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Dos and don’ts during the lockdown to prevent liver disease

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Alcohol-free fatty liver disease (NAFLD) affects 25 to 30% of the general population. NAFLD is a spectrum of liver diseases that include fatty liver, steatohepatitis, cirrhosis of the liver, and even liver cancer, which result from excessive fat build-up in liver cells that is not caused by alcohol. One of the most common causes of NAFLD is obesity. Today obesity is a bigger cause of liver failure and transplant than alcoholism. And an unhealthy lifestyle leads to an increase in liver disease, says Dr. Aparna Govil Bhasker, Laparoscopic and Bariatric Surgeon, Saifee Hospital, Mumbai. Also Read – Ankita Konwar Runs To Beat The Blues And Keep Themselves “Healthy” During The Pandemic: See What Milind Soman Is Doing

“An unhealthy lifestyle contributes to weight gain, which in the long term can lead to non-alcoholic fatty liver disease. Regular moderate activity of 30 to 45 minutes a day for at least 4 to 5 days per week is recommended. But people can’t exercise much as most of us are at home due to the pandemic. Sedentary lifestyle can lead to gradual weight gain and metabolic syndrome. NAFLD is the side effect of metabolic syndrome on the liver, ”she explains. Also Read – Parks Don’t Increase the Spread of COVID-19: Drexel University Researchers

Dos and don’ts during lockdown to prevent liver disease

At present there are many restrictions on movement and since most people are at home, their food intake has increased. This leads to weight gain, which can be detrimental to liver health. Dr. Aparna advises people to eat healthily and exercise at home during the pandemic to keep weight in check. Also Read – How To Overcome Stress During The Covid-19 Pandemic: Eat More Fruits and Vegetables

She adds, “Check your weight regularly to keep track of it. Avoid fried foods and junk foods. Avoid sugary drinks and stay away from alcohol. “

Symptoms of non-alcoholic fatty liver disease

According to experts, non-alcoholic fatty liver disease usually doesn’t cause any noticeable signs and symptoms. When symptoms occur, they can include tiredness, pain, or discomfort in the upper right abdominal area.

In some cases, NAFLD can develop non-alcoholic steatohepatitis (NASH), an aggressive form of fatty liver disease characterized by inflammation of the liver. It can also lead to advanced scarring (cirrhosis) and liver failure. A patient with NASH can experience:

  • Swelling in the abdomen (ascites)
  • Enlarged blood vessels just below the surface of the skin
  • Enlarged liver or spleen (usually seen by a doctor during an exam)
  • Red palms
  • Yellowing of the skin and eyes (jaundice)

It is estimated that between 5% and 12% of people with NASH are likely to develop cirrhosis. Symptoms of cirrhosis can include mental confusion, internal bleeding, fluid retention, and loss of healthy liver function.

If you experience these signs and symptoms, make an appointment with your doctor.

Pay attention to the other risk factors

In addition to obesity, there are a number of diseases and conditions that can increase your risk of NAFLD. These include:

  • High cholesterol
  • High fats, especially triglycerides, in the blood
  • Metabolic syndrome
  • Polycystic ovary syndrome
  • Sleep apnea
  • Type 2 diabetes
  • Underactive thyroid (hypothyroidism)
  • Underactive pituitary gland (hypopituitarism)

While staying at home to prevent the spread of Covid-19, you should eat healthy, high in fruits, vegetables, whole grains, and healthy fats, and exercise regularly to keep your liver healthy.

Published: May 21, 2021, 10:10 am | Updated: May 21, 2021 10:20 am

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How to Tell if Your Baby is Ready to Stop Drinking Formula – Cleveland Clinic

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Make the formula. Feed your sweetie. Wash, rinse, repeat. For parents of babies who drink infant formula, you did this dance several times a day (and night) for what felt like an eternity. But could the end finally be in sight? When do babies stop drinking milk?

