Tag: Manage

Weight loss tips: 10 lifestyle changes to reverse, prevent or manage obesity | Health

Obesity or excess fat ails a sizeable populace these days and modern life-style is at the main of this growing dilemma. Leading a sedentary lifestyle, eating junk meals and carrying out little or no training can wreak havoc with all round well being. Obesity is just one of the biggest possibility factors for serious ailments like diabetic issues, substantial blood strain, coronary heart disorder and even sure varieties of most cancers. Usually, it is overweight people today who have a high share of harmful fat in their overall body, but a ton of instances many persons with ordinary body weight may well have superior system fat share and they could be equally at chance of life-style conditions. (Also examine: Brisk strolling vs jogging which is much better for body weight loss? Skilled consider)

As it is not uncomplicated to absolutely reverse the way of life obtained above the yrs, a little bit-by-little bit method provides a extensive-long lasting alternative to the weight problems challenge. There is no swift-take care of cure possibly. A slight modification could transform numerous areas of your day-to-day regime and could yield magical effects in number of months. These good outcomes usually encourage a person to just take a action additional in major a balanced residing.

“As you know being overweight is getting to be rampant today because of to westernization, lack of bodily action, ingesting too a great deal of junk food stuff, faulty lifestyle in this society. Obesity predisposes a individual to a good deal of health and fitness troubles. An obese person is at a increased threat of creating diabetes, hypertension, liver ailments, obstructive sleep apnoea, coronary heart relevant challenges, a variety of cancers and the record is countless. It is vital to get care of your entire body pounds and reverse obesity,” says Dr Anukalp Prakash, Guide Advisor – division of Gastroenterology, CK Birla Clinic over a telephonic dialogue with HT Electronic.

Right here are the lifestyle improvements that 1 must incorporate in their life style to stop, reverse or take care of being overweight.

Prevent undesirable fat

“Try to eat less ‘bad’ unwanted fat or fried things and involve a lot more ‘good’ fat in restricted amount of money like butter and cheese. Eat much less processed and sugary food items such as processed sweets, jaggery, sugar and eat additional servings of greens and fruits. Superior fibre diet allows continue to keep our stomach comprehensive and has less calories,” Dr Shubham Vatsya, Specialist Gastroenterology, Fortis Escorts Medical center, Faridabad told HT Electronic.

Direct an active way of living

“It’s a regarded reality that exercising minimizes fat, but an all round lively lifestyle this sort of as opting for stairs in its place of elevate, having a walk even though conversing in excess of the mobile phone, and standing conferences are energetic life style patterns one particular really should incorporate in their every day life program,” states Dr Sajeet Nayar, MBBS, MS – Typical Medical procedures – Pristyn Treatment in a conversation with HT Digital.

Eat loads of nutritional fibre

“Emphasis on having low–glycaemic index foods this sort of as environmentally friendly vegetables, fruits, raw carrots, kidney beans, chickpeas and lentils. Medium Glycaemic index meals contain sweet corn, bananas, raw pineapple, raisins, cherries, oat breakfast cereals, and multigrain, full-grain wheat or rye bread even though superior glycaemic index foodstuff which ought to be averted are white rice, white bread and potato,” says Dr Vatsya.

Raise intake of water or calorie-cost-free drinks

“Avoid sugar-sweetened drinks like soda, fruit beverages, sports beverages, and choose for fruit juice although no extra than a modest total for each working day,” says Dr Nayar.

Limit display screen time

“We need to limit Tv set and monitor time and alternatively come across desire in outside routines relatively than sitting down all the time,” claims Dr Prakash.

Meditate – try leisure approaches

“Even though you could have a nerve-racking lifetime, balancing property and perform, it is crucial to consider a break, check out respiration routines, meditation or breaking out into a dance if in alone is stress-free to you,” says Dr Nayar.

Snooze

“These days in our way of life the anxiety has improved, we really should check out and lessen this worry by involving ourselves in meditation, yoga, songs and dancing and any other activity that cuts down strain. We need to attempt and improve our sleep behavior and go to mattress early and ensuring we have 8 hrs of superior rest. This decreases worry and probabilities of being overweight,” states Dr Prakash.

Continue to keep an eye on your hormones, emotions

“Avoid psychological taking in. Pause and mirror on what has brought on this unexpected modify in your temper – fairly than indulging in ingesting your emotions,” says Dr Nayar.

