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Correlation of The Habit Consumption of Fatty Food And Physical Activities With The Hypertension Incidents On The Elderly In Muaro Bodi Public Health Center, Sijunjung District In 2015
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The Center for Cognitive and Behavioral Health is a private group practice of dedicated professionals, committed to providing comprehensive, individualized mental health services in a warm and health-oriented environment.
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- Magnesium is essential for good health and is the 4th most abundant mineral in the body, with half located in bones.
- Magnesium aids muscle and nerve function, keeps heart rhythm steady, boosts immune system, and is removed from the body via kidneys.
- Good dietary sources include nuts, beans, grains, dairy, spinach and other greens, potatoes, bananas, and raisins.
- Recommended daily intake varies depending on age and sex.
- Magnesium helps control blood pressure and blood sugar levels, and may lower risk of heart disease and increase exercise time.
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Diabetic patients knowledge, attitude and practice toward oral health
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Kumj dm
This study examined the demographic profiles, risk factors, health problems, reasons for admission, and knowledge of diabetes patients admitted to BPKIHS hospital in Nepal. The results showed that over half of patients were aged 40-60 years old, Hindu, and married. About 60% had hypertension, 39% had eye problems, and 25% had kidney issues. The top reasons for admission were adjusting insulin doses, investigations, and treating complications. While most patients knew they had diabetes, their knowledge of causes, treatments, and prevention was limited. The study concluded there is a need for diabetes education programs to improve patient knowledge.
Prevalence, awareness, treatment and control of
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The Center for Cognitive and Behavioral Health is a private group practice of dedicated professionals, committed to providing comprehensive, individualized mental health services in a warm and health-oriented environment.
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This document provides information about magnesium, including:
- Magnesium is essential for good health and is the 4th most abundant mineral in the body, with half located in bones.
- Magnesium aids muscle and nerve function, keeps heart rhythm steady, boosts immune system, and is removed from the body via kidneys.
- Good dietary sources include nuts, beans, grains, dairy, spinach and other greens, potatoes, bananas, and raisins.
- Recommended daily intake varies depending on age and sex.
- Magnesium helps control blood pressure and blood sugar levels, and may lower risk of heart disease and increase exercise time.
Life style among plwa e. nepal
The document summarizes a study on lifestyle patterns among people living with AIDS in eastern Nepal. It finds that most PLWAs were younger adults under 40, male, urban residents, married, and Hindu. Regarding lifestyle, over 80% did not exercise, over 90% felt daily stress, over half slept less than 6 hours, and about half never ate outside. Tobacco use was higher in the past than present. Marital status was significantly associated with exercise habits, and age was associated with tobacco use. The study concludes counseling is needed to improve conditions and promote healthier lifestyles.
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This document summarizes the results of a study examining the characteristics and risk profiles of 622 patients with type 2 diabetes in Western India. The main findings were:
1) The average age was 47.7 years, most were male, obese, sedentary, and had a family history of diabetes. Glycemic control was poor with only 7.4% having an HbA1C below 7%.
2) Common presenting symptoms were nocturia, polyuria, and polydipsia. Microvascular complications like renal dysfunction and vision impairment were present in 10% and 9% respectively.
3) Risk factors like obesity, dyslipidemia, hypertension, and uncontrolled blood sugar were highly
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This study assessed the knowledge, attitudes, and practices of 612 diabetic patients in Abha City, Saudi Arabia regarding their oral health. The results showed that over half of patients were unaware of their increased risk of oral diseases as diabetics. Less than half knew that diabetes can cause dental caries and gingivitis. While patients' oral hygiene practices were generally good, their knowledge about the oral health risks of diabetes was deficient. The study highlights the need for better patient education on maintaining oral health and the link between diabetes and oral diseases.
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Prevalence, awareness, treatment and control of
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This document summarizes a study on risk factors, health problems, reasons for admission, and knowledge of diabetes patients admitted to a hospital in Nepal. The study found that over half of patients were aged 40-60 years old, Hindu, and non-vegetarian. Many had complications like hypertension, eye and kidney problems. Patients had some knowledge of their disease but lacked understanding of causes, treatments, diet etc. There is a need for better health education programs to improve patient knowledge and care of diabetes in Nepal.
Diabetes management through yogic exercises
This document discusses diabetes management through yogic exercises. It begins by defining diabetes and its various types. It then discusses the international and national prevalence of diabetes. It describes yoga and its benefits. The objectives are to suggest specific yogic exercises for type 2 diabetes patients. Various asanas, pranayamas and meditation techniques are recommended in a 45 minute morning session under medical advice. Several studies showing the benefits of yoga for managing type 2 diabetes are cited. The document concludes that yoga can effectively help in the management of type 2 diabetes.
A Report of Free Medical Health Check Up Camp
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The DASH diet website provides weekly nutrition guidelines based on the DASH diet to help users improve eating habits and exercise. Studies show following the DASH diet can help lower blood pressure and lead to modest weight loss. However, limitations include that most studies have predominantly white, educated participants and lack diverse populations. Further research is still needed to generalize the results.
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INTRODUCTION
Overutilization of Proton pump inhibitors (PPI) in hospitalized patients is a well-recognized problem. In our previous study at St. Luke’s Hospital, we found that the lack of published guidelines for PPI use in non-critically ill patients results in overutilization of PPI in hospitalized patients. We conducted an educational intervention program to address this problem.
DISCUSSION
Overutilization of PPI in non-critically ill hospitalized patients is a known problem in medical practice. Use of PPI has been implicated in number of adverse consequences including but not limited to Clostridium difficile infection, pneumonia, and osteoporosis. In recent studies, PPI was found to be associated with increased in-hospital mortality, increased risk of cardiovascular events, dementia and chronic renal failure (CRF). We studied the magnitude of the problem in our hospital and employed an educational intervention program, which resulted in a significant reduction of inappropriate use of PPI in the hospital.
