Monday, September 2, 2002, Chandigarh, India

 

C H A N D I G A R H   S T O R I E S


 
HEALTH

‘Indians run risk of high mortality due to obesity’
Pratibha Chauhan
Tribune News Service

Chandigarh, September 1
Despite morbid obesity, an underlying factor in many diseases like cardiovascular, diseases, diabetes and hypertension, becoming a cause of concern, especially amongst the adolescents, it has surprisingly attracted little medical or scientific interest in India.

Morbid obesity, a major problem already in the West, has started catching up with the younger generation in India and the fact that Indians are genetically vulnerable to heart diseases has added to the problem.” During a study conducted among 1,100 high school and college students in Delhi, we found that 30 per cent were obese and it is mandatory that we educate them about it before it is too late,” cautions Ms Rekha Sharma, Chief Dietician, AIIMS.

Statistics reveal that obesity is the main culprit for various medical problems and by the year 2015, there would be 33 per cent mortality, especially amongst the youth on account of heart diseases, she adds.”

Seeing the increasingly sedentary lifestyle, combined with high intake of junk foods, obesity is more of a problem amongst the upper middle class,” she states.

“Though the problem of morbid obese is not so alarming in India as yet, the fact that these people are not accepted as normal beings in India makes it all the more important to create awareness on the issue,” cautions Dr A.S. Bawa, Head of Department Surgery at GMCH. He says that apart from environmental factors, which include genetic aspect, eating binges and biological disorders like thyroid, lead to morbid obesity.

“In case pharmoco therapy, which includes medical treatment, exercise counselling and behaviour modification, does not prove to be helpful, we are left with the last option of surgery,” says Dr Bawa. During surgery, the stomach size is reduced so that the food intake of the morbid obese is automatically reduced.

He says that majority of Indians, due to lack of awareness are still hesitant to go in for this surgery, which is quite a normal procedure. Termed as Gastric Bypass, it is performed through an upper-middle incision on the abdomen, and a stapling device is used to create a tiny stomach (pouch), by partitioning the stomach near its upper end.

As compared to the normal stomach size of about 600 ml, the small pouch is just 20 to 30 ml, thereby restricting the food intake. Initial deficiencies arising out of this surgery, need to be handled with extra supplement of vitamins.

However, the first prerequisite for a morbid obese person to undergo surgery is to be free of all addictions, be it alcohol, opium or cannabis. A morbid person is able to shed almost 60 per cent excess weight after surgery, if he follows an exercise routine.

Medical experts believe that obesity epidemic is not likely to go away and a combination of genetics and physiological studies is definitely improving the understanding of this complex mechanism that controls appetite.

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‘70 pc Indian women have iron deficiency’
Tribune News Service

Chandigarh, September 1
The Director General of the Indian Council of Medical Research (ICMR), Prof N.K. Ganguly, today said keeping in mind the poor nutritional assessment and management of patients in India, dieticians should have the veto power to reschedule an operation, as it directly affected the healing and recovery process.

In his inaugural address at the “CME 2002: Surgical Nutrition”, organised by the Department of Dietetics and Surgery, Government Medical College and Hospital, he said there were major national nutritional problems as the intake of iron, vitamin A and C and omega three fats was far less than required by the body.

“Since nutritional assessment of a patient is rarely done in India, we need to focus on this aspect as it could lead to infections, bleeding, delayed wound healing and other post-operative complications,” he observed.

He regretted that appropriate training was not being given to the interns and as such they should be given more information, knowledge and exposure to nutritional assessment of a patient, who has to be operated upon. “In case of patients suffering from cancer, burns, trauma and stress, it is very important to take care of their nutritional needs during hospitalisation,” he stressed.

Dr Ganguly, said more than 70 per cent women in India had iron deficiency, with their haemoglobin being below seven. “The intake of omega three fats, which is not freely available in Indian food, needs to be supplemented, along with vitamin A and C, which they are chronically deprived of,” he stated.

He added that there was a tremendous interplay between nutrition and various kinds of diseases.

The Director Principal, GMCH, Prof S.B.S. Mann, released the inaugural issue of newsletter “Nutrition Update” brought out by the Chandigarh Chapter of the Indian Dietetic Association.

A large number of doctors and interns attended the CME, where scientific deliberations covered nutritional and surgical aspects of critical illness, burn injury, cardiovascular diseases, AIDS and stoma patients. It was felt that early feeding of critically ill as well as post operative patients helped in decreasing the length of stay at the hospital as well as the complication rates.

In the session “Heart and Nutrition”, Ms Rekha Sharma, Chief Dietician , All India Institute of Medical Sciences, spoke on cardiovascular diseases and diet. She stressed the importance of balanced diet consisting of whole grain cereals, pulses, fresh vegetables, fruits, sprouts, skimmed milk and restricted use of cooking oil.

Dr Molly Joshi, Professor and Chief Dietician, Christian Medical College, Ludhiana, while deliberating on the nutritional management of burn patients said being an extreme form of trauma, there was a need for nutritional support.

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Vikas, Shikha bag titles
Our Sports Reporter

Chandigarh, September 1
Vikas Sharma of the AG, Punjab, and Shikha Sharma of the AG (Audit), Haryana, clinched the men and women’s singles titles, respectively, in the Chandigarh State Second Ranking Table Tennis Tournament organised by New Public School, Sector 18, at the Sector 23 TT Hall, Chandigarh.

