Showing posts with label brain. Show all posts
Showing posts with label brain. Show all posts

Wednesday, September 7, 2016

WHY IS SILENCE GOOD FOR YOUR BRAIN?


WHY IS SILENCE GOOD FOR YOUR BRAIN?

Brain is, without any argument, the most important organ of our body. We depend on brain to ensure better performance of all useful activities, be it related to our jobs or household chores. Some of the important functions of brain include memory, reasoning, judgment, language, calculation, etc. Having understood the importance of brain and its functions, it is equally important to understand the measures needed to take good care of the brain.

Nutritious diet, regular physical activity, freedom from stress and anxiety, sound & adequate sleep, regular brain “exercises” (solving crossword puzzles, Sudoku, etc), preventing head injury and avoiding smoking, are important measures that ensure good brain health.

The purpose of this article is to emphasize the important role played by silence in the wellbeing of brain. Who has not heard this- “If speech is silver, silence is gold”!

In our daily lives, we are surrounded by different kinds of noise and sounds most of the time. These include sound of vehicles, loud music, ringing of smartphones, and so on. This “noise pollution” has a detrimental effect on our brain and body. Various research studies have shown that exposure to noise leads to higher incidence of elevated blood pressure, which is an important risk factor for heart attacks and brain strokes. Noise pollution also causes impairment of hearing; sleep disturbances, and problems with memory and concentration. Studies have concluded that children exposed to households or classrooms near airplane flight paths, railways or highways have lower reading scores and are slower in their development of cognitive and language skills.  

If noise has so much of adverse effects on brain, silence should have just the opposite effect- and it is indeed so.
1. Silence leads to lowering of heart rate and blood pressure. This effect on BP lowering is seen with as little as two minutes of silence. Lowering the BP would lead to a lesser incidence of brain strokes.
2. Silence is relaxing and rejuvenating. In this 24X7 work environment with exposure to various sounds, our brain gets muddled and then, we cannot focus and concentrate. Therefore, we need periods of quiet and calm to allow our brains to recharge. Some people use music to relax. While music does relax the brain, it is interesting to note that silence has far greater effects on brain relaxation than music.
3. Silence promotes better sleep. We have all experienced the difficulties in falling or maintaining good sleep, when exposed to sounds or noise. In silent environment, on the other hand, sleep is sound and relaxing. Better sleep translates into better functioning of brain. Growth hormone is secreted in brain during sleep. Consolidation of memory and learning also occurs during sleep. Good sleep is also a stress buster and lowers BP.
4. Silence may improve memory. In an interesting experiment conducted on mice, it was found that exposing them to two hours of silence per day led to development of new neurons in the hippocampus area of the brain. Hippocampus is mainly involved in memory, emotion and learning. So, there is a high possibility that these brain functions would improve, if one is exposed to even short periods of silence on daily basis.
5. Silence is a stress buster. When a person is stressed and anxious, one of the best and easiest quick fixes is to take rest (sit or lie down) in complete silence. While it may be tempting to get a counseling done by a family member or a psychologist for stress, it is equally important to have periods of silence to overcome stress.
6. Silence improves our ability to concentrate and focus. In our daily lives, we are constantly exposed to stimuli- sounds as well as sights. This makes our brains foggy and inattentive, leading to difficulty in concentrating. In this situation, the ability to solve problems or to come up with new ideas is greatly hampered. Silence, even for short periods, comes to our rescue in this condition. Silence makes the brain fresh and energetic. One can solve complex problems and come up with bright new ideas after a brief period of silence.
7. Silence helps us tap the hidden talents and strengths in our own brain. Brain has immense capacity and resources, which largely remain untapped. This is because one cannot look deep inside his brain, when exposed to distractions of sounds/noise. On the other hand, in a silent environment, one can daydream, fantasise or think and be more creative. As Herman Melville once wrote, "All profound things and emotions of things are preceded and attended by silence."
8. Silence reduces the risk of heart attacks and brain strokes by reducing plaque formation in the arteries. 
All these beneficial effects of silence on brain should prompt us to seek silence everyday in our busy lives, even if it is for a brief period. Moreover, sitting in silence is free, easily accessible, and has no side effects.





