Monday, April 23, 2012

SLEEPLOSS CAN THREATEN YOUR HEALTH

Many people do not realize that lack of sufficient sleep can trigger mild to potentially life–threatening consequences, from weight gain to a heart attack. Recently I came across an article in the Harvard Health Newsletter (Health Beat) and thought of sharing the information with you all.

Viral infections:
Anecdotal evidence supports the belief that when you’re tired and run–down, you’re more likely to get sick. A 2009 study in Archives of Internal Medicine provides some proof. Researchers followed the sleep habits of 153 men and women for two weeks, then quarantined them for five days and exposed them to cold viruses. People who slept an average of less than seven hours per night were three times as likely to get sick as those who averaged at least eight hours.

Weight gain:
Not getting enough sleep makes you more likely to gain weight, according to a 2008 review article in the journal Obesity that analyzed observations from 36 different studies of sleep duration and body weight. This association is especially strong among children. Lack of sufficient sleep tends to disrupt hormones that control hunger and appetite, and the resulting daytime fatigue often discourages you from exercising. Excess weight, in turn, increases the risk of a number of health problems.

Diabetes:
A 2009 report in Diabetes Care found a sharp increase in the risk of type 2 diabetes in people with persistent insomnia. People who had insomnia for a year or longer and who slept less than five hours per night had a three–fold higher risk of type 2 diabetes compared with those who had no sleep complaints and who slept six or more hours every night. As with overweight and obesity (which are also closely linked to type 2 diabetes), the underlying cause is thought to involve a disruption of the normal hormonal regulation of the body due to inadequate sleep.

High blood pressure:
Researchers involved in the diabetes study also evaluated risk of high blood pressure among the same group of people, which included more than 1,700 randomly chosen men and women from rural Pennsylvania. As described in a 2009 article in the journal Sleep, the researchers found the risk of high blood pressure was three–and–a–half times greater among insomniacs who routinely slept less than six hours per night compared with normal sleepers who slept six or more hours nightly.

Heart disease:
A number of studies have linked short–term sleep deprivation with several well–known risk factors for heart disease, including higher cholesterol levels, higher triglyceride levels, and higher blood pressure. One such report, published in a 2009 issue of Sleep, included more than 98,000 Japanese men and women ages 40 to 79 who were followed for just over 14 years. Compared with women who snoozed for seven hours, women who got no more than four hours of shut–eye were twice as likely to die from heart disease, the researchers found.

Sleep apnea is a common cause of poor sleep, a life–threatening condition in which breathing stops or becomes shallower hundreds of times each night also increases heart disease risk. In the Wisconsin Sleep Cohort study, people with severe sleep apnea were three times more likely to die of heart disease during 18 years of follow–up than those without apnea. When researchers excluded those who used a breathing machine (a common apnea treatment), the risk jumped to more than five times higher. Apnea spells can trigger arrhythmias (irregular heartbeats), and the condition also increases the risk of stroke and heart failure.


Mental illness:
A study of about 1,000 adults ages 21 to 30 found that, compared with normal sleepers, those who reported a history of insomnia during an interview were four times as likely to develop major depression by the time of a second interview three years later. Two studies in young people–one involving 300 pairs of young twins, and another including about 1,000 teenagers–found that sleep problems developed before a diagnosis of major depression and (to a lesser extent) anxiety. Sleep problems in teenagers preceded depression 69% of the time and anxiety disorders 27% of the time.

Mortality:
In the Japanese heart disease study (described above), short sleepers of both genders had a 1.3–fold increase in mortality compared with those who got sufficient sleep. According to a 2009 study of 6,400 men and women whom researchers followed for an average of eight years, severe sleep apnea raises the risk of dying early by 46%. Although only about 8% of the men in the study had severe apnea, those who did and who were between 40 and 70 years of age were twice as likely to die from any cause as healthy men in the same age group.

It is clear that getting enough sleep is just as important as other vital elements of good health, such as eating a healthy diet, getting regular exercise, and practicing good dental hygiene.


In short, sleep is not a luxury but a basic component of a healthy lifestyle.

