Ariana M. Chao, PhD, CRNP, Assistant Professor of Nursing at the University of Pennsylvania School of Nursing
Newswise — PHILADELPHIA (NOVEMBER 15, 2021) – Studies suggest that exposure to the COVID-19 pandemic has been associated with a variety of different mental health consequences including reports of depression, loneliness, and insomnia. People who are more than 65 years of age and those with underlying medical conditions such as type 2 diabetes and obesity are particularly vulnerable to negative outcomes from COVID-19. Until now, few investigations have identified and separated the mental health consequences of exposure to the COVID-19 pandemic from preexisting factors in this age group. A new prospective study of a large cohort of older adults with type 2 diabetes and overweight/obesity from across the U.S. has explored this subject with surprising results.
The prospective study, published in the journal Diabetes Care, showed that from pre-COVID to during the COVID-19 pandemic, the prevalence of mild or greater symptoms of depression increased by 1.6 times (from 19.3% to 30.4% of participants), while loneliness rose by 1.8 times (from 12.3% to 22.1% of participants). Reports of insomnia remained stable in the cohort (at 33.3x% and 31.5%, respectively). More than half of the study participants remained free of clinically significant levels of adverse mental health conditions during the COVID-19 pandemic.
“Many older adults have demonstrated psychological resiliency amid the pandemic, but sex and race/ethnicity did play an important role in these outcomes,” says Ariana M. Chao, PhD, CRNP, Assistant Professor of Nursing at the University of Pennsylvania School of Nursing (Penn Nursing) and the lead author of the article. “Women, relative to men, had greater odds of depressive symptoms, anxiety, loneliness, and perceived COVID-19 threat. Compared with participants who were non-Hispanic White, those from underrepresented groups tended to report lower levels of depressive symptoms, loneliness, and insomnia. For example, 32.9% of women versus 26.1% of males reported symptoms of mild or greater depression during the pandemic.”
The article, “Changes in the Prevalence of Symptoms of Depression, Loneliness, and Insomnia in U.S. Older Adults with Type 2 Diabetes During the COVID-19 Pandemic: The Look AHEAD Study,” is available online. “We were fortunate,” said study co-author Thomas Wadden at the Perelman School of Medicine at the University of Pennsylvania, “to have been evaluating these more than 2800 participants in the Look AHEAD study for nearly 20 years, thus giving us a clear picture of their mental health and other functioning before and after the COVID-19 pandemic.” Other study authors included: Jeanne M. Clark of the Johns Hopkins University School of Medicine; Kathleen M. Hayden, Marjorie J. Howard, and Lynne E. Wagenknecht, all of the Wake Forest School of Medicine; Karen C. Johnson of the University of Tennessee Health Science Center; Blandine Laferrere of the Columbia University Irving Medical Center; Jeanne M. McCaffery of the University of Connecticut; Rena R. Wing of the Warren Alpert Medical School of Brown University; Susan Z. Yanovski of the National Institute of Diabetes and Digestive and Kidney Diseases; and the Look AHEAD Research Group.
This study was funded by the National Institutes of Health through cooperative agreements with the National Institute on Aging (AG058571) and National Institute of Diabetes and Digestive and Kidney Diseases (DK57136, DK57149, DK56990, DK57177, DK57171, DK57151, DK57182, DK57131, DK57002, DK57078, DK57154, DK57178).
About the University of Pennsylvania School of Nursing
The University of Pennsylvania School of Nursing is one of the world’s leading schools of nursing. For the sixth year in a row, it is ranked the #1 nursing school in the world by QS University. In a first for any undergraduate Bachelor of Science in Nursing (BSN) program in the country, our BSN program is ranked # 1 in the 2022 U.S. News & World Report’s Best Colleges rankings. Penn Nursing is also consistently ranked highly in the U.S. News & World Report annual list of best graduate schools and is ranked as one of the top schools of nursing in funding from the National Institutes of Health. Penn Nursing prepares nurse scientists and nurse leaders to meet the health needs of a global society through innovation in research, education, and practice. Follow Penn Nursing on: Facebook, Twitter, LinkedIn, & Instagram
Diabetes Care; AG058571; DK57136; DK57149; DK56990; DK57177; DK57171; DK57151; DK57182; DK57131; DK57002; DK57078; DK57154; DK57178
Newswise gives journalists access to the latest news and provides a platform for universities, institutions, and journalists to spread breaking news to their audience.