This article was modified and published in September 2016  issue of B POSITIVE magazine, a heath and wellness magazine.

DR SUDHIR KUMAR MD DM (NEUROLOGY)
CONSULTANT NEUROLOGIST
APOLLO HOSPITALS, HYDERABAD
PH-04023607777
Email: drushirkumar@yahoo.com

Tuesday, April 19, 2016

Frequent Coffee Breaks Keep You Healthy Too!

Coffee Breaks Make You Healthier




Coffee drinking is quite popular all across the world. There are many, who have coffee first thing in morning, referred to as bed coffee. Bed coffee is supposed to energize people and get them out of sleepiness. Many others take “coffee breaks” while at work, which relaxes them. Who would have forgotten the student days, when numerous coffee cups kept them awake until late nights just before examinations? Coffee drinking is supposed to increase alertness and concentration. The effects are mainly related to caffeine contained in the coffee.

Health-Related Benefits of Drinking Coffee

1. Lower risk of diabetes: In a Dutch study done on 40,000 people, it was found that drinking at least 3 cups of coffee or tea per day reduced the risk of developing diabetes by 42%. (Diabetologia 2009). The anti-diabetic effects are related to polyphenols found in coffee.
2. Lower risk of coronary heart disease: Moderate habitual coffee consumption (3-4 cups per day) lowers the risk of coronary heart disease, especially in women. (International Journal of Cardiology)
3. Coffee improves headaches and migraine, if taken alone or along with other painkillers.
4. Lower risk of brain stroke: Middle aged people in Japan, who drank 3 or more cups of coffee per day had lower rates of silent brain infarctions (strokes without symptoms, picked up on MRI scan of brain). Lesser brain infarctions would also lead to lesser incidence of dementia. (Journal of Stroke and Cerebrovascular Diseases, 2016)
3 or more cups of coffee intake per day reduced the risk of brain stroke (despite smoking tendency in coffee drinkers). A lower incidence of heart failure, diabetes and hypertension was also observed. (Nutritional Neuroscience, 2015)
5. Reduced risk of Alzheimer’s disease: Alzheimer’s disease is the commonest cause of dementia (memory loss and loss of other higher mental functions) in the world. Based on the meta-analysis of 11 research studies, it was found that higher coffee consumption reduced the risk of Alzheimer’s disease. (Nutrition, 2015)
6. Reduced risk of Parkinson’s disease: Parkinson’s disease is the commonest cause of movement disorder, characterized by tremors, rigidity and slowness of movements. Based on meta-analysis of 26 studies, increased caffeine/coffee consumption was associated with reduced risk of Parkinson’s disease. (Journal of Alzheimer’s Disease, 2010)
7. Reduced risk of multiple sclerosis: Researchers in USA and Sweden have found that drinking at least 900 ml (six cups) of coffee per day has protective effects against multiple sclerosis. Caffeine has neuroprotective properties and suppresses inflammation. (JNNP, 2016)
8. Reduced risk of depression and suicide: A meta-analysis of 11 studies showed a protective effect of coffee against depression. The relationship between coffee intake and depression was linear; for each cup/day increase in coffee intake, the risk of depression reduced by 8%. (Australia NZ Journal of Psychiatry 2016)
In addition, increased coffee consumption was also associated with reduction in incidence of completed suicides. (World Journal of Biol Psychiatry, 2014)
9. Reduced risk of cancer: Various studies have shown that regular coffee consumption is associated with lower risk of cancers. 5 or more cups per day reduced the risk of colorectal cancer (Oncotarget, 2016). Other studies have shown reduced risk of cancers of oral cavity, pancreas, urinary bladder, breast, uterus, and liver among regular coffee drinkers.
10. Lesser incidence of erectile dysfunction: Coffee can provide a boost to sexual health too. Men with coffee intakes of 2-3 cups of coffee/ day reported significantly lesser incidence of erectile dysfunction, as compared to those with no coffee intake or only 1 cup/day. (PLos One, 2015)
11. Lower death rates: Regular intake of coffee can increase longevity and prevent deaths too. Recent research has shown that people drinking 2-5 cups of coffee/day had significantly lower deaths from heart disease, chronic lung diseases, diabetes, pneumonia and influenza, and intentional self-harm. Coffee may reduce mortality risk by favorably affecting inflammation, lung function, insulin sensitivity, and depression. (American Journal of Epidemiology,

