Pregnancy, Risks And Benefits (Credit-Freepik)
Staying active during pregnancy is great, it can help you feel better, improve your posture, and even give you more energy for delivery. There are many benefits of regular exercising, it might also lower your chances of gestational diabetes and reduce backaches. If you exercised before pregnancy, you can likely keep going with some adjustments. Many new moms find it difficult to start exercising after birth as their bodies are really worn out, but if you are in the habit of it, you will find it easier to slip back into your routine, with appropriate changes. However, some exercises are off-limits now. Talk to your doctor to create a safe and effective routine.
Benefits of exercising during pregnancy
Exercise can help you feel better throughout your pregnancy by boosting your energy, improving your mood, and even helping you sleep better. It can also ease common discomforts like back pain and make labour and delivery easier. On top of that, exercise can help prevent certain pregnancy complications and make it easier to get back in shape after delivery. Of course, your body is changing a lot during pregnancy. To stay safe, you might need to adjust your workouts or avoid certain activities. Your doctor can help you create a safe and effective exercise plan for your pregnancy.
Risks of exercising during pregnancy
Exercise is generally great during pregnancy, but there are some risks associated with it. Make sure you are exercising, you are accompanied by people you are being looked after by a trainer, and there is access to a medical professional Talk to your doctor before starting any exercise routine if you have any of these health conditions like uncontrolled medical problems like asthma, heart disease, or type 1 diabetes. Pregnancy complications like bleeding, a weak cervix, or certain types of placenta issues. Certain risk factors during pregnancy like severe anemia, uncontrolled blood pressure, or a history of smoking heavily. Your doctor can help you create a safe exercise plan based on your specific health and pregnancy.
Things to avoid during pregnancy
Activities with a high risk of bumps or falls include martial arts, contact sports, horseback riding, downhill skiing, and gymnastics. This also includes exercises that put pressure on your belly, avoid heavy weightlifting and exercises where you lie flat on your back for a long time (like wide squats or lunges). These things can hurt not just your baby but you as well. If you are not careful, you can put your life in danger. A list of things you should avoid are wide squats or lunges, weightlifting, and high altitude training.
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While Ozempic or Wegovy offer weight loss benefits, a significant caveat is the risk of regaining the kilos. This is not only a waste of money and effort but may also affect overall health.
About 70 per cent of people who stop these drugs eventually regain much of the weight they lost, often within 18 months.
Now, US researchers have developed a new minimally invasive procedure that resets the gut, and in early trials, has shown potential to help people maintain weight loss after stopping these popular drugs, which contain semaglutide — a GLP-1 receptor agonist — as the main ingredient.
Presenting the research at the Digestive Disease Week (DDW) 2026, the team noted that the procedure works by renewing the lining of the upper small intestine. It potentially “resets” metabolism and helps preserve the benefits of weight loss.
The technique is called duodenal mucosal resurfacing. In a clinical trial, people who underwent the procedure regained far less weight compared to others after discontinuing the medication.
"Finding a treatment that allows patients to stop these medications without weight regain or loss of metabolic benefit is a huge unmet need," said lead author Shelby Sullivan, director of the Endoscopic Bariatric and Metabolic Program at Dartmouth Health Weight Center and professor of medicine.
"These findings indicate that this minimally invasive procedure may provide lasting weight-loss maintenance."
Duodenal mucosal resurfacing is an investigational endoscopic treatment that uses controlled heat to remove damaged tissue from the inner lining of the duodenum, the first section of the small intestine just below the stomach.
This process, which ablates the unhealthy mucosal layer, encourages the growth of new, healthier tissue.
The treatment targets the small intestine, where many of the hormones affected by GLP-1 drugs are produced. Over time, diets high in fat and sugar can alter the lining of the duodenum, changing how the body processes food and regulates hormones. These changes can contribute to insulin resistance and metabolic disease.
