Treatment gap and social stigma, the biggest barriers for those with epilepsy

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Treatment gap and social stigma, the biggest barriers for those with epilepsy

Need to remove misconceptions and myths associated with the condition

New Delhi, 17th November 2017: About 80% of those with epilepsy live in low and middle-income countries, as per reports by a global health body(WHO). Over 50 million people around the world suffer from this condition and about three-fourth of these live in low- and middle-income countries. The ‘treatment gap’ and the social stigma associated with the disorder in India further exacerbate conditions for people with epilepsy.

Epilepsy is a chronic disorder of brain characterized by recurrent ‘seizures’ or ‘fits’. The seizures are caused due to sudden, excessive electrical discharges in the neurons (brain cells). The condition can affect people at any age and each age group has unique concerns and problems.

Speaking about this, Padma Shri Awardee Dr K K Aggarwal, National President Indian Medical Association (IMA) and President Heart Care Foundation of India (HCFI) and Dr RN Tandon – Honorary Secretary General IMA in a joint statement, said, “The International League Against Epilepsy (ILAE) has expanded the definition of epilepsy to incorporate a single unprovoked seizure with a probability of future seizures. The new definition also specifies that epilepsy can be considered ‘resolved’ if a patient has been seizure-free for 10 years, with no seizure medicines for the last 5 years. The previous definition stipulated that a patient needs to have 2 unprovoked seizures more than 24 hours apart. Epilepsy is mostly treatable with medications. The critical thing about epilepsy is that treatment should not be delayed. Start the treatment as soon as it is diagnosed. This prevents further deterioration of the condition.”

Some causative factors for epilepsy include brain damage from prenatal and perinatal injury, congenital abnormalities, brain infections, stroke and brain tumors, head injury/accidents, and prolonged high fever during childhood.

Adding further, Dr Aggarwal, said, “A lot of progress has been made in the country for treating epilepsy and controlling the onset of seizures. Many effective new anti-epileptic drugs are available in the market today. India also many centres that offer treatment facility for this condition. Only mass awareness can dispel the associated myths with epilepsy. It is important to create awareness that those with epilepsy can lead a normal life, get married, have children, and even work. This is not a contagious condition and does not spread through contact.”

One of the major reasons for incomplete control of seizures is non-compliance. Some tips to prevent onset of seizures and the condition from getting worse are as follows:

  • Adhere to the prescribed medication
  • Following a regular sleep cycle to remain stress-free
  • Keep yourself hydrated
  • Eat a balanced diet
  • Get regular medical checkups done

Eating nuts is good for the heart

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People who regularly eat nuts, including peanuts, walnuts and tree nuts, lower their risk of developing cardiovascular disease or coronary heart disease compared to people who never or almost never eat nuts.

The study group comprised more than 210,000 people, including women from the Nurses’ Health Study and Nurses’ Health Study II and men from the Health Professionals Follow-up Study. The study participants were followed up for up to 32 years. In addition to the association between consumption of nuts as a whole with heart disease, researchers in this study also examined the association between specific types of nuts such as peanuts, walnuts and tree nuts with major cardiovascular events. The study included peanuts as they have a similar fatty acid and nutrient profile as other nuts. Peanuts are not nuts; they are actually legumes.

Researchers documented 14,136 cardiovascular disease cases, including 8,390 coronary heart disease cases and 5,910 stroke cases.

A consistent inverse association between total nut consumption and total cardiovascular disease and coronary heart disease was found. Compared to those who never consumed nuts.

  • Eating walnuts one or more times per week was associated with a 19% lower risk of cardiovascular disease and 21% lower risk of coronary heart disease.
  • Eating peanuts two or more times per week lowered the risk of cardiovascular disease by 13% and coronary heart disease by 15%.
  • Eating tree nuts two or more times per week lowered the risk of cardiovascular disease by 15% and coronary heart disease by 23%.

Prior studies suggest health benefits like a lower risk of heart disease and type 2 diabetes and lower cholesterol, among other health outcomes. Nuts are nutrient–dense foods. They contain unsaturated fatty acids, fiber, vitamins, minerals and antioxidants.

Nuts have no cholesterol; they are rich in polyunsaturated fats (PUFAs). They also contain fiber, vitamins, minerals and antioxidants. Nuts therefore help to reduce cholesterol levels and lower risk of heart disease and type 2 diabetes. Eating nuts is good for the heart.

The study has been published November 13, 2017 in the Journal of the American College of Cardiology.

(Source: ACC News, November 13, 2017)