Monitor your exercise, BMI and other wellbeing-metrics

“Anyone around is becoming digital-first. Integrating know-how and fitness has served numerous persons track their weight loss journey, trying to keep an eye on BMI and other wellness parameters – SPO2, Blood Tension, and Oxygen amounts, amid some others,” suggests Dr Nayar.

Reversing obesity

“For persons who have by now develop into obese and locating it tough to reduce body weight there are other procedures of shedding excess weight like endoscopic balloon placement into the stomach which helps decrease excess weight all over 15-20 kg in 6 months and there are other surgical possibilities accessible like bariatric surgical procedure which can lessen the bodyweight and avert a person from building numerous health conditions from obesity,” says Dr Prakash.

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This man has been on a coconut-only diet for 24 years to manage GERD; is it healthy?

Individuals go to all lengths, in phrases of their eating plan and exercising, to keep in condition and continue being healthy. But Balakrishnan has, potentially, transcended all boundaries as he has been on a coconut-only eating plan for 24 yrs to control gastroesophageal reflux illness (GERD). Sharing his tale on Instagram, actor-journey influencer Shenaz Treasury wrote, “Leave a ❤️  for Mr Balakrishnan and his good health’ Can you think about — this man has been on a coconut diet program for 24 years. I was in shock — what about protein? But he said he’s under no circumstances had greater health and fitness in his existence.”

In a online video that includes Balakrishnan, she started off out by saying, “He has not eaten anything at all but coconuts for the previous 24 decades.”

Shenaz shared that he was diagnosed with GERD and experienced misplaced all his strength. “Then, as part of his remedy, he began ingesting coconuts and consuming the drinking water,” she said in the movie.

Sharing how consuming only coconuts served Balakrishnan, she concluded, “Coconut has minerals, like calcium, magnesium, sodium, and potassium. This served him regain his toughness and now he is fit and fine. And, he is on a rigid coconut-only diet regime.”

As anticipated, individuals expressed shock about the truth that he consumed only coconuts for above two decades. “Many of us have GERD now. It is rather prevalent these days. But feeding on just coconuts is just unbelievable that also for so lots of a long time,” a person wrote.

A different commented: “How can persons continue to be alive eating only coconut.”

Ahead of we understand if a coconut-only food plan is advised for those with GERD, let us uncover out what this illness is. “GERD or gastroesophageal reflux disorder is also known as acid reflux. It is a digestive disorder in which belly acid or bile irritates the foodstuff pipe lining. This is a serious sickness that takes place when stomach acid or bile flows into the foodstuff pipe and irritates the lining. Heartburn more than 2 times a week may perhaps point out acid reflux or GERD,” reported Dr Tushar Tayal, Senior Expert, Internal Medicine, Narayana Superspeciality Hospital, Gurugram.

Coming to coconuts, the expert reported that they contain practical electrolytes that promote pH balance and assist control acid reflux which is great for your body. “Some of the benefits of a coconut-only eating plan is that it is low in carbs, so it is the greatest substitute for carb-prosperous treats. It consists of minerals and nutrients this kind of as potassium, sodium, manganese, vitamin B, copper, and iron. Manganese is also helpful for our bone health and fitness,” he explained.

However, Dr Tayal emphasised that one can’t endure on a coconut-only diet regime for extra than it’s possible a few of weeks. “Particularly, if a person drank all the coconut drinking water from every single coconut, unless of course you only ate/drank about half a coconut in a day. Or else, you would experience a heart attack induced by the superior potassium ranges in coconut water,” he described.

Then, what variety of diet program really should anyone with GERD abide by? Dr Tayal stated:

*Whole grains like oatmeal, couscous, and brown rice.
*Root veggies like sweet potatoes, carrots and beets.
*Inexperienced vegetables like asparagus, broccoli and green beans.

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How to Manage Risk for Medical Devices

All medical devices have risk.

“You, as the manufacturer, are responsible for determining the risk of your medical device and if that risk is acceptable,” said Joseph Tartal, FDA deputy director in the Division of Industry and Consumer Education, who presented during the agencies virtual public workshop Understanding Risk with Medical Devices, Tuesday.

To start, it helps to understand the terminology.

While “risk” has no formal across-the-board definition in FDA documents, Tartal describes risk as looking at the harm that the device can cause patients and users and their environment. That includes harm from medical device failures.

Risk in this realm does not mean financial risk, he said.

