Global Obesity and Overweight Problem - Status and Solutions

Key facts

Worldwide obesity has nearly tripled since 1975.

In 2016, more than 1.9 billion adults, 18 years and older, were overweight. Of these over 650 million were obese.

39% of adults aged 18 years and over were overweight in 2016, and 13% were obese.

Most of the world's population live in countries where overweight and obesity kills more people than underweight.

39 million children under the age of 5 were overweight or obese in 2020.

Over 340 million children and adolescents aged 5-19 were overweight or obese in 2016.

Obesity is preventable.

https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

 The Overweight and Obesity problem  has grown to epidemic proportions, with over 4 million people dying each year as a result of being overweight or obese in 2017 according to the global burden of disease. 

Obesity is preventable by you in your family members.

https://www.who.int/health-topics/obesity#tab=tab_1

2023 Paper

Open Access

The use of non-invasive brain stimulation techniques to reduce body weight and food cravings: A systematic review and meta-analysis

Yousef Abdullah Alhindi, Najat Khalifa, Waleed Al-Khyatt, Iskandar Idris

First published: 14 August 2023 https://doi.org/10.1111/cob.12611

https://onlinelibrary.wiley.com/doi/10.1111/cob.12611

 According to the World Obesity Federation,1 1 in 5 women and 1 in 7 men will be overweight or obese by 2030, which represents 1 billion people worldwide. 

the global economic costs of obesity stand at $2 trillion every year.3

Although excess energy consumption relative to energy expenditure is the most common cause of obesity, the aetiology of obesity is highly complex and includes multi-factorial factors, which include genetic, physiologic, environmental, psychological, social, economic, and political factors.4, 5 Hedonistic responses to food, such as strong cravings and a difficult-to-resist need to consume certain food items, are characterized by their intensity and specificity.6, 7

A number of management strategies for obesity have been offered, ranging from lifestyle, cognitive behavioural intervention, pharmacotherapies to bariatric surgery17 with variable outcomes of weight loss

Clinical Obesity - Past Journal Issues

https://onlinelibrary.wiley.com/loi/17588111/year/2011

Open Access

Comparison of a low-energy diet and a very low-energy diet in sedentary obese individuals: a pragmatic randomized controlled trial†

P. Christensen, H. Bliddal, B. F. Riecke, A. R. Leeds, A. Astrup, R. Christensen

First published: 21 March 2011

Participants were randomized to VLED (420–554 kcal d−1) or LED (810 kcal d−1) for 8 weeks, followed by a fixed-energy (1200 kcal d−1) diet with food and two diet products daily for 8 weeks. In all, 192 participants were randomized. 

 Mean weight losses in VLED and LED groups were 11.4 kg (standard error: 0.5) and 10.7 kg (0.5) at week 8 and 13.3 kg (0.7) and 12.2 kg (0.6) at week 16.

Significant adverse effects comparing VLED and LED, were bad breath: 34 (35%) vs. 21 (22%), intolerance to cold: 39 (41%) vs. 17 (18%) and flatulence: 43 (45%) vs. 28 (29%) for VLED and LED at 8 weeks (P < 0.05 in all cases). The VLED and LED regimens were equally successful in inducing weight loss.

https://onlinelibrary.wiley.com/doi/10.1111/j.1758-8111.2011.00006.x

Overweight and Obesity kill more people than underweight.

In 2016, more than 1.9 billion adults, 18 years and older, were overweight. Of these over 650 million were obese.

39% of adults aged 18 years and over were overweight in 2016, and 13% were obese.

Over 340 million children and adolescents aged 5-19 were overweight or obese in 2016.


41 million children under the age of 5 were overweight or obese in 2016.

http://www.who.int/mediacentre/factsheets/fs311/en/  (30 December 2017)
http://time.com/4813075/obesity-overweight-weight-loss/

Are you overweight?  Do you suffer from BP, Sugar and Cholesterol Problems?

Weight reduction can help you significantly.

If you are committed to help yourself, you can lose weight. Millions are losing weight and becoming fit. Are you interested. You can read the experiences of many persons and follow simple ways. If you want professional help, weight reduction specialists with nutrition and exercise background are available for consultation.

Weight Reduction Project Details - It is not linear. People have to understand and persist with the attempt

http://oldageindia.blogspot.com/2016/12/weight-loss-story-reduction-from-80-kg.html

Aamir Khan's 25 Kg Weight Loss Story - 5 Five Month Effort

http://oldageindia.blogspot.com/2017/10/aamir-khans-25-to-28-kg-weight-loss.html

Waist has to be less than half of height. Do you know? Do you try to control?

http://oldageindia.blogspot.com/2017/10/control-waist-to-height-ratio-prevent.html

Ud. 4.12.2023

Pub. 30.12.2017

Yog - Philosophy - Theory - Practice - Baba Ramdeo - Book Information

 

https://books.google.mu/books?id=ZMc4F5NzygcC&printsec=frontcover&source=gbs_vpt_reviews#v=onepage&q&f=false

https://books.google.com/books/about/Yog_Its_Philosophy_Practice.html?id=ZMc4F5NzygcC

Mediterranean Diet - Meal Plans

Recommended PCOD diet -  92 grams carbs  - 112 gms protein  - 58 gms fat

                                             368 cal                   448 cal                    522 cal

You can modify the following suggestions based on above recommendation

Day 1

Breakfast (329 calories)

1 serving Vegan Freezer Breakfast Burritos

A.M. Snack (35 calories)

1 clementine

Lunch (332 calories)

1 serving Chopped Salad with Sriracha Tofu & Peanut Dressing

P.M. Snack (70 calories)

1 Fruit Energy Ball

Dinner (472 calories)

1 serving Stuffed Sweet Potato with Hummus Dressing

Can you eat bread with hummus?

Can you eat chapati with hummus?

Daily Totals: 1,237 calories, 66 g protein, 175 g carbs, 41 g fiber, 36 g fat, 1,392 mg sodium

Day 2

Breakfast (215 calories)

1 serving Apple-Cinnamon Overnight Oats

A.M. Snack (105 calories)

8 walnut halves

Lunch (332 calories)

1 serving Chopped Salad with Sriracha Tofu & Peanut Dressing

P.M. Snack (70 calories)

1 Fruit Energy Ball

Dinner (503 calories)

1 serving Chickpea & Quinoa Grain Bowl

Daily Totals: 1,225 calories, 55 g protein, 154 g carbs, 33 g fiber, 50 g fat, 1,043 mg sodium

Daily Totals: 1,237 calories, 66 g protein, 175 g carbs, 41 g fiber, 36 g fat, 1,392 mg sodium

Day 3

Breakfast (329 calories)

1 serving Vegan Freezer Breakfast Burritos

A.M. Snack (35 calories)

1 clementine

Lunch (332 calories)

1 serving Chopped Salad with Sriracha Tofu & Peanut Dressing

P.M. Snack (119 calories)

¼ cup hummus

1 cup sliced cucumber

Dinner (391 calories)

1 serving Chhole (Chickpea Curry)

1 serving Easy Brown Rice

Daily Totals: 1,206 calories, 57 g protein, 147 g carbs, 28 g fiber, 48 g fat, 1,499 mg sodium

Day 4

Breakfast (215 calories)

1 serving Apple-Cinnamon Overnight Oats

A.M. Snack (150 calories)

1 6-oz. container soy yogurt

Lunch (332 calories)

1 serving Chopped Salad with Sriracha Tofu & Peanut Dressing

P.M. Snack (70 calories)

