Low dose exercise regimen is quite effective in patients with knee #osteoarthritis (OA)
1. Patients with knee OA suffer from #knee pain, poor knee function and poor quality of life.
A recent study compared low dose versus high dose exercise regimens in people with knee OA.
2. High-dose #exercise therapy lasted for 70-90 minutes consisting of 11 exercises, whereas low dose exercise therapy (consisting of 5 exercises) lasted for 20-30 minutes.
Both were performed three times a week.
Patients were followed up at 3, 6 and 12 months.
3. Both groups improved over time, but there were no benefits of high-dose therapy in most comparisons.
However, small benefits with high-dose exercise were found for knee function in sports and recreation and for quality of life (QoL). doi.org/10.7326/M22-23…
4. Take home message
*Patients with osteoarthritis of knees should perform regular exercises- aerobic as well as strength-training targeting specific muscle groups- under supervision of a physiotherapist.
*Exercise results in pain relief, better functional status and better QoL
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HbA1c screening in adults can significantly reduce the time to diabetes diagnosis
1. HbA1C (glycosylated hemoglobin) is a marker of average plasma glucose during the previous 8-12 weeks.
An HbA1c of 6.5% is recommended as the cut point for diagnosing #diabetes. #MedTwitter
2. In a recent population-based study in UK, HbA1c screening in adults aged 40–70 years reduced the time to diabetes diagnosis by a median of 2.2 years compared with routine clinical care. link.springer.com/article/10.100…
Sudden Cardiac Arrest (SCA) during Sports Activity in Older adults
1. We occasionally hear about apparently healthy people collapsing and dying while running, cycling or working out at gym.
A recent study looked at the prevalence of sports-related SCA in people aged >65 years.
3. Of 4,078 SCAs among people ≥65 years of age, 77 were Sports-related SCA (1.9%; 91% men).
The annual Sport-related SCA incidence among ≥65 years was 3.3/100,000 in Portland and 2.1/100,000 in Ventura. The most common associated activities were cycling, gym, and running.
Daily coffee consumption is good for chronic liver disease patients
1. Coffee is a popular beverage & is known to have multiple health-related benefits including better overall survival in several diseases. A systematic review looked at association of coffee and #liver disease.
2. Coffee consumption was associated with improved serum gamma glutamyl transferase (GGT), aspartate aminotransferase (AST) and alanine aminotransferase (ALT) values in a dose dependent manner in individuals at risk for liver disease. #MedTwitter
3. In chronic liver disease patients who consume coffee, a decreased risk of progression to cirrhosis, a lowered death rate in cirrhosis patients, and a lowered rate of hepatocellular carcinoma (liver cancer) development were observed.
1. Dark chocolates are popular due to their potential health benefits (they are rich in anti-oxidants and are good for heart) and moreover, they are low in sugar content. >50% consider them as safer and healthier option (as compared to candies)
2. But there’s a dark side to this “healthier” #chocolate. Research has found that some dark chocolate bars contain cadmium and lead—two heavy metals linked to a host of health problems.
Consumer report scientists detected cadmium & lead in many dark chocolate samples tested.
3. Consistent, long-term exposure to even small amounts of heavy metals can lead to a variety of #Health problems. The danger is greatest for #pregnantwomen and young #Children because the metals can cause developmental problems, affect #brain development, and lead to lower IQ.
2. Possible physiological explanations underlying a direct role for MVPA in supporting cognition include *Acute increases in cerebral perfusion,
*Growth factor release such as brain-derived neurotrophic factor,
*Hippocampal neurogenesis.
3. Lastly, MVPA, when attained by structured exercise, involves some degree of self-motivation, planning and social interaction, which are all factors considered to be cognitively stimulating.
Canadian guidance on #alcohol consumption
(January 2023) 1. Young people should delay alcohol use for as long as possible.
2. Individuals should not start to use alcohol or increase their alcohol use for health benefits.
3. Any reduction in alcohol use is beneficial.
4. When pregnant or trying to get pregnant, no amount of alcohol is safe 5. When breastfeeding, not drinking is safest 6. Consuming no drinks is associated with better health & better sleep, 7. Three to six drinks/week raise the risk of developing breast, colon & other cancers
8. Seven or more drinks per week increase the risk of #heart disease or #stroke.
9. Each additional drink "radically increases" the risk of these health consequences.
10. Consuming one or two standard drinks weekly will likely not have alcohol-related consequences.