Saturday, April 7, 2012

EAT LESS TO AGE LESS

Adhering to a calorie-restricted diet over the long term ameliorates the normal age-related decline in diastolic function of the heart in healthy, non-obese adults.  The cardiac beneficial effects of caloric restriction are mediated by reductions in blood pressure, systemic inflammation, and myocardial fibrosis as per a study published in January issue of the Journal of the American College of Cardiology.
It is the first study in humans that strongly suggests that calorie restriction may delay primary aging. Calorie restriction has previously been shown to slow aging and increase lifespan in small mammals. Dr. Fontana, fromWashingtonUniversityinSt. Louis, performed Doppler echocardiography and measured inflammatory markers in 25 healthy adults who followed a severely calorie-restricted, nutritionally balanced diet for an average of 6.5 years. Results were compared with those from 25 matched control subjects consuming a typical Western diet.
The calorie-restricted diet consisted of roughly 1,671 kcal per day derived approximately 23% protein, 49% complex carbohydrates, and 28% fat (including 6% saturated fat). The Western diet consisted of roughly 2,445 kcal per day made up of about 17% protein, 52% carbohydrates, and 31% fat (11% saturated fat).
The calorie-restricted diet included at least 100% of the recommended daily intake for all nutrients, and it was lower in salt than the Western diet.
People who followed a severe calorie-restricted diet but with optimal nutrition had a younger heart in terms of diastolic function, which is a well-accepted marker of primary aging because, independently of disease, as you get older your diastolic function gets worse and worse.
Mean systolic and diastolic blood pressures were significantly lower in the calorie-restricted group (102/61 vs. 131/83 mm Hg), as were levels of the inflammatory markers C-reactive protein, TNF-α, and TGF-β1.
‘Eat less to live more’ has its origin in Vedas. The Ayurvedic text from Atharvaveda defines the limit of food intake in a particular meal. It says one should not eat more than what can be accommodated in an outstretched palm.

Tuesday, January 17, 2012

AVOID FOOD POISONING BY THOROUGH WASHING AND PROPER COOKING

With thorough washing and proper cooking of fruits and vegetables one can eliminate most bacteria’s causing food poisoning.
Food borne illnesses or food poisoning usually comes from eating food tainted with bacteria or their toxins. Virus and parasites can also be behind the food poisoning. People have long known that raw meat, poultry and eggs can also harbour diseases causing microbes. But in recent years most outbreaks of food borne illnesses are due to fresh fruits and vegetables.
Food poisoning can cause abdominal pain, nausea, headache, fatigue, vomiting, diarrhea and dehydration. Symptoms may appear several hours to several days after eating tainted food. For example, Salmonella bacteria will cause illness 12 hours to 3 days after ingestion lasting about 4-7 days. The most common way to treat food poisoning is to drink plenty of fluids. The sickness usually subsides within a few days.

Friday, October 21, 2011

FACT's ABOUT TEA--COFFEE AND COLA DRINKS.

1. Caffeine is consumed in coffee, tea, soft drinks, and small amounts in chocolate.
2. It is the most widely used pharmacologically active substance in the world.
3. Caffeine can acutely raise blood pressure by 10 mmHg in patients who are infrequently exposed.
4. There is no effect on blood pressure in habitual coffee drinkers
5. It does not increase the risk of incident hypertension.
6.There is no evidence that caffeine in doses used in routine can provoke a spontaneous arrhythmia in individuals with or without a history of cardiac arrhythmia. There is no protective effect of caffeine abstinence also. In heart patients with coronary disease, the risk may be increased in individuals who are slow metabolizers of caffeine and drink two or more cups of coffee per day.
7. Ingestion of large quantities of caffeine is associated with arrhythmic and cardiovascular events, especially in patients with underlying cardiac disease.
8. Patients with a history of cardiac arrhythmia or at increased risk for cardiovascular events should moderate their caffeine intake from all sources.
9. Consumption of caffeinated beverages is associated with some short-term benefits like increased mental alertness and improved athletic performance.
10. Consumption of caffeinated beverages is associated with short term adverse effects including headache, anxiety, tremors, and insomnia.
11. In the long term, caffeine is also associated with generalized anxiety disorder, depression, and substance abuse disorders.
12. Long term benefits of caffeinated beverages are dose-dependent. Caffeine is associated with a reduced risk of Parkinson disease, Alzheimer disease, alcoholic cirrhosis, and gout.
13. Both caffeinated and decaffeinated coffee is associated with a lower risk of type 2 diabetes.
14. Several studies have linked coffee consumption with prevalence of various cancers.
15. The majority of studies show there may be a modest inverse relationship between coffee consumption and all-cause mortality.
16. Caffeine withdrawal is a well-documented clinical syndrome with headache being the most common symptom

