(incorporating eIMA News)
4th March 2016
Editorial (Dr S S Agarwal, Dr K K Aggarwal)
Even a 5% weight reduction matters in obesity: Good news for obesity clinics
What should be the amount of weight to be lost in obese patients?

People with obesity who reduce their weight by 5% will have improvements in metabolic function in many tissues, including fat, liver, and muscle. Further weight loss of 10 to 15% results in additional improvements.

Obesity is a risk factor for type 2 diabetes and heart disease. These health issues stem from underlying metabolic abnormalities that affect the liver, pancreas, muscle, fat, and other tissues. Most recommend that people who are overweight or obese aim to lose 5% to 10% of their weight to achieve improvements in health.

A NIHHK /NIH study by Dr. Samuel Klein at Washington University School of Medicine in St. Louis, reported online on February 22, 2016, in Cell Metabolism, randomly assigned 40 sedentary people with obesity to maintain their body weight or to go on a diet to lose 5% of their body weight, followed by targets of 10% and 15%. Nineteen achieved the initial target of 5% weight loss after about 3.5 months. These people had significantly decreased body fat, including abdominal fat and fat in the liver. They had decreased plasma levels of glucose, insulin, triglycerides, and leptin. They also showed improved function of insulin-secreting β cells, as well as the ability of fat, liver, and muscle tissue to respond to insulin.
Markers of inflammation are elevated in people with obesity. The researchers, however, found no changes in systemic or fat tissue markers of inflammation with 5% weight loss.

Nine reached the subsequent targets, achieving about 11% weight loss at 10 months. The decreases in fat mass, plasma insulin, leptin, and triglyceride concentrations continued in tandem with the weight loss. These participants showed continued improvements in β cell function and in insulin sensitivity in muscle. Insulin sensitivity in liver and fat tissue, however, didn’t improve further with weight loss beyond 5%... (NIH).
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eWellness: Diabetics should take pneumonia vaccine
Diabetes is associated with a 25–75% increase in the relative risk of hospitalization due to pneumonia. Hence, patients with diabetes, especially those who have had diabetes for a longer duration should be given flu and pneumococcal... Read more

eSpiritual: Why do we never eat a breakfast of onion?
Anything which cannot be taken as a full meal is not good for health and either should not be taken or taken in a small amount. For example, we never eat a breakfast of onion or garlic or radish. These are foods, which either should not be taken or eaten only in small quantity only as an accompaniment to the main meal. Onion is good...Read more

Inspirational Story: The goose story – teamwork lesson

When you see geese flying along in “V” formation, you might consider what science has discovered as to why they fly that way. As each bird flaps its wings, it creates an uplift for the bird immediately following. By flying in “V” formation, the whole flock adds at least 71 percent greater flying range than if each bird flew ..Read more
Second Opinion Required

Press Release
Air pollution can lead to preterm birth in asthmatic mothers
With the soaring pollution levels in the Capital, IMA urges citizens to do their bit to reduce air pollution
New Delhi, March 03, 2016: The ill effects of air pollution on respiratory health are well-known. Now, a study from the National Institutes of Health (NIH) says that when pregnant women with asthma are exposed to high levels of certain traffic-related air pollutants, they face a greater risk of preterm birth.

The increased risk is associated with both ongoing and short-term exposure to nitrogen oxides and carbon monoxide particularly when women were exposed to those pollutants just before conception and in early pregnancy.

An increase of 30 parts per billion in nitrogen oxide exposure in the three months prior to pregnancy increased preterm birth risk by nearly 30 percent for women with asthma, compared to 8 percent for women without asthma. Greater carbon monoxide exposure during the same period raised preterm birth risk by 12 percent for asthmatic women, but had no effect on preterm birth risk for non-asthmatics. The last six weeks of pregnancy was another critical window for women with asthma. 
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IMA Updates
IMA Polio Dates
  • April 1st: tOPV would not be available after this date.
  • April 11th: bOPV would be available in private market but it is not to be opened or used before 25th April.
  • April 25: IMA Polio Switch Day, when tOPV would be completely withdrawn and replaced by bOPV in both routine immunization and polio campaigns.
  • 9th May: IMA National Validation Day when India would be declared free of tOPV. 

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The Indian Medical Association (IMA) presents a series of weekly webcasts for the benefit of the Indian medical profession, engaging you with the latest in advocacy efforts for doctors, through an interactive exclusive digital webcast partnership with eMediNexus.

Next Webcast:
3rd March 2016
Topic: Child sexual abuse