Govt allows gyms in KL, Selangor, Putrajaya and other CMCO areas to reopen from Oct 19 – Malay Mail
Saturday, 17 Oct 2020 04:39 PM MYT
BY YISWAREE PALANSAMY
KUALA LUMPUR, Oct 17 — Gyms in areas that have been put under the conditional movement control order (CMCO) can resume operations beginning next Monday, Senior Minister (Security Cluster) Datuk Seri Ismail Sabri Yaakob announced today.
However, he said strict compliance with government health regulations to prevent the spread of Covid-19 must be maintained.
“After looking into the matter, the special meeting agreed to allow gyms to operate normally.
“However it must abide by tight standard operating procedures, like that issued during the initial CMCO,” he said in his security and Covid-19 regulation compliance briefing.
He noted that training in gyms were mostly done solo rather than in groups and that those exercising usually kept a physical distance from others.
Ismail also said that commercial football fields and futsal courts can also be used again, but only for training purposes.
He added that participants in these areas under the CMCO are limited to 10 people at any one time.
Further details will be announced by the Youth and Sports Ministry, he said.
The government announced last week that only non-contact sports and outdoor sports involving fewer than 10 people will be allowed during the October 14 to 27 CMCO in Selangor, Kuala Lumpur and Putrajaya.
© 2021, Malay Mail, All Rights Reserved.
7 Delicious Snack Ideas for People with Type 2 Diabetes – Prevention.com
Snacking can actually help manage your blood sugar. Try these tasty options.
At some point along the way, snacking got a bad reputation as something you shouldn’t do. But choosing healthy snacks is actually smart for your overall health—especially if you have type 2 diabetes. Those with the condition don’t make enough insulin or don’t use insulin well. Insulin is something our bodies need to move glucose (sugar) into cells so it can be used for energy. When this process goes awry, it can cause high blood sugar levels.
But what you put into your body may help. “For some people, snacking between meals may help with blood sugar management,” says Liz Weiss, M.S., R.D.N., host of the Liz’s Healthy Table podcast and blog. The goal is to pick nutrient-rich foods and small snacks that help support your healthy eating goals and keep your blood sugar in check.
“Focus on gut-healthy fiber, good-for-you fats, and nutrient-rich foods that provide important vitamins, minerals, and antioxidants,” Weiss says. She recommends reaching for snacks that contain lean protein, whole grains, and non-starchy fruits and vegetables. And try to steer clear of processed foods, refined carbs, sweetened drinks, and high-sodium chips.
Not sure where to start? Try out some of these nutritious, delicious DIY snack ideas from Weiss.
This dish is simple to make, and it’s packed with good-for-you nutrients. “Tuna is a source of high-quality protein,” Weiss says. “And avocados promote satiety and are low in sodium, sugar, and cholesterol.” Together, these ingredients can help fill you up and keep your blood sugar steady.
To make, mix a can of tuna with a few tablespoons of chopped red onion and dollop of light mayo or plain Greek yogurt. Then, halve an avocado and scoop the mixture inside a half. (You can wrap the other half and save it for tomorrow.)
Prefer something on the sweeter side? This delicious snack uses BOOST Nutritional Drinks to help you get plenty of protein along with important nutrients like calcium and vitamin D. Choose between chocolate-flavored BOOST Glucose Control Nutritional Drink or BOOST Glucose Control Max 30g Protein Drink—both drinks are clinically shown to produce a lower blood sugar response compared to a standard nutritional drink in people with type 2 diabetes —but the latter may be a better bet if you want even more protein in your diet to support your active lifestyle.
