According to a study published in the November 6, 2024, online issue of Neurology, the medical journal of the American Academy of Neurology, older people who are sleepy during the day or lose interest in activities due to sleep issues may be more likely to develop a syndrome that can lead to dementia.
People with the syndrome walk slowly and report memory problems, but they do not have a mobility handicap or dementia. Motoric cognitive risk syndrome is a condition that can develop before dementia.
The study found that people with excessive daytime sleepiness and a lack of enthusiasm to get things done were more likely to develop the syndrome than people without those sleep-related issues. The study does not prove that these sleep-related issues cause the syndrome, it only shows an association.
“Our findings emphasize the need for screening for sleep issues,” said study author Victoire Leroy, MD, PhD, of Albert Einstein College of Medicine in the Bronx, New York. “There’s potential that people could get help with their sleep issues and prevent cognitive decline later in life.”
The study included 445 participants, with an average age of 76, who did not have dementia. Participants completed sleep surveys at the beginning of the trial. They were queried about memory problems, and their walking pace was measured on a treadmill at the beginning of the study and then once a year for the next three years.
The sleep assessment included questions about how frequently people had difficulties sleeping because they woke up in the middle of the night, couldn't fall asleep within 30 minutes, or felt too hot or cold, as well as whether they used sleep aids. The question to assess excessive daytime drowsiness asks how frequently people have had problems remaining awake when driving, eating meals, or were engaged in any other activity.
In total, 177 participants fit the category of bad sleepers, whereas 268 satisfied the definition of good sleepers.
At the outset of the trial, 42 participants had motoric cognitive risk syndrome. Throughout the trial, 36 more persons got the condition.
35.5% of patients who experienced extreme daytime sleepiness and a lack of enthusiasm developed the syndrome, compared to 6.7% who did not. After accounting for other factors that could influence the risk of the syndrome, such as age, depression, and other health conditions, researchers discovered that people with excessive daytime sleepiness and a lack of enthusiasm were more than three times more likely to develop the syndrome than those who did not have those sleep-related issues.
“More research needs to be done to look at the relationship between sleep issues and cognitive decline and the role played by motoric cognitive risk syndrome,” Leroy said. “We also need studies to explain the mechanisms that link these sleep disturbances to motoric cognitive risk syndrome and cognitive decline.”
A limitation of the study is that participants reported their own sleep information, so they may not have remembered everything accurately.
The study was supported by the National Institute on Aging.
Sitting under an air conditioner for prolonged hours could also give you high BP. (Photo credit: AI generated)
Contemporary office spaces have been designed to maximise comfort. Comfort includes central air conditioning, comfortable chairs, coffee dispensers, and beautiful interior design. Nonetheless, all these cool offices contribute greatly to the increase in blood pressure among unsuspecting employees. Many office workers spend about 8–10 hours indoors, thinking that comfort equates to good health. Sedentary lifestyles, stress at work, poor eating habits, and minimal movement are some of the factors resulting in increased levels of hypertension among young office-goers.
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In an interview with Health and Me, Dr Tushar Tayal, Associate Director, Internal Medicine, CK Birla Hospital, Gurugram, explained how extreme air conditioning at work can slowly weaken your heart and give you high blood pressure.
"Being constantly exposed to an air-conditioned environment may indirectly contribute to the rise in blood pressure levels. Extremely cold temperatures may prevent a person from moving around and sweating. People are less likely to go outside because of the difference in temperature between the interior and exterior environments. On top of that, dry air from air conditioners contributes to dehydration, particularly when people consume too much caffeine and too little water," Dr Tayal explained.
Although an office atmosphere may seem serene from the outside, the corporate environment is frequently linked with high mental stress. Pressure to meet targets, appraisals, fear of being laid off, lengthy meetings, and information overload lead to the body being continuously on guard. High levels of stress hormones, such as cortisol and adrenaline, can increase blood pressure. Employees often experience silent stress, which means that while they may not feel emotionally stressed, they suffer from physiological symptoms including headaches, exhaustion, irritability, and hypertension.
A sedentary lifestyle has proven to be one of the major contributors to high blood pressure among corporate employees who spend much of their time sitting while participating in meetings, watching presentations, or working on computers. Physical inactivity makes the heart less effective while causing issues such as obesity, diabetes, and hypertension. One may think that people who play sports for an hour every day face no risks associated with a sedentary lifestyle, but even then, sedentarism can harm a person. Office employees tend to underestimate the amount of physical activity they engage in at their workplace.
