Connect with us

Health

‘70% north Indian women low in vitamin D, at high diabetes risk’

An inverse relationship exists between vitamin D levels and blood sugar levels indicating lower the vitamin D levels, the higher the blood sugar.

Published

on

VITAMIN D

New Delhi, July 4: Despite adequate exposure to sunshine, nearly 70 per cent pre-diabetic women in north India are “deficient” in vitamin D, making them more vulnerable to the risk of developing Type-2 diabetes, finds a study.

Pre-diabetes is a condition in which blood sugar is high, but not high enough to be type 2 diabetes.

The findings showed that pre-diabetes women living in north India were 68.6 per cent vitamin D “deficient”, 26 per cent have “insufficient” levels, while only 5.5 per cent have “sufficient” levels of the vitamin.

“In India, there is a need to understand this as women have a propensity to be obese, develop metabolic syndrome, consequent hyperglycaemia and thereby be at the risk of diabetes. The pace at which women are moving from the pre-diabetic stage to the diabetic stage is alarming,” Anoop Misra, Chairman Fortis C-Doc, said in a statement.

“If this could be prevented by prescribing a cost effective vitamin D supplement, it would be truly amazing,” he added.

According to the researchers, an inverse relationship exists between vitamin D levels and blood sugar levels indicating lower the vitamin D levels, the higher the blood sugar.

It is because vitamin D may have a direct effect on the pancreatic beta cell function, thereby increasing insulin production.

“Previous studies had already established the link between the high prevalence of vitamin D deficiency and abdominal obesity. However, the relationship between vitamin D and the development of pre-diabetes, with a special focus on women, has remained obscure and unexplored,” Misra noted.

According to a recent report by India Spend, the country currently represents 49 per cent of the world’s diabetes burden, with an estimated 72 million cases in 2017, a figure expected to almost double to 134 million by 2025.

For the study, published in the British Medical Journal, the team included 797 women between the ages of 20 and 60.

The results indicated that women from lower socio-economic groups tend to have a higher vitamin deficiency that those from higher socio-economic groups.

Post-menopausal women who suffer from low calcium deposits in addition to low vitamin D deficiency were also found to be at a higher risk of bone damage than others.

Supplementation with vitamin D — present in foods such as milk, eggs, salmon, tuna, and mushroom — may prevent diabetes in India women, the researchers suggested.

A healthy diet, regular physical activity, maintaining a normal body weight and avoiding tobacco use are ways to prevent or delay the onset of Type-2 diabetes, the researchers said.

IANS

Continue Reading
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

Health

Decoded: How Omega-3 fatty acid helps inhibit cancer’s spread

Published

on

fish oil-WEFORNEWS

New York, July 16: While eating foods rich in omega-3 fatty acids, such as fatty fish, certain nuts and seeds, have been known to prevent heart diseases and arthritis, a new research, led by one of Indian-origin, showed that omega-3 fatty byproducts may also have anti-cancer effects.

The new study, led by Aditi Das from University of Illinois at Urbana-Champaign, US, showed that when the human body metabolises omega-3 fatty acids, it produces a class of molecules called endocannabinoid epoxides, or EDP-EAs. These have anti-inflammatory properties and can inhibit cancer’s growth and spread.

The EDP-EAs have similar properties to cannabinoids found in marijuana — but without the psychotropic effects — and they target the same receptor in the body that cannabis does.

“We have a built-in endocannabinoid system which is anti-inflammatory and pain-reducing. Now we see it is also anti-cancer, stopping the cells from proliferating or migrating,” said study leader Aditi Das from University of Illinois at Urbana-Champaign.

“These molecules could address multiple problems: cancer, inflammation and pain,” Das added.

For the study, published in the Journal of Medicinal Chemistry, the team studied the effect of the molecule in mice with tumours of osteosarcoma — a bone cancer that is not only painful but also difficult to treat.

The results showed that the endocannabinoids slowed the growth of tumours and blood vessels, inhibited the cancer cells from migrating and caused cancer cell death.

The higher concentrations of EDP-EAs did kill cancer cells, but not as effectively as other chemotherapeutic drugs on the market. But, the compounds slowed tumour growth by inhibiting new blood vessels from forming to supply the tumour with nutrients. They also prevented interactions between the cells, and most significantly, they appeared to stop cancerous cells from migrating.

While dietary consumption of omega-3 fatty acids can lead to EDP-EAs, for those with cancer, something concentrated and fast acting is needed, Das said.

“That’s where the endocannabinoid epoxide derivatives come into play – you could make a concentrated dose of the exact compound that’s most effective against the cancer. You could also mix this with other drugs such as chemotherapies,” she added.

IANS
Continue Reading

Health

Regulation of healthcare needed to check corruption: Salman Khurshid

Published

on

Salman Khurshid

New Delhi, July 12 : Congress leader Salman Khurshid on Thursday said a strong regulatory system is needed to check widespread corruption in the Indian healthcare sector where 25 per cent of the money spent on health is lost due to fraud.

“What you need really is a profound regulatory system. Regulation is itself something that can go wrong but if we have a good clear regulatory system it will help,” he said at the launch of book “Healers or Predators? Healthcare Corruption in India”.

Khurshid said private hospitals who get land from the government are obliged to provide 30 per cent of their beds to the poor for free but these obligations are hardly met. Patients with no real ailment and hence no expenditure are admitted to account for the 30 per cent.