To make this recipe, pour just eight ounces of either drink into a container with a tight-fitting lid. Add three to four tablespoons of chia seeds, secure the lid, and shake vigorously. Refrigerate until thick, anywhere from three hours to overnight. Divide between two bowls and top with berries and a dollop of plain Greek yogurt. The nutritional drinks combined with chia seeds give you a protein-packed snack that can help you feel full for hours, Weiss says.
“Half a cup of small curd cottage cheese has over 12 grams of satisfying protein, and some research shows that it may help manage blood sugar,” Weiss says. And berries are packed with fiber to help slow digestion and keep your blood sugar even. Opt for reduced-fat cottage cheese to keep saturated fat in check.
All you need to make this dish is a bit of cottage cheese, some berries, and pantry staples. Layer cottage cheese in a small bowl with a handful of fresh blueberries or raspberries, along with a few tablespoons of whole grain breakfast cereal and chopped nuts.
A nice perk of this snack is you can mix it in bulk and split it into handful-sized portions to eat throughout the week. The sweetness in the mix comes from the raisins and dried apricots, which don’t contain added sugar, Weiss points out. “A handful of this trail mix delivers healthy fats, fiber, and protein,” she says, and can help stabilize your blood sugar levels.
To make it, simply combine lightly toasted walnuts and almonds with pumpkin or sunflower seeds. Then mix in raisins or chopped dried apricots. Be sure to keep the serving of fruit to 1 or 2 tablespoons to avoid blood sugar spikes.
Got peanut butter and an apple at home? You’re ready for this snack. Core a red or green apple and cut it into thick rings. Then spread one to two tablespoons of peanut butter over the rings. Top them with a few tablespoons of chopped nuts and raisins, and a sprinkling of whole-grain oats.
“One medium apple has over four grams of fiber,” Weiss says. “Add some nut butter, chopped walnuts, oats and raisins to the mix and you’ve got a snack that’s filling and satisfying with over seven grams of fiber.” Fiber, she points out, can help manage blood sugar as well.
Traditional store-bought muffins are packed with white flour and added sugar, Weiss says. And that can lead to blood sugar spikes and drops, leaving you feeling lousy. Instead, use protein-rich eggs to create snack muffins.
To make, whisk together six eggs with two tablespoons of shredded reduced-fat cheddar or mozzarella cheese. Add a cup of finely chopped non-starchy vegetables, like broccoli, cauliflower, tomato, or onion, or a blend of each. Spray six muffin tins with nonstick spray, fill them with the egg mixture, and bake at 350°F for about 18 minutes. Snack on one today and refrigerate the others in a sealed container to eat later in the week.
Make your own charcuterie board at home! Weiss likes this snack because it’s packed with protein and fiber. “Hummus is often enjoyed as a dip, which encourages more vegetable consumption,” she points out.
Start with a mini serving board and set a small bowl of hummus alongside carrots, broccoli florets, radishes, celery or any other combo of non-starchy vegetables. Apple slices and almonds round out the mix.
10 Ways To Lead An Eco-friendly Lifestyle With Kratom – E/The Environmental Magazine
Worldwide environmental changes are the most important topics that have received far too much attention recently. Living things, such as animals and plants. People have made big changes as a result of these worries. Eco-friendly alternatives, for example, have been making a huge move away from plastic.
Kratom may be used as part of a healthy lifestyle. However, what exactly is an “eco-friendly lifestyle with kratom”? When you choose, it has a positive impact on the environment and reduces your carbon footprint. Consequently, your daily routine will become even more ecologically and energy-conscious. You may not believe it, but Kratom may play an important role in helping people live more ecologically.
Products derived from Kratom make a substantial contribution to living by assisting in developing an environmentally friendly ecosystem and fostering sustainability, among other things. Here are a few examples of how Kratom helps to a more sustainable way of life:
Keeping kratom farms running is among the most environmentally friendly farming methods on the globe. Kratom may be found in Southeast Asian jungles. Rather than cultivating fields, these peasants use decentralized agriculture, which is a more energy-efficient farming method. Kratom trees can thrive in tropical jungles because of decentralized agriculture, enabling them to flourish with their natural ecosystem.
