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South Asians: Watch your Heart

Seems like us South Asians die earlier from heart attacks.

ScienceDaily: South Asians Have Higher Levels Of Heart Attack Risk Factors At Younger Ages

Deaths related to cardiovascular disease occur 5 to 10 years earlier in South Asian countries than in Western countries, according to background information in the article. This has raised the possibility that South Asians exhibit a special susceptibility for acute myocardial infarction (AMI; heart attack) that is not explained by traditional risk factors.

But why?

The prevalence of protective risk factors (leisure time physical activity, regular alcohol intake, and daily intake of fruits and vegetables) were markedly lower in South Asian study participants compared with those from other countries.

Um, it is mainly behavioral, not genetic according to the authors, and hence can be mitigated by lifestyle changes.

Well, I guess it is time to take a personal stock as of 1-18-2007:

  • Weight – Well, I am in the lower end of the healthy BMI.
  • Exercise – 4-5 days of 45 minutes – 1 hour per day, pretty good.
  • Food – Well, mostly good, especially if the candy can be avoided. I need to eat more vegetables, but I eat a lot of high fibre, and whole wheat food, probably not enough protein, mostly vegetarian.
  • Alcohol (1-2 drinks is apparently a heart protector) – Amen, I am a religious one drink a day partaker, more on weekends :-;
  • Smoking – Well, gave that up a while back, now to quit that occasional “party” smoke.
  • Stress – Well, not so good, this is probably the area I would need to work on the most.
  • Hypertension – Well, I am borderline on my blood pressure readings 🙁 Need to work on that.
  • Cholesterol – Still waiting for results on my physical.

On the whole, I seem to be in decent shape. It’s good to take stock once in a while.

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    Brazil proposes G5 summit

    interesting news that India, China, Mexico, Brazil and South Africa decide that they no longer need to be invited to the (not so) G(r)8 meeting to talk to each other. This is a welcome development in many ways, may they keep talking.

    The Hindu : Front Page : Brazil proposes G5 summit

    Though largely overshadowed by the brief “pull aside” Prime Minister Manmohan Singh had with U.S. President George W. Bush, the most significant aspect of last week’s G8 meetings was the new dialectic that emerged among the five countries which were invited to Germany as “outreach” partners.

    At a meeting of the five — Brazil, China, India, Mexico and South Africa — Brazilian President Luis Inacio Lula da Silva took the lead in proposing that the group consider getting together again at a forum other than that of the G8 so that its own meetings are no longer incidental to the meetings and agenda of the eight most industrialised countries.

    The proposal was welcomed by the other leaders, say Indian officials familiar with the June 7 deliberations of the “outreach,” or O-5, in Berlin. China’s President Hu Jintao noted that the five countries together accounted for 42 per cent of the world’s population and Dr. Singh quoted an old statement of Jawaharlal Nehru that developing countries were partners and not petitioners before the chanceries of the world.

  • Pakistan's Cricket Coach was murdered…

    Obviously, not good at all. Apparently, “It’s only a game” is not the operating credo in the subcontinent.

    Woolmer was strangled, police say – CNN.com

    KINGSTON, Jamaica (CNN) — A pathology report indicated that Pakistani cricket coach Bob Woolmer died of “manual strangulation,” according to a statement from Jamaican police commissioner Lucius Thomas.

    “In these circumstances, the matter of Mr. Woolmer’s death is now being treated by the Jamaican police as a case of murder,” the statement said Thursday night.

    Police announced Tuesday that Woolmer’s death was suspicious, two days after he was found unconscious in his room at the Pegasus Hotel. Woolmer, 58, was declared dead at a hospital soon after he was found.

    Initial media reports indicated he died of a heart attack.

    Woolmer’s death came less than 24 hours after former world champion Pakistan was beaten and eliminated by the relatively unknown Irish team on St. Patrick’s Day, one of the biggest shocks in World Cup cricket history. The loss on Saturday prompted outrage among the team’s hardcore fans, with protesters burning effigies of Woolmer and the team captain in Karachi.

