Less Than 6 Hours of #sleep a Night Linked to Serious, Chronic Illness
1. Beginning at age 50, those who slept 5 hours or less a night had a 30% higher risk of developing multiple chronic diseases over time than those who slept at least 7 hours a night.
#MedTwitter #MedEd
2. By the time the participants were aged 70 years, that risk had increased to 40%.
3. Higher risk was seen for #diabetes, #Cancer, heart disease, #stroke, COPD, chronic kidney disease, #liver disease, #depression, #dementia, #Parkinsonsdisease, and #arthritis.
Conclusion: It is important to get 7-9 hours of good quality sleep to reduce the risk of many chronic diseases.
(Ref: Less Than 6 Hours of Sleep a Night Linked to Serious, Chronic Illness - Medscape - Oct 21, 2022).

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More from @hyderabaddoctor

Oct 23
Doctors in India live 10 years lesser than average population- What can doctors do to save their lives?

1/n
Yes, you heard it right. Studies from Kerala and Pune by Indian Medical Association revealed these shocking statistics- doctors die about a decade earlier that the rest.
2/n
Life expectancy of a Malayali (native of Kerala) is 74.9 years but according to the IMA study, the mean ‘age of death’ of a Malayali doctor is 61.75 years. Indian doctor’s average lifespan is 55-59 years, almost 10 years lesser than that of the general population (IMA, Pune).
3/n
Common causes of death: #heart attacks (27%) and #cancers (25%). Other causes include #infections and #Suicides.
Risk factors for diseases and #death: physical inactivity, #obesity, #overweight, #stress, #sleep deprivation and long working hours are common among #doctors.
Read 12 tweets
Oct 21
10 qualities that make a #doctor popular (among #patients)
Surprisingly, it is not the #NEETPG score, reputation of medical college, gold medals received in medical college or number of research papers published. After 30 yrs as a practicing doctor, I present my observations here
1. Ability to #listen: You will be #popular if you let your patients speak without interrupting them. You should start only after patients have finished saying what they have to. Also, they like it, if you don't interrupt or cut them short, while they are speaking.
2. #Smile: Patients love it, if you smile while receiving them. A serious face puts them off. If you get angry (even if it is their fault such as if they arrived late, or they have not followed your instructions), your popularity as a doctor would diminish. Smile relaxes them.
Read 11 tweets
Oct 15
Resting heart rate (RHR): What is normal; health hazards of higher RHR; how to lower the RHR?
1. What is normal RHR?
Normal RHR in most adults ranges from 60-100 bpm. However, in well trained athletes, RHR is much lower, and it may be close to 40 bpm.
#fitness #Heart #running
2. Is there a difference between RHR of men and women?
Yes. The average adult male RHR is 70-72 bpm, while the average for adult women is between 78 and 82 bpm. This difference is largely accounted for by the size of the heart, which is typically smaller in females than males.
3. Does the RHR vary according to the age?
In children below 10, RHR is higher. However, above 10 years of age, RHR ranges from 60-100 bpm, including in the elderly.
Read 9 tweets
Oct 15
#alcohol intake as a risk factor for acute #stroke

A study was done on about 26,000 people from >30 countries including India to assess whether alcohol drinkers had increased risk of getting affected by stroke or not. (Ref: #Neurology, Oct 11, 2022)
#MedTwitter #neurotwitter
1. High level of alcohol intake was consistently associated with all stroke, ischemic stroke and intracerebral hemorrhage (ICH).
2. Moderate alcohol intake was associated with all stroke and ICH, but not ischemic stroke.
3. Low alcohol intake was associated with increased odds of stroke in India, but decreased odds of stroke in Western Europe/North America.
4. Wine consumption was associated with reduced odds of all stroke and ischemic stroke but not ICH.
Read 5 tweets
Oct 12
Heart rate during work out: What is desirable and what is unsafe?
1. For an aerobic activity to be effective, the intensity should be at least moderate. The best way to measure the intensity of workout such as running is to check the #Heart rate. This thread is about heart rate.
2. What is resting HR?
Resting HR is the HR noted on waking up after a good night's #sleep before you leave the bed. For most adults, it ranges between 60-100/min. For physically #fit people, it may be lower, and may range between 40-60/minute.
3. Which is better- lower or higher resting HR?
Lower resting HR is better. It means- heart has to contract lesser number of times to do its work. Studies have found that a HIGHER resting heart rate is linked with LOWER physical #fitness, HIGHER blood pressure and body #weight.
Read 6 tweets
Oct 10
Commonly used drug for acidity #Ranitidine may increase the risk of #cancers

1. Ranitidine (sold under the brand name Rantac, zinetac, aciloc) is commonly used for treating acidity. Analysis of ranitidine samples has shown contamination by a chemical NDMA (nitrosodimethylamine)
2. Ranitidine use caused higher incidence of pharynx, oesophagus, stomach, liver, pancreas and colorectal cancers. Ref: Cancers (Basel), Jan 2021
3. USFDA banned ranitidine in April 2020. In India, it is not banned, but was removed from National list of essential medicines in Sep
Conclusion: It is better to avoid use of ranitidine for treating acidity due to a higher risk of gastro-intestinal cancers with its intake.
#MedTwitter #Acidity
Read 4 tweets

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