1 Fruit Energy Ball

Dinner (426 calories)

1 serving Tomato & Artichoke Gnocchi

Daily Totals: 1,192 calories, 52 g protein, 173 g carbs, 26 g fiber, 36 g fat, 1,104 mg sodium

Day 5

Breakfast (329 calories)

1 serving Vegan Freezer Breakfast Burritos

A.M. Snack (70 calories)

1 Fruit Energy Ball

Lunch (374 calories)

1 serving Green Salad with Pita Bread & Hummus

P.M. Snack (95 calories)

1 medium apple

Dinner (320 calories)

1 serving Slow-Cooker Creamy Lentil Soup

Daily Totals: 1,187 calories, 51 g protein, 179 g carbs, 39 g fiber, 34 g fat, 2,047 mg sodium

Day 6

Breakfast (215 calories)

1 serving Apple-Cinnamon Overnight Oats

A.M. Snack (184 calories)

1 6-oz. container soy yogurt

1 clementine

Lunch (320 calories)

1 serving Slow-Cooker Creamy Lentil Soup

P.M. Snack (139 calories)

2 Fruit Energy Balls

Dinner (340 calories)

1 serving Vegan Roasted Vegetable Quinoa Bowl with Creamy Green Sauce

Daily Totals: 1,199 calories, 47 g protein, 177 g carbs, 33 g fiber, 38 g fat, 1,236 mg sodium

Day 7

Breakfast (329 calories)

1 serving Vegan Freezer Breakfast Burritos

A.M. Snack (35 calories)

1 clementine

Lunch (340 calories)

1 serving Vegan Roasted Vegetable Quinoa Bowl with Creamy Green Sauce

P.M. Snack (119 calories)

¼ cup hummus

1 cup sliced cucumber

Dinner (375 calories)

1 serving Zucchini-Chickpea Veggie Burgers with Tahini Ranch Sauce

Daily Totals: 1,198 calories, 47 g protein, 152 g carbs, 29 g fiber, 51 g fat, 1,899 mg sodium

https://www.eatingwell.com/article/2058271/vegan-mediterranean-diet-plan/

Includes some nonvegetarian

https://www.eatingwell.com/article/7763980/mediterranean-diet-plan-for-beginners/

Geriatric Nutrition

Visit Blog

https://thegeriatricdietitian.com/about/ 

https://www.linkedin.com/in/katie-dodd/

https://dietitiansuccesscenter.com/podcasts/052-building-a-money-making-blog-with-katie-dodd-from-dietitian-side-hustle/

https://dietitiansidehustle.com/about/

https://www.dietaryguidelines.gov/sites/default/files/2020-12/Dietary_Guidelines_for_Americans_2020-2025.pdf

Health Eating and Exercise

https://www.who.int/europe/news-room/fact-sheets/item/a-healthy-lifestyle---who-recommendations

nature  international journal of obesity  articles  article

Article

Open access

Published: 03 March 2021

Epidemiology and Population Health

Weight loss and risk reduction of obesity-related outcomes in 0.5 million people: evidence from a UK primary care database

Christiane Lundegaard Haase, Sandra Lopes, Anne Helene Olsen, Altynai Satylganova, Volker Schnecke & Phil McEwan 

International Journal of Obesity volume 45, pages1249–1258 (2021)

https://www.nature.com/articles/s41366-021-00788-4

Can You Reach Healthy Weight? Can You Reach the Right BMI? Yes

Over the 3 to 14 years of follow-up,  23.2% of persons with overweight and 2.0% of persons with obesity reduced BMI to the healthy weight category.

Over the 3 to 14 years of follow-up, , 33.4% of persons with overweight and 41.8% of persons with obesity lost 5% or greater of their initial weight.

The 18 461 623 individuals in the sample had a median (IQR) age of 54 (40-66) years and included 10 464 598 females (56.7%) as well as 7.7% Black and 72.3% White patients. 

Overall, 72.5% of patients had overweight or obesity at the initial visit.

The sample consists of US ambulatory patients 17 years or older with at least 3 years of BMI information from January 1, 2009, to February 28, 2022. Minimum age was set at 17 years to allow for the change in BMI or weight starting at 18 years. Maximum age was censored at 70 years.

Exposures  Initial BMI (calculated as weight in kilograms divided by height in meters squared) category was the independent variable of interest, and the categories were as follows: lower than 18.5 (underweight), 18.5 to 24.9 (healthy weight), 25.0 to 29.9 (overweight), 

30.0 to 34.9 (class 1 obesity), 35.0 to 39.9 (class 2 obesity), and 40.0 to 44.9 and 45.0 or higher (class 3 or severe obesity).

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2807963

 For older adults, the health agency recommends at least 150 minutes a week of moderately intense activity, such as brisk walking, as well as muscle-strengthening activities such as lifting weights at least twice weekly. Only 27% to 44% of older adults meet these guidelines, according to various surveys.

https://www.cnn.com/2023/07/14/health/older-adults-excess-weight-kff-partner-wellness/index.html

Calorie Restriction - Life Span Extension - Health Implications

 

Kristin Houser

February 17, 2022

Anew study finds that humans benefit from moderate calorie restriction, backing up decades of animal studies — and there might even be a way to enjoy those benefits without cutting down on what we eat.

In 1935, Cornell University researcher Clive McCay discovered that rats placed on low-calorie diets lived up to 33% longer than those fed the average diet. Since then, calorie restriction has been shown to extend the lives of many other species, from flies to monkeys.

https://www.freethink.com/health/calorie-restriction

J Nutr. 2010 Jul; 140(7): 1205–1210.

doi: 10.3945/jn.110.122804

PMCID: PMC2884327

PMID: 20484554

Honoring Clive McCay and 75 Years of Calorie Restriction Research

Roger B. McDonald,* and Jon J. Ramsey

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2884327/

AUGUST 2, 2020

BLOG

Can Calorie Restriction Extend Your Lifespan?

We may never reach a point where we can adequately determine both the effectiveness and safety of recommending calorie restriction in the clinic. However, understanding why caloric restriction seems to promote longevity could shed deeper insight into the aging process itself. Addressing this mystery may help lead to other anti-aging efforts, even if this particular calorie restriction work never makes it out of the lab.

https://sitn.hms.harvard.edu/flash/2020/can-calorie-restriction-extend-your-lifespan/

Super Ageing Challenge - Research, Policies, and Programs

Super-aging Society.

Engage all generations in discussions

on how to confront the super-aging society.

The challenges of a super-aging society cannot be solved only by direct approaches to the problems faced by the elderly. Efforts to improve the quality of life of all generations and the social and economic innovations that support them are essential. It is also essential to take perspectives such as addressing the declining birthrate.

This conference will identify the changes and challenges that a super-aging society will bring to the world, and discuss the path to solutions from the perspective of all generations, not just the elderly.

https://www.global-nikkei.com/ifsa/23/en/

Life time health care - medical checkups

75 years check-up

Eric Verdin

President and CEO,

Buck Institute for Research on Aging

Interesting presentation

https://www.linkedin.com/in/eric-verdin-490212/

https://nam.edu/wp-content/uploads/2021/06/Eric-Verdin-Powerpoint-Presentation.pdf

https://en.wikipedia.org/wiki/Buck_Institute_for_Research_on_Aging

https://www.timelinenutrition.com/blog/we-re-on-the-verge-of-changing-how-we-will-age-dr-verdin

Want to live healthier longer? Scientists aim to improve life quality over quantity

Karen Weintraub

USA TODAY

10 July 2023

Everyone's different, of course, and people will have different needs at different stages of life. A professional football player needs a lot more protein than the average person. But after retirement, if that player eats the same amount of protein while exercising far less, it will lead to unhealthy fat, she said.