    Asked about suspects, Deputy Police Commissioner Mark Shields would only say, “We have a few definite lines of inquiry,” acknowledging later that betting on cricket matches was among them.

  • Congress-BJP slanging match over terror begins

    Even before the gunbattle with terrorists in Mumbai could end, a slanging match on Friday began between ruling Congress and opposition BJP on the issue of handling of internal security and dealing with terrorists.

    BJP's Prime Ministerial candidate L K Advani accused the intelligence agencies of failing to get a whiff of Mumbai terror attacks, alleging their preoccupation with "Hindu terror"– an apparent reference to Malegaon blast probe –helped the terrorist plot go undetected.

    Gujarat Chief Minister Narendra Modi, BJP's anti-terror mascot, sought to upstage Congress by visiting the three Mumbai spots where the operations against terror were on and was promptly branded as a "publicity monger" by the ruling party.

    Congress also raked up the Kandahar hijack episode during the BJP rule and alleged release of terrorists in return for safe release of passengers onboard had brought India to its knees

    It also sought to puncture Narendra Modi's anti-terror plank alleging he had failed to provide manpower for a centrally-funded coastal policing

    AICC spokesman Manish Tewari accused Advani, who is also the Leader of the Opposition, of failing to accompany Prime Minister Manmohan Singh to Mumbai, which would have sent a strong signal of a united India against terrorism.

    Advani preferred to go to Mumbai along with Jaswant Singh whose conduct at Kandahar is possibly responsible for what we are facing today", said Tewari at the party briefing.

    In a statement, Advani accused the UPA of not being serious about tackling terror. "The government's non-serious approach is reinforced by reports that the Mumbai attackers arrived in the city by the sea route.

    via NDTV.com: Congress-BJP slanging match over terror begins

    Note to BJP, your associates are responsible for thousands of deaths in state abetted riots and pogroms against Muslims and Christians. Also, your associates are suspected in fomenting acts of terror, shut the fuck up. You are equally complicit in increasing tensions in the country.

    Note to Congress, You are also responsible for thousands of preventable violent deaths. You are inept and unable to setup a basic centralized counter terrorism program, you have, on your watch, let India suffer many brazen terrorist attacks without doing anything to improve intelligence gathering or have any kind of rational response. You have been using the Muslim community to gather votes for years without actually doing anything to make things better. You have not been able to bring the organizers of riots and mayhem to justice, hell, you haven’t even tried. You have no right to talk.

    If there is one thing that can be done right away, list all the violence that has occurred in the last few years and actually bring the people responsible for this violence to trial, get some convictions, do some good police and prosecution work. Maybe then we can build some confidence in the system. We can’t have Hindus going free for hate crimes/terrorism, we can’t have Muslims going free for hate crimes/terrorism.

    Rule of law, quaint, old fashioned, boring, but in the long term, combining a robust counter terrorism program with a low tolerance approach to violence is our only cure.

  • Riding Trains in Mumbai

    From Salon, I thought it was a nice article about riding the train in Mumbai, something I’ve done a few times, though very rarely during rush hour.

    India is a ridiculously easy target because of the population, the wide open borders, the diversity of the population, the lack of any security in public places (I can’t imagine how one could add security to the Mumbai trains), and the utter chaos of living in an Indian city. Americans who worry about terrorism in their country should count themselves lucky, the continent is a large island, and all the talk of open borders is hot air. It is still incredibly difficult to enter this country as someone who means harm. This country is magnificently safe (in comparison) because of its isolation and affluence.

    I hope this is not the beginning of a new uptick in terrorist attacks for India, worst thing that could happen.

    Riding the train in Mumbai | Salon News

    July 12, 2006 | MUMBAI, India — As a New Yorker in Bombay, or Mumbai, as it’s officially known, one of my greatest thrills has been taking the fast train downtown.