Friday, August 12, 2011

MONSOON CARE FOR YOUR LITTLE ONE'S.

Dear All,
            We all have fond memories of the rains from our growing up years - impromptu holidays from school, splashing about in muddy puddles, or maybe simply getting wet in a pouring shower. Like you, your little one will love the rains, the fresh new leaves on the trees, the smell of the damp wet ground, and perhaps a little scared of the thunder and lightening which accompany the rain many a time. But will all the joyous moments, the monsoon also brings with it humid weather, flooded roads, mosquitoes, diseases, and lots more. With a little care and forethought you can let your child enjoy this beautiful season and also keep him safe from illnesses.

Clothes

Rainy days bring with it sweat and heat that is different from the hot summer days, but are nevertheless as uncomfortable. Make sure your child is not wrapped in layers just because the weather has cooled down a bit after the rains. Avoid synthetic clothes and make him wear loose cotton clothes that will absorb the perspiration when he plays around allowing the skin to breathe easily. Keep his skin dry to avoid prickly heat. Pick up a few extra underclothes for him since clothes take a lot of time to dry in this weather; making him wear damp clothes or socks can lead to fungal infections.

Once he has
begun to walk and prefers to move around on his own most of the time, get him well-fitting closed rain shoes or gum boots which will keep his feet dry. Don’t buy cheap plastic rain shoes as they can cause skin allergies. Look for shoes made of good quality vinyl or rubber with skid proof soles so that he doesn’t slip and fall. Some raincoats which are of inferior quality can also cause allergies, so choose his raincoat with care. Dry him off as soon as he comes home after getting wet in the rains, and change him into dry clothes while you wait for his hair to dry.

Hygiene

The monsoon brings with it a host of diseases. Drains that have not been cleaned can overflow and cause flooding. The water which flows on the roads not only gets mixed with sewage and muck, but also contains rags, paper, vegetable and fruit waste, and even broken glass. Make sure your toddler wears covered shoes while walking outside and doesn’t stay bare-feet even in your own garden or balcony because they can be breeding grounds for infections. Slugs, leeches, earthworms, and other insects often come into the house during the monsoon, so make sure he doesn’t try to pick up or play with any of them.

Bathe
him twice a day if possible; especially if he goes outside to play, or at least ensure he washes his hands and feet thoroughly with soap and water after he is back in the house. Wash his clothes in hot water with rinse them with water mixed with a few drops of disinfectant mixed in it. Clean his footwear, socks, umbrella, and raincoat and ensure they are dried immediately and free of all moisture, else they might become a breeding ground for germs and moulds.

Incidences of waterborne diseases increase during the monsoons. Hence, apart from other things you will need to take special care that your food is
prepared hygienically. Make sure your babysitter/maid washes her hands and feet thoroughly as soon as she enters your home. If you have a cook, ensure she washes her hands before handling any food and check regularly if her nails are trimmed. Ensure that all cooked food is covered to keep away flies and other insects.

This is the time when contagious diseases are on the rise. Ensure that you and your family are not in close contact with someone who is suffering from a
flu, viral infection or conjunctivitis. Children are especially vulnerable to weather changes and infections, so keep them at home for a few days if you know that their playmates are suffering from an illness. Cut their nails regularly and do not allow them to put their hands into their mouths. Make sure they wash their hands with soap before eating anything and after visiting the toilet.