With as many as 50 clinical trials underway around the world, he thinks it won't take too long to figure out whether existing drugs can be repurposed to reduce the severity of some of the worst diseases of aging, such as advanced Alzheimer's and some cancers.

https://www.usatoday.com/story/news/health/2023/07/10/longevity-rapamycin-metformin-life-span-aging-research/70392701007/

World's oldest person, French nun Sister André, dies aged 118

Published

18 January 2023

https://www.bbc.com/news/world-europe-64314673

Integrated Care for Older People - WHO  ICOPE  (Dr. Srimannarayana)

Linda P. Fried

Dean, Columbia University’s Mailman School of Public Health

Director, Robert N Butler Columbia Aging Center

Linda Fried

A geriatrician and epidemiologist, Dr. Fried has dedicated her career to the science of healthy aging, particularly the science of prevention of frailty, disability, and cardiovascular disease. She has led the scientific discoveries as to the definition, biology and causes of the syndrome of frailty. Dr. Fried has proposed that the creation of healthy longevity and new societal institutions that enable older adults could transform the potential of our longer lives into a Third Demographic Dividend where all ages and societies flourish. Under her leadership as dean, Columbia Mailman has developed new dimensions of public health science from the health impacts of climate change to healthy longevity, and has become a key leader in innovation in public health education. Prior to becoming Dean in 2008, she was the Director of Geriatric Medicine and Gerontology and of the Center on Aging and Health at the Johns Hopkins Medical Institutions. Dr. Fried is the recipient of numerous honors and awards, including the French INSERM International Prize in Medical Research in 2017. President of the Association of American Physicians in 2016-2017, she was the recipient of their Kober Medal in 2022. She serves on the National Academy of Medicine’s Executive Council and recently co-chaired its Global Commission on a Global Roadmap for Healthy Longevity.

Vision 2050 Health Longevity World - NAM, USA

Health span to match life span

Preventions Required

Non communicable chronic diseases

Fraility

Falls

Cognitive decline and dementia

Loneliness

Presentations by her are to be found and downloaded

Volunteering by old persons contributes to their health.

Akiko Kishi Svensson

Project Assistant Professor,

Precision Health, Department of Bioengineering, Graduate School of Engineering,

The University of Tokyo

AkikoKishi

M.D., Ph.D, (Internal Medicine), MSc ( Public Health Nutrition)

After obtaining Japan Diabetes Society specialist license, she has been supporting clinical researchers and innovation as a project assistant professor at the Clinical Research Support Center, the University of Tokyo Hospital.

Since 2016, she has focused on metabolic syndrome, a gateway to lifestyle-related diseases, and launched the "Body projection" project to promote the personalization of health through the risk prediction and visualization of health information, and developed an app and health management system that leads to behavioral change.

Since 2018, she has her current position at the Graduate School of Engineering, and from 2021 she is CMO of the University of Tokyo venture company Medmirai, Inc.

Currently, based on her experience in home medical care and in the engineering field, she is the Principal Investigator for the unique healthy ageing cohort study which aim to predict and personalize information on healthy longevity through deep learning and multi-omics. This study is ongoing study which investigates detailed biological data and digital data obtained from wearable devices and apps from healthy Japanese who is over 80 years old.

She is also an organizing committee member for the 18th Key Symposium of the Journal of Internal Medicine and the Royal Swedish Academy of Sciences "Longevity and healthy ageing” which took place on May 2023 in Okinawa.

Reducing risk factors for clinical diseases

Health is a creator of value - Very important point.

2nd Day

Asia's Future in the Face of Dramatic Demographic Shifts and Their Impact on Healthcare

John R. Beard

Irene Diamond Professor and Director, International Longevity Center - USA, Columbia University, New York

John Beard, MBBS PhD, is Irene Diamond Professor and Director of the International Longevity Center-USA at Columbia University, New York. He was previously Director of Ageing and Life Course with the World Health Organization in Geneva.

While at WHO, he led development of the World report on ageing and health which underpins the current UN Decade of Healthy Ageing, and was responsible for many global initiatives including development of the Integrated Care for Older People (ICOPE) programme, and the Global Network of Age-friendly Cities and Communities which current covers over 300 million people. He has worked extensively with the World Economic Forum and participated in the recent US National Academy of Medicine Commission on Healthy Longevity.

Embracing the Poulation Aging: Exploring the Far-Reaching Effects and Business Opportunities

NobuyukiKii

Nobuyuki Kii

Group Manager,

Research & Consulting Division

Aging Innovation Group

The Japan Research Institute,Limited

Socks

Prepaid cards for payment

Gas stoves redesigned to help

Product Innovations to support persons with dementia

Nursing Care Technologies

AgeTech Equipment

ERIA Grouping

ASEAN plus 6 East Asian Countries - India is there.

Health Care Unit of ERIA.

Active Ageing

https://www.global-nikkei.com/ifsa/22/en/

https://ps.nikkei.com/ifsac2021/

Japan's ageing society

Briefing 15-12-2020

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Japan is aging fast. Its 'super-aged' society is the oldest in the world: 28.7 % of the population are 65 or older, with women forming the majority. The country is also home to a record 80 000 centenarians. By 2036, people aged 65 and over will represent a third of the population. Since 2011, the Japanese population has also been shrinking: it is a rare case of large country whose overall population is becoming smaller in prosperous and peaceful times. Japan's population is expected to drop from 127 million in 2015 to 88 million by 2065. Japan's demographic crisis is the consequence of the combination of two elements: a high life expectancy and a low fertility rate. In 2018, Japan had the second highest life expectancy in the world. Meanwhile, since the 1970s the country has failed to raise its fertility rate to the replacement level. The working culture, a deterioration of employment opportunities for young men and the traditional gender division of labour are possible explanations for this trend. The consequences of the country's aging and shrinking population include economic crisis, budgetary challenges, pressure on job markets and depopulation of rural areas. The silver economy is meanwhile flourishing and Japan is at the forefront of robot development to face a declining labour force and to take care of its elderly. The government's efforts to address the demographic crisis have yet to succeed however, and immigration has been limited. Tokyo is engaged in global health cooperation and succeeded in incorporating the concept of human security in the sustainable development goals. It has also been active in international cooperation on ageing, with a focus on the Association of Southeast Asian Nations (ASEAN) region. The EU's own ageing society is not far behind Japan. It could benefit from learning from Japan's experience, and cooperating on all aspects relating to demographic challenges, including on 'agetech': technology making comfortable longevity accessible to all.

You can download full document

https://www.europarl.europa.eu/thinktank/en/document/EPRS_BRI(2020)659419

Ageing Society

In this report, we qualify a country as “ageing society” if the share of people aged 65 years or more is between 7% and 14 of the total population, as “aged society” if this share is between 15% and 20% and as “super-aged society” if this share is 21% or higher.

https://www.oecd-ilibrary.org/sites/1ad1c42a-en/index.html?itemId=/content/component/1ad1c42a-en

2000 Calories Nutrition Plan

 

100 grams fruits   100 calories

250 grams vegetables  150 calories

25 grams Oil  225 

500 ml  Milk   300 calories 

150 grams pulses  600 calories

150 grams grains  600 calories

Total  1975 calories.  