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“A healthy baby should drink breast milk or formula up to the age of 1 year. Formulas are fortified with the vitamins and iron they need, ”says pediatrician Radhai Prabhakaran, MD. “In general, babies aged 9 months to 1 year should have at least 24 ounces per day. But once your baby is on a full diet of nutritious solid foods, switch to cow’s milk, which contains protein and vitamin D. “

Indicates your baby is ready to wean the formula

Whether babies are ready to board the milk express depends on their taste for table food. “Some babies get used to a mostly solid diet early (between 9 and 12 months) because they like it and they are okay with it. If you have a nutritionally balanced diet, it is okay to wean your baby from infant formula before the age of one. “

A healthy solid food diet for a baby should include:

  • Fruit.
  • Grains.
  • Protein from meat, eggs, or boiled beans.
  • Vegetables.

“Gradually reduce the amount of formula you drink as you eat more. Keep offering it to drink because sometimes babies are not full after eating solid foods, ”notes Dr. Prabhakaran. “But wait until they are 1 year old to introduce cow’s milk, even if they wean earlier.”

Signs your baby is NOT ready to wean the formula

Your baby should continue feeding if:

  • You’re not gaining weight.
  • Were born prematurely.
  • Have not established a balanced solid diet.
  • You need to proceed with the formula based on your doctor’s recommendation. (For example, if your baby has food allergies or has trouble digesting food or absorbing nutrients.)

Health conditions that affect how long babies drink formula

Certain underlying health conditions can affect how long it takes your baby to drink formula. Babies may need to stay on the formula longer if they:

“And if your doctor has already told you that your baby may need to be on a special diet, talk to him or her before weaning your baby off the formula,” adds Dr. Prabhakaran added. “They can help you come up with a nutrition plan that will make the transition safer.”

How to wean your baby off formula

If your baby likes the taste of cow’s milk:

  1. Start giving them a 2 to 4 ounce serving of milk for every two or three servings of formula.
  2. For up to 10 days over the next week, increase the servings of milk as you decrease the servings of the formula.
  3. Stop giving milk as soon as you have drunk the milk without any problems.

If your baby prefers the taste of formula:

  1. Build the formula as usual. Do not add cow’s milk to the milk powder.
  2. Mix together 2 ounces of prepared formula and 2 ounces of cow’s milk so you have a 4-ounce drink for your baby.
  3. Feed your baby the mixture.
  4. Over the next week to 10 days, add more milk and less milk to the mixture until it is all cow’s milk.

Bottle or cup?

Get ready to say goodbye to the bottle. Dr. Prabhakaran says that drinking from a bottle is a no-go from the age of 1. “Bottle feeding can affect tooth growth and cause tooth decay.”

Instead, switch your little one to a swallow, straw, or regular cup at around 9 months of age. “When you’re feeling adventurous, wean her off the formula and the bottle at the same time.”

Does my baby still need milk when he wakes up at night?

Dr. Prabhakaran notes that most babies of this age do not need to eat when they wake up at night. “When babies have doubled their birth weight (which happens after about 4 to 6 months) and are eating solid foods regularly, they generally don’t need extra calories and can sleep through the night. So encourage her to go back to sleep. “

Babies of this age also have the most milk teeth, so drinking milk or formula at night can lead to dental problems. Night feeding can also make them too full to eat what they need during the day.

But as always there are exceptions. “If your baby is not gaining weight, your doctor can give you other advice. Breast-fed babies can also take a little longer because the breast milk is digested more quickly. “

When to apply the brakes when stopping the formula

Dr. Prabhakaran says the transition to cow’s milk should be even slower once babies start drinking milk and experience:

  • Dramatic change in her bowel movements.
  • Abundance.

If these symptoms persist or worsen, speak to your baby’s pediatrician about a possible milk allergy. If necessary, your doctor can recommend safe milk alternatives for young children.

Signs that your baby may not tolerate cow’s milk include:

  • Constipation.
  • Diarrhea.
  • Rash.
  • Vomit.

