Pope Francis (Credit: X)
Pope Francis injured his right arm after suffering a fall earlier this week. According to the Vatican, while the 88-year-old pontiff did not break his arm, a sling was put on as a precaution. This incident comes just weeks after another fall on December 7, where he hit his chin on a nightstand, resulting in another, visible bruise. The pope's health has been a topic of ongoing speculation due to his age and medical history, which includes long bouts of bronchitis and mobility challenges. Often seen using a wheelchair or a cane, Francis also uses a walker within the Vatican's Santa Marta hotel, where he resides. Notably, his frailty has brought renewed attention to the risks of falls among elderly individuals and the steps one must follow to mitigate such falls.
A study published in Frontiers in Aging Neurosciences people get older, the bone density in the lower back and thigh bone decreases significantly. This raises the risk of osteoporosis (OP). Therefore it becomes pivotal to pay early attention to nutrition, exercise ability, vitamin D levels, and uric acid levels in older individuals to prevent Ostreopsis and mitigate fall risks. The risk of falls and bone injuries among elderly individuals underscores the importance of preventive measures for maintaining bone health and minimizing fall risks.
Elderly, particularly menopausal women, require a daily calcium intake of 1,200 mg, divided into two or more doses. This can be achieved through dietary sources such as dairy and non-dairy products or through supplements like calcium carbonate and calcium citrate. However, total daily calcium intake should not exceed 2,500 mg to avoid potential health risks.
Vitamin D is essential for calcium absorption and bone mineralization. While sunlight exposure helps synthesize vitamin D, older individuals often require supplements due to reduced skin synthesis and the limited availability of foods. Fortified milk and supplements containing 200–600 IU of vitamin D daily are recommended, with higher doses required for those with deficiencies. Severe cases may necessitate high-dose treatments, such as 50,000 IU weekly for up to three months, along with regular monitoring of calcium and vitamin D levels.
Regular exercise is vital for preserving bone mass and reducing fall risk. Weight-bearing activities, strength training, and balance exercises like brisk walking or skipping can enhance bone density and improve coordination. Experts recommend at least 30 minutes of moderate physical activity most days of the week, supplemented by strength training twice weekly. For individuals unable to engage in standard exercise routines, alternatives like vibrating platforms may help maintain bone health.
Falls remain a leading cause of fractures among individuals over 60. Addressing contributing factors such as balance issues, vision problems, and environmental hazards can significantly reduce risks. Preventive measures include regular vision checks, minimizing medications causing dizziness, improving home safety (e.g., installing railings and removing loose rugs), and wearing rubber-soled footwear. Hip protectors may also help mitigate the impact of falls.
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Weight-loss medications such as oral semaglutide have become increasingly popular for treating obesity. However, a new study suggests that a 45-minute, minimally invasive procedure called Endoscopic Sleeve Gastroplasty (ESG) may deliver greater short-term weight loss than oral semaglutide tablets.
Published in the Endoscopy journal, the study compared two established non-surgical obesity treatments—ESG and oral semaglutide 14 mg.
Researchers from AIG Hospitals, Hyderabad, found that patients who underwent ESG lost significantly more weight than those taking oral semaglutide after six months.
Patients treated with ESG achieved an average 12.72% total body weight loss, compared with 8.67% among those taking semaglutide. The difference remained significant even after adjusting for age, sex, BMI and diabetes.
"The most important message from this study is that obesity treatment has to be individualized. ESG appears to offer a stronger early push in weight loss, especially for patients who need a meaningful reduction in a short period," said Dr. Nitin Jagtap, Consultant Gastroenterologist at AIG Hospitals.
He added that ESG is not a shortcut but a structured intervention that helps patients reset eating habits and build sustainable lifestyle changes.
The retrospective study included 150 adults with obesity treated between January 2024 and April 2025. Of these, 50 underwent ESG, while 100 received oral semaglutide 14 mg once daily.
All participants also followed a calorie-deficient diet and moderate exercise plan, highlighting that both treatments work best alongside lifestyle modifications.
ESG also outperformed semaglutide in the number of patients achieving clinically meaningful weight loss.
No major adverse events were reported in either group.
Notably, by 12 months, the gap between the two treatments had narrowed. Average weight loss was 11.92% in the ESG group and 10.91% in the semaglutide group, with no statistically significant difference.
The findings are particularly relevant for India, where obesity often occurs alongside diabetes, fatty liver disease and cardiovascular risk at lower BMI levels than in Western populations, the researchers said.
The researchers noted that the findings should be interpreted carefully because this was a retrospective, single-centre study, not a randomized clinical trial.
They also stressed that the comparison was limited to oral semaglutide 14 mg and should not be extended to higher-dose injectable GLP-1 drugs or newer dual-incretin therapies, which may produce different results.
"Obesity care is entering a new phase where endoscopy, pharmacology, nutrition and lifestyle medicine must come together," said Dr. D. Nageshwar Reddy, Chairman of AIG Hospitals.