Protein intake   5 + 15 + 30 + 9 or 15  =  59 or 65  (9 for rice - 15 for wheat)

Related Articles

Recommended Nutrition Value of Typical Indian Diet 

https://oldageindia.blogspot.com/2015/02/nutrition-value-of-typical-indian-diet.html

Recommended Protein Intake for Old People

https://oldageindia.blogspot.com/2015/02/recommened-protein-intake-for-old-people.html

Nutrition - Grams - Dals

https://oldageindia.blogspot.com/2021/10/nutrition-grams-dals.html

Fiber Content in Foods - Recommended Daily Requirement

https://oldageindia.blogspot.com/2020/01/fiber-content-in-foods-recommended.html

Obesity Science

 

https://www.statnews.com/2021/09/13/how-a-fatally-tragically-flawed-paradigm-has-derailed-the-science-of-obesity/

https://www.science.org/content/article/obesity-doesn-t-always-mean-ill-health-here-s-what-scientists-are-learning

https://www.thescienceofobesity.com.au/

Senior Living - The Enclave at Cedar Park, Austin, Texas

 

https://spectrumretirement.com/enclaveatcedarpark-senior-living-tx-cedarpark/live/assisted-living/

https://spectrumretirement.com/enclaveatcedarpark-senior-living-tx-cedarpark/

https://spectrumretirement.com/find-a-community/

https://www.elderoptionsoftexas.com/commons-at-manor-senior-apartments.htm

Full Marathon - 2023

42.195 km

4.10.2023 (Evening) - 10.21km

5.10.2023 (Morning and Evening) - 22.17

6.10.23 (Morning) -  10.14

Total:   42.52 km

A sudden idea and motivation to do it.

May be next time it will be 3 * 14 km. Then 2 * 21 km

Of course finally 1 * 42.195.  Let me see over the next year.

Fighting Frustration with Full Marathon.

The last time I felt very bad, I walked from NITIE to Teen Hath Naka (Thane) for 14 km.

This time I am equally frustrated. So doing a full marathon distance walking raises mental mood and feel good once again. There is energy and strength inside the body to do things starting again. Failures and frustrations are inevitable in life. Coming back into the game again with enthusiasm is required to continue the life.

810.2023

Soreness in legs is there. Heels are paining. No big blister. But a small one is there on the backside of right heel. 

No weight reduction has taken place.

Updated 8.10, 6.10

Pub on 5.10.2023

 

Use Heart - Know Heart - Life Style Change Will Improve Heart Health - World Heart Day 2023 Message

 

29 September - World Heart Day

Use Your Heart. Walk Daily. Heart Health Improves. 

On the Road on World Health Day

‣A promise to our families to cook and eat more healthily

‣A promise to our children to exercise more and help them to be more active, to say no to smoking and help our loved ones to stop

‣A promise as a healthcare professional to help patients give up smoking and lower their cholesterol

‣A promise as a policymaker to support policies that promote healthy hearts

‣A promise as an employee to invest in heart-healthy workplaces

A simple promise … for MY HEART, for YOUR HEART, for ALL OUR HEARTS.

Watch Video

https://www.youtube.com/watch?v=ifls343TgaU

https://world-heart-federation.org/world-heart-day/

https://world-heart-federation.org/world-heart-day/resource/whd-poster-lifestyle/

https://en.wikipedia.org/wiki/World_Heart_Federation

https://timesofindia.indiatimes.com/life-style/health-fitness/health-news/world-heart-day-2023-theme-history-and-significance/articleshow/104017084.cms  

Watch Video

https://www.youtube.com/watch?v=F-JZTjXmTG0

Spending 2000 Calories per Day - Experience and Plan

21.8.2023

Found it difficult to spend 2000  calories. Now I am reducing the target to 1650 calories in Google Fit due to default calories consumption and additional steps.  100 calories may be consumed extra due to exercises and routine activities. So plan to eat  close to 1750 calories and do intermediate fasting and morning walk. Intermediate fasting 14 to 16 hour break. Morning walk 50 to 60 minutes. Today morning weight is 62.5 kg. Let me see after a month the results. I can always reduce the calories once again and increase walking if required later.

9.6.2023

Last month, I downloaded and installed Google Fit App.

It gives a figure of calories consumed.

Only on yesterday 8 June 2023, I could see the figure above 2000 calories.

2090 calories consumed. 15183 steps. 9.39 km walked. active 282 minutes.

Up to 10 am, walked within the house 6500 steps.

After 10 am went out and walked for 30 minutes. Completed 9600 steps before 11 am.

1000 calories were consumed by 11 am.

9 June 2023

Calories consumed 1966

Steps - 15016

Spending 2000 calories is not easy. But on some more days I did record 2000 calories.

20th June 2066  20,212 steps  3 hrs 21 minutes

22            2019   15,020  2 hrs 54 mts

23            2016    15,018   3 hrs 11 minutes

ud. 21.8.2023, 30.6.2023

Pub 9.6.2023

Outer Ankle Edema

 

https://www.florhamparkpodiatry.com/blog/item/104-why-is-the-outside-of-my-ankle-swollen.html

https://www.sportsinjuryclinic.net/sport-injuries/ankle-pain/lateral-ankle-pain

https://www.medic8.com/healthguide/blood-pressure/swollen-ankles.html

Peronial Tendinopathy

https://www.nhslanarkshire.scot.nhs.uk/services/physiotherapy-msk/peroneal-tendinopathy/

Peroneal Tendonitis

https://my.clevelandclinic.org/health/diseases/22003-peroneal-tendonitis

Case Report | Open Access

Volume 2018 | Article ID 1215653 | https://doi.org/10.1155/2018/1215653

Show citation

When Should a Patient with Statin-Induced Myopathy Be Re-challenged? A Case of Necrotizing Autoimmune Myopathy

Elena Obreja

,1Pamela Sequeira,2and Diana Girnita

3

https://www.hindawi.com/journals/crirh/2018/1215653/

Ud. 14.8.2023

Pub. 5.5.2023

Calores in Indian Food Items - Dishes

 Methi paratha

122

https://www.tarladalal.com/calories-for-methi-paratha-41171

222

https://www.tarladalal.com/calories-for-aloo-methi-parathas-4776

28 May - World Nutrition Day

 

https://jhpn.biomedcentral.com/wnd-2023

https://economictimes.indiatimes.com/magazines/panache/world-nutrition-day-proteins-vitamins-calcium-and-other-nutrients-you-need-for-a-balanced-diet/start-clean-eating/slideshow/69532714.cms

100 Grams Pulses per Day Recommendation

 Table  outlines the nutritive criteria for nutrient claims across regions. Table  summarizes the potential for nutrient content claims that could be valid for 100 g of cooked pulses in Australia, Canada, Europe, and the United States, on the basis of the nutrients listed in Table  Across all regions, 100 g of cooked pulses aligns with the nutritional criteria that permit content claims for the majority of nutrients found in pulses. In Australia, Canada, Europe, and the United States, 100 g of cooked pulses may be characterized as providing significant levels of fiber to diets.

https://academic.oup.com/nutritionreviews/article/75/12/990/4675268

https://www.bupa.co.uk/health-information/nutrition-diet/portion-size

https://www.eatthismuch.com/food/nutrition/black-lentils,161766/

https://www.lentils.org/health-nutrition/nutritional-information/

BMI Cutoff Point for Indians

 

48.Misra A, Chowbey P, Makkar BM, et alConcensus Group. Consensus statement for diagnosis of obesity, abdominal obesity and the metabolic syndrome for Asian Indians and recommendations for physical activity, medical and surgical management. J Assoc Physicians India 2009;57:163–170

https://diabetesjournals.org/care/article/38/1/150/37769/BMI-Cut-Points-to-Identify-At-Risk-Asian-Americans

[PDF] researchgate.net

[PDF] Consensus statement for diagnosis of obesity, abdominal obesity and the metabolic syndrome for Asian Indians and recommendations for physical activity …

A Misra, P Chowbey, BM Makkar, NK Vikram, JS Wasir… - Japi, 2009 - researchgate.net

Asian Indians exhibit unique features of obesity; excess body fat, abdominal adiposity,

increased subcutaneous and intra-abdominal fat, and deposition of fat in ectopic sites (liver,

muscle, etc.). Obesity is a major driver for the widely prevalent metabolic syndrome and type

2 diabetes mellitus (T2DM) in Asian Indians in India and those residing in other countries.