    I clamber into a wide, sturdy train carriage without doors, sealed windows or comfort of any kind. The carriage, done up in stamped steel, has the Spartan appeal of a military jeep. I lean out of the open doorway watching the city slip past, skimming my shoes over the tops of the low fences that separate the downtown and uptown tracks, marveling at the perfectly manicured trackside landscaping. For maximum stylishness, I hop off while the train is still easing into the station, turning sideways to avoid the herd of office workers thundering aboard to grab a seat.

    Riding Mumbai’s local trains is much more interactive than taking the L line to the Bedford stop in Brooklyn, N.Y. The lack of doors and window glass, which often leaves riders soaked during monsoon season, is partly because of the tropical heat, partly to let Mumbai’s 6 million daily commuters jam onboard at maximum speed. The city’s above-ground system handles a third more riders each day than the New York subway, where a rush hour crowd means brushing against other riders; in Mumbai, rush hour means your chest is crushed, your arms are pinned and you become intimate with your neighbor’s deodorant or lack thereof. You must plan your sweaty escape two stations before your stop arrives and advertise it loudly as you’re fighting your way off so as not to be swept back into the carriage by new passengers. It’s easier to get on and off, however, if you’re riding on the outside of the train, clinging by your fingers to the empty windowsills, as many rush hour riders do.

    Despite the volume, trains run as fast as in Manhattan. Taking an express train will get you where you’re going three times faster than a taxi during rush hour for only 40 cents. Trains pause only a few seconds at each station. In order to handle this ridership and speed, Mumbai’s stations are left completely open. You can stroll onto a train from any of a number of uncontrolled entrances or even hop onboard from the tracks while the train gathers speed. There are no turnstiles. Instead, railway police conduct random, and very rare, ticket checks on the platforms. This honor system works, sort of — the lines to buy the little cardboard tickets are long, if suspiciously middle class.

    By contrast, the New York subway has controlled entrances and exits, fare turnstiles and security cameras. Police aggressively pursue fare beaters. After last year’s London Underground bombings, New York added random bag searches. London has tested body scanners, and New York may one day follow suit.

    I always clutch my bag a little tighter when I hurry past the bag-check tables at Manhattan’s Union Square subway station, convinced that no matter what the cops may say about the randomness of searches, suspicion falls heaviest on those who look Arab, Muslim or South Asian, as I do. But while I have been asked for a train ticket in Mumbai, I’ve never been searched by the police in New York. My turbaned Sikh friends, however, draw plenty of attention from police and street hecklers alike, perhaps because they’re thought to be Muslim, though their religion has little to do with Islam.

    In Mumbai, ethnic profiling of potential terrorists is a nonstarter. The potential suspects look exactly like everyone else. I’ve seen people on Brooklyn subway platforms pay close attention to a devout Muslim wearing a beard, round cap and kurta. In Mumbai, a man with such a mundane appearance might be your doctor, fruitwallah (fruit vendor) or cabbie.

    I’ve heard subway workers in Brooklyn tell passengers that large packages are more likely to be searched, though I’ve never actually seen anyone check an upright double bass case. In Mumbai, street merchants cart their entire stock between home and work every day.

    There is, however, one area in which Mumbai’s open train system is somewhat safer than the New York subway. Bombers seek out enclosed spaces because of the laws of physics — an explosion loses strength rapidly with distance from its source. Bombers want closed compartments to amplify the blast. A bomb of a train carriage with open-air doors and windows is potentially less lethal to those inside because blast energy has ways to dissipate.

    The trading port of Mumbai has always valued openness. Like that other long, narrow, high-rise island, Manhattan, Mumbai is a polyglot riot of immigrants. Portuguese Christian names jostle for space on the walls of the city’s apartment buildings with the names of those of Hindu, Sikh, Muslim, Parsee and Buddhist descent. Bombay is also a high-speed city. The vada pav (potato chutney) sellers on the street are as brusque and efficient as New York hot dog vendors.