There were several limitations to our study. This was a retrospective study where we noted a lack of proper documentation for outpatient use of PPI. We also were unable to precisely determine for how long the patients were taking PPI as outpatients. Our intervention included only medical residents (a total of 41), so we excluded data from NPs, hospitalists or PCPs after intervention. As a result, we are unable to determine the effect of the educational intervention on their practice.
CONCLUSION
PPIs have long been considered as relatively harmless drugs. In recent years, it has been implicated in several adverse effects that increases patient morbidity and mortality along with increased healthcare expenditure. Our data shows that proper education and ongoing surveillance, especially during admission and discharge can significantly reduce overutilization of PPI.
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1. The patient was brought to the emergency room after being unable to get out of bed and vomiting. Tests were performed to determine if the patient had diabetes or was experiencing side effects from an unknown powder found by his bed.
2. Urinalysis showed high levels of glucose and ketones, indicating the patient's body was not breaking down glucose efficiently. A glucose oxidase assay found extremely high glucose levels in the patient's blood.
3. Thin layer chromatography identified the powder as paracetamol. While the patient was showing signs of paracetamol overdose, diabetes was considered a more likely diagnosis given the patient's young age and symptoms. More tests were still needed to confirm type 1 diabetes
report on Health Camp
A free health checkup camp was conducted near Yarpur Gumti in a Dalit basti on February 30, 2016 from 10am to 4pm. Dr. Kumar Prashant provided checks for blood pressure and diabetes. 152 people received checks, with some found to have high blood pressure. The camp helped identify health issues for poor residents who could not otherwise afford care. Organizers were thanked for providing this important service to the community.
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This study examined the association between cardiorespiratory fitness, adiposity, and mortality in older adults. It found that higher fitness levels were associated with lower mortality rates regardless of body composition. Specifically, even obese individuals had lower mortality if they were fit compared to unfit normal-weight or lean individuals. The study also found a J-shaped relationship between BMI and mortality both before and after adjusting for fitness levels.
This study examined the association between cardiorespiratory fitness, adiposity, and mortality in older adults. It found that higher fitness levels were associated with lower mortality rates regardless of body composition. Specifically, even obese individuals had lower mortality if they were fit compared to unfit normal-weight or lean individuals. The study also found a J-shaped relationship between BMI and mortality both before and after adjusting for fitness levels.
創新與創業精神個案分享 趨勢科技專家服務
This study examined the association between cardiorespiratory fitness, adiposity, and mortality in older adults. It found that higher fitness levels were associated with lower mortality rates regardless of body composition. Specifically, even obese individuals had lower mortality if they were fit compared to unfit normal-weight or lean individuals. The study also found a J-shaped relationship between BMI and mortality both before and after adjusting for fitness levels.
Diabetic control
Experts say that consuming a few almonds daily can help combat diabetes, as eating almonds has been shown to positively affect cholesterol levels and insulin sensitivity. A study confirmed that a diet with 20% of calories from almonds over 16 weeks improved markers of insulin sensitivity and lowered LDL cholesterol in pre-diabetic adults. While almonds are a healthy source of fiber, protein and calories that can help control hunger and blood sugar, experts note they should only be seen as a percentage of total calorie intake, and not eaten without regard to the rest of one's diet.
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Life Style and Nutritional profile of NIDDM patients.
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Obesity and physical inactivity constitute part of the risk for NIDDM because of their propensity to induce insulin resistance.
Food and dietary pattern of an individual have an important role to play in the development, treatment or prevention of NIDDM
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1) The study assessed the nutritional status of 84 pulmonary tuberculosis patients receiving anti-tuberculosis treatment at a hospital in Nepal.
2) It found that 50% of patients were well-nourished, while 39.3% were mildly or moderately malnourished and 10.7% were severely malnourished.
3) Nutritional status was not significantly associated with socio-demographic factors but was highly associated with BMI, loss of body fat, loss of muscle mass, and current health status.
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This document summarizes a study on protein supplement intake among gym-goers in Lebanon. The study found that 40% of gym-goers consumed protein supplements, most commonly whey protein shakes. Sources of advice on supplements were friends (40%) and gym instructors (30%). While 13 participants reported positive effects, 7 reported negative side effects. The discussion compares these findings to prior studies and notes limitations like small sample size. It concludes there is a need for programs to increase scientific knowledge on supplements and control misleading media information.
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2. Most patients (65.8%) exercised regularly at least 3 times per week, with walking being the most common activity (67%).
3. While most patients exercised regularly, some lacked full knowledge about exercise principles. For example, only 50.5% knew the proper aerobic exercise frequency.
4. The researchers will use the results to provide more targeted patient education on exercise for diabetes management going forward.
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This document summarizes a study on the effect of risk perception on type 2 diabetes screening in a rural Thai village. The study found that:
1) The prevalence of type 2 diabetes was much higher in adults over age 45 (12.8%) than under age 45 (0.7%), and screening rates followed a similar pattern.
2) Less than half of residents were aware of the Ministry of Health's dietary recommendations. Risk perception emphasized genetic and age-related factors over behavioral factors like diet.
3) There may be an undiagnosed population of type 2 diabetes residents because of a misguided risk perception from a lack of nutritional knowledge, as screening participation was low among adults under 45.
