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Why uncontrolled hypertension may be a significant health threat?

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Why uncontrolled hypertension may be a significant health threat?

New Delhi, May 15 (IANS) The longer blood pressure (BP) remains uncontrolled, the greater the damage it can cause, such as heart attack or stroke, heart failure, and kidney problems, said experts on Wednesday, ahead of World Hypertension Day.

World Hypertension Day is observed every year on May 17. This year’s theme is “Measure Your Blood Pressure Accurately, Control It, Live Longer.”

Resistant hypertension is high BP that does not respond well to aggressive medical treatment. About 20 per cent of patients with high BP or hypertension are resistant.

Dr Devi Shetty, Founder and Chairman of Narayana Health, told IANS that undiagnosed hypertension is undoubtedly one of the most pressing healthcare concerns.

“According to the World Health Organization (WHO), a staggering 188.3 million individuals in India are affected by hypertension. Shockingly, only 37 per cent of these individuals receive a formal diagnosis, and an even smaller percentage initiate treatment,” said the cardiologist, while stressing the need for regular blood pressure checks, especially once you reach the age of 20.

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“Diagnosis of uncontrolled hypertension involves careful evaluation of patients’ medication regimens, as well as identification and management of contributing factors such as obesity, sleep apnoea, and secondary causes of hypertension,” added Dr Mayur Jain, Consultant – Cardiothoracic Surgeon & Heart and Lung Transplant Surgeon, P. D. Hinduja Hospital & MRC, Mahim, told IANS.

“The excessive pressure on the artery walls caused by high BP can damage blood vessels and body organs. The higher the BP and the longer it goes uncontrolled, the greater the damage it can cause, such as heart attack or stroke, heart failure, kidney problems, etc.,” he said.

Importantly, resistant hypertension may, for months and years, show no symptoms but may create a significant health threat.

“Because high BP may not present worrying symptoms, it is often ignored, but I urge everyone never to delay treatment. The long-term repercussions of untreated and uncontrolled hypertension are severe,” Dr Refai Showkathali, Senior Interventional Cardiologist at Apollo Hospitals, told IANS.

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Dr Anand Pandey – Senior Director – Cardiology, Max Hospital, Vaishali, told IANS poor medication adherence of poor medication, sedentary lifestyle choices and excessive salt intake, underlying medical conditions like kidney disease or obstructive sleep apnoea, hormonal imbalances, genetic predispositions factors can contribute to resistant high BP.

To effectively manage resistant hypertension, it is imperative to address these underlying causes with changes in medication, lifestyle, and stress management practices, the doctor said.

–IANS

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Children at high type 1 diabetes risk if fathers have the condition: Study

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Children at high type 1 diabetes risk if fathers have the condition: Study

Children at high type 1 diabetes risk if fathers have the condition: Study

New Delhi, July 27 (IANS) A team of scientists has revealed that a child is almost twice as likely to develop type 1 diabetes if the father has the condition than the mother.

The study, the largest of its kind and published in the journal Diabetologia, suggests that exposure to type 1 diabetes in the womb confers long-term protection against the condition in children with affected mothers relative to those with affected fathers.

Understanding what is responsible for this relative protection could lead to opportunities to develop new treatments to prevent type 1 diabetes, said researchers.

“Individuals with a family history of type 1 diabetes are 8-15 times more likely to develop the autoimmune condition – however, studies have shown the risk is higher if the affected relative is the father rather than the mother. We wanted to understand this more,” said lead researcher Dr Lowri Allen from Cardiff University in the UK.

Previous studies have suggested that maternal type 1 diabetes is associated with relative protection against type 1 diabetes in offspring during early life.

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The new study involved 11,475 individuals who were diagnosed when they were between 0 and 88 years old.

The results show they were almost twice as likely (1.8 times more likely) to have a father with type 1 diabetes as a mother with the condition.

“Taken together, our findings suggest the relative protection associated with having a mother versus father with type 1 diabetes is a long-term effect that extends into adult life,” said Allen.

However, the timing of the parent’s diagnosis was important.

An individual was only more likely to have a father, rather than a mother, with type 1 diabetes, if the parent was diagnosed before the individual was born.

In other words, having a mother with type 1 diabetes only appears to provide a child with protection against the condition (relative to having a father with type 1 diabetes) if the mother has the condition during pregnancy, the findings showed.

Further research is needed to determine what it is about exposure to type 1 diabetes in the womb that is most important.

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“Is it exposure to high blood glucose levels, insulin treatment, antibodies associated with type 1 diabetes, a combination of these, or exposure to another aspect of type 1 diabetes?” asked researchers.