Possible Health Hazards of Coffee Drinking
1. Poor control of BP in patients with hypertension:  A recent study showed that older people with hypertension, who consumed 3 or more cups of coffee per day, had higher BP (systolic and diastolic). Coffee drinking, however, does not lead to an increased risk of developing hypertension (in people with normal BP).
2. Increased cholesterol levels: Drinking unfiltered or boiled coffee may cause an increase in the levels of LDL cholesterol and triglycerides.
3. Increased risk of coronary heart disease: Drinking 3 or more cups of Italian-style coffee (espresso or mocha) is associated with increased risk of coronary heart disease. (PLoS One, 2015). This effect was independent of cholesterol levels, as the cholesterol levels did not increase in this study.
4. Sleep problems: Caffeine is a brain stimulant and after consuming it, people feel alert. People sensitive to the stimulant effects of caffeine may not get proper sleep, if they drink coffee close to bedtime. Since, the effect of coffee may last for 5-6 hours, people sensitive to it should avoid coffee after 6 PM.
5. Not recommended for children: Coffee suppresses appetite, and may cause children to eat less. Also, after having coffee, children feel full, and avoid nutritious foods such as milk.
6. Pregnant and nursing women should have coffee in moderation: There is no restriction of coffee in pregnant or nursing mothers. However, they should restrict the coffee intake to 2-3 cups per day.

So, what is the final take home message?
1. Coffee is good for health, and can be safely consumed by adults.
2. For optimum benefits, it should be restricted to 2-5 cups per day.
3. The maximum safe limits for caffeine/coffee intake is 200 mg in one sitting (around 2½ cups of coffee) or 400 mg daily (around 5 cups of coffee). 
4. Coffee (without sugar and milk) has zero calories; and hence, people on strict diet too can freely have coffee.

DR SUDHIR KUMAR MD (Internal Medicine) DM (Neurology)
Senior Consultant Neurologist
Apollo Health City, Jubilee Hills, Hyderabad
Phone: 040-23607777/60601066
Online Consultation: http://bit.ly/Dr-Sudhir-kumar


Friday, March 4, 2016

How Different is a Woman’s Brain from a Man’s?

How Different is a Woman’s Brain from a Man’s?


A woman is a lot different from a man in terms of physical appearance and behavior. The differences are part of the natural evolution of human beings; as males and females got adapted for different roles played by them. The differences are also due to the effects of hormones as well as sociocultural factors. The current article focuses on the differences between the brains of men and women, both in terms of structure as well as functions.

Men have a larger brain volume as compared to women. Even after taking into consideration the fact that males are taller and larger, their brains are about 10% larger than that of women. Higher brain volume in men does not translate to the fact that men are smarter or more intelligent than women. IQ tests across large number of women and men have not shown any statistically significant differences between the two sexes.

The main difference between a man and woman’s brains is regarding their language areas. In men, the language area is predominantly located in the left hemisphere of the brain; whereas in women, language areas are located in both left and right hemispheres of brain. In a research detecting blood flow to brain while people listened to a novel, only the left hemisphere was activated in men. On the other hand, both hemispheres were activated in women. The language areas on right frontal and temporal lobes are larger in women than in men. Also, the language areas in girls mature about six years earlier than in boys.

These observations explain the better proficiency of women when comes to language skills. Females use language more when they compete. They gossip, manipulate information as per David Geary, professor of psychological sciences at the University of Missouri. If there are more areas dedicated to a set of skills, it follows that the skills will be more refined. Women also use language to build relationships. Women pause more, allow the other friend to speak more, offer facilitative gestures.
Certain disorders such as learning disability or dyslexia and attention deficit hyperactivity disorder (ADHD) are more common in boys than in girls.

