NewsMakers
Approach to health must be multi-sectoral — Health Secretary
In the first committee hearing on the Senate Bill No. 378 creating a Health Promotion Institute last February 15, Health Secretary Paulyn Ubial, maintaining that health should be the concern not just of one department but of the whole government and society, said that she fully supports the creation of an independent health promotion entity focusing on the preventive aspect of health.
In the first committee hearing on the Senate Bill No. 378 creating a Health Promotion Institute last February 15, Health Secretary Paulyn Ubial, maintaining that health should be the concern not just of one department but of the whole government and society, said that she fully supports the creation of an independent health promotion entity focusing on the preventive aspect of health.
“We believe in the dictum that an ounce of prevention is better than a pound of cure. It is very important for programs to not only look at the illnesses, but how we can avoid them. It is not just the health sector that is involved in determining health policies, it is a society and government-wide intervention and responsibility. This body [focusing on prevention], we hope, will be formed outside DoH,” Ubial said.
Concurring with Ubial on the need for a multi-sectoral approach to health are the other attendees, which include heads and representatives of health groups and institutions such as World Health Organization – Asia Pacific Region Regional Office for the Western Pacific (WHO WPRO), University of the Philippines Manila, HealthJustice Philippines, and the Southeast Asia Tobacco Control Alliance (SEATCA).
Carmencita Padilla, Chancellor of UP Manila, shared that her institution convened a committee to study the various models for the health promotion body. She observed that “intersectional support” is a common factor among those nations that successfully institutionalized health promotion.
Dr. Susan Mercado, Director of the Division of NCD and Health through the Life-Course at WHO WPRO, and herself a former Undersecretary at the DoH, pointed out that health promotion institutions of Thailand and Australia have a common feature— “the participation and empowerment of communities.”
Ubial emphasized that the Health Department is still focused on addressing the part of the population that is still stick and that the health promotion entity must be a separate unit from the department precisely because it will have a different priority. ”DOH will still have a health promotion unit, but the office is focused on how to address the ill population. We need something that can influence other agencies of government yet also be part of the overall government-wide and sector-wide initiative for ensuring an environment that promotes healthy living,” Ubial said.
Dr. Ulysses Dorotheo of the Southeast Asia Tobacco Control Alliance affirmed the necessity for a “whole-of-government and whole-of-society approach.” He suggested that the Board of the health promotion entity that will be formed should be expanded to include the National Economic Development Authority and Department of Labor and Employment, among other agencies. CSO participation should be expanded to enhance the role of the citizenry and ensure transparency and accountability,” he added.
Finally, Dr. Mercado welcomed the bill as a “a very positive development for Philippines. ”We have waiting for many years to see a proposal like this in the floor of the Senate,” she announced.
Health promotion has gained greater attention in light of the recent rise of non-communicable diseases in the Philippines. Data from the 2013 Philippine Health Statistics released by the Department of Health revealed that 800 persons die every day from non-communicable diseases (NCDs) or non-infectious and non-transmissible diseases such as cancer, diabetes, cardiovascular diseases, and respiratory diseases.
In a statement released earlier, Atty. Irene Reyes of HealthJustice bewailed the lack of attention given to health promotion. According to her, “resources are concentrated on providing care for those who are already sick. It is the government that ends up paying all the hospital bills. Why not invest in promoting a healthy lifestyle that could prevent sickness in the first place?”
The Ottawa Charter for Health Promotion, to which the Philippines is a party, describes “Health Promotion” as “not just the responsibility of the health sector, but goes beyond health lifestyles to well-being.” Mercado and Padilla likewise recommended the integration of the Health Promotion definition as stated in the charter in the Senate bill being deliberated upon.
NewsMakers
The look and feel of your neighborhood may affect your sleep
Those living in neighborhoods rated as having a stronger sense of safety tended to sleep longer, and that this rating appeared to be shaped by the streetscape.
Your neighborhood’s “streetscape”—the physical environment of your street—is something that you have probably never consciously thought about, despite seeing it every day. But what if the streetscape was affecting you on a subconscious level and disrupting your sleep?
This intriguing question is posed by the findings of a study led by Professor Daisuke Matsushita of the Graduate School of Human Life and Ecology at Osaka Metropolitan University. The research team used AI to analyze more than 200,000 Google Street View images to identify visual neighborhood characteristics. They then linked these characteristics to the self-reported sleep of 1,089 working adults living on the lower floors of apartments in Tokyo, who were most likely to be affected by the streetscape.
They found that those living in neighborhoods rated as having a stronger sense of safety tended to sleep longer, and that this rating appeared to be shaped by the streetscape. Generally, people slept longer in areas with lots of greenery, such as leafy trees, on the street. Similarly, high “enclosure”—meaning many tall vertical buildings and few wide-open spaces—was also associated with longer sleep and fewer insomnia symptoms.
However, the study also made a surprising finding. The researchers found that highly walkable streetscapes, such as those with more sidewalks and traffic signs, were associated with a lowered sense of safety and shortened sleep duration.
This suggests that walkability does not always represent a reassuring environment. Instead, a possible explanation is that streets with extensive pedestrian infrastructure are often busier, more crowded, and used by more strangers, which may be perceived as less safe or less relaxing than quieter residential streets.