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This study examined the effects of the Mediterranean diet and exercise on body composition and eating behaviors in 20 adults with coronary heart disease. Participants were split into two groups - one received education on the Mediterranean diet, while the other received diet education and participated in an 8-week exercise program. Both groups saw decreases in total fat and fat mass after the intervention. The exercise group also saw a decrease in waist-to-height ratio. The conclusions were that the Mediterranean diet reduced saturated fat and carb intake, leading to reduced fat mass. The study provides further evidence that the Mediterranean diet and exercise can reduce cardiovascular disease risk.
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This document summarizes a study on risk factors, health problems, reasons for admission, and knowledge of diabetes patients admitted to a hospital in Nepal. The study found that over half of patients were aged 40-60 years old, Hindu, and non-vegetarian. Many had complications like hypertension, eye and kidney problems. Patients had some knowledge of their disease but lacked understanding of causes, treatments, diet etc. There is a need for better health education programs to improve patient knowledge and care of diabetes in Nepal.
Diabetes management through yogic exercises
This document discusses diabetes management through yogic exercises. It begins by defining diabetes and its various types. It then discusses the international and national prevalence of diabetes. It describes yoga and its benefits. The objectives are to suggest specific yogic exercises for type 2 diabetes patients. Various asanas, pranayamas and meditation techniques are recommended in a 45 minute morning session under medical advice. Several studies showing the benefits of yoga for managing type 2 diabetes are cited. The document concludes that yoga can effectively help in the management of type 2 diabetes.
A Report of Free Medical Health Check Up Camp
A free medical checkup camp was organized at IEC-CET on March 23rd in association with Green City Hospital. Over 200 faculty, staff, and students received free physical exams, blood sugar, blood pressure, and ECG tests. Doctors from the hospital also provided 50% discounts on additional medical tests. The successful camp was coordinated under the guidance of the Vice President and Director and aimed to promote health awareness on campus.
Dash for health presentation
The DASH diet website provides weekly nutrition guidelines based on the DASH diet to help users improve eating habits and exercise. Studies show following the DASH diet can help lower blood pressure and lead to modest weight loss. However, limitations include that most studies have predominantly white, educated participants and lack diverse populations. Further research is still needed to generalize the results.
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Diabetes affects the quality of life of patients, and these effects differ from patient to another. So, how diabetes affects quality of life of diabetic patients and what are the factors behind that?
Knowledge of renal failure of hd pt.
The study profiles renal failure patients undergoing hemodialysis at B.P. Koirala Institute of Health Sciences in Nepal. It found that the majority of patients were male (74%), Hindu (93%), and from very poor communities (80%). Many patients had little knowledge about their disease, with 30% unaware of what condition they had. The most common complication reported during dialysis was nausea and vomiting (20%), followed by hypotension (9%). The study aims to help improve management and prevention of renal failure in Nepal by providing insight into patients' socio-demographic characteristics and knowledge about their treatment.
A SEEMINGLY BENIGN DRUG IN THE SPOTLIGHT: AN EDUCATIONAL INTERVENTION TO REDU...
INTRODUCTION
Overutilization of Proton pump inhibitors (PPI) in hospitalized patients is a well-recognized problem. In our previous study at St. Luke’s Hospital, we found that the lack of published guidelines for PPI use in non-critically ill patients results in overutilization of PPI in hospitalized patients. We conducted an educational intervention program to address this problem.
DISCUSSION
Overutilization of PPI in non-critically ill hospitalized patients is a known problem in medical practice. Use of PPI has been implicated in number of adverse consequences including but not limited to Clostridium difficile infection, pneumonia, and osteoporosis. In recent studies, PPI was found to be associated with increased in-hospital mortality, increased risk of cardiovascular events, dementia and chronic renal failure (CRF). We studied the magnitude of the problem in our hospital and employed an educational intervention program, which resulted in a significant reduction of inappropriate use of PPI in the hospital.
There were several limitations to our study. This was a retrospective study where we noted a lack of proper documentation for outpatient use of PPI. We also were unable to precisely determine for how long the patients were taking PPI as outpatients. Our intervention included only medical residents (a total of 41), so we excluded data from NPs, hospitalists or PCPs after intervention. As a result, we are unable to determine the effect of the educational intervention on their practice.
CONCLUSION
PPIs have long been considered as relatively harmless drugs. In recent years, it has been implicated in several adverse effects that increases patient morbidity and mortality along with increased healthcare expenditure. Our data shows that proper education and ongoing surveillance, especially during admission and discharge can significantly reduce overutilization of PPI.
Georgia cooper bms2 b poster
1. The patient was brought to the emergency room after being unable to get out of bed and vomiting. Tests were performed to determine if the patient had diabetes or was experiencing side effects from an unknown powder found by his bed.
2. Urinalysis showed high levels of glucose and ketones, indicating the patient's body was not breaking down glucose efficiently. A glucose oxidase assay found extremely high glucose levels in the patient's blood.
3. Thin layer chromatography identified the powder as paracetamol. While the patient was showing signs of paracetamol overdose, diabetes was considered a more likely diagnosis given the patient's young age and symptoms. More tests were still needed to confirm type 1 diabetes
report on Health Camp
A free health checkup camp was conducted near Yarpur Gumti in a Dalit basti on February 30, 2016 from 10am to 4pm. Dr. Kumar Prashant provided checks for blood pressure and diabetes. 152 people received checks, with some found to have high blood pressure. The camp helped identify health issues for poor residents who could not otherwise afford care. Organizers were thanked for providing this important service to the community.
Fat versus Fit
This study examined the association between cardiorespiratory fitness, adiposity, and mortality in older adults. It found that higher fitness levels were associated with lower mortality rates regardless of body composition. Specifically, even obese individuals had lower mortality if they were fit compared to unfit normal-weight or lean individuals. The study also found a J-shaped relationship between BMI and mortality both before and after adjusting for fitness levels.