Dr Tayal said that the food culture in a corporate office plays a significant role in the development of high blood pressure as well. Numerous tea breaks, snacking on packaged foods with too much salt, takeaway meals, sweet drinks consumed in large amounts, and late suppers after overtime—all these aspects may affect cardiovascular health. Stress-related eating habits and improper food intake also play a role in metabolic disruptions. Consuming foods with excessive salt may be harmful.
The expert went on to explain that previously, hypertension used to be linked more with elderly individuals. Now, doctors have been noting instances of high blood pressure among young professionals in their mid-20s and 30s. Corporate workers might look healthy from the outside but often neglect signs such as poor sleep quality, fatigue, dizzy spells, or stress. Because there may be no visible signs of high blood pressure, many cases are discovered only through regular medical check-ups. Specialists advise that undiagnosed hypertension can result in serious diseases in the future, such as heart disease or stroke.
Modern companies have begun to be urged to reassess the idea of wellness in the office. Promoting physical activity breaks, standing meetings, drinking water, looking after mental health, choosing healthier foods at the company canteen, and getting screened for hypertension can aid in minimising the risks of this illness. Workers can start by implementing small changes, such as doing stretching exercises once an hour, walking around while on the phone, consuming less coffee, and measuring their blood pressure regularly.
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Individuals who experience tingling, numbness, and burning sensations in their hands and feet often disregard these early symptoms, especially after a long drive, extended standing, or sleeping. Many frequently take painkillers to ease their discomfort in the hope that their pain and other symptoms will quickly go away.
These types of persistent or recurrent symptoms, however, could be a signal of a nerve health issue such as peripheral neuropathy. Vitamin B12 is crucial for the nervous system, and its deficiency could be one of the potential causes.
Early detection of these symptoms and appropriate, timely medical advice can help facilitate immediate intervention. Addressing nutritional gaps under medical guidance may help support overall nerve health and reduce the risk of progression.
Neurotropic B-vitamins are essential for preserving the structure and function of nerves. A lack of these vitamins may present as:
Common Vitamin B12 deficiency signs include persistent fatigue, sensory disturbances, imbalance and neuropathic discomfort. Early detection supports timely intervention and may help prevent further nerve damage.
The right nutritional support plays a key role in preserving nerve function:
An appropriate and active approach to nerve care includes nutritional adjustments, metabolic regulation, and the right assistance to support symptoms.
Dietary Optimization: Encourage intake of foods rich in B-vitamins such as whole grains, dairy, eggs, legumes, and leafy vegetables. However, for those with restrictions, the diet alone might not be enough, especially in cases of established deficiency, malabsorption, or restricted diets.
Targeted Treatment: When guided by a healthcare professional, oral supplementation can be considered as part of a comprehensive plan.
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Dozens of food products, including chocolates, snack mixes, popcorn, chips, and nuts, have been recalled in the US over the risk of salmonella contamination.
The recall is due to a specific ingredient — milk powder supplied by California Dairies — used in several products and snacks, particularly in seasonings.
According to the Food and Drug Administration (FDA), the potentially tainted powdered milk and buttermilk were voluntarily recalled on April 20.
Ghirardelli Chocolate Powders:
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The FDA urges people who purchased the products to throw them away or return them for a refund.
A separate Salmonella recall impacting 12 flavors of the popular chocolate brand Spring & Mulberry was also recently announced by the FDA, but appeared to be linked to a date supplier. It wasn't immediately clear if there was any connection to the California Dairies recall.
Another is a public health alert issued by the US Department of Agriculture’s Food Safety and Inspection Service (FSIS) for headcheese over possible contamination with Listeria monocytogenes (Lm).
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As per the US Food and Drug Administration (FDA), Salmonella is a group of bacteria that can cause gastrointestinal illness and fever called salmonellosis. It can be spread by food handlers who do not wash their hands and/or the surfaces and tools they use between food preparation steps. It can also happen when people consume uncooked and raw food. Salmonella can also spread from animals to people.
The FDA notes that people who have direct contact with certain animals, including poultry and reptiles, can spread the bacteria from the animal to food if hand washing hygiene is not practiced.
Pets, too, could spread the bacteria within the home environment if they eat food contaminated with Salmonella.
Common symptoms of Salmonella include
Children younger than 5, adults 65 and older, and people with weakened immune systems are more likely to have severe illness.
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