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Study Links Rising Air Pollution to Reduced Health Benefits of Exercise

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Regular physical activity is widely recognised as a key factor in lowering the risk of chronic illness and early death, but new research suggests that polluted air can weaken some of those protective effects. A large international study has found that the health gains from exercise decline as neighbourhood air pollution levels rise, particularly for heart disease and cancer.

The research, published in the journal BMC Medicine, examined data from more than 1.5 million adults across the United Kingdom, Denmark, the United States, Taiwan, and China. Participants were tracked for over a decade, allowing researchers to assess long-term patterns in physical activity, pollution exposure, and mortality.

The study focused on fine particulate matter, known as PM2.5, a hazardous pollutant produced by vehicle emissions, the burning of coal and other fuels, waste incineration, and several industrial activities. These particles are small enough to enter the bloodstream and affect organs, including the heart and lungs.

According to the analysis, people who engaged in at least two and a half hours of moderate or vigorous exercise each week had a 30 percent lower risk of death compared with those who were less active. But this advantage declined sharply for individuals living in areas where PM2.5 levels exceeded 25 micrograms per cubic metre. In such neighbourhoods, the risk reduction dropped to between 12 and 15 percent. The protective effect eroded even further in regions with PM2.5 concentrations above 35 micrograms per cubic metre — levels that affect more than a third of the world’s population.

Andrew Steptoe, a professor of psychology and epidemiology at University College London and one of the study’s authors, said the findings highlight the growing threat posed by fine particle pollution. “Toxic air can, to some extent, block the benefits of exercise, although not eliminate them,” he said. He noted that the results add to a growing body of evidence showing the widespread harm caused by PM2.5 exposure.

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The study also points to several limitations. Much of the data came from high-income countries, which tend to have stronger pollution controls than low-income regions. The researchers did not have detailed information on indoor air quality or diet, two factors that could influence long-term health outcomes. Still, the findings remained consistent after adjustments for income, education, smoking, and underlying medical conditions.

The authors stressed that people should not avoid outdoor exercise. Paola Zaninotto, another UCL researcher involved in the project, said that small changes can help reduce exposure. Choosing cleaner routes, monitoring local air quality, or reducing workout intensity on high-pollution days may help maintain the benefits of regular activity.

The study adds to growing calls for stronger global efforts to reduce air pollution. Steptoe said both clean air and physical activity play an important role in healthy ageing, and urged governments to prioritise measures that reduce harmful emissions.

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Study Links Higher Coffee Consumption to Lower Risk of Liver Disease

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Regular coffee consumption may help reduce the risk of serious liver diseases, including cirrhosis, liver cancer and liver-related deaths, according to a new study published in the journal Clinical Gastroenterology and Hepatology.

The research found that people who consumed higher amounts of coffee, including decaffeinated varieties, were less likely to develop chronic liver conditions than those who drank little or no coffee. The findings add to growing evidence that coffee may play a role in supporting long-term liver health, although researchers stressed that the results do not prove a direct cause-and-effect relationship.

The study examined data from more than 350,000 participants enrolled in the UK Biobank, one of the world’s largest long-term health research projects. None of the participants had cirrhosis or liver cancer at the beginning of the study. Researchers monitored their health over a period of 13 years to assess how coffee consumption affected liver-related outcomes.

According to the findings, participants who drank five or more cups of coffee each day had a 32 percent lower risk of developing cirrhosis than those who consumed little or no coffee. They also recorded a 47 percent lower risk of liver cancer and a 42 percent reduction in deaths linked to liver disease.

Researchers found additional indicators of improved liver health among regular coffee drinkers. Participants with higher coffee intake showed lower levels of liver fat, liver iron, fibrosis and inflammation. Blood tests also revealed increased levels of proteins associated with healthy liver function, while markers linked to liver scarring and inflammation were generally lower.

The findings come as liver disease continues to pose a major global health challenge. A separate study published in 2023 estimated that liver disease causes around two million deaths each year, accounting for about four percent of all deaths worldwide. Men account for nearly two-thirds of those fatalities.

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Despite the encouraging results, the researchers urged caution in interpreting the findings. Senior study author Ju Dong Yang said moderate coffee consumption appears to be beneficial for people who already enjoy drinking coffee and tolerate it well.

“Our findings support moderate coffee consumption for people who already enjoy and tolerate it well,” Yang said.

He added that the study does not provide sufficient evidence to recommend that people who do not currently drink coffee should begin doing so solely to reduce their risk of liver disease.

Health experts continue to advise that maintaining a healthy weight, limiting alcohol consumption, eating a balanced diet and managing conditions such as obesity and diabetes remain the most effective ways to reduce the risk of chronic liver disease. Researchers said additional studies are needed to better understand which compounds in coffee may contribute to its potential protective effects.

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Lancet Review Finds mRNA Vaccines Safe and Highly Effective, Calls for Wider Global Access

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A comprehensive review of data covering billions of administered doses of mRNA vaccines has concluded that the technology remains both safe and highly effective in preventing infectious diseases, with researchers urging governments and health organisations to focus on expanding global access.