In the women’s singles final, Shikha Sharma beat Barkha KC of the AG, Punjab, 12-10, 11-13, 5-11, 11-3, 11-7 and 11-4, while in men’s final, Vikas Sharma defeated Dheeraj 13-11,7-11,5-11,13-11,11-7,11-13,11-7.

Other results: Men’s semifinals : Dheeraj Arora of the RBI, Sector 17, beat Varun Kassal of Shishu Neketan by 7-11,11-8,11-8,10-12, 11-6,10-12 and 11-4 and Vikas Sharma beat Harish Kumar of the AG (Audit), Haryana, 11-7,11-8,11-8, 7-11 and 12-10.

Women’s semi finals : Barkha K.C. of the AG, Punjab, beat Arshdeep Kaur of Manav Mangal, Sector 21, 11-9,11-3,11-6 and 11-3 ; Shikha Sharma of the AG (Audit), Haryana, beat Anuradha Bansal 11-5,14-12,11-7,11-6.

Carrom meet: On the second day of the XII Chandigarh State Carrom Tournament at St Stephen’s School, Sector 45, the second round of the men’s singles saw Pankaj Nath making an upset victory over Paramdeep Singh by beating him 12-17, 22-7 and 21-17. In one of the women’s doubles tie, Anjali Negi and Pallavi Piplani had to struggle hard in beating Nidhi Patwal and Suguna Dewan 19-18,18-21, 20-15.

The other winners are: men’s singles: B.S. Negi, Ashutosh, Ravinder Sharma, Jagdish Dhir, N.K. Arora, Rahul Nanda, D.S. Aithani, Mohammed Shamshad, Devinderjit, Mohammed Yusuf and K.S. Patwal, D.S. Aithani, Sushil Sharma, S.P. Janjua and N.S. Pahwa. Those who entered the next round in boys’ singles are: Nikhil Patwal, Vikrant, Aditya, Varun, Sukhpal, Deepak, Abhinandan and Harmanpreet Maan. Nidhi Patwal and Bhanu Jain in women’s singles and Nidhi Patwal and Gursharan Kaur in junior girls’ section also moved up to the next round.

Basketball tournament: New Public School, Sector 18, and Government Model Senior Secondary School, Sector 33, in the boys’ section while Government Model High School, Sector 26, and Sarvhitkari School, Sector 40, in the girls’ section will play the tomorrow's finals in the Chandigarh Youth Basketball Tournament being played at New Public School.

In the semifinals played on Sunday, in the boy’s section New Public School, beat Vivek High School, Sector 38, by 43-19 and GMSSS, Sector 33, beat St Stephen’s School, Sector 45, by 43-30.

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Enriching experience for city lad
Arvind Katyal
Our Correspondent

Chandigarh, September 1
Rich with his maiden international exposure in soccer, the local lad Bikramjeet Singh , the baby of the Indian schools football team, is back after taking part in the Asian Schools Soccer Meet that concluded in Singapore a few days ago.

Fifteen-year-old Bikramjeet is a student of Class X of the local St John’s High School, Sector 26 and was part of the 18-member Indian team. Apart from Bikramjeet Singh, Gopal Thapa was another city boy who represented the Indian schools’ team in the meet.

Recalling his experiences at Singapore he said 10 teams took part in the meet, with five teams each in two pools. In pool A, there were teams from Korea, China, Brunei, Vietnam and Indonesia, while Pool B had teams from India, Sri lanka, Malaysia, Thailand and host Singapore.

The teams from Korea, the defending champions, and Thailand that had won the Asian schools’ meet for more than 20 times in past 30 years, were earlier considered to be teams that posed formidable challenge.

He said, since other Asian countries were otherwise strong in football, India too had always given a good fight. This year also, India managed to overpower Sri Lanka by five goals to one. Bikramjeet said, he was asked to play as a substitute in this match and he played at midfield position. He was the second junior most player, age wise, in the meet.

While some countries like China had players who were 1984 born. But in the Indian side, the average age of the players was 16-17 years.

He praised the efforts made by his senior colleagues like Manjit Singh of Punjab, Parsival of Goa who gave a tough time to the rival countries. India gave a tough fight to Singapore and Malaysia.

Bikramjeet said the matches were held in seven different football stadia in the city. He was all praise for the arrangements made by the Singapore Education Authorities for the participants. All teams and officials were put up in one of the best hotels of the country and the hosts tried to provide food according to each one's tastes and preferences.

Bikramjeet, however, opined that after the tournament and on watching various players in action, one could conclude that skill wise and even to some extent, if one takes into account the stamina, then India was on top. What made difference was the lack of exposure among the players. He said speed was another area, where others had an edge over Indian players. He hoped that for the selected players, the School Games Federation of India (SGFI) can conduct more preparatory camps, so that they do not lag in any aspect of the game.

Bikramjeet who took to football only two years back had earlier taken active part in athletics and cricket. But as he said, the real craze for the sport developed when he began watching football matches on the small screen. Though it was basically his grandfather who encouraged him to play soccer.

Bikramjeet owes his success to regular training. He also learnt a lot from watching the world cup soccer matches in June this year, during his summer vacation. He said, today the world of football had great heroes like Ronaldinho, Rivaldo and David Beckham , who would be the role models of several budding players. 

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