This study examined the association between cardiorespiratory fitness, adiposity, and mortality in older adults. It found that higher fitness levels were associated with lower mortality rates regardless of body composition. Specifically, even obese individuals had lower mortality if they were fit compared to unfit normal-weight or lean individuals. The study also found a J-shaped relationship between BMI and mortality both before and after adjusting for fitness levels.
創新與創業精神個案分享 趨勢科技專家服務
This study examined the association between cardiorespiratory fitness, adiposity, and mortality in older adults. It found that higher fitness levels were associated with lower mortality rates regardless of body composition. Specifically, even obese individuals had lower mortality if they were fit compared to unfit normal-weight or lean individuals. The study also found a J-shaped relationship between BMI and mortality both before and after adjusting for fitness levels.
Diabetic control
Experts say that consuming a few almonds daily can help combat diabetes, as eating almonds has been shown to positively affect cholesterol levels and insulin sensitivity. A study confirmed that a diet with 20% of calories from almonds over 16 weeks improved markers of insulin sensitivity and lowered LDL cholesterol in pre-diabetic adults. While almonds are a healthy source of fiber, protein and calories that can help control hunger and blood sugar, experts note they should only be seen as a percentage of total calorie intake, and not eaten without regard to the rest of one's diet.
Biochemical aspect of obesity BY GAURAV PARMAR
This document summarizes a study on obesity among college students. The study surveyed 87 students about their eating habits, stress levels, physical activity and body mass index (BMI). It found that many students had high BMIs, ate unhealthy fried and sugary foods multiple times a day, drank soda daily, and felt stress which led to overeating. Males tended to be less active with poor diets while females faced stress-related hormone issues. The study concluded that college lifestyles can contribute to obesity through unhealthy habits and inactivity.
Life Style and Nutritional profile of NIDDM patients.
Life Style and Nutritional profile of NIDDM patients.
Diabetes mellitus is one of the most burdensome chronic diseases that are increasing in epidemic proportion throughout the world.
Obesity and physical inactivity constitute part of the risk for NIDDM because of their propensity to induce insulin resistance.
Food and dietary pattern of an individual have an important role to play in the development, treatment or prevention of NIDDM
1. new publication sanchita tb nutriotionsl status
1) The study assessed the nutritional status of 84 pulmonary tuberculosis patients receiving anti-tuberculosis treatment at a hospital in Nepal.
2) It found that 50% of patients were well-nourished, while 39.3% were mildly or moderately malnourished and 10.7% were severely malnourished.
3) Nutritional status was not significantly associated with socio-demographic factors but was highly associated with BMI, loss of body fat, loss of muscle mass, and current health status.
Presentation about protein supplements' research
This document summarizes a study on protein supplement intake among gym-goers in Lebanon. The study found that 40% of gym-goers consumed protein supplements, most commonly whey protein shakes. Sources of advice on supplements were friends (40%) and gym instructors (30%). While 13 participants reported positive effects, 7 reported negative side effects. The discussion compares these findings to prior studies and notes limitations like small sample size. It concludes there is a need for programs to increase scientific knowledge on supplements and control misleading media information.
Protein supplements research
This document provides background information on protein supplement use among gym-goers in Lebanon. It begins with acknowledging those who helped with the project and providing a table of contents that outlines the abstract, introduction, literature review, methodology, results, discussion, limitations, ethics, and conclusion sections. The introduction discusses the increased popularity of protein supplements globally and reviews different types of supplements and their purposes. The literature review summarizes several previous studies that examined protein supplement use among athletes and gym-goers. The methodology section describes the study design, sampling, data collection, analysis, and ethics. The results and discussion sections will analyze survey responses from 50 gym-goers in Lebanon on their protein supplement use.
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Factors affecting quality of life in patients with diabetes
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Life Style and Nutritional profile of NIDDM patients.
Life Style and Nutritional profile of NIDDM patients.
1. new publication sanchita tb nutriotionsl status
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Similar to Conversation
Ecercise in
1. The study explored exercise behavior and knowledge of physical exercise among 196 type 2 diabetes patients in Thailand.
2. Most patients (65.8%) exercised regularly at least 3 times per week, with walking being the most common activity (67%).
3. While most patients exercised regularly, some lacked full knowledge about exercise principles. For example, only 50.5% knew the proper aerobic exercise frequency.
4. The researchers will use the results to provide more targeted patient education on exercise for diabetes management going forward.
The Effect of Community Risk Perception on Type-2 Diabetes Mellitus Screening...
This document summarizes a study on the effect of risk perception on type 2 diabetes screening in a rural Thai village. The study found that:
1) The prevalence of type 2 diabetes was much higher in adults over age 45 (12.8%) than under age 45 (0.7%), and screening rates followed a similar pattern.
2) Less than half of residents were aware of the Ministry of Health's dietary recommendations. Risk perception emphasized genetic and age-related factors over behavioral factors like diet.
3) There may be an undiagnosed population of type 2 diabetes residents because of a misguided risk perception from a lack of nutritional knowledge, as screening participation was low among adults under 45.
SMARCOS PHILIPS RESEARCH LABS Final Report Master Thesis Maya Sappelli
This document summarizes Maya Sappelli's master's thesis on developing an adaptive recipe recommendation system to help people with type 2 diabetes eat healthier meals. The thesis was conducted at Radboud University Nijmegen under the supervision of Dr. P.A. Kamsteeg, Dr. I.G. Sprinkhuizen-Kuyper, and Dr. G. Geleijnse. The goal of the research was to help people with type 2 diabetes change their eating habits by providing personalized recipe recommendations based on their preferences and dietary needs. A user-centered approach was taken involving qualitative and quantitative user studies to develop an adaptive user profile that provides personalized recipe suggestions.