He emphasized that ESG and medications like semaglutide should be viewed as complementary options rather than competing therapies, with the shared goal of achieving and maintaining meaningful weight loss.
Endoscopic Sleeve Gastroplasty (ESG) is a minimally invasive procedure performed through the mouth without external incisions. Using an endoscope and suturing device, doctors reduce the stomach's size by placing internal stitches, helping patients feel full sooner without surgically removing part of the stomach.
Oral semaglutide belongs to the GLP-1 receptor agonist class of drugs. It reduces appetite, increases feelings of fullness and helps lower calorie intake. Unlike ESG, it requires daily medication, long-term adherence and continued affordability.
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The US Food and Drug Administration (FDA) has expanded the approval of Vertex Pharmaceuticals' Casgevy (exagamglogene autotemcel), making it the first gene therapy approved for children as young as 2 years with sickle cell disease (SCD) and transfusion-dependent beta thalassemia (TDT).
Earlier, the one-time CRISPR-based gene-editing therapy was approved only for patients aged 12 years and older. The expanded label is expected to make approximately 5,500 additional children in the US eligible for treatment, the company said.
The FDA said earlier intervention could help prevent irreversible organ damage and improve long-term health outcomes.
“With today’s decision, pediatric patients as young as 2 years of age can now access a critical additional treatment option to treat these debilitating, life-threatening diseases,” said Karim Mikhail, Acting Director of the FDA's Center for Biologics Evaluation and Research (CBER).
"Making this therapy available to younger patients opens a critical window for intervention and gives these children a meaningful chance at a healthier future," added Megha Kaushal, Acting Deputy Director of the FDA's Office of Therapeutic Products.
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The expanded approval is backed by clinical trial data in children aged 5 to under 12 years.
For sickle cell disease:
For transfusion-dependent beta thalassemia:
Casgevy is a one-time gene-editing therapy that uses CRISPR technology to modify a patient's own blood stem cells, enabling the body to produce healthier red blood cells.
For people with sickle cell disease, it aims to prevent painful vaso-occlusive crises. In beta thalassemia, it can eliminate the need for regular blood transfusions in many patients.
“These disorders carry a heavy burden for children and their families, affecting growth, development, and long-term health in profound ways,” said Kaushal, also a pediatric hematologist. “Grounded in the scientific evidence that earlier treatment reduces the risk of lasting end-organ damage, making this therapy available to younger patients opens a critical window for intervention and gives these children a meaningful chance at a healthier future.”
The FDA granted the expanded approval through its Commissioner's National Priority Voucher program, completing the review in 53 days.
Vertex said it has also submitted applications to expand Casgevy's use in the United Kingdom and Saudi Arabia, where regulatory reviews are currently underway.
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A popular snack brand is currently under scrutiny after its multiple products were classified under the US Food and Drug Administration's (FDA) Class I recall. The move came after concerns over its product being contaminated with Salmonella surfaced.
According to the FDA, the recall was initiated in May by Utz Quality Foods LLC after the company found out that a seasoning ingredient containing milk powder, sourced from California Dairies Inc. through a third-party supplier, may have been contaminated with Salmonella.
The recall affects a few varieties of its Zapp's and Dirty’s potato chips, including Zapp's Bayou Blackened Ranch, Big Cheezy, and Salt and Vinegar potato chips, as well as Dirty brand Salt and Vinegar, Maui Onion, and Sour Cream and Onion potato chips.
According to the FDA, Utz said the seasoning batches tested negative before being used in production, but the decision to recall the products was taken as a precautionary measure.
While no illnesses have been reported yet, the FDA's move indicates there is a reasonable probability that consuming these products could result in adverse health consequences and even death.
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The FDA uses three categories to classify product recalls based on the level of public health risk. A Class I recall is usually reserved for products that pose the highest risk to consumers.
It is issued when there is a reasonable probability that consumption or use of the product will cause serious health problems or death.
Salmonella infection, known as salmonellosis, usually develops between six hours and six days after consuming contaminated food.
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Common symptoms of salmonellosis include:
Most healthy people recover within four to seven days without targeted treatment. However, it can become severe when the infection enters the bloodstream. Deemed as a medical emergency, this situation prompts urgent attention.
Those with weakened immunity systems, such as young children, older adults, and women who are expecting are at the greatest risk of developing serious complications from salmonellosis. In rare cases, the infection can become life-threatening.
The FDA has advised consumers not to eat the recalled potato chips. It has also said that anyone who has purchased the affected products should either discard them or return them to the place where they bought them for a refund.
The regulatory body has also said that consumers who experience symptoms of salmonellosis after eating the recalled products, especially those at higher risk for complications, should seek medical care immediately.
Although no infection cases linked to the recalled chips have been reported to date, health officials say the recall is intended to prevent potential cases before they occur.
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