Contact Us

Opening hours: Monday to Friday: 8:00am to 5:00pm, Saturday: 8:30am to 12:30pm

Reducing risks of osteoporosis fractures in Crohn’s disease with impact and resistance training

Cr. John Arano

Crohn's Disease and Osteoporosis

Crohn’s Disease (CD) is a type of inflammatory bowel disease which causes your digestive tract to be swollen and irritated. 

Amazingly, CD is also linked with osteoporosis. 

This is due to the inability of the small intestines to absorb nutrients, including Vitamin D. 

Thus causing Vitamin D deficiency, a vitamin that is important for the formation of bones.

This in turn may result in osteoporosis. 

The link between CD and osteoporosis is also associated with inflammation, high-dose corticosteroid use, as well as a lack of exercise and physical activity.

Studies on Impact of Exercise to Increase Bone Mineral Density (BMD)

A recent study shows that combined impact and resistance training exercises help raise bone mineral density and muscle function. 

Thus, benefiting patients with Crohn’s disease (CD).

CD patients have a high risk of developing osteoporosis and related fractures.

Researchers selected adults with stable CD and were assigned to undergo an exercise intervention or receive usual care alone for 6 months. 

Usual care plus a combined impact and resistance training program was given to the exercise group. 

Whereas patients underwent three 60-minutes sessions per week, with a gradual tapering of supervision to self-management.

Most of the patients had the quiescent disease and none of the patients smoked. 

Result of The Study

216 months median time since the CD diagnosis and according to baseline BMD measurements, 12 patients had evidence of osteopenia or osteoporosis at the lumbar spine and 20 at the left hip. 

The most common medications used for CD were immunosuppressants and biologics; none were on corticosteroids.

The bone mineral density (BMD) values were better in the exercise group vs the control group at 6 months. 

Moreover, the difference is significant at the lumbar spine, but not at femoral neck nor at the greater trochanter.

Even though there were three exercise-related adverse events (for instance light-headedness and nausea) the intervention yielded improvements in all muscle function outcomes and fatigue severity.

The findings highlight the intervention as a suitable model of exercise for reducing the future risk of osteoporotic fractures and physical disability in this high‐risk population.

For more articles alike, click HERE!

References

Share the post!

TB antibiotics in reaching targets

Cr. Simone van der Koelen

Source from Sciencedaily.com

Researchers have built up another technique that empowers them to envision how well antibiotics against tuberculosis (TB) reach at their pathogenic targets inside human hosts. The discoveries, published in the journal Science, boost understanding of how antibiotics work and could help direct the development of new antibiotics, which are truly necessary in the fight against drug-resistance.

TB treatment

TB stays as one of the world’s deadliest infectious diseases, with over a million TB-related deaths worldwide every year.

At the point when an individual is infected with Mtb (mycobacteria), their immune system attempts to clear the microorganism by calling upon specialised immune cells called as macrophages that perceive and engulf Mtb. However, the bacteria frequently discover ways to survive and duplicate, causing illness. Patients require at least four antibiotics for at six months to defeat the disease.

It was previously unknown whether antibiotics enter all the compartments of the macrophage where the Mtb hide and duplicate.

The method pioneered in this study, which consolidates three kinds of imaging (correlated light, electron and nano-scale ion microscopy), permits researchers to picture the circulation of TB drugs in Mtb-infected human macrophages at high resolution, for the first time.

A test-case TB drug

Utilizing bedaquiline as an test-case, the group contaminated human macrophages with Mtb, and following up after two days, they treated them with the medication. Their imaging results revealed that bedaquiline accumulated in various compartments of the cell, most eminently, inside lipid droplets.

The bacteria can interact with and consume these lipid droplets. Be that as it may, the group (Crick-led team) didn’t know whether bedaquiline would be moved to the bacteria, or whether the lipid droplets were retaining the antibiotic and keeping it from arriving at the bacteria. Including a chemical that kept lipid droplets from forming significantly decreased the measure of bedaquiline in Mtb, proposing that the lipid drops are responsible for moving antibiotic to the bacteria.

“Now that we can see exactly where antibiotics go once they enter macrophages, we can build up a much clearer picture of how they reach their targets, and harness these observations to design more effective treatments in the future, not only for TB but for other infectious diseases too” says Max Gutierrez, Crick group leader and senior author of the paper.

Share the post!

Diabetic ketoacidosis in children equals to hypertension

Cr. Rene Bernal

Source from MIMS.com

Study has found that for children with diabetic ketoacidosis (DKA), hypertension is a common phenomenon.

Researchers gathered 1,258 patients who had sufficient haemodynamic data for the present analysis while using data from the Paediatric Emergency Care Applied Research Network. Out of these, 12.2 percent had documented hypertension at presentation.

In under 2 hours, hypertension were resolved quickly in 36 children and for 118 episodes, hypertension lasted for 2 hours. During DKA treatment, the blood pressure was normal at baseline in 196 patients but progressed to hypertension during DKA treatment. Developed at any time during DKA, the resulting overall rate of hypertension was at 27.8 percent.

The median duration of  hypertension was 4.0 hours and at presentation, correlated with more severe acidosis and stage 2 or 3 acute kidney injury. On the contrary, at baseline, lower glucose levels or glucose-corrected sodium concentrations were associated with hypertension at presentation.

Lower scores on the Glasgow Coma Scale and more severe acidosis correlated with the development of hypertension at any point during DKA. Severe acidosis, stage 2 acute kidney injury, and younger patient age are also directly correlated with hypertension severity.

The researchers stated that a central mechanism may be involved in causing abnormal haemodynamic regulation with the development of hypertension during DKA treatment and the association of hypertension with altered mental status.

They also added that it is necessary to better understand relationships of regional cerebral blood flow abnormalities during DKA is necessary and how these relate to life-threatening cerebral injuries in some children.

Share the post!