    Space, as in New York, is a luxury. It’s worth money. On Tuesday, the bombers targeted the first-class cars. The people they killed were not paying for padded seats, for the first-class carriages have the same hard benches and missing doors as the second-class cars. For a ticket that costs nearly 10 times more, first-class passengers are buying a tiny bit of extra space. They’re renting elbow room and a sliver of air so that their commute passes a little more comfortably.

    Today, the trains are running again in Mumbai. I have not ridden them yet. I will, but riding them will never again be such a simple, innocent, sweaty pleasure. I’ve heard, however, that anyone who dares to ride in the first-class coaches can now have as much air and space and comfort as he or she wants. Nobody is taking first class.

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    High fructose corn syrup makes you fat

    This well designed and well executed study provides rather conclusive proof that High Fructose Corn Syrup, the sweetener most commonly used in North America, makes you gain weight in a way not explained by calories alone. These rats gained more weight on HFCS compared to a sucrose (regular sugar) diet even though they were fed the same calories. The effect was seen in the short term and in the long term, and abdominal fat increased the most. Gut fat, if you did not know is related to the infamous metabolic syndrome, causing diabetes, hypertension, coronary disease, etc.

    High-fructose corn syrup (HFCS) accounts for as much as 40% of caloric sweeteners used in the United States. Some studies have shown that short-term access to HFCS can cause increased body weight, but the findings are mixed. The current study examined both short- and long-term effects of HFCS on body weight, body fat, and circulating triglycerides. In Experiment 1, male Sprague–Dawley rats were maintained for short term (8 weeks) on (1) 12 h/day of 8% HFCS, (2) 12 h/day 10% sucrose, (3) 24 h/day HFCS, all with ad libitum rodent chow, or (4) ad libitum chow alone. Rats with 12-h access to HFCS gained significantly more body weight than animals given equal access to 10% sucrose, even though they consumed the same number of total calories, but fewer calories from HFCS than sucrose. In Experiment 2, the long-term effects of HFCS on body weight and obesogenic parameters, as well as gender differences, were explored. Over the course of 6 or 7 months, both male and female rats with access to HFCS gained significantly more body weight than control groups. This increase in body weight with HFCS was accompanied by an increase in adipose fat, notably in the abdominal region, and elevated circulating triglyceride levels. Translated to humans, these results suggest that excessive consumption of HFCS may contribute to the incidence of obesity.

    Miriam E. Bocarsly, Elyse S. Powell, Nicole M. Avena, Bartley G. Hoebel. High-fructose corn syrup causes characteristic of obesity in rats: Increased body weight, body fat and triglyceride levels. Pharmacology Biochemistry and Behavior, 2010; DOI: 10.1016/j.pbb.2010.02.012

    For a more layman friendly summary of the article, read the sciencedaily release.

    Do reconsider your food habits to avoid HFCS. Note that this whole corn syrup boondongle is made possible by the US government’s insistence on providing billion dollar subsidies to its farmers to grow corn while imposing tariffs on cane sugar from the tropics to make it less attractive. Free trade, my A$$.

    Thanks to Tom Laskawy at grist for the blog post.

  • Melamine movin' on up the food chain

    The FDA mentioned recently that the melamine suspected of poisoning many cats had gotten into pig feed in California, well, it gets worse…

    Tuesday: Uh-Oh — North Carolina Public Radio WUNC

    The FDA announced this afternoon that thousands of hogs in NC and four or five other states are now under quarantine because they were fed tainted rice gluten. Hogs here and in CA have tested positive for melamine. No one knows yet whether it poses any dangers to humans who ate the hogs, but the feds say they’re trying to find out.

    At this point in time, I would consider any animal feed from China suspect. Way out of control, because we have no procedure for being proactive about these things…

    It won’t amount to much because melamine apparently does not affect humans as much as it seems to affect cats, but it is the utter lack of control of ingredients and raw materials that scares me. What else can sneak through? What if the next one is actually deadly to humans?