“This study demonstrates the potential for evaluating streetscape characteristics across large geographic areas in a cost-effective manner,” Dr. Matsushita said. “Based on the technique used in this study, cities could potentially measure perceived safety, beauty, liveliness, and enclosure as well as pollution and noise.”
“We hope that opening up this new perspective creates further possibilities for designing healthier neighborhoods,” he concludes.
The findings were published in Building and Environment.
NewsMakers
Workout or nap? Either can help your sleepless brain, study finds
People who either completed 20 minutes of moderate-to-vigorous exercise or took a 90-minute nap performed about 22 per cent better on memory tests after 30 hours without sleep than those who did neither.
A short workout or a nap can help protect memory after a sleepless night, a McGill University-led study has found.
Researchers found people who either completed 20 minutes of moderate-to-vigorous exercise or took a 90-minute nap performed about 22 per cent better on memory tests after 30 hours without sleep than those who did neither. The findings, published in Proceedings of the National Academy of Sciences (PNAS), point to practical ways to counter the effects of sleep deprivation.
“Sleep loss affects nearly every aspect of how we think and function, but many people can’t simply stop what they’re doing and get more sleep,” said senior author Marc Roig, Professor in McGill’s School of Physical and Occupational Therapy. “Our findings show that even a brief bout of exercise may help preserve one of our most important cognitive abilities.”
The study involved 54 healthy young adults who stayed awake for 30 consecutive hours under lab supervision. Participants were then assigned to one of three groups: a 20-minute cycling session, a 90-minute nap or a control condition. Three days later, researchers tested their memory for images they had viewed immediately after the intervention. Those who exercised or napped remembered significantly more images than participants who did neither.
Same result, different pathways
While the memory benefits were nearly identical, brain recordings revealed that exercise and napping helped in different ways.
Napping appeared to help the brain recharge, making it easier to take in and remember new information. Exercise, by contrast, helped the brain use its remaining resources more efficiently, without making participants feel more tired.
The findings could eventually inform fatigue-management strategies in workplaces where sleep loss is common and mistakes can have serious consequences, such as health care, transportation and emergency response.
“A nap isn’t always possible in the middle of a shift,” said first author Madhura Lotlikar, a doctoral candidate in McGill’s Department of Neurology and Neurosurgery. “Exercise is accessible, inexpensive and easy to implement. That makes it a promising tool to help people stay cognitively sharp when sleep is limited.”
The researchers emphasize that exercise cannot replace sleep, but it may help people function better when getting enough rest isn’t possible.
About the study
“Protecting episodic memory after sleep loss: Similar benefits of exercise and naps via distinct neural contributions” by Madhura Lotlikar and Marc Roig et al., was published in Proceedings of the National Academy of Sciences of the United States of America.
NewsMakers
Study links coffee consumption to metabolic health and sex hormones
Despite having a similar body mass index (BMI), individuals with higher coffee consumption had lower total and visceral fat and greater skeletal muscle mass than those who consumed less coffee.
Coffee is one of the world’s most widely consumed beverages, and previous research has linked its consumption to a lower risk of conditions such as type 2 diabetes and cardiovascular disease. However, the biological mechanisms behind these benefits remain unclear. A new Finnish study links habitual coffee consumption to healthier body composition and metabolic markers, while revealing distinct associations with sex hormones in men and women.
The study, conducted at the University of Oulu, analysed data from 2,264 participants aged 46 in the Northern Finland Birth Cohort 1966. Researchers examined how habitual coffee consumption was associated with circulating metabolites, cardiometabolic risk markers and sex hormones.
Despite having a similar body mass index (BMI), individuals with higher coffee consumption had lower total and visceral fat and greater skeletal muscle mass than those who consumed less coffee.
In both men and women, higher coffee consumption was correlated with lower circulating levels of branched-chain amino acids, biomarkers that have previously been linked to insulin resistance and an increased risk of type 2 diabetes when chronically elevated.
The strongest sex-specific associations were observed in men. Higher coffee consumption was linked to a more favourable glucose–insulin profile, higher concentrations of total and bioavailable testosterone, and increased levels of sex hormone-binding globulin (SHBG). At the same time, free testosterone and the free androgen index were modestly lower. In women, hormonal associations were more limited and were primarily characterised by higher SHBG and lower measures of free androgens.
“Coffee is consumed by millions of people every day, yet we still know surprisingly little about how it relates to our metabolism and hormones. What stood out in our findings was a distinct hormonal signature that didn’t disappear even after we took into account BMI and lifestyle factors, with several of these associations differing between men and women,” says Luca Verroest, lead author of the study and Doctoral Researcher at the University of Oulu.
The results suggest that hormonal pathways may partly explain the relationship between coffee consumption and metabolic health. However, as this was an observational study, the findings demonstrate associations rather than cause-and-effect relationships.
The study is particularly relevant in Finland, one of the world’s highest coffee-consuming countries, where annual consumption averages around 11.8 kilograms per person.
The researchers say the findings provide a foundation for future studies aimed at determining whether coffee itself drives these biological changes and identifying the compounds responsible. These questions are currently being investigated in animal models, with the long-term goal of progressing to human intervention studies. Further research will be needed before the findings could inform dietary recommendations.
The study, Associations of habitual coffee intake with testosterone and cardiometabolic markers: the Northern Finland Birth Cohort 1966 study, has been published in the European Journal of Nutrition.
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