Assignment 4 senior seminar
This study examined the effects of the Mediterranean diet and exercise on body composition and eating behaviors in 20 adults with coronary heart disease. Participants were split into two groups - one received education on the Mediterranean diet, while the other received diet education and participated in an 8-week exercise program. Both groups saw decreases in total fat and fat mass after the intervention. The exercise group also saw a decrease in waist-to-height ratio. The conclusions were that the Mediterranean diet reduced saturated fat and carb intake, leading to reduced fat mass. The study provides further evidence that the Mediterranean diet and exercise can reduce cardiovascular disease risk.
Does physical-activity-and-sport-practice-lead-to-a-healthier-lifestyle-and-e...
The prevalence of childhood obesity has been increasing rapidly and there is general consensus that good nutritional practices and physical activity should be encouraged as early as possible in life. The aim of this study was to describe and to compare the current lifestyle and dietary pattern of normal weight (NW) and overweight + obese (OW+OB) male adolescents who are physically active.
Methods: This observational and retrospective study was based on clinical records analysis of male adolescents aged 11-18 years who had undergone a medical evaluation at a Medical Sport Centre (Pavia, Italy) during 2009, and had filled in a self-administered life style questionnaire.
Results: The results showed that out of 1423 clinical records 23.0% of subjects were OW, 5.4% OB and 71.6% NW. We invited all the overweight and obese subjects to participate in the study, 308 of them (75.8%) agreed. Then we randomly enrolled an equivalent number of NW participants (n=308) in the medical evaluation at the sports center with similar characteristics as for socio-economic status, physical activity and age for a whole sample of 616 subjects. We handled them a validated lifestyle questionnaire. The questionnaire analysis was used to compare OW+OB and NW participants, as far as eating habits, sedentary activities and time spent in sports. All the subjects frequently skipped breakfast, did not consume fruit and vegetables daily and had a high soft drinks intake. Inverse correlations were found between weight and physical activity (p=0.01). Sedentary activities were preferred by about 25% and 66 % of the NW and OW+OB groups respectively. The percentage of smokers was similar within the two groups (14%).
Conclusions: Adolescents eating habits are incorrect, despite BMI and sports practice. Sports practice seems contributing to lower spare time physical inactivity, but does not improve eating habits. Public health interventions should focus on the reinforcement of leisure time physical activity, besides nutrition education and behavioral education programs in order to prevent obesity in the adulthood.
OBESITY
This document is a project submitted by Prathik to Rajiv Gandhi University of Health Sciences in partial fulfillment of a Bachelor of Physiotherapy degree. The project is titled "Effects of Diet and Physical Exercise in Obesity" and was conducted under the guidance of Dr. N. Mageswaran. It includes sections on the introduction to obesity, categories and types of obesity, pathophysiology of obesity, diet and exercise effects and guidelines, and a review of literature on the topic.
n engl j med 368;14 nejm.org april 4, 2013 1279The new eng.docx
n engl j med 368;14 nejm.org april 4, 2013 1279
The new england
journal of medicine
established in 1812 april 4, 2013 vol. 368 no. 14
Primary Prevention of Cardiovascular Disease
with a Mediterranean Diet
Ramón Estruch, M.D., Ph.D., Emilio Ros, M.D., Ph.D., Jordi Salas-Salvadó, M.D., Ph.D.,
Maria-Isabel Covas, D.Pharm., Ph.D., Dolores Corella, D.Pharm., Ph.D., Fernando Arós, M.D., Ph.D.,
Enrique Gómez-Gracia, M.D., Ph.D., Valentina Ruiz-Gutiérrez, Ph.D., Miquel Fiol, M.D., Ph.D.,
José Lapetra, M.D., Ph.D., Rosa Maria Lamuela-Raventos, D.Pharm., Ph.D., Lluís Serra-Majem, M.D., Ph.D.,
Xavier Pintó, M.D., Ph.D., Josep Basora, M.D., Ph.D., Miguel Angel Muñoz, M.D., Ph.D., José V. Sorlí, M.D., Ph.D.,
José Alfredo Martínez, D.Pharm, M.D., Ph.D., and Miguel Angel Martínez-González, M.D., Ph.D.,
for the PREDIMED Study Investigators*
A b s t r a c t
The authors’ affiliations are listed in the
Appendix. Address reprint requests to
Dr. Estruch at the Department of Internal
Medicine, Hospital Clinic, Villarroel 170,
08036 Barcelona, Spain, or at [email protected]
clinic.ub.es, or to Dr. Martínez-González
at the Department of Preventive Medi-
cine and Public Health, Facultad de Me-
dicina–Clínica Universidad de Navarra,
Irunlarrea 1, 31008 Pamplona, Spain, or
at [email protected]
* The PREDIMED (Prevención con Dieta
Mediterránea) study investigators are
listed in the Supplementary Appendix,
available at NEJM.org.
Drs. Estruch and Martínez-González con-
tributed equally to this article.
This article was published on February 25,
2013, and updated on February 27, 2014,
at NEJM.org.
N Engl J Med 2013;368:1279-90.
DOI: 10.1056/NEJMoa1200303
Copyright © 2013 Massachusetts Medical Society.
Background
Observational cohort studies and a secondary prevention trial have shown an in-
verse association between adherence to the Mediterranean diet and cardiovascular
risk. We conducted a randomized trial of this diet pattern for the primary preven-
tion of cardiovascular events.
