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We all must have come across the phase: this is why women live longer than men. These are all over the social media, where men are performing more often than not, some experiments, without gears, just for fun, "in the name of science". The caption reads: this is why women live longer. However, is there really a science to it, other than the fact that women choose to do things more safely?
In the United States, women have a life expectancy of about 80, whereas men have 75. Women outlive men and this holds true regardless of the country women live, the money they make, and other factors. In fact, it is true for most other mammals too.
Dr Dena Dubal, a professor of neurology at the University of California, San Francisco told the New York Times, "It is a very robust phenomenon all over the world, totally conserved in sickness, during famines, during epidemics, even during the times of starvation."
But what are the reasons? These reasons are often more complicated and less established. It is important to note that only because women are outliving men does not mean they are living a better life. In fact, women tend to have shorter health spans, which means the number of healthy years in a person's life is less in women than men, confirmed Bérénice Benayoun, an associate professor at the U.S.C. Leonard Davis School of Gerontology.
As per a 2021 study titled, Sex differences in frailty: Comparisons between humans and preclinical models, found that women are more physically grail than men in old age. They are also more vulnerable, especially after menopause and are at more risk of developing cardiovascular issues and Alzheimer's disease because of age.
The key is in figuring out what makes one sex more resilient or vulnerable.
For things which do not find easy explanations, scientists look for their answers in genes. Many research, including a 2020 study titled, The sex with the reduced sex chromosome dies earlier: a comparison across the tree of life, suggests that the XX set of female sex chromosomes may impact longevity. However, there has not been any clarity on how it affects longevity.
Another 2018 study titled, Female XX sex chromosomes increase survival and extend lifespan in aging mice, which was conducted by Dr Dubal's lab, looked at genetically manipulated mice with different combinations of sex chromosomes and reproductive organs. It was found that those with two X chromosomes and ovaries lived longest, followed by mice with two X chromosomes and testes. Mice with XY chromosomes had shorter life spans.
"There was something about the second X chromosome that was protecting the mice from dying earlier in life, even if they had testes. What if there was something on that second X chromosome that was in some ways a sprinkle of the fountain of youth," says Dr Dubal. While scientists have not yet looked at this factor in humans, Dr Dubal suggests that humans have the same hormones and sex chromosomes, and similar reproductive system that could corroborate the similar findings in people.
Plenty research has shown that estrogen is responsible for longevity also effect on the immune system. The data also shows that before menopause, the female immune system tends to do better. In fact Dr Benayoun said that males tend to do much worse in response to infection.
Another 2017 study titled, Ages at Menarche and Menopause and Reproductive Lifespan As Predictors of Exceptional Longevity in Women: The Women's Health Initiative, found that women who experienced menopause later in life over the age 50 lived longer than those who experienced it earlier.
There are also disparity in behavioral patterns between men and women. This includes smoking, drinking heavily, which can contribute significantly to mortality. Women also have more "health promoting behavior", believe experts. Women are also more likely to socialize than men and thus it protects them from detrimental effects of social isolation and loneliness. In fact, a 2023 analysis published in Jama Network, titled, Widening Gender Gap in Life Expectancy in the US, 2010-2021, found that women are less likely to die by drug overdose or suicide.
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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.
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.
For children, sleep terrors are often developmental and tend to reduce as the nervous system matures, Dr Singh told HealthanMe.
Parents often feel alarmed during a sleep terror episode, but the key is to remain calm, the experts said. They said during an episode:
Other preventive measures include:
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.
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Hypertension or high blood pressure, a major risk for stroke, is preventable and treatable. Yet it accounts for about 14 per cent of cases of stroke among young adults aged below 45 years.
High blood pressure can be defined as the increasing pressure in blood vessels marked as 140/90 mmHg or higher.
Uncontrolled hypertension can burst or block arteries that supply blood and oxygen to the brain, causing a stroke.
A recent study by the Indian Council of Medical Research (ICMR) found that hypertension (74.5 percent) was the most common risk factor for stroke and related deaths (27.8 percent) and significant disability (about 30 per cent) across India.
“Blood vessel walls can be damaged through uncontrolled high blood pressure, making them prone to blockage or rupture. The good news is that hypertension is preventable through regular monitoring, reduced intake of salt, exercise stress control, and medication when required,” Dr. Rajul Aggarwal, Director - Neurology, Sri Balaji Action Medical Institute, Delhi, told HealthandMe.
Chronic high pressure forces the brain to compensate, leading to vessel remodeling, narrowing, and eventually rupture or clotting.
The ICMR study reported that ischemic stroke accounted for 60 percent of cases.
The experts explained that in the case of ischemic stroke, high blood pressure damages artery walls, fostering plaque buildup (atherosclerosis) or allowing clots to form and block blood flow to the brain.
On the other hand, with hemorrhagic Stroke, constant strain caused by high blood pressure weakens artery walls, causing them to burst or leak blood into the brain. This can result in severe damage or life-threatening emergencies.
