The winter season compels us to sit at one place, under the blanket, at the ease of warmth. But aren't we all aware of the dangers of a sedentary lifestyle? And when it is winter, it makes it more so stagnant. Not just that, but now a new study from the University of Iowa says that being a couch potato could lead to 19 chronic conditions. Among the 19 chronic conditions, obesity, diabetes, depression and heart diseases also made it to the list.

Research shows that among many diseases, increased blood pressure, high blood sugar, excess body fat around the waist, unhealthy cholesterol levels that leads to metabolic syndrome, cardiovascular disease and cancer are also there. This is why any extended sitting whether at desk, behind the wheel or the screen can be harmful.

How was the study conducted?

The team of researchers from various departments at the University of Iowa conducted a detailed study where they analyzed records from over 40,000 patients at a major Midwestern hospital system. In the records, they looked at the extensive physical inactivity of these patients and how it impacted their overall health.

The study and the detailed analysis is published in the journal Preventing Chronic Disease and studies.

As part of conducting the study, a 30-second exercise survey was conducted. Then, patients were also asked two questions: how many days per week they engaged in moderate to vigorous exercise and for how many minutes per session? On the basis of response, the patients were categorized into three groups:

• Inactive - 0 minutes per week
• Insufficiently active - 1-149 minutes per week
• Active - 150 minutes per week

As per Lucas Carr, associate professor in the Department of Health and Human Physiology and study's corresponding author, "This two-question survey typically takes fewer than 30 seconds for a patient to complete so it does not interfere with their visit. But it can tell us a whole lot about that patient's overall health."

What did the study find?

The study got 7,261 responses, and it found that around 60% of them met the recommended guidelines for exercising. These people met the 150 minutes or more minutes of moderate exercise per week. However, almost 36% exercised less than 150 minutes per week and 4% reported no physical activity.

The study also found that people experienced lower rates of depression. 15% of people who exercise for 150 minutes or more, or at least for some amount of time could experience depression, as compared to 26% of those who are inactive. Similarly, for obesity, the numbers are 12% versus 21% for obesity, 20% versus 35% for hypertension and the similar trend was seen in other diseases, and markers of good health, including lower resting pulse rates, and cholesterol profiles.

Patients with no physical activity carried a median of 2.16 chronic conditions, this number was 1.49 conditions in insufficiently active patients and dropped to 1.17 in active patients.

The 19 chronic conditions are:

• Obesity
• Live disease
• Psychoses
• Chronic Lung disease
• Neurological seizures
• Coagulopathy (blood clotting disorder)
• Depression
• Weight loss issues
• Uncontrolled hypertension (high blood pressure)
• Controlled hypertension
• Uncontrolled diabetes
• Anemia deficiency
• Neurological disorder affecting movement
• Peripheral vascular disease
• Auto Immune Disease
• Drug Abuse
• Hypothyroidism
• Congestive heart failure
• Vulvar disease (heart valve problem)

Subtle personality shifts are often brushed off as stress, burnout, or simply aging; however, experts speaking to The Telegraph UK said that, in many families, behavior changes appeared years before memory problems ever showed up. Long before forgetting names or misplacing keys, the brain sometimes reveals distress through temperament.

Here are the personality patterns specialists consider early warning signs.

Loss Of Confidence

One of the earliest changes families notice is a sudden drop in self belief. A person who once handled responsibilities with ease may start doubting routine decisions. Tasks they previously mastered begin to feel overwhelming.

This does not look like ordinary ageing. It feels abrupt and out of character. People may avoid activities they enjoyed, stop fixing things around the house, or repeatedly seek reassurance.

The reason lies in declining brain flexibility. When brain networks struggle to process information efficiently, the individual senses something is wrong even before memory fails. Many withdraw socially, which further increases cognitive decline risk because isolation deprives the brain of stimulation.

Becoming Less Curious Or Open

Everyone becomes slightly set in their ways with age. But a marked shift toward rigid thinking can be significant.

Someone once eager to try new foods, travel, hobbies, or conversations may now resist anything unfamiliar. They prefer repetitive routines and become uncomfortable with change.