–IANS

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Ayushman Bharat mission filled critical healthcare gaps during Covid: MoS Health

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Ayushman Bharat mission filled critical healthcare gaps during Covid:
 MoS Health

Ayushman Bharat mission filled critical healthcare gaps during Covid:
 MoS Health

New Delhi, July 26 (IANS) The Ayushman Bharat mission filled critical healthcare gaps during Covid, Minister of State for Health and Family Welfare Anupriya Patel told the Parliament on Friday.

Patel told the Lok Sabha, in a written reply, that the Centre undertook several initiatives during the Covid-19 pandemic “to ensure effective management and availability of sufficient health care infrastructure to meet the increased demand during the pandemic”.

She also enlisted key schemes launched and implemented by the Ministry of Health and Family Welfare during the deadly pandemic.

“Pradhan Mantri- Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) was launched on October 25, 2021, with an outlay of Rs 64,180 crore to be implemented over five years from 2021-22 to 2025-26, to fill critical gaps in health infrastructure, surveillance and health research – spanning both the urban and rural areas,” she said.

It was also aimed at strengthening “the public health infrastructure and to effectively manage and respond towards any future pandemics and outbreaks”, she added.

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The scheme focussed on developing capacities of health systems and institutions across the continuum of care at all levels — primary, secondary and tertiary — and on preparing health systems to respond effectively to current and future pandemics/disasters. PM-ABHIM was a centrally sponsored scheme (CSS), and it also provided support to states/UTs for the “construction of Ayushman Arogya Mandir (AAM) in rural and urban areas, establishment/strengthening of block public health units, integrated district public health labs in all districts and critical care hospital blocks”.

It also extended support on “enhancing capacities for surveillance and health emergency response, research, pandemic preparedness and One Health approach to prevent, detect, and respond to infectious disease outbreaks in animals and humans”, the Minister said.

Another scheme was the India Covid-19 Emergency Response and Health System Preparedness Package (ECRP-I). Patel noted it was approved “by the Cabinet on April 22, 2020, for Rs 15,000 crore to prevent, detect and respond to the threat posed by Covid-19. Further, an amount of Rs. 8473.73 crore has also been released to states & UTs”.

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The central sector scheme “aimed at building a resilient health system to support preparedness and prevention functions for the management of the Covid-19 pandemic and any such future outbreaks in India”.

The Centre in July 2021 extended the scheme, ECRP Phase-II, to provide support to Central hospitals, agencies and states/UTs, Patel noted, adding that it “was approved with the financial outlay of Rs 23,123 crore”.

–IANS

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Health experts raise concerns over surging liver disease among young adults

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Health experts raise concerns over surging liver disease among young adults

Health experts raise concerns over surging liver disease among young adults

New Delhi, July 26 (IANS) Liver diseases are significantly rising among young adults aged 23-35, said health experts on Friday ahead of World Hepatitis Day.

World Hepatitis Day is observed every year on July 28 to raise global awareness of hepatitis — an inflammation of the liver — and related diseases.

According to the experts, conditions such as alcohol-related liver disease, fatty liver, hepatitis, and cirrhosis are increasingly affecting this age group, leading to higher mortality and morbidity rates.

Early screening and management are crucial to improving outcomes for these individuals.

“Severe liver conditions such as acute viral hepatitis, cirrhosis, alcoholic hepatitis, fatty liver, and NASH (non-alcoholic fatty liver disease) are on the rise among young adults. This surge is linked to unhealthy lifestyle practices and excessive alcohol use, now seen as a social norm. The prevalence is nearly twice as high among men compared to women,” said Dr. Uday Sanglodkar, Senior Consultant Hepatologist at Gleneagles Hospitals Parel.

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He also highlighted common symptoms such as jaundice, weight loss, nausea, weakness, and ascites, noting an increase in young patients in recent years.

“The rise in liver disease among young adults is also due to poor dietary choices, drug abuse, and unprotected sexual activity,” said Dr. Prakash Kurane, General and HPB Surgeon at Apollo Spectra Mumbai.

He urged awareness and early intervention to prevent severe complications, including the necessity of liver transplants.

The liver plays a vital role in detoxification, nutrient processing, hormone regulation, immune system function, and storing essential nutrients.

However, there has been a significant rise in liver-related issues due to factors like alcohol consumption, smoking, inadequate water intake, excessive sodium consumption, viral infections, and prolonged use of certain medications.

Additionally, health conditions like Type 2 diabetes, obesity, and high cholesterol levels increase the risk of liver problems.