Based on percentage body fat and morbidity data, limits of normal BMI are narrower and

lower in Asian Indians than in white Caucasians. In this consensus statement, we present …

https://www.researchgate.net/profile/Janaki-Srinath-Puskuri/publication/325404564_Consensus_Statement_for_Diagnosis_of_Obesity_Abdominal_Obesity_and_the_Metabolic_Syndrome_for_Asian_Indians_and_Recommendations_for_Physical_Activity_Medical_and_Surgical_Management/links/5b0c416a0f7e9b1ed7fbabc2/Consensus-Statement-for-Diagnosis-of-Obesity-Abdominal-Obesity-and-the-Metabolic-Syndrome-for-Asian-Indians-and-Recommendations-for-Physical-Activity-Medical-and-Surgical-Management.pdf

Low Ejection Fraction - LVEF

 

How Can I Improve My Low Ejection Fraction?

https://www.heart.org/en/health-topics/heart-failure/diagnosing-heart-failure/how-can-i-improve-my-low-ejection-fraction

Heart Failure Signs and Symptoms

https://www.heart.org/en/health-topics/heart-failure/warning-signs-of-heart-failure

Medications Used to Treat Heart Failure

https://www.heart.org/en/health-topics/heart-failure/treatment-options-for-heart-failure/medications-used-to-treat-heart-failure

Angiotensin-Converting Enzyme (ACE) Inhibitors

Commonly prescribed include:

Captopril (Capoten)

Enalapril (Vasotec)

Angiotensin II Receptor Blockers (or Inhibitors)

(Also known as ARBs or Angiotensin-2 Receptor Antagonists)

Commonly prescribed include:

Losartan (Cozaar)

Valsartan (Diovan)

Angiotensin-Receptor Neprilysin Inhibitors (ARNIs)

ARNIs are a new drug combination of a neprilysin inhibitor and an ARB.

Sacubitril/valsartan

If Channel Blocker (or inhibitor)

This drug class reduces the heart rate, similar to another class of drugs called beta blockers.

Ivabradine (Corlanor)

Beta Blockers (Also known as Beta-Adrenergic Blocking Agents)

Commonly prescribed include:

Bisoprolol (Zebeta)

Metoprolol succinate (Toprol XL)

Aldosterone Antagonists

Commonly prescribed include:

Spironolactone (Aldactone)

Eplerenone (Inspra)

Hydralazine and isosorbide dinitrate (specifically benefits African-Americans with heart failure)

Commonly prescribed:

Hydralazine and isosorbide dinitrate (combination drug) - (Bidil)

Diuretics (Also known as water pills)

Commonly prescribed include:

Furosemide (Lasix)

Torsemide (Demadex)

What this type of medication does:

Causes the body to rid itself of excess fluids and sodium through urination.

Helps to relieve the heart’s workload.

Decreases the buildup of fluid in the lungs and other parts of the body, such as the ankles and legs. Different diuretics remove fluid at varied rates and through different methods.

Recommended Nutrition Value of Typical Indian Diet - Old People Balanced Diet

                    Indian vegetarian Low Cost and  High Protein Diets

 Low cost Indian vegetarian diet                           High Protein vegetarian diet

Food Groups     Amount   Protein                          Amount   Protein
                           (g/d)       content                             (g/d)       content
                                          (g)                                                   (g)


Cereals & Millets   375           38                                   375             38
Pulses (legumes)      32             8                                     75             18  (Extra 40 g/d)
Green leafy
vegetables                 40             3.3                                  40              3.3
Other vegetables       50                                                    50            
Roots & tubers          40                                                    40
Fruits                         25                                                    25
Milk, milk based
products                  120             4.6                                500              19 (Extra 380 g/d)
Visible fats & oils     32                                                    30
Sugar & Jagg            25                                                    20
Calories (kcal)          2223                                            2578
Proteins (g)                               54                                                      78
PE Ratio (%)                              9.7                                                    12.1


Table Annexure 5.2 of http://icmr.nic.in/final/RDA-2010.pdf   (Nutrient Requirements and Recommended Dietary Allowances for Indians  334 page report of ICMR, India)

It can be modified as: variation 1 (NRao)

Food Groups     Amount   Protein                          Amount   Protein
                           (g/d)       content                             (g/d)       content
                                          (g)                                                   (g)


Cereals & Millets   200          12                                   
Pulses (legumes)     100          20    

Nuts                           25           6                      
Green leafy
vegetables                 40                                             
Other vegetables       50                                                                
Roots & tubers          40                                                    
Fruits                         25                                                    
Milk, milk based
products                  500            15                                
Visible fats & oils     32                                                   
Sugar & Jagg            25                                                    
Calories (kcal)          2223 - to be calculated                                           
Proteins (g)                               53                                                      
PE Ratio (%)                              9.7                                                    

Balanced diet for an elderly person for a day

Food Stuff                Quantity ( raw ) g
                                 Males              Females

Cereals                       350                  225
Pulses                           50                    40
Vegetables                  200                  150
Green Leafy
vegetables                     50                   50
Roots-Tuber                100                 100
Fruits                           200                 200
Milk and Milk
Products                      300                  300
Sugar                             20                    20
Fats - oils                      25                    20
(Source : “Dietary tips for elderly”, NIN, ICMR Hyderabad 2000)

                                      per 100 gms
                       Water     Protein Fat     Carbohydrate    Fiber (g) Energy (kcal)      
Brown rice 14.0       7.3         2.2 71.1                  4.0 384
Wheat             14.0     10.6         1.9 61.6                10.5 375
Maize             14.0       9.8          4.9 60.9                 9.0 396
Millet             14.0     11.5          4.7         64.6               37.0            395
Sorghum        14.0       8.3         3.9 57.4               13.8 384
Rye                 14.0       8.7         1.5 60.9               13.1 375
Oats                14.0      9.3          5.9 63.0                 5.5 392
Potato             77.8      2.0          0.1 15.4                 2.5 70
Cassava          63.1      1.0          0.2 31.9                 2.9 133
Yam                71.2      2.0          0.1 22.4                 3.3 98



Updated  3.6.2023, 26 September 2017, 21 Juy 2017,  22 November 2016, 3 February 2015

Vitamin D - Deficiency Signs - Required Quantity and Ways

Vitamin D Deficiency Signs

1. Chronic fatigue and tiredness

2. Struggling with depression

3. Loss of bone density

4. Experiencing loss of hair

5. Frequent illness and infection

6. Slow wound healing

7. Gut issues like IBS 

Vitamin D deficiency has been associated with inflammatory diseases including inflammatory bowel disease (IBD).