What is the best milk for a 1 year old?

Experts consider whole cow milk to be the best milk for 1-year-olds after weaning. “The general rule is whole milk until they’re 2 years old, unless there are special circumstances,” says Dr. Prabhakaran.

Your doctor may recommend 2% milk instead if your baby:

  • Is difficult for her size.
  • Drink more than the recommended amount of milk (16 to 24 ounces per day or 2 to 3 cups).
  • Is blocked.

Milk alternatives for toddlers

Unsweetened soy milk is one of the best cow milk alternatives for toddlers because it has a similar protein content. But soy milk has fewer calories – which babies need to thrive – than whole milk. The calorie content of unsweetened rice milk is slightly higher, but it contains less protein and more added sugar.

The best way to make a decision, says Dr. Prabhakaran, is to look at your child’s overall diet. “There are so many milk alternatives and the diets of babies are very different. It’s impossible to have a blanket rule of what’s okay. Some children eat a lot of yogurt and cheese. Some babies are vegan. Talk to your baby’s doctor about the best alternative to help your child with certain deficiencies and general nutrition. “

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Meeting sleep recommendations can lead to smarter snacks

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Photo credit: CC0 public domain

New studies show that missing more than 7 hours of sleep each night, which is recommended, may lower the chances of choosing a treat than those who meet the guidelines with their eyes closed.

Analysis of data from nearly 20,000 American adults showed a link between failure to follow sleepy diet recommendations and snack-related carbohydrates, added sugar, fats, and caffeine.

The preferred food category without meals has been set – salty snacks, sweets and soft drinks are the same for adults. Sleep Habits However, people who sleep less tend to eat more total snack calories in a single day.

The study also revealed what appears to be a popular American habit, a dinner that is no matter how much we sleep.

Christopher Taylor, professor of medical nutrition and lead study author at Ohio State University School of Health and Rehabilitation Sciences, said:

“Not only do we sleep when we stay up late, but we also have all of these obesity-related behaviors: lack of physical activity, prolonged screening times, a variety of foods that we consume as snacks, not meals. Whether or not you meet your sleep recommendations will have a huge impact. “

Recommended by the American Academy of Sleep Medicine and Sleep Study Group Adults should regularly sleep at least 7 hours a night to promote optimal health. Sleep Less There is an increased risk of many health problems, including weight gain, obesity, diabetes, high blood pressure, and heart disease, than recommended.

“We know sleep deprivation is broadly linked to obesity, but it’s all these little behaviors that determine how it happens,” says Taylor. I did.

The abstract of the study is in the Journal of the Academy of Nutrition and Nutrition The study will be presented in a poster session on October 18, 2021 Food Nutrition Conference & Expo.

The researchers analyzed data from 19,650 American adults, ages 20 to 60, who participated between 2007 and 2018. National Health and Nutrition Examination Survey.

This study collects 24-hour meals from each participant, details what and when all foods are consumed, and asks about the average hours of sleep on weekdays.

The Ohio State University team ranked participants on whether they met sleep recommendations based on whether they reported more than 7 hours or less than 7 hours of sleep per night. Using the USDA database, researchers estimated participants’ snack-related nutrient intake and classified all snacks into food groups. Three snack time frames were established for the analysis. It’s from 2:00 a.m. to 11:59 a.m., 5:59 p.m., and 6:00 p.m. to 1:59 p.m. in the evening.

According to statistical analysis, almost everyone (95.5%) eats at least one snack a day, and more than 50% of the snack calories of all participants are soda and energy drinks and chips, pretzels, cookies, and pastries. It was of two broad categories including.

Participants who did not meet sleep recommendations were more likely to eat morning treats, less likely to have afternoon treats, and have more calories than participants who slept more than 7 hours at night. I have eaten a lot of low-nutrient snacks.

Although many physiological factors are involved in the relationship between sleep and health, Taylor says that behavior modification, particularly avoiding the nose at night, not only helps adults adhere to sleep guidelines, but also improves their diet. Said it could help you.