It is not that women have all the advantage! Boys fare much better when it comes to mathematics and geometry. The areas of brain involved in math and geometry mature four years earlier in boys than in girls. Males tend to have much larger inferior parietal lobules, the area of brain thought to influence mathematical ability. Interestingly, this is the same area of Einstein’s brain, which was discovered to be significantly large. However, many researchers believe that the mathematical ability does not differ between the sexes. The apparent differences are because of sociocultural factors, such as less encouragement for girls regarding mathematics, lesser coaching/training and math anxiety among girls.

Women are generally more emotional and are able to express their feelings better. This is mainly because of their larger deep limbic system. Women are able to connect better and they serve as better caregiver for children. The downside to this larger deep limbic system is that women are also more prone to depression, especially during times of hormonal shifts such as after childbirth or during menstrual periods. Women are also more prone to develop anxiety.

Men and women perceive pain differently. Women require higher doses of painkillers for pain relief. They are also more likely than men to complain about pain and seek treatments for pain relief. The area of brain that gets activated in pain is amygdala. In women, the left amygdala is activated, whereas in men, the right amygdala is activated during pain. The left amygdala has more intense connections with other parts of brain that modulate pain.

Men and women respond differently to stressful situations. Men tend to have “fight or flight” type of response. They are either aggressive or run away. Women on the other hand approach the stressful situations with “tend and befriend” strategy. When faced with stressful situations, women first take care of themselves and their children (tending) and form strong group bonds (befriending). This difference is because of hormone called oxytocin. Oxytocin is released during stress in both men and women. Estrogen (female hormone) enhances oxytocin resulting in calming and nurturing feelings, whereas testosterone (male hormone produced in high levels during stress) reduces the effect of oxytocin.

There are also certain differences with regards to memory functions between men and women. Women are better in recognition of emotional expressions, especially negative emotions such as fear or sadness.
Short term or working memory is also better in women than men. This is partly because women are better in attending to more than one task at a time (multitasking). On the other hand, certain types of short-term memory such as visuo-spatial information are better in men. If a couple gets lost in a deep forest, it is the man who is more likely to find the correct route to safety!
Women are better than men in remembering specific dates or events, which explains why men forget the most important birthdays and anniversaries.
When it comes to disorders of memory loss, men are more likely to suffer from age-related memory impairment. On the other hand, Alzheimer’s disease, the most common cause of dementia, is more common in women than men.

In summary, a woman’s brain is different from a man’s brain in many ways. These differences have been the result of millions of years of evolution and help women and men adapt to the different roles they need to play in family as well as society.

(This article was slightly modified and published in March 2016 issue of B Positive magazine)

Dr SUDHIR KUMAR MD DM
Senior Consultant Neurologist
Apollo Health City, Hyderabad
Ph- 0091-40-23607777/60601066
Email: drsudhirkumar@yahoo.com
Online consultation:  http://bit.ly/Dr-Sudhir-kumar 




Friday, February 12, 2016

Wednesday, May 25, 2011

What are the risk factors for brain stroke?

RISK FACTORS FOR BRAIN STROKE

Brain stroke is a medical emergency, which is characterized by sudden onset weakness or paralysis of one half of the body. Other disabilities may include inability to speak, impaired vision, severe headache or imbalance while walking.

Risk factors for brain stroke include modifiable and non-modifiable factors:

Modifiable factors:
  • Obesity,
  • Smoking,
  • High blood pressure,
  • Diabetes mellitus,
  • Elevated cholesterol
  • Elevated homocysteine levels
  • Cardiac diseases
  • Stress
Non-modifiable risk factors for stroke include:
  • Older age
  • Family history of brain stroke
  • Male sex
It is important to get regular check-ups done to identify any risk factors for stroke. If any of the above conditions are identified, proper treatment would ensure a stroke-free life. In case of any stroke-like symptoms, you should immediately contact your neurologist/family doctor.

Dr Sudhir Kumar MD (Internal Medicine) DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Phone- 0091-4023607777/60601066
Email: drsudhirkumar@yahoo.com