Adopting healthy lifestyle strongly linked to lower irritable bowel syndrome risk

Adopting a healthy lifestyle is strongly linked to a lower risk of irritable bowel syndrome or IBS for short, finds research published online in the journal Gut.

Of the big 5 healthy behaviours, not smoking, a high level of vigorous physical activity, and getting enough sleep were independently associated with keeping the condition at bay.

Characterised by abdominal pain, bloating, and abnormal bowel habit, IBS is thought to affect up to 1 in 10 people worldwide. Exactly what causes IBS isn’t fully understood, but disordered functioning of the gut–brain axis has a key role in the symptoms, explain the researchers.

Previously published research has linked individual lifestyle factors with a heightened risk of IBS, and the researchers wanted to find out if a combination of these factors might ward off the condition.

They therefore looked at the big 5 healthy behaviours-never smoking; at least 7 hours of sleep every night; a high level of vigorous physical activity every week; a high quality balanced diet every day; and moderate alcohol intake-among middle aged participants (average age 55) of the UK Biobank.

The final analysis included 64,286 people, just over half of whom (55%) were women, and who had completed at least two 24-hour dietary recall questionnaires.

During an average monitoring period of just over 12.5 years, 961 (1.5%) cases of IBS were recorded.

Of the total sample, 7604 (12%) said they didn’t do any of the 5 healthy lifestyle behaviours, while 20,662 (32%) reported one; 21,901 (34%) reported two; and 14,101 (22%) reported 3 to 5 behaviours at the start of the monitoring period.

After accounting for potentially influential factors, the higher the number of healthy behaviours, the lower was the risk of IBS.

One behaviour was associated with a 21% lower risk, while 2 were associated with a 36% lower risk; and 3 to 5 were associated with a 42% lower risk.

Although of a smaller size than when combined, 3 healthy behaviours were independently associated with a lower risk of IBS: never smoking (14% lower); high level of physical activity (17% lower); and a good night’s sleep (27% lower).

Further in depth analysis showed that these associations were independent of age, sex, employment status, residential area, gut infection, family history of IBS or other lifestyle choices.

This is an observational study, and as such, can’t establish cause, added to which it relied on self-report, which may not always be accurate and older people, so may not be applicable to younger age groups. Nor was it possible to account for any lifestyle changes over time during the monitoring period.

Nevertheless, the researchers point out: “Although lifestyle modification is recommended as a means of managing IBS symptoms, its potential role in preventing the onset of the condition has not been given due attention.”

And they conclude: “IBS has a complex aetiology, involving biological, genetic, psychosocial and environmental factors. Our findings underscore the value of lifestyle modification in the primary prevention of IBS and suggest that healthy lifestyle choices could significantly attenuate the effects of aetiological factors on the incidence of IBS.”

Reference:

Ho FF, Sun H, Zheng H, et alAssociation of healthy lifestyle behaviours with incident irritable bowel syndrome: a large population-based prospective cohort studyGut Published Online First: 20 February 2024. doi: 10.1136/gutjnl-2023-331254.

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Improved enteral feeding for first seven days linked to lower 28-day mortality in critically sick patients

Recently published study aimed to assess the association between nutrition intake and 28-day mortality in critically ill patients receiving exclusive enteral nutrition (EN) during the first week of ICU admission and the potential impact of lactate levels on this association. The study was a post hoc analysis of a cluster-randomized clinical trial and included 1322 patients who received exclusive EN during their first week of ICU stay. The findings showed that increased energy and protein delivery during the first week were associated with a significant reduction in 28-day mortality. However, this association was observed only in patients with lactate concentration ≤ 2 mmol/L and not in those with lactate concentration > 2 mmol/L. The study also highlighted that the nutrition therapy provided was suboptimal, with most patients receiving only approximately 50% of their energy and protein requirements.

Findings and Association with Mortality

The study addressed the potential impact of using ideal body weight instead of actual body weight and found that the results remained stable in different models. The authors acknowledged limitations of the study, such as the post hoc nature, differences in patient populations, and the inability to weigh the importance of energy and protein delivery due to multicollinearity. The study concluded that enhanced nutrition delivery was associated with reduced 28-day mortality in critically ill patients receiving exclusive EN during the first week of ICU admission, particularly in patients with lactate concentration ≤ 2 mmol/L. The findings suggest that further prospective studies are needed to confirm these results and address the limitations identified in this study.