This matters because curiosity acts like exercise for the brain. Reduced openness means fewer new neural connections being formed. Over years, that lack of stimulation weakens resilience against degeneration.

Families often interpret this as stubbornness. In reality, the brain may be losing its ability to adapt.

Difficulty Handling Problems

A striking early sign is emotional collapse over manageable situations. People who previously handled pressure calmly may suddenly panic over bills, schedules, or minor setbacks.

They might abandon responsibilities, become overwhelmed quickly, or react with distress disproportionate to the problem.

This happens because the brain’s coping reserve shrinks slowly over time. The person is not overreacting intentionally. They genuinely cannot process the situation the way they once could.

Often, this stage appears many years before diagnosis.

Rising Impulsivity

Uncharacteristic impulsive behavior can be a strong warning sign. This may include reckless spending, gambling, inappropriate jokes, blunt comments, or risky decisions.

The change is especially noticeable when the person was previously cautious.

This reflects weakening control centres in the brain that regulate inhibition. The desire may always have existed, but the filter disappears. Families sometimes mistake this for a personality crisis or rebellion rather than a neurological change.

Reduced Conscientiousness

Another overlooked sign is declining organization. Bills go unpaid, appointments are missed, and routines fall apart.

The person may appear lazy, careless, or uninterested in hygiene or planning. In truth, the brain’s planning circuits are struggling.

Interestingly, people who maintain structured habits tend to have lower dementia risk. When those habits suddenly erode, it may indicate underlying biological changes rather than attitude.

Increased Anxiety And Emotional Fragility

Heightened nervousness often emerges early. Individuals become unusually worried, tense, or easily rattled. Minor uncertainties feel threatening.

Chronic stress affects inflammation levels in the body and brain, which accelerates damage to nerve cells. The emotional change can therefore be both a symptom and a driver of decline.

Families frequently interpret this as midlife stress, but persistence and personality mismatch are key clues.

Loss Of Warmth And Empathy

Perhaps the most distressing shift is emotional distancing. Someone affectionate may grow indifferent, withdrawn, or blunt. They may stop comforting loved ones or show little reaction to emotional events.

This does not mean they care less. The brain regions responsible for social understanding and emotional recognition are weakening.

Such changes are often mistaken for depression or relationship problems, delaying evaluation.

When Should You Be Concerned

A single change alone rarely means dementia. What matters is a consistent shift from lifelong behavior. If reactions feel unfamiliar compared to how the person handled situations for decades, it deserves attention.

In many cases, personality changes appear years before memory loss. Recognizing them early allows families to seek assessment, improve lifestyle factors, and prepare support systems while independence remains intact.

The brain often whispers before it forgets. Listening to behavior can be the first step toward protecting it.

Heart attack is the world's number one killer, yet its symptoms differ for both men and women, leading to varied outcomes.

A heart attack typically occurs when cholesterol plaque builds inside the walls of arteries and causes damage to the major blood vessels.

While men typically develop plaque in the largest arteries that supply blood to the heart, in women, it accumulates in the heart’s smallest blood vessels, known as the microvasculature.

A study published today in Circulation: Cardiovascular Imaging, an American Heart Association journal, showed that women report less artery-clogging plaque. Yet, it did not protect them from heart disease compared to men.

The study showed that women faced increased heart risk at lower levels of plaque compared to men. For total plaque burden, women’s risk began to rise at 20 percent plaque burden, while men’s risk started at 28 percent.

The increasing plaque levels led to a sharper risk for women than for men.

How Heart Attack Symptoms Differ Between Men And Women

According to global studies, women are more likely than men to die from a heart attack. The major reason is the late onset of symptoms of a heart attack in women.

During a heart attack, men are likely to experience sweating, pain in the chest, arms, and legs, and shortness of breath.

While the experiences are common among women, they also tend to suffer a combination of less-recognized symptoms such as nausea, indigestion, fatigue, dizziness, and pain in the neck, jaw, throat, abdomen, or back.

The obvious chest discomfort is also sometimes absent during heart attacks in women.