The former Union Law Minister also said even the judges are not familiar with what constitutes a medical malpractice.

“We could have a death because of cardiac attack as the patient was put through tests that were not advisable and all that the hospital says is pay and we will release the body. How many cases have you heard where sanctions have been imposed on such malpractice?”

The book, which highlights corruption in India’s healthcare and medical system, is a compilation of various reports written by medical doctors on the various crises plaguing the sector and edited by Samiran Nundy, Keshav Desiraju and Sanjay Nagral.

BMJ Group Non-executive Director David Berger, who first highlighted deep-rooted but widely accepted corruption in Indian healthcare, said he was struck by the lack of trust between doctors and patients that destroys the healing relationship.

BMJ, a subsidiary of the British Medical Association, is a provider of journals, clinical decision support, events and medical education.

“The solutions are upstream, not downstream. Ranting about individual doctors being corrupt is no use. As a start, the Medical Council of India (MCI) needs to be reformed or replaced by an effective system of professional regulation where doctors are held to account,” Berger said.

Gastrointestinal surgeon and writer Nundy said there is wide asymmetry of information — doctors know everything and the patients know nothing. Patients look at doctors as god or near god and it is terrible to betray that trust, he said.

He said the Indian health system is the second most corrupt sector after police, as per a report by Transparency International. As part of solution, the country needs to first accept the National Medical Commission Bill, he said.

Other panelists at the book launch expressed deep concern over the Modi government’s flagship healthcare protection scheme, popularly called Modicare, because of the lack of basic regulation of the private sector, which accounts for 70 per cent of the country’s hospitals. The government will be heavily dependent on the private sector for the success of Ayushman Bharat.

However, NITI Ayog Member Health Vinod Paul, who believes self-regulation is essential, believes in the power of technology and analytics to raise a red flag at the possible points of corruption, and then “match it with a deterrent in terms of penalties and prosecution”.

“I think in a transparent, information technology driven system using analytics and artificial intelligence gives us an additional, very powerful tool which the developed nations have used to avert cases of corruption,” he said.

Continue Reading

Blog

India heading for comprehensive healthcare crisis: Amartya Sen

The Medical Council of India (MCI), which aims to provide quality medical care to all Indians through promotion and maintenance of excellence in medical education, Sen blames the organisation for not only failing to perform its duties but also for its designated role of looking after medical colleges.

Published

on

Amartya Sen

India spends just a little over one per cent of its GDP on healthcare and this is leading the country into “a comprehensive healthcare crisis”, according to Nobel laureate and noted economist Amartya Sen, who has called for greater allocation on healthcare in India and highlighted what he calls “three general failures” in the country’s healthcare segment.

“The fact that India allocates only a little over 1 per cent of its gross domestic product on public healthcare contrasts sharply, for example, with nearly three times as much by China. We reap as we sow, and cannot expect to get what other countries achieve by allocating much more resources — as a proportion of their respective levels of the gross national product– to healthcare,” Sen writes in his elaborate foreword to “Healers or Predators? Healthcare Corruption in India”, which will be launched here on Thursday.

Sen, a recipient of the Bharat Ratna in 1999, further claims that the entire organisation of Indian healthcare has become “deeply flawed”, leading the country into “a comprehensive healthcare crisis”.

“Despite being one of the fastest growing economies in the world, India ranks among the poorest achievers of good health. The shortfall of India’s health achievements compared with those of, say, China or Thailand is large and has been growing larger. Even within South Asia, Bangladesh and Nepal have overtaken India in health accomplishment, including in life expectancy.

“If India’s bad record in healthcare is not much discussed in the Indian press, this neglect does not indicate the presence of a tolerable level of healthcare in India, but reflects instead the narrow reach of the Indian news media, with its traditional neglect of elementary education and healthcare,” writes the 84-year-old economist.

Sen has extensively written on welfare economics and social justice and in the given book, he also highlights the plight of patients suffering at the hands of “private caregivers”.

He says private clinics “will not budge” without “the promise of payment”. Noting that even though some public services are offered freely, Sen highlights that many critically important services are denied unless the patient can cough up demanded sums, which can be “unaffordable” for many underprivileged Indians.

Taking a dig at the Medical Council of India (MCI), which aims to provide quality medical care to all Indians through promotion and maintenance of excellence in medical education, Sen blames the organisation for not only failing to perform its duties but also for its designated role of looking after medical colleges.

“In particular, in the use of the power — and responsibility — to set up new private medical colleges, there seems to be clear evidence of fairly straightforward corruption,” he claims.

He ends the over 1,500-word foreword to this “splendid, if depressing, book” with what he calls “three general failures” in India’s healthcare segment — “the amazing neglect of primary healthcare compared with health interventions needed at later stages”; “India’s hasty and premature reliance on private healthcare, which goes hand in hand with neglect of public healthcare”; and the deficiancy of “informed public discussion on healthcare” in the country.

Published by Oxford University Press, “Healers or Predators? Healthcare Corruption in India” has been edited by by Samiran Nundy, Keshav Desiraju and Sanjay Nagral.

“This hard-hitting volume”, according to the publisher, “shows a mirror to the society and, more specifically, to those associated with the health sector — on how healers, in many cases, are shifting shape to becoming predators”.

(Saket Suman can be contacted at [email protected])

Continue Reading
Advertisement

Most Popular