Reference 

Chen, Y., Liu, Z., Wang, Q. et al. Enhanced exclusive enteral nutrition delivery during the first 7 days is associated with decreased 28-day mortality in critically ill patients with normal lactate level: a post hoc analysis of a multicenter randomized trial. Crit Care 28, 26 (2024). https://doi.org/10.1186/s13054-024-04813-6.

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AstraZeneca Gets CDSCO Panel nod to study Anti-cancer Drug Datopotamab Deruxtecan and Durvalumab

New Delhi: The drug major AstraZeneca has got approval from the Subject Expert Committee SEC functional under the Central Drug Standard Control Organisation (CDSCO) to conduct the clinical trial of the anti-cancer drug Datopotamab deruxtecan (Dato-DXd, DS-1062a) 100mg/vial and Durvalumab (MEDI4736) 500mg/vial (50mg/mL).

This came after the drug major AstraZeneca presented Phase III clinical study protocol No. D7630C00001 version 2.0 dated 11 September 2023.

The above-mentioned study is a phase III, open-label, randomized study of Datopotamab Deruxtecan (Dato-DXd) with or without Durvalumab Compared with investigator’s choice of chemotherapy (Paclitaxel, Nab-paclitaxel, or Gemcitabine + Carboplatin) in combination with Pembrolizumab in patients with PD-L1 positive locally recurrent Inoperable or Metastatic Triple-negative Breast Cancer (TROPION-Breast05)

Datopotamab deruxtecan (DS-1062; Dato-DXd) is a trophoblast cell surface antigen 2 (TROP2)-directed antibody-drug conjugate (ADC). Datopotamab deruxtecan has a potent antitumor activity.

After trastuzumab deruxtecan binds to HER2 found on malignant cells, it is internalized and linker cleavage occurs through the actions of lysosomal enzymes. After it is released through cleavage, DXd causes targeted DNA damage and apoptosis in cancer cells, due to the ability to cross cell membranes.

Durvalumab injection is in a class of medications called monoclonal antibodies. It works by helping your immune system to slow or stop the growth of cancer cells. Durvalumab is an anticancer antibody that works to promote the antitumor responses mediated by immune cells. By blocking the action of PD-L1, durvalumab exerts its anticancer effects by increasing T-cell activation and enhancing the detection and ablation of tumor cells.

At the recent SEC meeting for Oncology held on 7th and 8th February 2024, the expert panel reviewed Phase III clinical study protocol No. D7630C00001 version 2.0 dated 11 September 2023, presented by drug major AstraZeneca.

After detailed deliberation, the committee recommended the grant of permission to conduct the trial as presented by the firm.

Also Read: Should Nutraceuticals be brought under CDSCO? Government forms panel to decide

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Viral Video: Patients administered saline bottles fitted on trees outside hospital

In a case of suspected food poisoning, over 300 people including children reportedly received medical treatment while lying on the ground outside a hospital in Bibi village, Maharashtra.

The incident occurred on Tuesday night during a religious event in Buldhana district’s Lonar area. The people complained of food poisoning after consuming ‘prasad’ and were administered saline bottles fitted on the trees outside the hospital.

For the full story, check out the link given below:

Viral Video Shows Saline Bottles Hanging On Ropes Outside Hospital, Over 300 Patients Getting Treatment On Road

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Around 8000 Maha resident doctors on indefinite strike over unfulfilled demands

Around 8,000 resident doctors across the State of Maharashtra have commenced their pan-Maharashtra indefinite strike, as their demands regarding hostel accommodation and stipend hike have not been fulfilled despite written assurance from the Government authorities.

For the full story, check out the link given below:

Mass Hadtaal: 8000 Plus Maha Resident Doctors On Strike Demanding Stipend Hike, Hostel Accommodation

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Late life marriage dissolution tied to increased antidepressant use among elderly women: BMC

A new study published in the BMJ Journal of Epidemiology and Community Health found the separation of older couples (grey divorce) followed by later remarriage in recent years has become increasingly prevalent in high-income countries. The findings revealed compelling insights into the relationship between these life events and mental health.