Furthermore, kratom growers do not disrupt natural habitats in these locations. As a result of deforestation, the habitats of many species are completely destroyed. Ecologically responsible production cycles may be achieved with Kratom since these ecosystems are not disturbed. There’s no such thing as a plantation-based farming system.
The health and the environmental advantages are inseparable. Even though Kratom isn’t well studied, it’s becoming more and more popular throughout the globe. The medicine is receiving less attention, but that doesn’t mean it’s missing out on being seen as less important. The therapeutic advantages of red vein sumatra kratom have been openly discussed by many users, including first-timers and aficionados. This is proof that Kratom should rise in popularity.
Kratom leaves may only be gathered from mature trees that are at a minimum of 3 years old. This means that the tree may continue to grow naturally for a long time before it has to be taken down. One of the most crucial aspects of Kratom’s eco-friendly living. These trees benefit the ecology since they are seldom cut down. It’s also worth noting that mature trees provide a higher quality yield.
There is an issue with the notion of self-sufficiency since palm trees are indigenous to Africa, and oil palm is made from palm oil plants. How? Palm oil plants emit carbon dioxide into the atmosphere; plantation of palm palms has contributed to an increase in world temperatures; 193 highly endangered species throughout the globe are directly impacted and impeded by palm oil production.
It’s also bad for the environment since palm tree cultivation produces a lot of destruction, and its manufacturing greatly influences groundwater levels. Moreover, the kratom business in Southeast Asia is already in direct competition with palm oil plants. Oil palm tree planting, on the other hand, is more appealing to farmers.
Removing rainforests for agriculture directly impacts a variety of species, including those found in the rainforests. However, natural ecosystems and animal habitats are not disrupted by decentralized kratom cultivation, which is environmentally friendly.
For a variety of reasons, Kratom is becoming more popular. One of the chief causes is that it encourages rainforest preservation, which is excellent for the environment. Also, it offers several health advantages. As a result, demand is expected to skyrocket in the next months or even years.
Some jurisdictions prohibit the sale or ownership of Kratom altogether. For example, it is now prohibited in Washington, D.C., to possess or use Kratom even though it is allowed in Virginia as of February 2019. However, the FDA has utilized its jurisdiction to regulate dietary supplements to limit the importation of Kratom.
Thanks to the rise in reputation and demand for Kratom, farmers no longer have to pick between a healthy way of life and financial success. Instead, farmers can enjoy the best of all worlds because of the increasing popularity and demand for Kratom.
Additionally, Kratom may be cultivated in farming pods in tiny backyard farms — as a result, when collected, there is no substantial impact on the ecology.
Kratom has been investigated as a possible supplement for sexual enhancement purposes. Experts looked at various clinical investigations and revealed their results on the aphrodisiac properties of Kratom, which they called amazing. They concluded that Kratom is a powerful plant-based sexual enhancer.
According to other research, kratom has also shown promise as an antidepressant and a hunger suppressant. For example, in one experiment conducted, researchers discovered that Kratom reduces the levels of the stress hormone corticosterone in rats. Elevated corticosterone levels have been linked to Depression in the past.
Leading a sustainable lifestyle may be challenging. The influence you can make, on the other hand, is enormous. Using Kratom to lead a healthier approach helps you contribute to the preservation of the health & welfare of our planet for future generations.
Just keep in mind that lowering trash and carbon emissions may go a great, long way toward achieving a more environmentally friendly atmosphere. Furthermore, using natural goods like Kratom derived from sustainable agriculture techniques will help you minimize your carbon impact significantly. We can make a difference in the world if we work collectively.
If we are serious about protecting our ecosystem and Mother Earth, then we must act quickly. Our activities have a direct impact on the ecology and our immediate environment. Furthermore, these farming methods, which kratom farmers have implemented, encourage long-term viability, and we must ensure that they are carried along for future generations.
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