Methods
In a multicenter trial in Spain, we randomly assigned participants who were at high
cardiovascular risk, but with no cardiovascular disease at enrollment, to one of
three diets: a Mediterranean diet supplemented with extra-virgin olive oil, a Medi-
terranean diet supplemented with mixed nuts, or a control diet (advice to reduce
dietary fat). Participants received quarterly individual and group educational ses-
sions and, depending on group assignment, free provision of extra-virgin olive oil,
mixed nuts, or small nonfood gifts. The primary end point was the rate of major
cardiovascular events (myocardial infarction, stroke, or death from cardiovascular
causes). On the basis of the results of an interim analysis, the trial was stopped
after a median follow-up of 4.8 years.
Results
A total of 7447 persons were enrolled (age range, 55 to 80 years); 57% were women.
The two Mediterranean-diet groups had good adherence to the intervention, ac-
c.
A Study to Assess the Effectiveness of Abdominal Breathing Exercise in Reduct...
Background Abdominal breathing exercise is one among these. It reduces blood pressure by increasing baroreflex sensitivity and reducing sympathetic activity and chemo reflex activation. In India, it is reported that there are around 42 people are with pre hypertension, 15 are newly diagnose to have Hypertension and 31 are with known case of hypertension, and it kills nearly 8 million people every year worldwide. The noncompliance with treatment, stress and life style are found to be major reason for this doubling of disease within a decade, there “arises need for new therapies ‘and’ remedies. Objectives The study aimed to assess the effectiveness of abdominal breathing exercise in reducing mean blood pressure among hypertensive patients. Methods Pre experimental one group pre test – post test design was adopted for the study. 60 hypertensive patients from male and female medical general ward had been selected by convenient sampling. Tool comprised of Demographic proforma contained 9 items and sphygmomanometer, stethoscope and blood pressure monitoring table contained 3 items to record the readings. The reliability of the tool was tested by inter rater method and it was found to be r = 0.99. Abdominal breathing exercise was administered to the samples after pre assessment of mean blood pressure for ten minutes and post assessment of mean blood pressure is done at the gap of 5 minutes which is repeated 3 times a day and monitored for minimum of 3 days. ‘t’ test was used for finding the effectiveness, and Chi square test was used for finding out the association between mean blood pressure and selected demographic variables. Results It revealed that the mean differences in pre and post assessment was5.61 and ‘t’ value was 19.39 which is more than the ‘t’ table value. The overall findings of the study revealed that the Conclusion the study concluded that abdominal breathing exercise is found to be very effective in reducing the mean blood pressure. Arvind Singh Baghel | Dr. Neha Dubey | Bhoori Singh | Sunita Singh "A Study to Assess the Effectiveness of Abdominal Breathing Exercise in Reduction of Blood Pressure Among Hypertensive Patients in Selected Hospitals at Bhopal" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-4 , June 2021, URL: https://www.ijtsrd.compapers/ijtsrd42598.pdf Paper URL: https://www.ijtsrd.commedicine/nursing/42598/a-study-to-assess-the-effectiveness-of-abdominal-breathing-exercise-in-reduction-of-blood-pressure-among-hypertensive-patients-in-selected-hospitals-at-bhopal/arvind-singh-baghel
AOWMC-05-00134
The document discusses the emerging role of diet coaching in obesity treatment and weight management. It notes that while dietitians receive training in nutrition science, they often lack skills in behavior change and coaching needed to help clients maintain long-term weight loss and lifestyle changes. The document argues that dietitians should receive additional training in techniques like cognitive behavioral therapy, neuro-linguistic programming, and health coaching in order to more effectively promote sustainable behavior change and wellness among clients.
Dr. Haireen Abdul Hadi - Global Public Health 2015
This document summarizes a community health engagement program conducted in Papua New Guinea. The program explored health issues and behaviors in two communities through surveys. It found high rates of non-communicable diseases like hypertension and obesity, likely underdiagnosed. Addictive behaviors like smoking, alcohol, and betel nut chewing were common, with betel nut chewing associated with hypertension. The study highlights the need for more screening to prevent chronic disease complications in these communities undergoing lifestyle changes.
Methods of Determining Nutritional Status in India
India is a developing country where the percentage of malnutrition and undernutrition is higher than that of developed countries. Nutritional status is such a state of health of a person, which is affected by the usefulness of food elements.
MM-combination report #2
This document contains a report summarizing two articles about the relationship between diet and sleep. The first article summarizes a study finding that high fat diets may cause daytime sleepiness. The second article describes a study of over 1800 Australian men that found those with high fat intake were more likely to experience daytime sleepiness and sleep apnea. The report provides a critical review of both articles, noting limitations such as reliance on self-reported data and limited population samples. It concludes that while the findings could influence public health, they have minimal implications for nutrition professionals due to weaknesses in the study methods.
PERSPECTIVEUnderstanding Nutritional Epidemiology and Its.docx
PERSPECTIVE
Understanding Nutritional Epidemiology and Its
Role in Policy1,2
Ambika Satija,3,4 Edward Yu,3 Walter C Willett,3–5 and Frank B Hu3–5*
3Department of Nutrition and 4Department of Epidemiology, Harvard School of Public Health, Boston, MA; and 5Channing
Division of Network Medicine, Brigham and Women’s Hospital, Boston, MA
ABSTRACT
Nutritional epidemiology has recently been criticized on several fronts, including the inability to measure diet accurately, and for its reliance
on observational studies to address etiologic questions. In addition, several recent meta-analyses with serious methodologic flaws have arrived
at erroneous or misleading conclusions, reigniting controversy over formerly settled debates. All of this has raised questions regarding the
ability of nutritional epidemiologic studies to inform policy. These criticisms, to a large degree, stem from a misunderstanding of the
methodologic issues of the field and the inappropriate use of the drug trial paradigm in nutrition research. The exposure of interest in
nutritional epidemiology is human diet, which is a complex system of interacting components that cumulatively affect health. Consequently,
nutritional epidemiology constantly faces a unique set of challenges and continually develops specific methodologies to address these.