Cirrhosis and NASH can cause severe liver damage, leading to permanent scarring and fat accumulation.

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Hepatitis, caused by various factors including viruses and toxins, remains a significant concern.

“Vaccines against Hepatitis A and B are essential for high-risk individuals,” Dr. Sanglodkar said.

–IANS

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Here’s how to remain motivated to follow a healthy lifestyle

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Here’s how to remain motivated to follow a healthy lifestyle

Here’s how to remain motivated to follow a healthy lifestyle

New Delhi, July 26 (IANS) Focus on the process of maintaining a healthy lifestyle is more important than the end goal, said a top neurologist on Friday, highlighting measures to remain motivated while on a healthy lifestyle journey.

Embarking on a journey towards a healthier lifestyle can be challenging, but staying motivated is the key to long-term success.

Taking to a post on the social media platform X, Dr Sudhir Kumar from Indraprastha Apollo Hospitals, Hyderabad offered practical advice to maintain motivation while also achieving lasting health improvements.

“Focusing on the process rather than fixating solely on the end goal is crucial,” Dr Kumar said.

Emphasising the importance of enjoying daily activities that contribute to health, such as walking or running, he said “Choose activities you enjoy, as this increases the likelihood of regular participation”.

Dr Kumar also highlighted the benefits of starting the day early with outdoor activities.

“Embracing mornings can boost your mood and energy levels. The fresh air, sunrise, and sounds of nature invigorate the senses and fill you with positive energy,” he explained.

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Strength training is another essential component of a healthy lifestyle, he said.

“Incorporating strength training can improve overall well-being. This can be done at home if gym access is limited, but it’s good to seek guidance from a fitness trainer to ensure proper technique and progression,” said the neurologist.

Regarding diet, he advised to make simple and sustainable changes. “Gradually shift to a diet you can maintain long-term. This makes it easier to stick to healthy eating habits,” he said.

Dr Kumar also stressed the importance of cutting down on sugar, including alternatives like honey and jaggery.

“Reducing sugar intake can diminish cravings over time. It may take a month to adjust, but the long-term benefits are worth it,” he said.

He also recommended adjusting plate proportions from being carb-heavy to protein-rich. “This change can be introduced gradually to avoid significant resistance from family members,” Dr Kumar said.

In addition, he suggested tracking progress by monitoring metrics such as weight, waist circumference, blood pressure, and blood test results. “Seeing improvements can be a powerful motivator,” he said, also urging people to share the stories and inspire others which “can further boost your motivation.

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–IANS

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Govt formed lactation centres for sick, preterm & low-birth weight babies: MoS

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Govt formed lactation centres for sick, preterm & low-birth weight babies: MoS

Govt formed lactation centres for sick, preterm & low-birth weight babies: MoS

New Delhi, July 26 (IANS) The Union government established lactation centres to ensure the availability of safe, pasteurised donor human milk for feeding sick, preterm, and low birth weight babies, said Anupriya Patel, Minister of State (MoS) in the Ministry of Health and Family Welfare (MoHFW) in a written reply in Lok Sabha on Friday.

“The government has established Comprehensive Lactation Management Centres (CLMC) to ensure availability of safe, pasteurised donor human milk and lactation management unit (LMU) for facilitating the expression of mother’s milk, for feeding of sick, preterm and low birth weight babies admitted in intensive care units such as neonatal intensive care unit (NICU) and special newborn care unit (SNCU),” Patel said.

She said that in FY 2023-24, there were about 52 CLMCs and 50 LMUs operational across the country.

Breast milk is essential for newborns as it provides all the necessary nutrients for their growth and development. In addition, it also has a protective effect against the risk of illnesses such as pneumonia, diarrhoea, and other chronic conditions such as asthma, allergies, childhood obesity, diabetes, and heart diseases in adult life.

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Breast milk acts as life saviours for sick newborns admitted to intensive care units. It also has a preventive effect on prematurity-related morbidities such as late-onset sepsis, broncho-pulmonary dysplasia — chronic lung disease –, necrotising enterocolitis — intestinal disease in premature babies, and retinopathy — disease of the eye.

In May, the country’s top food safety body the Food Safety and Standards Authority of India (FSSAI) issued a directive to all states to stop granting licences for the sale or processing of human milk.

“All activities related to the commercialisation of human milk and its products should be immediately stopped,” it said while strictly prohibiting the sale or any commercial activity involving human milk.

The regulator warned that it should only be used to feed newborns or infants in health facilities.

–IANS

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