth year in a row, the food delivery platform noted.

Indians didn't forget to indulge their sweet tooth in the uncertain months of lockdown. Their favourite comfort food during the lockdown period was the moist and decadent Choco Lava cake, ordered around 1,29,000 times.

"The humble Gulab Jamun (84,558) and chic Butterscotch Mousse cake (27,317) followed suit," said the report derived from Swiggy's order analysis in the past few months across cities that it is present in.

Also, as birthday parties moved to video calls, and virtual cake cutting sessions, according to the food delivery platform, it delivered nearly "1,20,000 cakes" to complete these celebrations.

According to the report, on average, "65,000 meal orders" were placed by 8 pm each day to make sure food arrived in time for dinner.

"It was the busiest hour for Swiggy delivery partners and restaurants. On average, they (customers) chose to tip Rs.23.65, with one particularly generous customer tipping Rs. 2500!," it added.

For those who only relied on home-made food during the quarantine, Swiggy delivered a whooping 323 million kgs of onions and 56 million kgs of bananas through its grocery section and hence ensured that its consumers were all stocked up.

That said, it also took care of the 'quick-fix meal' tribe -- consumers who resort to the evergreen college hacks of living on instant noodles.

"Around 3,50,000 packets of this ideal easy to cook meal were ordered during the lockdown," it said.

In all, Swiggy delivered 40 million orders across food, groceries, medicines and other household items during India's lockdowns. It also delivered over 73,000 bottles of sanitizers and hand wash along with 47,000 face masks as the definition of essentials' changed during these uncertain times.

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