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.
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Diwali season is here, which brings with it the joy of celebrations, endless sweets, and festive food, all of which make this time of year so special. But to enjoy it fully without health worries, it is important to keep a check on your wellbeing with a few basic tests.
As the festivities begin, it is natural to get carried away with indulgent meals, late nights, and social gatherings. However, a few simple blood tests before Diwali can help you stay active, balanced, and ready to celebrate without any setbacks.
Surrounded by all the happiness and excitement, many people tend to overlook their health during the festive season. This often leads to avoidable health issues that can interrupt the joy of celebrations and take away from the festive mood.
These problems usually stem from a few common habits that creep in during festivals, overeating, irregular sleep schedules, eating too many fried or sugary foods, skipping workouts, or changing usual meal times. They can also worsen any chronic health condition you already have.
You might now be wondering what these health problems are and whether they should be taken seriously. Mostly, they begin with stomach-related troubles that interfere with digestion, causing discomforts like acidity, gas, tiredness, constipation, diarrhoea, or irregular bowel movements. We got in touch with Dr Ranjeet Singh, Professor and HOD General Medicine- NIIMS Medical College And Hospital.
People living with diabetes should check their sugar levels before the festive season. An HbA1c test shows your average blood sugar over the last three months and helps your doctor adjust your diet or medicines accordingly. Even if you don’t have diabetes, a simple fasting or random blood sugar test can help you track early signs of imbalance, especially if you plan to indulge in sweets and rich foods.
Irregular blood pressure is common during festivals due to stress, erratic sleep, and heavy food intake. Both high and low BP can cause headaches, dizziness, or even heart complications. Checking your blood pressure and basic heart health markers before Diwali ensures you celebrate safely without fatigue or uneasiness.
Liver Function Test (LFT)
Festive feasts are often loaded with fried, oily, and sugary items that can strain your liver. The Liver Function Test helps assess how well your liver is processing toxins and nutrients. If you already have liver concerns or a history of fatty liver, this test becomes even more essential before you begin your festive indulgence.
The Kidney Function Test checks how efficiently your kidneys are filtering waste and maintaining fluid balance. Overeating, dehydration, or excess salt and sweets can put pressure on your kidneys. Getting this test done before the festivities helps detect any early signs of kidney stress or damage.
Thyroid hormones control your metabolism, mood, and energy levels but when they get imbalanced, they can lead to fatigue, mood swings, or sudden weight changes, issues that tend to worsen during the festive rush. A Thyroid Function Test ensures your hormone levels are stable, helping you feel active and positive throughout the season.
During Diwali, fried snacks and sweets can cause a spike in cholesterol levels. A Lipid Profile Test helps measure good and bad cholesterol and triglycerides in your blood. If you get your Lipid profile done before Diwali, it can make you make better decisions when you are gorging on all the diwali sweets and make smarter food choices through the festive week.
To enjoy Diwali while reducing the risk of health problems, it’s a good idea to get these essential tests done in advance. Keeping your health in check will help you make the most of the celebrations without worry.
You can also encourage your family and friends to do the same. Remind them to take simple preventive steps and schedule their checkups so that everyone can enjoy a safe Diwali.
Credits: Canva
It was 1846, when a young man lay on an operating table as doctors were ready to perform a surgery to remove a tumor from his neck. Then came a strange-smelling vapor. It was mix of ether and oil, and it filled the room. The man lying on the operation table did not flinch or cry out, there was no pain. When he woke up, it was as if nothing had happened.
This was the day that marked the dawn of general anesthesia. It was on this day today in 1846, that surgical anesthetic WTG Morton conducted the first successful demonstration of ether. Thus, this day is observed as the World Anesthesia Day.
Nearly two centuries later, scientists are still trying to figure out what actually happens to the brain when we under go anesthesia?
Anesthesia doesn’t simply make a person “fall asleep.” It creates a state where the brain disconnects from conscious awareness while vital body functions remain stable.
When the drug enters your bloodstream, it alters how the nerve cells in the brain communicate. Usually, a billion of neurons send and receive signals rapidly, and forms networks responsible for thinking, feeling, and awareness. However, when anesthesia enters the body, these signals slow down or stop and it disrupts the communication between key regions, such as the cortex, which is responsible for handling thought and sensory perception, and the thalamus, which is responsible for processing information from the body.