The combination of the probability of occurrence of harm and severity of that harm go into determining the risk of a medical device.

But it’s not only risk that comes into play in risk management. Benefit is new to FDA’s definition of risk when it comes to medical devices, according to Tartal.

Here too there is no formal definition for benefit, but Tartal describes the benefit as “… the positive impact or desired outcome of the use of a medical device on the health of an individual or a positive impact on patient management or public health.”

Analyzing medical device risk

To analyze risk, systematically use available information to identify hazards and estimate risk. There are different approaches for this. Tartal suggested starting here: identify possible hazards, including user error; calculate or estimate risk in normal and fault conditions; determine risk acceptability; reduce risk to an acceptable level; and evaluate changes to make sure you’re not introducing new hazards.

It is up to the manufacturers to identify possible hazards and risk associated to reduce the risk to acceptable levels, according to workshop speaker Tonya Wilbon, branch chief, Postmarket and Consumer Branch, Division of Industry and Consumer Education at FDA.

Risk occurs throughout a device’s lifecycle, she said.

FDA uses risk-based decisions for medical devices, too

FDA classifies medical devices based on risk, with class 1 medical devices being the lowest risk and class 3 being the highest, Tartal noted.

“The Office of Regulatory Affairs uses risk to schedule medical device inspections. Recall classifications are based on risk, as are enforcement actions,” Tartal said. “We even use risk analysis tools such as health hazard evaluations and health risk assessments when determining a recall’s classification.”

The International Organization for Standardization (ISO) 14971 2019 “Medical Devices Application of Risk Management to Medical Devices” is the international standard for medical devices accepted around the world and is recognized by the FDA to establish a risk management process.

Risk management technique examples

Tartal talked about three commonly use risk analysis techniques: Preliminary Hazard Analysis (PHA), Fault Tree Analysis (FTA), a top-down approach; and Failure Mode and Effects Analysis (FMEA), which looks at risk according to individual line items, single component, or single processes.

Preliminary Hazard Analysis, usually done early in a device’s development, helps identify and prioritize hazards, hazardous situations and events that can cause harm, according to Wilbon.

“For each hazard identified, you identify and document the hazardous situation, the possible harm, the severity of the harm, and the probability of the hazard and hazardous situation leading to harm,” she said.

The Preliminary Hazard Analysis also includes identifying possible risk control measures, according to Wilbon.

Those doing risk analyses might use the Fault Tree Analysis to analyze identified hazards, estimating their probability and identifying situations when they might occur.

And Failure Mode and Effects Analysis identifies and evaluates individual fault or failure modes and is a bottom-up method that starts with cause and works toward effect or how it affects device use. This technique analyzes not only device failure but also failures in manufacturing and component assembly, Wilbon said.

Enter benefit-risk analysis

Once manufacturers have made all risk reduction measures and only acceptable residual risk remains, FDA conducts a benefit-risk analysis. FDA’s benefit-risk analysis considers many factors when determining benefits and risk for Premarket Approval Application (PMA) and de Novo classification; substantial equivalence in Premarket Notifications (501(k)); Investigational Device Exemption (IDE); and product availability, compliance, and enforcement decisions, according to Wilbon.

The factors that FDA considers in each of these areas often differ. For example, medical necessity is a factor FDA considers only when doing benefit-risk analysis for availability, compliance, and enforcement decisions, while “magnitude of benefit” applies in all four categories.

“… severity of risk or harm is considered during premarket review process and when making product availability, compliance and enforcement decisions,” she said.

Wilbon used the example of a benefit-risk analysis in product availability, compliance, and enforcement for a human chorionic gonadotropin (hCG) device—essentially, an over-the-counter pregnancy test that detects hCG in urine.

She said a healthcare provider noticed a higher rate of positive results, but the positive results were not confirmed in blood samples. So, the device yielded a higher rate of false positives than expected by the manufacturer. The manufacturer identified the problem in specific lots and disclosed that the end user is not able to detect this malfunction.

FDA considered that there are other such devices on the market that don’t have the same risk and reduced the benefit due to the test’s potential inaccuracy. Considering these and other factors, FDA decided there was no need for the product to continue to be available, and FDA and the manufacturer decided to recall the device, classifying it as a class 2 recall, according to Wilbon.

“… risk management activities are essential throughout the product lifecycle and not just required during design validation,” Wilbon said. “…  manufacturers should use more than one risk management technique in their risk management process.”