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6566188/

8. Unexplained joint and back pain

9. Weight gain

Having inadequate levels of vitamin D may correlate with unintentional weight gain. A study on women over the age of 65 found that participants with a lower vitamin D level experienced more weight gain.

https://www.everlywell.com/blog/vitamin-d/vitamin-d-deficiency-and-weight-gain/

https://www.ndtv.com/health/vitamin-d-deficiency-know-common-signs-and-symptoms-and-tips-to-deal-with-it-4075422

Daily 2000 IUs inadequate as maintenance dose.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6135651/


Take vitamin D along with high fat diet.

Up to 4000 IU daily is safe.
https://www.healthline.com/nutrition/vitamin-d-dosage#section1


2009
https://www.sciencedaily.com/releases/2009/10/091026161850.htm

Ud. 1.6.2023

Pub. 30.5.2020

Waist Reduction - Benefits, Methods and Case Studies

 

Waist circumference reduction and cardiovascular benefits during weight loss in women

https://pubmed.ncbi.nlm.nih.gov/9043967/

The rough guide is that for every 1 kg that you lose, you will reduce your waist circumference by 0.9 cm for both men and women. 

https://theconversation.com/the-mathematics-of-better-health-how-much-weight-do-you-really-need-to-lose-44929

The volunteers reduced their waist sizes by an average of 1 inch for every 4lb (1.81kg) they lost.

https://www.bbc.co.uk/food/articles/how_to_lose_belly_fat_in_four_weeks

Hypertension - Blood Pressure

GLOBAL BURDEN OF HYPERTENSION

Based on an analysis of data from 135 population-based studies that included 968,419 adults from 90 countries, we estimated that in 2010 the global age-standardized prevalence of hypertension (defined as systolic BP ≥140 mm Hg, diastolic BP ≥90 mm Hg, and/or current use of antihypertensive medication) was 31.1% (95% CI 30.0–32.2%).

Estimates suggest that in 2010, 31.1% of adults (1.39 billion) worldwide had hypertension. The prevalence of hypertension among adults was higher in LMICs (31.5%, 1.04 billion people) than in high-income countries (HICs; 28.5%, 349 million people). Variations in the levels of risk factors for hypertension, such as high sodium intake, low potassium intake, obesity, alcohol consumption, physical inactivity and unhealthy diet, may explain some of the regional heterogeneity in hypertension prevalence

In 2017, the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines redefined hypertension in adults as systolic BP ≥130 mmHg and/or diastolic BP ≥80 mmHg. This change was based on findings from a number of large-scale, prospective observational studies that reported significant increases in risk of CVD with increasing BP even from levels as low as systolic BP 115 mmHg, as well as the results of randomized clinical trials including the SPRINT trial (discussed further below) that showed that intensive BP lowering (target systolic BP <120 mmHg) reduces CVD and all-cause mortality to an even greater extent than does standard BP lowering (target systolic BP ≤140 mmHg). When the new definition was applied to the US general population, hypertension prevalence increased from 32.0% (based on the traditional criteria) to 45.4% (Table 2).19,20 In the Chinese general population, the increase was even greater from 23.2% to 46.4%.19,20 These findings suggest that if the new criteria were applied worldwide, the difference in hypertension prevalence between LMICs and HICs would be much greater than previously reported.3 Full implementation of the new guidelines would require a greater proportion of adults to be treated with antihypertensive medications but could prevent an estimated 610,000 CVD events and 334,000 deaths per year in the US alone.19

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7998524/

WHO on Hypertension 

https://www.who.int/news-room/fact-sheets/detail/hypertension

Cilnidipine and Telmisartan Similarly Improves Vascular Damage in Hypertensive Patients

Yuki Kaneshiro, Atsuhiro Ichihara, M.D., Ph.D., FAHA, Mariyo Sakoda, ...

First Published January 1, 2007 Research Article

https://doi.org/10.4137/CMC.S353

https://journals.sagepub.com/doi/full/10.4137/CMC.S353

Ud. 30.5.2023

Pub. 12.6.2021

Recommened Protein Intake for Old People

Protein through vegetarian diet - Interesting ideas

https://lifemathmoney.com/how-to-increase-protein-in-indian-vegetarian-diet-with-desi-diet-plan/


2015

Older adults: Double your protein to build more muscle
Date: January 30, 2015
Source:American Physiological Society (APS)
Summary:The new research shows that older adults may need to double up on the recommended daily allowance of protein to efficiently maintain and build muscle.


Current US recommendations for daily dietary protein intake are 0.8 grams/kilogram of body weight (roughly 62 g of protein per day for a 170-pound person). The new research says 1.5 grams/kilogram is required.
http://www.sciencedaily.com/releases/2015/01/150130121613.htm


1994
Increased protein requirements in elderly people: new data and retrospective reassessments.
W W Campbell, M C Crim, G E Dallal, V R Young, and W J Evans
Copyright © 1994 by The American Society for Clinical Nutrition, Inc
http://ajcn.nutrition.org/content/60/4/501.abstract

Joint FAO/WHO/UNU Expert Consultation on Energy and Protein Requirements
Rome, 5 to 17 October 1981
PROTEIN REQUIREMENTS FOR THE ELDERLY
by
Hamish N. Munro, MIT, Cambridge, USA
http://www.fao.org/docrep/MEETING/004/M3011E/M3011E00.HTM

ud. 27.5.2023

Pub 3.2.2015

Weight Gain to Hypothyroidism

 

Hypothyroidism and obesity: An intriguing link

Debmalya Sanyal and Moutusi Raychaudhuri1

Indian J Endocrinol Metab. 2016 Jul-Aug; 20(4): 554–557.  doi: 10.4103/2230-8210.183454

PMCID: PMC4911848PMID: 27366725

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4911848/

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0093515

Thyroid Disease and the Heart

Irwin Klein and Sara Danzi

Originally published9 Oct 2007

CirculationVol. 116, No. 15Thyroid Disease and the Heart

FREE ACCESS

RESEARCH ARTICLE

PDF/EPUB

Thyroid Function Testing

Cellular Mechanisms of Thyroid Hormone Action

Direct Effects of Thyroid Hormone on the Heart

Thyroid Hormone Effects on Blood Pressure Regulation

Thyroid Disease and Pulmonary Hypertension

Hyperthyroidism

Hypothyroidism

https://www.ahajournals.org/doi/full/10.1161/CIRCULATIONAHA.106.678326

Understanding Bladder Cancer

 

https://worldbladdercancer.org/bladder-cancer-article/signs-risk-factors/

World Bladder Cancer Awareness month -  May

Bladder Cancer. Two words that deliver a devastating impact. Every year, over 570,000 people are diagnosed with bladder cancer and 1.7m people find themselves living with the condition. It is the 10th most commonly diagnosed cancer and the 13th cause of death from cancer globally. But, a timely diagnosis offers a significant increase in the chance of long-term survival and quality of life. Blood in the urine is the most important warning sign of bladder cancer to watch out for.

Yet bladder cancer is the forgotten cancer, and it should not be. We need to unite and raise our voices for people affected by bladder cancer. World Bladder Cancer Awareness month in May 2023 is a chance for us to do exactly that!