Misunderstanding these issues can lead to the nonconstructive and sometimes naive criticisms we see today. This article aims to clarify common
misunderstandings of nutritional epidemiology, address challenges to the field, and discuss the utility of nutritional science in guiding policy
by focusing on 5 broad questions commonly asked of the field. Adv Nutr 2015;6:5–18.
Keywords: dietary assessment, food policy, meta-analysis, nutritional epidemiology, randomized controlled trials, prospective cohort studies
Introduction
Epidemiology has long had its share of skeptics, with Taubes’
1995 article being the most well-known (1). However, more
recent commentaries have attacked nutritional epidemiol-
ogy on several fronts. Ioannidis (2) criticizes the observa-
tional nature of epidemiologic studies and small trials,
stating that “definitive solutions won’t come from another
million observational papers or small randomized trials.”
He refers to an article by Archer et al. (3), which calls into
question the validity of data from the NHANES and suggests
that “the ability to estimate population trends in caloric
intake and generate empirically supported public policy rel-
evant to diet-health relations from US nutritional sur-
veillance is extremely limited.” Furthermore, questionably
designed and executed meta-analyses have disseminated
conflicting messages about nutrition and health, such as
the conclusion that being overweight lowers the risk of all-
cause mortality (4) and that replacing saturated fat with
polyunsaturated fats has no substantial impact on cardiovas-
cular risk (5). Such conclusions are not only confusing but
also dangero.
The importance of routine health check ups - CureEZ.pdf
The importance of routine health check-ups cannot be overstated, particularly in the rapidly changing Indian healthcare environment. Regular health check-ups are crucial for preventive healthcare, supported by robust scientific evidence from across the world. Numerous studies highlight the benefits of routine screenings and examinations in promoting overall well-being. For instance, a study published in the Journal of General Internal Medicine emphasizes that regular check-ups lead to early detection of health issues, improving treatment outcomes. Early intervention has been linked to better survival rates in diseases such as cancer and cardiovascular conditions (JAMA Network Open).
Regular health check-ups are particularly relevant to people in India due to the unique healthcare challenges and conditions prevalent in the country. India faces a dual burden of infectious diseases and a rapidly rising incidence of non-communicable diseases (NCDs) such as diabetes, cardiovascular diseases, and respiratory illnesses.
Order 25142695
The document summarizes 5 research articles related to diabetes. It discusses the purpose, background, methods, subjects, data collection and analysis, and conclusions of each study. The first study examined pregnant women's knowledge of gestational diabetes prevention. The second looked at factors influencing insulin initiation in UK adults with diabetes. The third evaluated the relationship between continuous glucose monitoring and type 1 diabetes management. The fourth assessed the link between vitamin D intake and risk of type 1 diabetes in infants. The fifth studied the association between erectile dysfunction and glycemic control in men with type 2 diabetes.
A Study to assess the effectiveness of video assisted teaching regarding aero...
Diabetes is fast gaining the status of a potential epidemic in India with more than 62 million diabetic
individuals currently diagnosed with the disease. In 2000, India (31.7 million) topped the world with the highest
number of people with diabetes mellitus followed by China (20.8 million) with the United States (17.7 million)
in second and third place respectively. The prevalence of diabetes is predicted to double globally from 171
million in 2000 to 366 million in 2030 with a maximum increase in India..In addition to this, the complications
associated with diabetes is also in the higher rate .
4
The Management of diabetes is most critical part, Lifestyle modifications like dietary modifications, physical
activity like aerobic exercise, some major drugs of diabetes management, insulin therapy, foot care of diabetes
and annual screening. Most of the patients are economically poor. So the researcher found that aerobic exercise
is economical and have lot of health benefits on diabetic patients.
Aim: The aim of study is to check the effectiveness of video assisted teaching regarding aerobic exercise and
practice to maintain blood glucose level among diabetes.
Methodology: The research approach adopted for the present study is an Quantitative research approach and
the design adopted was quasi experimental design. The setting for the study was Crescent Hospital,
Alathur .Palakkad, Kerala. The sample size of the present study was 50, simple random sampling technique was
used to select samples.
Finding: The pre test and post mean value of blood glucose among experimental and control group was
173.2,149.96 &153.16 ,148.92 .The pre test and post mean score of knowledge on practice among
experimental and control group was 11.4,15.08 and 11.04,11.68 .In experimental group the obtained ‘t’value
for the blood glucose was 2.347 and obtained ‘t’value knowledge on practice was 8.742 .The demographic
variables had no association with the post blood glucose value . Conclusion: The present study result shows
the effectiveness of video assisted teaching regarding aerobic exercise in reduction of blood glucose level
among diabetes.
Connection of blood pressure with potato loving
This document summarizes a study that examined the connection between blood pressure and liking potatoes. The study measured the blood pressure of 200 university students and assessed their liking for potatoes. It found the average systolic and diastolic blood pressures of students, as well as their standard deviations. It administered a questionnaire on potato liking and used statistical analysis to determine if there was a link between blood pressure and potato preference. The study concluded that there was no connection between a student's blood pressure and whether they liked potatoes or not.
