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AIIMS Study Observes Long Term Effect Of COVID-19 On Lifestyle; Suggests ‘Time To Wake Up To Avoid Chronic Illness’

The study titled ‘Practice-based recommendations Lifestyle-related advice in the management of obesity: A step-wise approach’ made the observation that physicians should classify patients with established coronary heart disease, diabetes and sleep apnea as a high risk group

AIIMS Study Observes Long Term Effect Of COVID-19 On Lifestyle; Suggests 'Time To Wake Up To Avoid Chronic Illness'

New Delhi: Amid the ongoing COVID-19 pandemic, All India Institute of Medical Science s (AIIMS), Delhi in a study observed obesity and allied comorbidities pose an enormous healthcare burden that requires a lifestyle modification by counselling and support from the provider. The study titled ‘Practice-based recommendations Lifestyle-related advice in the management of obesity: A step-wise approach’ stated that, “physicians’ regular encounter with obese patients and involvement in all aspects of medical management such as assessment, counselling and management of multidisciplinary teams makes them important stakeholders. For better prevention and management of obesity practise based recommendation is required.”

Also Read: Clinical Nutritionist Lovneet Batra Talks About The Role Of Nutrition Post COVID Recovery

At the initial stages of management, lifestyle-related advice on diet and physical activity is recommended.

Lifestyle intervention programs such as Diabetes Prevention Program (DPP) and Action for Health in Diabetes (Look AHEAD) target weight reduction of 5 per cent-10 per cent and correction in metabolic parameters such as glycosylated haemoglobin, blood pressure, and lipid profile.

Pharmacotherapy is introduced at body mass index (BMI) ‘>30 kg/m2 or BMI >27 kg/m2 with comorbidities’, with an expected response of 5 per cent weight reduction in three months. The last stage is surgical intervention.

A moderate calorie deficit diet of 1000-1200 kcal for women and 1500-1800 kcal for men is generally recommended for dietary management. Patients on very low calorie diets (<800 kcal) experience weight cycling, i.e., recurrent losing and gaining weight. The calculated calorie intake should be accurately balanced between different food groups, Dr Piyush Ranjan, Additional Professor Department of Medicine, AIIMS says.

Also Read: Opinion: Public Health Nutrition Priorities- Disrupted But Not Defeated By COVID-19

The study added, “Long term effect of Covid 19 on lifestyle, the study suggests time to wake up to avoid chronic illness”.

The study made the observation that physicians should classify patients with established coronary heart disease, diabetes and sleep apnea as a high risk group. A history of multiple risk factors like hypertension, deranged lipid profile (high low-density lipoprotein and low high-density lipoproteins), impaired glucose fasting and family history of heart disease should be elicited.

A deduction of 500-750 kcal from this intake should be initiated. In clinical practice, a standard diet of 1200-1500 kcal for females and 1500-1800 kcal for males is recommended. A progressive reduction of calories is suggested. This deficit will help in achieving about half kilogram per week of weight loss, the study reads.

While considering socialising and eating out a part of the lifestyle it says patients to avoid dishes with “cream, fried, mayonnaise, pesto, mozzarella, basted, casserole, refined flour and honey-mustard sauce etc.” The review is a consolidation of practical dietary approaches “which can be incorporated in standard obesity care by general practitioners”.

Also Read: Physical Fitness And Exercises In The Times Of Covid: Celebrity Fitness Trainer Yasmin Karachiwala Answers FAQs

(This story has not been edited by NDTV staff and is published from a syndicated feed.)

