Tuesday, August 10, 2010

Dementia, me? Fat chance!

At peace with that ponch? You could be slowly ‘inching’ towards dementia!

You could thump it and mock it by calling it a pot belly, or you could be all lovey-dovey and address it with all due respect as ‘love handles’, but my friend, if you really are in love with yourself, I’m afraid you’re not handling it (life) that well. In a recent research it was observed that belly fat or visceral fat can be instrumental in an individual developing dementia in later stages of one’s life. Visceral fat, which is not routinely given as much importance, clinically produces more inflammation than fat found in other areas of the body. Inflammation plays a key role in triggering heart diseases and is a host to other chronic diseases as well. The point of contention is the overall ‘distribution’ of fat and not obesity in general. It has also been observed that people whose bodies are apple-shaped instead of being pear-shaped are more prone to heart attacks and strokes. Dementia is a clinical condition, which occurs in old-age due to treatable or untreatable causes and it mainly involves cognitive impairment, speech language disturbance and motor skills impairment etc. Basically, the memory and sensitivity of the patient is compromised. Certain treatable causes for dementia could be transmitted through various viral infections in HIV patients. Many cancers such as lung and brain cancer could release certain such chemicals in the blood stream which may cause dementia. Also end stage liver and kidney disorders could lead to dementia.

“Out of all dementias, ‘Vascular’ dementia is the most common, and the most common cause of dementia is stroke. In case if someone suffers a stroke or multiple strokes then the portions of the brain which get damaged may lead to dementia. Other than obesity, diabetes and hypertension, the metabolic syndrome is given a lot of importance these days. Also a focus on the waste-hip ratio is very important. The waste-hip ratio differs in Asians and Europeans. If this ratio is abnormal, it would signify that the visceral fat (unhealthy abdominal fat) is more, which damages the arteries and increases the chances of a stroke by five to six times if coupled with diabetes and hypertension. Although a patient might not have a history of stroke, he could still suffer from dementia at a certain stage. Like in the case of treatable (preventive) causes such as hypothyroid, epilepsy, alcoholics or any accidents in which there might have been a brain haemorrhage, one might suffer from dementia. There isn’t a specific medication for dementia as such because in dementia the cause is treated to the extent possible,” says Dr. Mrinal Bhargava, General Physician (Resident Neurology). Dementia not only affects those who are too lazy to lose weight, but those who are fit as a fiddle may also suffer from a deadly neurodegenerative disease like dementia; like in the case of boxers. Due to repeated concussions they develop ‘Chronic traumatic encephalopathy’. It is also said that famous boxers and athletes such as Bobby Chacon and Jerry Quarry had suffered from this disease.

Being reduced to the state of a vegetable and being dependant on others for everything is not living but merely existing. The least one can do for oneself is to take control of those love handles, otherwise they could leave you with no control over your life.

Ravi Inder Singh
For more articles, Click on IIPM Article.

Source : IIPM Editorial, 2010.

An Initiative of IIPM, Malay Chaudhuri and Arindam chaudhuri (Renowned Management Guru and Economist).

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