“When blood pressure stays high for years, it slowly strains the blood vessels -- nothing dramatic at first, which is why people ignore it. The arteries become stiff and fragile, sometimes narrowing, sometimes tearing,” Dr. Gunjan Shah, Interventional Cardiologist, Narayana Hospital, Ahmedabad, told HealthandMe.
"This makes clots or bleeding in the brain more likely, leading to ischemic or hemorrhagic stroke, even in people who otherwise feel perfectly fit and busy with daily life," Dr. Shah added.
In stroke-related cases, the golden hour -- referred to as the critical first 60 minutes after symptom onset -- is very much critical. Early medical treatment during the window can prevent death risk as well as boost health outcomes.
However, the ICMR study, published in the International Journal of Stroke, showed that just 20 percent of patients arrived in the hospital after 24 hours of the onset of symptoms.
Dr. Aggarwal said treatment within the first 60 minutes can significantly reduce the brain damage and improve survival as well.
“In a stroke, time moves very differently. Brain cells begin getting damaged within minutes when blood flow stops. If someone reaches the hospital quickly -- within the golden hour -- we have a real chance to restore circulation and limit disability. Recognising symptoms early and not waiting at home can truly change how well a person recovers,” added Dr Shah.
Hypertension is a modifiable disease, and the risks can be reduced by:
Dr Shah said that many young patients delay care because they feel fine, but taking medicines on time and correcting lifestyle early can prevent serious problems later.
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Living in the mountains has long been linked with a surprising health advantage. People who reside at high elevations appear less likely to develop diabetes than those living at sea level. For years, researchers observed this pattern but could not clearly explain why it happens.
Now, scientists say they finally have an answer. According to inputs and direct quotes shared with news agency ANI, low oxygen conditions trigger a unique change inside red blood cells that helps lower blood sugar levels.
At high altitude, oxygen levels are lower than usual. To cope with this shortage, the human body adapts in several ways, including producing more red blood cells.
Researchers at the Gladstone Institutes found that these red blood cells do far more than simply transport oxygen. In low oxygen environments, they begin absorbing unusually large amounts of glucose from the bloodstream.
In simple terms, the cells start behaving like sugar sponges. By pulling glucose out of circulation, they naturally reduce blood sugar levels, which may explain why diabetes occurs less frequently in people living at higher elevations.
Senior author Isha Jain explained the significance of the finding in comments to ANI: “Red blood cells represent a hidden compartment of glucose metabolism that has not been appreciated until now. This discovery could open up entirely new ways to think about controlling blood sugar.”
The discovery emerged from experiments on mice exposed to hypoxia, the scientific term for reduced oxygen levels in the blood. The animals showed a rapid drop in blood glucose after eating, something usually associated with a lower risk of diabetes.
But scientists initially could not find where the sugar was going. They examined major organs such as the liver, brain and muscles but none accounted for the sudden disappearance of glucose.
First author Yolanda Marti Mateos told ANI: “When we gave sugar to the mice in hypoxia, it disappeared from their bloodstream almost instantly. We looked at muscle, brain, liver, all the usual suspects, but nothing in these organs could explain what was happening.”
Using advanced imaging techniques, the team discovered the missing destination. Red blood cells themselves were absorbing and using the glucose.
This was unexpected because red blood cells have traditionally been viewed as passive oxygen carriers rather than active metabolic regulators.
Further experiments showed that not only did the body produce more red blood cells in low oxygen conditions, but each individual cell also consumed more glucose than normal.
Research collaborator Angelo D’Alessandro said, “Red blood cells are usually thought of as passive oxygen carriers. Yet, we found that they can account for a substantial fraction of whole body glucose consumption, especially under hypoxia.”
The glucose absorbed by red blood cells is not wasted. Instead, it helps generate molecules that improve oxygen delivery to tissues.
This adaptation becomes crucial when oxygen is scarce. The body simultaneously improves oxygen distribution and reduces circulating sugar levels, a combination that may protect against diabetes.
The team also tested a new experimental drug called HypoxyStat that recreates the effects of low oxygen exposure. The pill works by making hemoglobin hold onto oxygen more tightly, mimicking high altitude conditions inside the body.
In diabetic mice, the treatment reversed high blood sugar and performed better than existing therapies.
Jain told ANI, “It opens the door to thinking about diabetes treatment in a fundamentally different way by recruiting red blood cells as glucose sinks.”
Researchers also noted the benefits lasted weeks after animals returned to normal oxygen conditions.
Scientists believe the findings could influence other fields such as exercise science and trauma medicine, where oxygen supply and energy use are closely linked.
For now, the study provides a long sought explanation for the protective effect seen in mountain populations and suggests that future therapies may not target insulin or organs alone but the blood itself.
As Jain concluded in remarks shared with ANI, “This is just the beginning. There’s still so much to learn about how the whole body adapts to changes in oxygen and how we could leverage these mechanisms to treat a range of conditions.”
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