Other common reasons for heart attacks in women include:

• High testosterone levels before menopause
• Hypertension during menopause
• Autoimmune diseases such as rheumatoid arthritis
• Stress and depression

Can Heart Attacks Be Prevented?

Cardiovascular diseases are mostly preventable by targeting traditional risk factors common to both women and men, which include obesity, smoking, diabetes, high blood pressure, family history and metabolic syndrome -- the co-existence of high blood pressure, obesity, and high glucose and triglyceride levels.

The American Heart Association also advises at least 150 minutes a week of moderate-intensity aerobic activity (such as brisk walking) or 75 minutes of vigorous activity (such as jogging), or a combination of both.

Include fruits, vegetables, lean proteins, whole grains, low-fat or fat-free dairy, nuts, and seeds in your diet.

Limit processed foods, added sugars, sodium, and alcohol.

Seeing your child suddenly screaming at night, with wide eyes and thrashing limbs, can be deeply unsettling. However, remaining calm and focusing on safety is crucial for parents during the sleep terror episodes, said health experts.

Sleep terrors, also known as night terrors, are episodes of sudden fear, screaming, or intense distress that occur during sleep.

The condition is more common in children, especially between the ages of 3 and 8 years, as their sleep patterns are still maturing.

Unlike nightmares, which usually happen during dreaming (REM sleep) and are often remembered, sleep terrors occur during deep non-REM sleep.

Dr Preeti Singh, Senior Consultant, Clinical Psychology, Max Super Speciality Hospital, Dwarka told HealthandMe, that while it may be frightening to witness, especially for parents, sleep terrors themselves are usually not harmful.

Although most kids outgrow this naturally, if the episodes are violent or very frequent, consult a specialist, added Dr Sudhir Kumar, a neurologist at Apollo Hospitals, Hyderabad.

What Are Sleep Terrors

During sleep terror, the child may sit up abruptly, shout, appear frightened, sweat, breathe rapidly, and be difficult to console. In most cases, they do not recall the episode the next morning.

Sleep terrors typically occur in the first third of the night, during deep sleep (slow-wave sleep). They are considered a type of parasomnia, meaning an unusual behavior during sleep.

Dr Kumar, in a post on social media platform X, explained that unlike a bad dream, a sleep terror happens in deep sleep (Stage N3).

It is characterized by abrupt sitting up/screaming, with physical signs that include a fast heart rate, sweating, and dilated pupils.

"It is 11 PM. Your child suddenly sits up, screams at the top of their lungs, and looks terrified. They are not responding to you, and they seem to be looking right through you. This is likely a sleep terror (night terror), a common NREM sleep parasomnia in children aged 3-12,” said Dr Kumar, popularly known as the Hyderabad doctor, on X.

The expert noted that the children are unlikely to recognize the parents and be "consoled" during the episodes.

What Factors Trigger Sleep Terrors

• Sleep deprivation or irregular sleep schedules
• Fever or illness
• Emotional stress or anxiety
• Major life changes or trauma
• Family history of parasomnias
• Certain medications

For children, sleep terrors are often developmental and tend to reduce as the nervous system matures, Dr Singh told HealthanMe.

How Can Parents Respond?

Parents often feel alarmed during a sleep terror episode, but the key is to remain calm, the experts said. They said during an episode:

• Do not try to fully wake the child, as this may increase confusion and agitation.
• Gently ensure the child is safe and cannot injure themselves.
• Speak softly and reassuringly, even if they do not respond.
• Wait for the episode to pass, which usually happens within a few minutes.

Other preventive measures include:

• Maintaining a consistent bedtime routine
• Ensuring the child gets adequate sleep
• Reducing screen time before bed
• Managing stress during the day
• Creating a calm and secure sleep environment

How To Manage

Most children do not require medical treatment, as sleep terrors usually resolve on their own with age. Treatment is considered when episodes are frequent, severe, cause injury, or significantly disrupt family life.

However, addressing sleep deprivation, treating any underlying medical conditions (e.g., sleep apnea), counseling or stress management strategies can help.