Food and Drink

Contaminated food or water is the most common way many diseases spread in the monsoon. Make sure your toddler drinks only filtered or boiled water. Carry a bottle of water from home or rely on branded bottled water when you go out. Avoid giving him “fresh” fruit juices, drinks with ice, food and drinks from street vendors like chaat, pakodas and ice lollies (golas or chuskis). If you eat outside, choose a restaurant which is clean and hygienic and opt for dishes which are boiled and served fresh.

Use filtered water for cooking, kneading the dough and for washing vegetables,
dals and meat. Clean leafy green vegetables several times over in filtered boiled water and steam them to get rid of any germs and bacteria. Soak green leafy vegetables as well as vegetables like cauliflower and broccoli in warm water containing 1 tsp of salt for about 10-15 minutes to get rid of insects. Don’t keep raw meat and fish products at room temperature for a long time, always refrigerate or freeze. Bacterial growth increases rapidly during hot and humid weather.

Frequent power cuts, a common occurrence during monsoons could spoil food in the refrigerator easily, exposing it to bacteria. As far as possible, ensure that you eat fresh food; prepare it in small quantities so that you do not need to store it in the refrigerator for very long. Food stored in the refrigerator needs to be heated thoroughly before eating. Tap water may be contaminated by overflowing ground water that gets mixed with it during the monsoons; rinse your plates and dishes with filtered water before use.

Keeping your home and surroundings clean

The monsoon season is marked by the outbreak of many diseases; most of which are either waterborne or are spread through mosquitoes. Your child is especially vulnerable to infections because he is still developing his immune system. One precaution to protect him would be to keep your home and surroundings clean and germ-free.

Air your home frequently and keep windows open for maximum cross ventilation. Avoid collection of stagnant water in open vessels, flower pots or coolers as these are a perfect breeding ground for mosquito larvae which cause malaria,
dengue and chikungunya. Dispose garbage hygienically in garbage bags that will not open and spill out. Keep the kitchen dustbin covered at all times so that wet garbage like vegetable peels and food waste are not left exposed.

If you have indoor plants, ensure that there is no water logging and change water in the flower vases everyday. Use herbal insect repellents like citronella based oils or sprays to get rid of mosquitoes and other insects. Use mosquito nets over your child's bed or install wire meshes on the windows. Dress him up in long-sleeved shirts and trousers, especially when he goes to the park to play.


Keep your home fresh and clean and use a good disinfectant to clean the floors and bathrooms. Get pest control for your home to ward off flies, mosquitoes, cockroaches, termites, and other disease carrying insects. Many choose to burn camphor or dry neem leaves which are said to purify the air. Keep a small mesh bag of cloves near your window or in your cupboard for a fresh natural scent.

Pre-monsoon check

Ensure that your home is clean, germ-free and safe before the monsoons arrive. Be watchful of any seepage especially on the roof and walls and near electrical fittings, as it may cause electrocution. Carry out thorough pre-monsoon checks in your home and get an electrician to fix all faulty wiring and switches. Have your plumber fix any leaking fixtures and get your drains cleaned and de-silted well before the rains. Check and repair cracks or fissures in the house.

Child safety and other tips

• Ensure that your child is always supervised when he goes out, even to the neighbourhood park, especially while walking on roads that usually have deep potholes and many open manholes during the monsoon.

• Your toddler can get pretty bored sitting at home when it's raining outside; think up some indoor games that can keep him occupied, such as hide and seek, carom, and dancing to some fun music. Puzzles and books are also a good way to keep your toddler busy. More ideas in our Let's play! Games for toddlers section.

• Invite children from your apartment block for a play date at your house so he can have some company. Help them make paper boats, put on their gum boots and raincoats and float the boats in the puddles outside your building. And after they run out of things to do at indoors, make some onion
pakoras or hot chocolate milk and let them have a monsoon tea party.

The monsoon is a beautiful season; a few sensible precautions and a little extra care can make this season an extremely enjoyable time of the year for your child.
                                            Kind Regards.

Dr  Padamjeet  Gulia
(Consultant  Paediatrician)
http://thepaediatrician.blogspot.com