By restoring a healthier mucosal layer, the procedure aims to reset the body's response to food, helping to stabilize metabolism at a lower body weight after stopping medications like Ozempic.
The findings are based on an early group of participants with six months of follow-up data. Among 45 people in this cohort, 29 received the resurfacing treatment while 16 underwent a sham procedure.
All participants had previously lost at least 15 per cent of their body weight using tirzepatide before stopping the drug. On average, patients lost about 40 pounds while on GLP-1 therapy. Six months after discontinuing the medication, those in the control group regained significantly more weight. Participants who received the sham procedure regained about 40 per cent more weight than those who underwent the actual treatment.
In addition, patients who had more extensive resurfacing regained only about 7 pounds and kept more than 80 per cent of their weight loss.
By comparison, the control group regained roughly twice as much. The gap between the two groups continued to widen from one to six months after the procedure, suggesting the benefits may persist and even strengthen over time.
"What's particularly encouraging is that the benefit appears to increase over time rather than fade, and that it behaves like a drug in terms of dose response," Dr. Sullivan said. "That gives us confidence that we're targeting the right biology."
No serious complications were reported from either the device or the procedure. Recovery is relatively quick, with most patients returning to normal activities within about a day.
Exercise snacking can help people who are struggling to find time for workouts. (Photo credit: AI generated)
At a time when most people follow a sedentary lifestyle, exercise is nothing short of medicine. However, for someone who is lazy, workouts can take a good deal of effort — but what if we told you that there are some simple exercises that will not take much of your time and can be done easily while lying flat on your back? According to experts, without having to lift a finger, you can get in shape.
Researchers at Teikyo University in Tokyo, Japan, found that people can improve their agility, balance, and flexibility by engaging in a simple exercise programme that involves three exercises. These exercises engage the leg muscles and core in an easy and safe position. Writing in the journal PLOS One, the study authors compared the routine to Pilates, and experts said that it can help prevent falls and support early rehabilitation.
Adults are recommended to do two and a half hours of exercise each week, but about a third of people do not meet this target. In this study, 39 healthy men and women in their 20s, with optimal flexibility, balance, speed, and strength, were involved. They were all tested before and after a two-week regimen of lying down and working out. The exercises they were asked to perform were:
Fifteen days later, participants showed significant improvement in standing balance, flexibility, and agility. However, they did not show improvement in raw muscle strength, jumping ability, or grip strength tests. Scientists said that these improvements were likely due to better muscle control rather than increased muscle mass. They also noted that no prior research has shown an exercise programme that is short and performed in a supine position to be effective in this way. However, this routine, which showed improvements in flexibility, agility, balance, and stability, shows promise. It could also be helpful for rehabilitation in older adults.
Exercise snacking refers to an approach created for people who struggle to find time for long gym sessions. Instead of spending hours at the gym, people can perform small bursts of exercise throughout the day. These sessions are an effective way to stay active without needing to block out time specifically for fitness. They can be spread across the day, with mini workouts lasting five to 10 minutes and repeated multiple times. The benefits are significant when practised consistently, especially for those with desk jobs or those suffering from diabetes, hypertension, high cholesterol, or even depression.
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While exercise is good for the body and mind, it can have special benefits for the liver — a key organ that filters blood, breaks down food, stores energy, and keeps the human body in balance.
In recent years, there has been a significant increase in young patients presenting with poor liver health and related conditions, such as fatty liver and liver fibrosis, among others.
A recent study published in The Lancet Gastroenterology & Hepatology journal showed that the Metabolically Dysfunctional-Associated Steatotic Liver Disease (MASLD), formerly known as non-alcoholic fatty liver disease (NAFLD), affected 1.3 billion people around the globe in 2023.
India has also shown a sharp rise in MASLD prevalence, up 23.19 per cent from 1990 to 2023. India’s age-standardized MASLD prevalence rate rose from 10,191 per 100,000 in 1990 to 12,555 per 100,000 in 2023.