The review, published in The Lancet, examined evidence gathered since mRNA vaccines were first deployed on a large scale during the COVID-19 pandemic. Researchers found that the vaccines continue to provide strong protection against severe illness while serious side effects remain uncommon.

Unlike conventional vaccines, mRNA vaccines work by delivering genetic instructions that enable the body’s cells to produce a harmless viral protein. This process trains the immune system to recognise and respond to future infections without altering a person’s DNA.

According to the review, mRNA vaccines were 87% effective in preventing confirmed SARS-CoV-2 infections within 14 to 42 days after vaccination. The vaccines also demonstrated 93% effectiveness in preventing hospital admissions and 94% effectiveness in preventing deaths related to COVID-19 during the same period.

Researchers noted that immunity declines over time, but booster doses restore a significant portion of the lost protection.

The review also assessed vaccine safety across billions of administered doses. It found that serious adverse events, including myocarditis, pericarditis and anaphylaxis, occurred very rarely. Most reported reactions, such as pain at the injection site, fatigue and fever, were mild to moderate and typically resolved within a few days.

“Across billions of administered doses, serious adverse events have been rare, well characterised, and consistently outweighed by the substantial protection conferred against severe disease, hospitalisation, and death,” the researchers wrote.

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The review concluded that the vaccines have proven effective across a broad range of populations, including children, older adults, pregnant women and people with weakened immune systems.

Researchers also highlighted the growing potential of mRNA technology beyond infectious diseases. They said ongoing research could lead to personalised cancer vaccines designed to match an individual patient’s tumour characteristics, opening new possibilities for targeted treatment.

Co-author Manish Sadarangani of the University of British Columbia and BC Children’s Hospital Research Institute said mRNA vaccines have already changed how the world responds to emerging infectious diseases and could continue to play an important role in preventive medicine and cancer care.

The review also noted that improvements in vaccine storage, including higher-temperature storage methods and freeze-drying technologies, could simplify transportation, reduce waste and improve access in remote regions.

Despite these advances, the researchers stressed that manufacturing capacity and equitable distribution remain major challenges. They called for greater investment in local production, technology transfer and stronger regulatory systems, particularly in low- and middle-income countries.

Co-author Robin Shattock of Imperial College London said expanding manufacturing networks and strengthening regional production capabilities would shorten supply chains, lower costs and help ensure countries have faster access to vaccines during future global health emergencies.

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Rising Sea Temperatures Increase Risk of Vibrio Bacteria in European Coastal Waters

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Record-breaking summer heatwaves and rising sea temperatures are creating favourable conditions for the spread of Vibrio bacteria in European coastal waters, prompting health experts to advise caution for swimmers and seafood consumers, particularly in areas where fresh and salt water meet.

Vibrio is a naturally occurring group of bacteria that thrives in warm, moderately salty coastal waters. While most strains are harmless, some can cause illnesses collectively known as vibriosis, which may affect people through contact with contaminated water or by eating raw or undercooked seafood.

Health authorities say infections remain relatively uncommon in Europe, but the number of reported cases has increased during particularly warm summers, raising concerns that climate change could expand the bacteria’s range.

According to the European Centre for Disease Prevention and Control (ECDC), the Baltic Sea, the transition zone between the Baltic and North Seas, the Black Sea and coastal regions influenced by large rivers are among the areas where Vibrio is most commonly found.

The bacteria can enter the body through open cuts or wounds while swimming in contaminated water. Infections may also occur after consuming contaminated shellfish, especially raw oysters.

Symptoms vary depending on how the infection is acquired. Water-related infections may cause ear infections or skin irritation, including redness, swelling and pain around wounds. In severe cases, untreated infections can spread into the bloodstream, leading to sepsis, tissue damage and, in rare situations, limb amputations.

One of the most dangerous strains, Vibrio vulnificus, is sometimes referred to as a “flesh-eating” bacterium because of its ability to rapidly destroy tissue. Serious illness remains rare but is more likely among people with weakened immune systems, chronic liver disease or other underlying health conditions.

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The ECDC said Europe recorded a significant rise in infections during the exceptionally warm summer of 2018, when 445 cases were reported. That figure was more than three times the annual median of 126 cases recorded between 2014 and 2017.

Scientists believe warmer seas and more frequent heatwaves are contributing to the bacterium’s spread. The European Food Safety Authority (EFSA) has also warned that increasing ocean temperatures are expected to raise Vibrio levels in seafood worldwide.

Health experts recommend avoiding raw or undercooked shellfish and ensuring seafood is cooked thoroughly before consumption. People with cuts, wounds or recent piercings are also advised to avoid swimming in brackish or salt water until the skin has fully healed.

To help monitor potential risks, the ECDC operates an interactive forecasting system that tracks Vibrio conditions across Europe and provides daily updates with five-day predictions. Officials say the tool can help residents and tourists make informed decisions during periods of unusually warm coastal waters.

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