“Following sleep recommendations helps to meet certain sleep needs that are relevant to our health, but it is also related to the fact that we are not doing anything that could harm our health. “Says registered nutritionist Taylor. “The longer you stay up, the more chances you have to eat. At night, these calories come from treats and sweets. Every time you make these decisions, you increase your risk of developing chronic diseases. Here are some calories and foods that are relevant and we don’t have whole grains, fruits, or vegetables.

“If you’re in bed trying to sleep, at least you won’t eat in the kitchen. So if you can go to bed yourself, that’s the starting point. ”

How to sleep well in 2021

For more informations:
E. Potosky et al., Differences in Snack Intake by Meet Sleep Recommendations, Journal of the Academy of Nutrition and Nutrition (2021). DOI: 10.1016 / j.jand.2021.06.145

Provided by
Ohio State University

Quote: Smarter snacks from https://medicalxpress.com/news/2021-09-smarter-snacking.html on September 20, 2021 (September 20, 2021).

This document is subject to copyright. No part may be reproduced without written permission except in fair transaction for personal investigation or research. The content is provided for informational purposes only.

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How to optimise healthy eating habits

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“Good nutrition is essential for optimal health throughout our lives,” replies Maria van der Merwe, President of ADSA, The Association of Dietetics in South Africa.

“Meeting our changing nutritional needs from infancy to old age increases resilience, helps us control our weight, and prevents nutritional deficiencies and the development of a variety of chronic health conditions. Should we fall ill, a balanced diet can (also) contribute to our recovery. “

But isn’t good food expensive?

As many South Africans are feeling the economic impact of the pandemic, registered nutritionist Dr. Nazeeia sayed that healthy meals are still achievable on a tight budget. “If you focus on seasonal vegetables and fruits, whole grains like oats, and more plant-based protein sources like beans and lentils instead of meat, you will save money,” she advises.

What about nutritional supplements?

With vitamins and minerals flying off the shelves, Nazeeia says it is important to note that “There is no scientific evidence that any particular food, supplement, or diet can prevent COVID or other infections. It is best to stick to healthy eating guidelines and make sure your family enjoys a variety of foods every day.

How does home cooking help?

“When we cook from scratch at home, we can use unprocessed or minimally processed foods (foods in their natural state) as the basis of our meals … (These) foods are often nutritious and good sources of vitamins, minerals, and fiber,” comments Maria . “If we cook our meals ourselves, we can also determine how much fat, salt and sugar – if available – are added when preparing the meals.”

Nazeeia agrees, adding that home cooking is a way to especially involve children in conversations about where the food comes from. It also inspires us to try new recipes and cuisines, and lays the foundation for healthy habits that can last a lifetime.

So what are some tips for getting more preventative nutritional benefits on a tighter budget?

  • Focus on eating a variety of affordable foods so that you get a wider range of beneficial nutrients.
  • Prioritize unprocessed foods, including seasonal vegetables and fruits, whole grains, dried beans and lentils.
  • Eat fewer take-away meals, which are often high in salt and fat, and budget that budget on whole foods that you can prepare at home.
  • Replace sugary drinks like sodas, fruit juices, and energy drinks with plenty of clean, safe water – you’ll be amazed at how much you save!
  • Cut down on your meat consumption and instead focus on more plant-based diets. Inexpensive dried beans and lentils are a tasty substitute for meat dishes or can be added as an additional ingredient to lengthen your meat dishes.
  • When meat options get too expensive, switch to other cheaper animal protein sources like eggs, maas, and yogurt.
  • Plan your meals and grocery purchases in advance. Look out for specials and work with family, friends, and neighbors to shop in bulk together.
  • Grow your own products. Spinach, kale, and traditional vegetables like marog are just as easy to grow as onions, beans, beetroot, carrots, and tomatoes.

Information provided by ADSA. To find a registered dietitian near you, visit www.adsa.org.za

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