Furthermore, the brainwave pattern, which usually looks fast and varied on an EEG, shift into slower and larger waves. The mind actually "tunes out" losing its ability to form memories, sense time, or even to process pain.
While anesthesia is designed to create total unconsciousness, it’s a delicate balance. Too little, and traces of awareness can slip through, a phenomenon known as accidental awareness, where patients recall sounds, sensations, or pressure during surgery. It’s rare but can be distressing.
However, too much can make the brain enter a state of extreme suppression. In such cases, EEG readings show almost flat patterns, indicating that neurons have gone quiet. This can also raise the risk of confusion or cognitive issues after surgery, especially among older adults.
In most people, the fog clears within hours, but some experience short-term problems with memory or focus, known as post-operative cognitive dysfunction. In older patients, this sometimes extends into delirium — temporary disorientation or hallucinations caused by lingering changes in brain activity.
You do not immediately wake up, but the mind reboots in layers. High-order functions like reasoning and self-awareness are the first to recover, then attention, coordination, and reaction time.
Studies show that as the anesthetic wears off, brain activity gradually reconnects across different regions. Certain rhythms that dominate during unconsciousness fade, replaced by faster, more complex patterns as the brain resumes its normal communication. It’s as though the mind is reassembling itself, piece by piece.
Anesthesia does not just turn the brain off, but reshapes consciousness, suspending awareness, while also preserving life.
Credits: Canva
The air quality in Delhi before Delhi has already reached beyond the 200 mark. The threshold is considered as 'poor'. The real-time Delhi's Air Quality Index (AQI) at 5.30am today was 233. Multiple areas in Delhi already recorded AQI above 300, categorizing it into 'very poor'.
Anand Vihar recorded 399 at AQI, while Dwarka Sector 8 was at 338, and Mathura Road at 311.
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The air quality is already worsening even before Diwali, this poses a risk for anyone who steps out. So, is there any right time to step out?
Dr Vivek Nangia, a Gurugram-based pulmonologist and a member of DocTube says that pollution levels tend to be slightly lower in the afternoon.
PM2.5 air pollution is highest in the morning and lowest in the afternoon. As per a 2023 study by an air filter brand, Delhi's air pollution peaked at 9AM and gradually improved as the day progressed.
On an average, Delhi sees roughly as half as much PM2.5 by 5PM. Similarly, in Kolkata, the pollution peaks at 8am and is lowered by 4PM. In Mumbai, the peak comes at 9am and is improved by 4pm. In the case of Chennai and Hyderabad, the peak comes at 8am with Pm2.5 at the lowest at 3pm or by noon.
"However, it is vital to wear well-fitted masks," says the doctor.
Noon is when the sun is at its peak, it heats the ground and causes warm air to rise and mix with the atmosphere. This helps to disperse pollutants. However, at night, the ground cools down and leads to a temperature inversion. This means that air neat ground becomes colder than the air above it, trapping pollutants close to the surface.
Also Read: World Spine Day 2025: Theme, Significance, And Origin
Choose the correct mask, experts suggest that we go with N99 and N100 masks, which provide higher filtration. They are more efficient than N95 masks. Dr Sandeep Nayar, Principal Director and HOD, Chest & Respiratory Diseases at BLK-Max Super Speciality Hospital explains that preferably N95 should be considered as normal surgical masks do not prevent you from getting exposed to smaller pollutants including PM2.5 particles which may directly enter your airways and may diffuse into the blood and affect all organs of body.
If you must step out, choose the afternoon time, as it is when the pollution is at its lowest.
To protect your eyes, wear sunglasses, use lubricating eye drops, stay indoors and keep the windows closed, practice eye hygiene and invest in an air purifier.
For your skin, cleansing, moisturizing, and protecting it with sunscreen. You must include antioxidants in your diet and may consider detoxifying treatments.
Continue to check AQI forecasts near your area and keep a note of it to know when to avoid going out. Unless it is absolutely necessary, only then step out.
You can naturally cleanse your nasal passage and lungs by taking a steam, practicing control coughing, drinking green tea, consuming anti-inflammatory food items, and by consuming honey. You can also try Yoga to improve your breathing and cleanse your lungs.
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