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heart failure

Physical Inactivity Linked to 13% of Heart Failure Cases Among Diabetics in India: Global Study

A global study has found that more than 13 per cent of heart failure cases among people living with diabetes in India may be attributed to physical inactivity, underscoring the growing health burden linked to sedentary lifestyles. The research, published in the Journal of Sport and Health Science, estimates that 9.6 per cent of coronary heart disease cases and 9.4 per cent of cardiovascular complications among diabetics in India are also associated with insufficient physical activity. On a global scale, researchers reported that nearly one in ten cases of macrovascular complications—conditions affecting large blood vessels—as well as diabetic retinopathy in individuals with diabetes can be traced to a lack of regular exercise. Lead author Jayne Feter from the Universidade Federal do Rio Grande do Sul said the findings challenge the perception that diabetes-related complications are unavoidable. According to her, a substantial proportion of these conditions could be prevented through realistic and sustained increases in physical activity. The World Health Organization recommends at least 150 minutes of moderate-to-vigorous physical activity per week. The study analysed data from over 2.3 million adults with diabetes across multiple global regions, including South Asia. Globally, physical inactivity was linked to over 10 per cent of stroke cases, 9.7 per cent of diabetic retinopathy cases, 7.3 per cent of heart failure cases, and roughly five to seven per cent of cardiovascular and coronary heart disease cases among diabetics. The researchers also observed that women and individuals with lower educational attainment face a disproportionately higher risk of complications related to physical inactivity, highlighting persistent social and gender inequities in health outcomes. India accounts for more than a quarter of the world’s diabetic population, according to a 2024 study published in The Lancet. Long-term elevated blood sugar levels can damage blood vessels and nerves, leading to serious complications that increasingly strain healthcare systems. The authors emphasised that integrating structured physical activity promotion into routine diabetes care and national strategies to combat noncommunicable diseases is essential. Co-author Natan Feter from the University of Southern California said policies must be adapted to local contexts and directly address social and gender disparities to effectively reduce hospitalisations, disability, and rising healthcare costs. Source: PTI

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Meenakshi Hospital Uses CRRT to Save Eight Critically Ill Patients in Thanjavur

In a significant medical achievement, Meenakshi Hospital in Thanjavur has successfully saved the lives of eight critically ill patients using Continuous Renal Replacement Therapy (CRRT), a specialised form of dialysis designed for patients in intensive care. Dr. S. Gowri Shankar, Consultant Nephrologist at the hospital, revealed that the treatment was administered over the past few months to patients suffering from life-threatening kidney failure and other complications. Among the cases, one particularly severe patient—a 40-year-old man with a history of heavy alcohol consumption and smoking—was admitted with dangerously low blood pressure and critically high creatinine levels, indicating severe kidney distress. The patient, who was reliant on two inotropic drugs to sustain heart function and stabilize blood pressure, was immediately started on CRRT. This method of dialysis, unlike conventional hemodialysis, operates continuously over a 24-hour period, gently filtering the blood while preserving cardiovascular stability—crucial for patients with unstable conditions. Remarkably, within 24 hours of initiating CRRT, the patient’s vital signs began to stabilize. By the second day, his urine output—a key indicator of kidney recovery—increased significantly, and his creatinine levels returned to a safer range, indicating a strong turnaround in his condition. CRRT is particularly beneficial for patients experiencing multi-organ dysfunction or conditions such as sepsis, heart failure, severe liver issues, or dysautonomic shock, where the body fails to regulate blood pressure effectively. The therapy provides a controlled and gradual process of fluid and toxin removal, making it a safer alternative for critically ill individuals who cannot tolerate the more aggressive traditional dialysis methods. Dr. Gowri Shankar emphasized that CRRT’s ability to stabilize patients while supporting failing kidneys is proving to be a game-changer in critical care nephrology, especially for high-risk patients in intensive care units. Source: The Hindu  

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