The findings show that the spike is increasingly driven by rising metabolic risk factors, including high blood sugar and obesity.
Amid the growing burden, hepatologist Dr Cyriac Abby Philips noted that “the best friend of the liver is muscle”. In a post on social media platform X, Dr Philips, popularly known as Liverdoc, added that “liver listens to your muscles” and shared nine exercises, all backed by clinical trials, that can be included in a daily routine to help boost liver health.
Brisk walking:
According to Dr Philips, brisk walking is the most accessible liver medicine. He noted that "150 min per week cuts liver fat by more than 30 per cent on MRI”. Citing a UK Biobank study of 91,000 people, he added that every extra 1,000 daily steps can lower the risk of developing fatty liver by about 12 per cent.
Moderate-intensity cardio (MICT):
This includes steady jogging, cycling, or swimming at a "can talk, can't sing" pace. Dr Philips stated that 30–45 minutes of MICT exercises for 3–5 days every week for 12 weeks can help reduce liver fat by 2–4 per cent (absolute). It can also significantly lower liver inflammation (enzyme levels), even without weight loss.
High-intensity interval training (HIIT)
This includes short hard bursts, like burpees, jumping jacks, etc. He recommended four minutes of these exercises “at 85–95 per cent max heart rate”.
Repeating the exercise 4 times a day can “cut liver fat by 16–37 per cent, improve heart function,” in 12 weeks, the Liverdoc said. He added that the exercise regimen “matches steady cardio in half the time”.
Sprint interval training (SIT)
SITs are shorter and harder under 15-minute sessions of squat punches, knee hovers, and chair squats. “Six weeks of these can reduce intrahepatic triglycerides by 12 per cent and visceral fat by 17 per cent in men with fatty liver (MASLD),” said Dr Philips, adding that it gives the “biggest liver benefits for the smallest time spent”.
Resistance/strength training
This includes weights or bodyweight, such as squats, presses, rows, and pulldowns. Dr Philips recommended 3 sets of these exercises three times a week for about 40–45 min.
It can “reduce liver fat independent of weight loss, uniquely lowers liver enzyme, and is the single most important exercise for cirrhosis patients to prevent muscle loss (sarcopenia),” he said.
Combined aerobic + resistance
The Liverdoc stated that this combination is the gold standard for exercises. He noted that “network meta-analyses rank this combination as the number one for improving triglycerides, LDL, and total cholesterol in patients with fatty liver (MASLD) - better than either alone”.
Yoga (Hatha/ Surya Namaskar)
Dr Philips noted that classical yoga is not useful for liver health as it is not aerobic and vouched for the modernized versions.
“Eight to 12 weeks or 3 sessions/week of asanas like Surya Namaskar, Ardha Matsyendrasana, Paschimottanasana, Naukasana can help improve liver tests, insulin resistance, and fatty liver grade - especially in patients with type 2 diabetes plus fatty liver disease,” he said.
Pilates and core work
“Eight weeks of pilates can help reduce body weight, body fat, liver enzymes, and liver fat on ultrasound,” said Liverdoc. He called it a joint-friendly option for people who can't run or lift heavy.
Tai Chi / Qigong
The Chinese exercise is a low-impact mind-body movement. About 30–60 min of these three times a week can help “improve glucose control, insulin sensitivity, and balance/ stability, muscle tone," Dr. Philips said.
He noted that this form of exercise is “gentle enough for older patients, those with early decompensated cirrhosis, or people with poor cardiorespiratory fitness”.
Dr Philips said that even advanced liver disease can respond well to exercise treatment.
Citing randomized trials, he stated that “combined aerobic plus resistance training cuts serious events (death, major complications) from 12.3 per cent to 5.6 per cent”. It also “prevents the muscle wasting that drives death events in cirrhosis patients”.
“Make physical activity your number one preference to maintain liver health and reduce liver disease,” Dr Philips said.
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