Diagnosis of diabetes using classification mining techniques [
Diabetes has affected over 246 million people worldwide with a majority of them being women. According to the WHO report, by 2025 this number is expected to rise to over 380 million. The disease has been named the fifth deadliest disease in the United States with no imminent cure in sight. With the rise of information technology and its continued advent into the medical and healthcare sector, the cases of diabetes as well as their symptoms are well documented. This paper aims at finding solutions to diagnose the disease by analyzing the patterns found in the data through classification analysis by employing
Decision Tree and Naïve Bayes algorithms. The research hopes to propose a quicker and more efficient technique of diagnosing the disease, leading to timely treatment of the patients.
Call to action_slide_set_july_23,_2014
This document discusses the major vascular risk factors in Canada including unhealthy diet, physical inactivity, obesity, and tobacco use. It provides statistics on the disease burden and costs associated with these risks. The document calls on healthcare professionals to advocate for policies that facilitate healthy eating, physical activity and tobacco cessation. This includes assessing lifestyle factors as vital signs, implementing lifestyle prescriptions, and supporting patients to advocate for healthy environments in schools and workplaces. Healthcare organizations are encouraged to prioritize these issues and adopt related policies. The overall goal is to mobilize the healthcare sector to prevent and control vascular disease in Alberta.
OBESITY_SLIDES_from_MAJ_Presentation_30.pptx
1) Obesity is a global pandemic affecting over 1 billion people worldwide. It is caused by a complex interplay of environmental, biological, and behavioral factors.
2) Obesity increases the risk of numerous health conditions like heart disease, diabetes, depression, and some cancers. It is associated with metabolic syndrome - a cluster of conditions that occur together like increased blood pressure, blood sugar, and unhealthy cholesterol levels.
3) Preventing obesity requires a multifaceted approach targeting individual risk factors like diet, exercise, stress management, sleep quality, and environmental exposures through primary, secondary, and tertiary prevention strategies across communities and healthcare systems.
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Conversation
- 1. Correlation of The Habit Consumption Of Fatty Food And Physical Activities With The Hypertension Incidents On The Elderly In Muaro Bodi Public Health Center, Sijunjung District In 2015 Presentation By Group 1: 1. Intan Permata Sari 2. Meyci Astuti 3. Tiara Rafel Cahyani 4. Trisia Imelda By: Mella Karmila
- 2. 1. Introduction 2. Literature Review 3. Methodology 4. Results 5. Conclusion
- 3. A. Background Hypertension is the cause of death third in Indonesia for all age (6,8%), after stroke and tuberculosis. (2008, depkes) Excess fat intake can lead to arteriosclerosis. constriction These blood vessels cause substandard blood flow so that it can cause blockage of blood vessels that affects the blood pressure increases, so that there was hypertension Physical activity is essential for controlling blood pressure because it makes the heart stronger. The more light heart to pump blood work fewer burdens on the arterial pressure
- 4. Cont.....
- 6. c. The benefit of research Researcher Elderly Institution Increase understanding of the reasearcher about the habit of consumption of food fatty and physical activity with a scene hypertension on elderly in the work of public health center in Muaro Sijunjung district on 2015 As knowledge about hypertension and how to prevent it Consideration to next research
- 7. 2. Literatur Review A. Elderly Elderly is a natural and continuous process that changes the anatomy, physiology and biochemistry in tissues or organs that ultimately affect the state of the function and the body's ability as a whole B. Hypertension An increase in blood presure exceed normal. The clasification is normal (<130mmHg), normal high (130-139), Hypertension ringan (140-159), Hypertension sedang (160-179), Hypertension berat (180-209) and hypertension sangat berat ≥ 210
- 8. Cont..... Agent It can be controlled: 1. Ras 2. Age 3. Family history 4. Gender It can’t be controlled: 1. Obesity 2. Physic activity 3. Smoke 4. Natrium sensitivities 5. Stress 6. Intake of food fatty
- 9. Hipotesist Consumption fatty food Phyisc activities Hypertension Incident
- 10. Methodology Research Design Cross sectional Place and time May – June 2015 Popolation Sample All governess in Muaro Bodi Health Center N = 949 Random sampling n = 79
- 11. Kind and Collecting Data The data primery 1. Interview 2. Check blood pressure The data secondary 1. Annual report 2. Monthly report
- 12. Tabulation and Analysis Data Tabulation using SPSS: 1. Editing 2. Coding 3. Entry 4. Cleaning Analysis Univariat Bivariat
- 13. Results The work is Muaro Bodi, Koto Baru, Mundam, Palangki, Koto Tuo in Sijunjung District One of 12 health center in Sijunjung Distric t Muaro Bodi Health Center Located on IV Nagari Subdistrict
- 14. Univariat
- 15. Bivariat Based on the analysis of the researcher, its know that the eldery suffering hypertensionin general frequently cunsume fattay food, like hati ayam, innards on three times a day, three times a week and 3 or 4 a month. The elderly non hypertension less consume fatty food, innards Intake Fatty Food with Hypertension Incident 97,5 5,12,5 94,9 0 20 40 60 80 100 120 High Low Hypertension Non Hypertension
- 16. Cont....... 0% 50% 100% Less active Active 95,2 2,7 4,8 97,3 Non Hypertension Hypertension Physic Activities with Hypertension Incident Based on analysis of the researcher, the hypertension happened because of lack of physical activity. It is in accordance with the theory that physic activity very important to control the blood pressure because it can make heart more powerful. Teh heart unable to pump more blood with just a little effort
- 17. Conclution Conclusion Suggestion More half found hypertension For governess can reduce the consumption of high fat More half consumption fatty food More half respondent is less active For next research to see the factors that affect hypertension There is significant high fat with hypertension There is significant physic activity with hypertension
- 18. THANK YOU