Calories Expenditure in Activities - Calories in Food Items

11.5.2023

Your 3% more when you are sitting and 12% more when you are standing. 

https://www.nytimes.com/2019/01/02/well/move/stand-more-lounge-less-dont-do-it-to-lose-weight.html

https://www.webmd.com/fitness-exercise/what-to-know-about-standing-to-burn-calories

March 2017

Calories Expenditure in Activities

Men   Restin Metabolic Rate Formula (RMR)  = 88.362 + 4.799(cm) + 13.397(kg) - 5.677(age)
          Height = cm (1" = 2.54cm), Weight in kg (2.2# = 1kg), Age in years

Activity                          Energy Expenditure
                                         (calories/min/kg)

Sleeping                                       0.02
Sitting Activities (very light)      0.03
Standing (very light)              0.04
Walking (3 mph 20 min/mile)      0.06
Stretching/Yoga                      0.06

https://www.acefitness.org/updateable/update_display.aspx?pageID=593

McArdle, W., Katch, F., & Katch, V. (2001). Exercise Physiology: Energy, Nutrition, and Human Performance (5th Ed.). Philadelphia: Lippincott Williams & Wilkins


Find calories required by you based on McArdle - Match formula

http://www.medindia.net/patients/calculators/CalorieResult.asp

Calories Expenditure for 71 Kg man

activities                            leeping   Sitting  Standing  Walking
calories/min/kg                      0.02    0.03 0.04        0.06
calories/min                           1.42    2.13 2.84        4.26
Minutes spent in a day           600     600 180         60
Hours Spent in a day               10        10          3            1
Total Calories                         852 1278 511.2 255.6

Grand Total calories spent for a day                             2896.8
Assuming 2500 calories consumption per day is more appropriate



Other Estimates

The researchers found subjects burned about 1 calorie per kilogram of body weight per hour while reclining, 1.08 sitting while reading or watching TV, and 1.11 while typing at a computer.

68 kg  - 68 calories per hour


http://www.zmescience.com/medicine/burned-calories-when-lazy-064346/


How Many Calories We Burn When We Sit, Stand or Walk
By GRETCHEN REYNOLDS  JUNE 22, 2016
http://well.blogs.nytimes.com/2016/06/22/how-many-calories-we-burn-when-we-sit-stand-or-walk/?_r=0


http://www.livestrong.com/article/1003261-many-calories-burn-lying-down/

Sitting 75 calories per hour
http://www.livestrong.com/article/1006250-average-miles-person-can-walk-per-day/

http://www.livestrong.com/article/322307-calories-burned-per-hour-sitting/


Standing instead of sitting may help you burn 20 to 50 more calories per hour. So standing for four hours a day can burn an extra 80 to 200 calories.

Stand Up Challenge  - Stand for 3 Hours every day
http://www.livestrong.com/article/73916-calories-burned-standing-vs.-sitting/

Stand for 3 hours a day - It is good for you - BBC

http://www.bbc.com/news/magazine-24532996



Calories in Foods

http://www.fitnessvsweightloss.com/best-south-indian-diet-chart-for-weight-loss/

https://jtmadhavan.files.wordpress.com/2009/09/the-calorie-chart-of-indian-food.pdf

http://www.uccs.edu/Documents/healthcircle/pnc/health-topics/Meal%20Planning.pdf

http://www.livestrong.com/article/281019-1-800-calorie-diet-to-lose-weight/

http://southindianfoods.in/south_indian_food_caloriechart.html

http://www.thehealthsite.com/fitness/calories-in-common-south-indian-dishes/

http://www.indiaparenting.com/calorie/

http://deepthidigvijay.blogspot.in/p/health-diet-calorie-charts.html


Maintaining the Healthy Weight
US Dept. of Health
https://www.nhlbi.nih.gov/files/docs/public/heart/AIM_Pocket_Guide_tagged.pdf



Updated 11.5.2023, 5 March 2017,   13 December 2016,  1 December 2016

Erectile Dysfunction Problem

 It is not be neglected. It can be the early symptom of cardiovascular problems. There is need to consult doctor and do the treatment as prescribed.

Tadalafil in the treatment of erectile dysfunction

Robert M Coward and Culley C Carson

Ther Clin Risk Manag. 2008 Dec; 4(6): 1315–1330.

Published online 2008 Dec. doi: 10.2147/tcrm.s3336

PMCID: PMC2643112

PMID: 19337438

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2643112/

Carbohydrate and Fat Utilization Proportions in Humans

 2020 article

https://www.gssiweb.org/en/sports-science-exchange/Article/regulation-of-fat-metabolism-during-exercise

2011 Article

https://clinicalnutritionespen.com/article/S1751-4991(11)00006-0/fulltext

Carbohydrates, Proteins, and Fats

By Shilpa N Bhupathiraju , PhD, Harvard Medical School and Brigham and Women's Hospital;

Frank Hu , MD, MPH, PhD, Harvard T.H. Chan School of Public Health

https://www.msdmanuals.com/en-in/home/disorders-of-nutrition/overview-of-nutrition/carbohydrates,-proteins,-and-fats

Fatty Liver Disease

 

Interesting article

The Influence of Dietary Fat on Liver Fat Accumulation

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4245577/

Sources of fatty acids stored in liver and secreted via lipoproteins in patients with nonalcoholic fatty liver disease

The potential sources of fats contributing to fatty liver  include peripheral fats stored in adipose tissue that flow to the liver by way of the plasma NEFA pool (pathway 1); fatty acids newly made within the liver through de novo lipogenesis (DNL) (pathway 2); and dietary fatty acids, which can enter the liver by two means: through spillover into the plasma NEFA pool  (pathway 3) and through the uptake of intestinally derived chylomicron remnants  (pathway 4).

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1087172/

How Fat moves from intestine to adipose tissues

Mechanisms of chylomicron uptake into lacteals

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3132563/

Hearing Loss

 

Mild hearing loss

https://www.healthyhearing.com/report/7733-Living-with-mild-hearing

Hearing Aids Delhi Price List

https://www.hearingaidsdelhi.com/price-list/

https://oticonindia.com/best-hearing-aid-for-old-age/

Old Age Homes in India

Care for Elderly at Home - Attendant Service Provided
http://www.portea.com/our-services/trained-attendants/

Andhra Pradesh

Kakinada

Name :Amma Old Age Home
Contact Person:Bhadra Sastry
Address: Dr.No:3-88, Road No-4, Gangaraju Nagar, Kakinada - 05
Landmark:Near Vinayaka Temple

Janavali Old Age Home (Gandhi Nagar)
Dr.No: 8-5-1/6, Pratap Nagar Center
Gandhi Nagar, Kakinada - 533004
09010300777
Mandapalli Syam

Rayavarapu Satyabhama Seva Sangham
Contact Person:R.Satyabhama
Address: D.No:7-4-1, A1, First Floor, Seshasai Street, Bala Tripura Sundari Apartment, Ramaraopeta, Kakinada - 04
Landmark:Near BPRO Office

http://www.inkakinada.com/rate/best-old-age-homes-in-kakinada

VISHAKAPATNAM

GoldAge Retirements Homes & Hospitals.
http://goldage.in/


Visakha Shanti (VS) - VISHAKAPATNAM
48-6-8,Rama Talkies Road,
Sri Nagar, Vizag - 530016.