This study utilized Finnish registry data and spanned over two decades underlines the mental health implications of grey divorce and later remarriage. This research was conducted on a group of 228,644 individuals aged 50 to 70 years between 2000 and 2014 and focused on trajectories of antidepressant (AD) use four years before and after significant life events such as divorce, non-marital separation, bereavement, and subsequent re-partnering.

The findings revealed that prior to divorce, non-marital separation or bereavement, both men and women experienced a significant increase in AD use, with this trend accelerating just before the event. This increase was consisted post-event by stabilizing at a higher level when compared to pre-dissolution rates.

This study found that re-partnering after union dissolution was only associated with a minor and temporary reduction in AD use that ranged from 0.1 to 1.5 percentage points. Also, this reduction was particularly short-lived among women.

The results of this study suggest that union dissolution in later life is associated with large and persistent increases in AD use, whereas the reductions associated with re-partnering are limited both in magnitude and duration.

The implications of these findings are substantial and more important as grey divorce and later remarriage continue to rise throughout the globe. Mental health professionals stress the importance of providing adequate support and precise resources for individuals who have navigated such life transitions in older age groups.

Reference:

Hu, Y., Metsä-Simola, N., Malmberg, S., & Martikainen, P. (2024). Trajectories of antidepressant use before and after union dissolution and re-partnering in later life: a prospective total population register-based cohort study. Journal of Epidemiology and Community Health. https://doi.org/10.1136/jech-2023-221529

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South Korean doctors on mass protest over medical training push, burden hospital operations

Seoul: South Korean hospitals are struggling to cope with the influx of patients, while thousands of trainee doctors have been boycotting work for three days in protest against government plans to raise the admission quota for medical universities, South Korean news agency Yonhap reported on Thursday, citing medical sources.

On Tuesday, South Korean junior doctors launched a mass protest as more than 1,000 doctors from Seoul’s five largest hospitals reportedly handed in their resignations and refused to come to work. The crisis erupted over the government’s policy to address the shortage of medical personnel by increasing the number of students admitted to medical schools.  

Also Read:Over 1100 experts decide to boycott medical journal Nutrients, its publisher MDPI

As of Wednesday night, a total of 9,275 trainee doctors, or 74.4%, have submitted their resignations, while 8,024 of them have left their jobs, the news agency reported, citing Second Vice Health Minister Park Min-soo.  

The health ministry has received some 150 complaints related to the mass resignations, the official added.  

“The power of doctors does not come from collective action,” Park was quoted as saying by Yonhap as telling reporters, calling on the trainees to return to their patients and urging the protesters to join negotiations with authorities.  

The work of operating rooms has been cut in half, while the number of surgeries has dropped by 50% at Severance Hospital in central Seoul and by 30% at St. Mary’s Hospital and Asan Medical Centre, medical sources said. 

Over 6,110 doctors have been ordered to return to work and continue their services, but interns have ignored the government’s order, Yonhap reported on Wednesday.

The Korean Intern Resident Association, which unites South Korean trainee doctors, has called the government’s plan “ridiculous” and urged authorities to abandon it.

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AIIMS joins hands with IIT Delhi to develop superior quality elbow replacement implants

AIIMS and IIT Delhi have collaborated to develop cutting-edge elbow replacement implants that are both precise in fit, and of superior quality, the hospital said. Patients suffering from stiff elbow joints and limited mobility can benefit from this partnership, said Dr Bhavuk Garg from AIIMS, Delhi.

“Recognising the challenges faced by patients due to the high cost and inadequate quality of imported elbow replacement setups, this partnership aims to provide accessible, precise, and high-quality implants for elbow replacement surgeries,” said Garg, Professor, Department of Orthopaedics.

For the full story, check out the link given below:

AIIMS, IIT Delhi Collaborate To Develop High-Quality Elbow Replacement Implants

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Black children in UK have four times the risk of complications after emergency appendicitis surgery as white children

New research published in Anaesthesia shows that for children undergoing emergency surgery for appendicitis in the UK, the risk of postoperative complications in Black children was four times greater than that of white children.

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Improving social symptoms of depression with a common anesthetic

In a recent study published in Molecular Psychiatry, researchers from Osaka University have used a mouse model of depression to reveal that one form of ketamine (a common anesthetic) in low doses can improve social impairments by restoring functioning in a specific brain region called the anterior insular cortex.

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