NDTV – Dettol Banega Swasth India campaign is an extension of the five-year-old Banega Swachh India initiative helmed by Campaign Ambassador Amitabh Bachchan. It aims to spread awareness about critical health issues facing the country. In wake of the current COVID-19 pandemic, the need for WASH (WaterSanitation and Hygiene) is reaffirmed as handwashing is one of the ways to prevent Coronavirus infection and other diseases. The campaign highlights the importance of nutrition and healthcare for women and children to prevent maternal and child mortality, fight malnutrition, stunting, wasting, anaemia and disease prevention through vaccines. Importance of programmes like Public Distribution System (PDS), Mid-day Meal Scheme, POSHAN Abhiyan and the role of Aganwadis and ASHA workers are also covered. Only a Swachh or clean India where toilets are used and open defecation free (ODF) status achieved as part of the Swachh Bharat Abhiyan launched by Prime Minister Narendra Modi in 2014, can eradicate diseases like diahorrea and become a Swasth or healthy India. The campaign will continue to cover issues like air pollutionwaste managementplastic banmanual scavenging and sanitation workers and menstrual hygiene

World

24,24,98,327Cases
20,40,54,102Active
3,35,14,449Recovered
49,29,776Deaths
Coronavirus has spread to 195 countries. The total confirmed cases worldwide are 24,24,98,327 and 49,29,776 have died; 20,40,54,102 are active cases and 3,35,14,449 have recovered as on October 22, 2021 at 5:24 am.

India

3,41,43,236 15,786Cases
1,75,7453,086Active
3,35,14,449 18,641Recovered
4,53,042 231Deaths
In India, there are 3,41,43,236 confirmed cases including 4,53,042 deaths. The number of active cases is 1,75,745 and 3,35,14,449 have recovered as on October 22, 2021 at 2:30 am.

State Details

State Cases Active Recovered Deaths
Maharashtra

65,98,218 1,573

27,899 1,434

64,30,394 2,968

1,39,925 39

Kerala

48,88,523 8,733

82,093 1,240

47,79,228 9,855

27,202 118

Karnataka

29,84,849 365

9,017 86

29,37,848 443

37,984 8

Tamil Nadu

26,91,797 1,164

13,790 268

26,42,039 1,412

35,968 20

Andhra Pradesh

20,62,303 493

5,500 66

20,42,476 552

14,327 7

Uttar Pradesh

17,10,068 10

107 5

16,87,062 14

22,899 1

West Bengal

15,83,646 833

7,535 44

15,57,090 775

19,021 14

Delhi

14,39,488 22

311 1

14,14,087 21

25,090

Odisha

10,37,056 524

4,336 51

10,24,422 573

8,298 2

Chhattisgarh

10,05,773 38

206 21

9,91,995 16

13,572 1

Rajasthan

9,54,395 2

36 2

9,45,405 4

8,954

Gujarat

8,26,353 13

156 20

8,16,110 33

10,087

Madhya Pradesh

7,92,721 12

88 6

7,82,110 6

10,523

Haryana

7,71,125 9

131 2

7,60,945 11

10,049

Bihar

7,26,042 6

30 0

7,16,351 6

9,661

Telangana

6,69,739 183

3,967 1

6,61,829 183

3,943 1

Assam

6,07,811 384

3,762 152

5,98,087 228

5,962 4

Punjab

6,02,135 22

226 6

5,85,358 27

16,551 1

Jharkhand

3,48,526 40

166 24

3,43,225 16

5,135

Uttarakhand

3,43,787 14

176 0

3,36,213 14

7,398

Jammu And Kashmir

3,31,386 87

814 14

3,26,143 73

4,429

Himachal Pradesh

2,22,138 202

1,452 58

2,16,955 140

3,731 4

Goa

1,77,765 59

618 21

1,73,790 35

3,357 3

Puducherry

1,27,564 43

454 7

1,25,258 50

1,852

Manipur

1,23,051 81

1,346 14

1,19,800 94

1,905 1

Mizoram

1,15,944 737

10,034 229

1,05,510 962

400 4

Tripura

84,369 18

105 10

83,448 8

816

Meghalaya

83,210 52

735 26

81,034 76

1,441 2

Chandigarh

65,315 3

26 2

64,469 1

820

Arunachal Pradesh

55,065 22

140 2

54,645 20

280

Sikkim

31,819 19

185 10

31,241 9

393

Nagaland

31,670 11

250 5

30,743 15

677 1

Ladakh

20,896 10

43 9

20,645 1

208

Dadra And Nagar Haveli

10,678 2

4 2

10,670

4

Lakshadweep

10,365

0 0

10,314

51

Andaman And Nicobar Islands

7,646

7 0

7,510

129

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