Phone: +91 - 891 - 2557745, 645 7745
Mobile: +91-92906 35086, 92485 14644
Email: goldagevizag@gmail.com

Rakshitha oldage home,

Plot no.152,Sunshine Towers,
Opp. Word& Deed School,
Midhani Colony,Road No.4,
Hayathnagar,
R.R.Dist.
501505.
Cell: +91 9052538646
7799451889
E-mail: rakshithaoldagehome1940@gmail.com
Website: www.rakshithaoldagehome.com

sai sundaram senior citizen home
http://saisundaram.webs.com/

Delhi

https://www.vardaanseniorliving.com/life-at-verdan

Old Age Homes in India - A big collection
http://www.pagindia.com/OldAgeHomes.pdf

Old Age Homes, Associations and Societies in India - A Collection

http://www.seniorindian.com/old_age_homes.htm

12.4.2023

5.9.2015

WHO Global Network of Age-friendly Cities and Communities

Megacity Kolkata joins the network at 105th city.

http://www.who.int/mediacentre/news/notes/2012/day_older_persons_20121001/en/index.html

12.4.2023

2.10.2012

Healthy Life Style - WHO Recommendations

 

12 steps to healthy eating

Eat a nutritious diet based on a variety of foods originating mainly from plants, rather than animals.

Eat bread, whole grains, pasta, rice or potatoes several times per day.

Eat a variety of vegetables and fruits, preferably fresh and local, several times per day (at least 400g per day).

Maintain body weight between the recommended limits (a BMI of 18.5–25) by taking moderate to vigorous levels of physical activity, preferably daily.

Control fat intake (not more than 30% of daily energy) and replace most saturated fats with unsaturated fats.

Replace fatty meat and meat products with beans, legumes, lentils, fish, poultry or lean meat.

Use milk and dairy products (kefir, sour milk, yoghurt and cheese) that are low in both fat and salt.

Select foods that are low in sugar, and eat free sugars sparingly, limiting the frequency of sugary drinks and sweets.

Choose a low-salt diet. Total salt intake should not be more than one teaspoon (5g) per day, including the salt in bread and processed, cured and preserved foods. (Salt iodization should be universal where iodine deficiency is a problem)

WHO does not set particular limits for alcohol consumption because the evidence shows that the ideal solution for health is not to drink at all, therefore less is better.

Prepare food in a safe and hygienic way. Steam, bake, boil or microwave to help reduce the amount of added fat.

Promote exclusive breastfeeding up to 6 months, and the introduction of safe and adequate complementary foods from the age of about 6 months. Promote the continuation of breastfeeding during the first 2 years of life.

https://www.who.int/europe/news-room/fact-sheets/item/a-healthy-lifestyle---who-recommendations

https://www.heart.org/en/healthy-living/healthy-lifestyle

https://www.who.int/philippines/news/feature-stories/detail/20-health-tips-for-2020

Do You Have to Consume Salt Every Day? Otherwise Will You Get Low Sodium Problem?

 

No. You do not have to consume salt every days. You need not even take salt on many days. You will not get low sodium problem because there are other sources of sodium in your diet.

The minimum physiological requirement for sodium is between 115 and 500 mg per day depending on sweating due to physical activity, and whether the person is adapted to the climate.

https://en.wikipedia.org/wiki/Sodium_in_biology

A 1-cup serving of low-fat milk, which is labeled as 1 percent, contains 107 milligrams of sodium.

https://healthyeating.sfgate.com/lowfat-dairy-sodium-intake-10685.html

Milk contains 44 mg of sodium for 100 ml.

The sodium in milk is naturally-occurring and is present in small amounts. One cup of milk (250 ml) contains approximately 120 mg of sodium.

https://albertamilk.com/ask-dairy-farmer/why-is-there-a-large-amount-of-sodium-in-milk/

Carrots have 69 mg of sodium in 100 grams.

https://healthyeating.sfgate.com/much-sodium-real-carrot-7555.html

One raw beet contains approximately 64 milligrams of sodium

https://healthyeating.sfgate.com/much-sodium-beet-6646.html

So we can see people drinking milk or using milk in other forms need not take salt every day. The minimum intake of sodium is provided by milk consumption.

World Salt Awareness Week 

March 14 to March 20 is the World Salt Awareness Week. It aims to raise awareness about the harmful practice of massive salt consumption worldwide and achieve the primary mission of gradually decreasing salt intake and improving the overall health of the world’s population.

https://www.gigadocs.com/blog/world-salt-awareness-week-how-do-different-types-of-salt-affect-your-health/

Eribulin for Bone Metastasis

 

Eribulin Bone Merastasis Complete Recovery

https://www.karger.com/Article/FullText/489061

Long-Term Response with Eribulin Mesylate in a Breast Cancer Patient: A Case Report.

Medici M. · Fossile E.

Oncology 2018;94(suppl 1):3–5

In December 2015, PET and MRI showed focal hyperaccumulation at the spine and hips (Fig. 1). These lesions were associated with severe pain (8–10 on a visual analogical scale).

After multidisciplinary assessment of the case, given the refractoriness to prior regimens, the triple-negative status of the disease, the presence of severe pain, and the relatively young age of the patient, we instituted therapy with eribulin mesylate (1.23 mg/m2 on days 1 and 8, every 21-day cycle) in January 2016. This therapy was associated with palliative radiotherapy on bone lesions (3–30 Gy). In March 2016, the patient showed a partial response on bone lesions. In August 2016, US imaging showed liver steatosis, which was paralleled by increased transaminases. However, examination by a hepatology specialist excluded liver involvement and/or treatment-related toxicity. Further imaging examinations, in November 2016, showed a complete response (CR) at all lesions. 

Triple Negative Breast Cancer Blog Posts

 

Collected information

Exercise - Metastatic Breast Cancer

https://www.lbbc.org/your-journey/living-with-metastatic-breast-cancer/living-well-with-metastatic-breast-cancer/exercise

Side effects - Halaven

https://www.halaven.com/metastatic-breast-cancer/tips-for-managing-side-effects

Clinical Oncology - Csae Reports

https://twitter.com/clinicaloncol13

--------------------

Blog Posts

https://www.roswellpark.org/cancertalk/202110/triple-negative-breast-cancer-sharons-story

https://www.rockymountaincancercenters.com/blog/one-womans-journey-through-triple-negative-breast-cancer-treatment?

Anti copper treatment for metastatic breast cancer

https://www.nyp.org/patient-stories/rachael-rothman

https://blog.bonsecours.com/stories/triple-negative-breast-cancer-patient-story-richmond/

Triple-negative breast cancer clinical trial shows promise

While Robbie was waiting for an open slot in the trial, she took two rounds of an oral chemotherapy drug called Xeloda and a drug called Ixempra, which is administered through an IV. Neither shrunk the tumors, so Saleem pulled her off the medications to prepare her for the clinical trial. On Nov. 22, 2016, Robbie started taking Olaparib twice daily and AZD5363 twice a day, four times a week.

https://www.mdanderson.org/cancerwise/triple-negative-breast-cancer-survivor-finds-hope-with-clinical-trial.h00-159222567.html

https://www.healthline.com/health/stage-4-breast-cancer-stories-survivorship#susan-rahn

https://www.cancer.net/blog/2020-10/living-with-metastatic-breast-cancer-how-i-reinvented-myself

https://www.chestercountyhospital.org/news/health-eliving-blog/2019/october/how-cindy-survived-triple-negative-breast-cancer

Metastatic Breast Cancer Blogs

https://metupuk.org.uk/i-am-the-31/

Met case

http://jillscancerjourney.blogspot.com/

Best metastatic breast cancer blogs

https://www.healthline.com/health/breast-cancer/metastatic-breast-cancer-blogs#Booby-and-the-Beast