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People with type 2 diabetes can have a reduced ability to lose heat – study

While a common marker of long-term blood sugar control, haemoglobin A1c (also called glycated haemoglobin), was not associated with differences in the amount of heat lost from the body, heart rate rose by six beats per minute and core body temperature increased by 0.2°C with each percentage point rise in haemoglobin A1c (from 5.1% to 9.1%) in men with type 2 diabetes during cycling in a heated chamber.

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Poor blood sugar control could be associated with higher core body temperature and increased heart rate for physically active men with type 2 diabetes. The research published in Experimental Physiology found that while a common marker of long-term blood sugar control, haemoglobin A1c (also called glycated haemoglobin), was not associated with differences in the amount of heat lost  from the body, heart rate rose by six beats per minute and core body temperature increased by 0.2°C with each percentage point rise in haemoglobin A1c (from 5.1% to 9.1%) in men with type 2 diabetes during cycling in a heated chamber.

People with type 2 diabetes can have a reduced ability to lose heat, which can heighten their risk of developing a heat-related injury during a heat stress. However, the cause of the reduced capacity to dissipate heat is not well understood. This health issue is becoming more relevant as countries around the globe experience more frequent and enduring temperature extremes as well as hotter average summer temperatures, such as the global heat waves of 2022.

Researchers from University of Ottawa, Canada sought to identify whether blood sugar control affects the body’s ability to lose heat during exercise in the heat. Although worse blood sugar control did not seem to impair whole-body heat loss, the association between chronically elevated blood sugar (indexed via haemoglobin A1c) with higher body core temperatures and heart rate could implicate its role in thermoregulation. Importantly, this effect did not appear to be related to the physical fitness of the participants. The findings suggest that among people with type 2 diabetes, poor blood sugar control could lead to a greater risk of reaching dangerously high core body temperatures and greater strain on the heart during physical activity in the heat. However, more research is needed to confirm this link and understand why these impairments are observed even when heat loss is not compromised.

Dr. Glen Kenny, University of Ottawa, Canada, who leads the team said, “Previous research showed ageing is associated with a decay in the body’s ability to dissipate heat, which is more pronounced in individuals with type 2 diabetes.  However, it remained unclear to what extent long-term blood sugar control may mediate this response. By examining whole-body heat exchange using our one-of-a-kind whole-body air calorimeter (a device that provides a precise measurement of the heat dissipated by the human body), we were able to gain a better understanding of the association between long-term blood sugar control and the body’s physiological capacity to dissipate heat in individuals with type 2 diabetes.”

Regular exercise is generally recommended to manage and improve blood sugar control. However, rising global temperatures and enduring heat waves make it challenging for people living with type 2 diabetes to manage the disease because current health guidelines advise to avoid exercising in hot weather. People with type 2 diabetes are also at greater risk of heat-related stress, the risk of which increases with age.

The researchers monitored blood sugar control by measuring the proportion of glycated haemoglobin in the blood. This is haemoglobin (a protein molecule in red blood cells that carry oxygen) with sugar molecules attached to it and reflects the last approximate 3 months of blood sugar control. A normal healthy glycated haemoglobin level is 4-6%, while a good level for an individual with diabetes is ≤7%.

26 physically active men aged 43-73 years, who had been diagnosed with type 2 diabetes for 5 years or more, performed an exercise heat stress test, which involved cycling in the calorimeter set to 40°C. After 30 minutes of seated at rest, they completed three 30-minute bouts of cycling, with 15-minutes rest period in between each bout, at light, moderate, and vigorous exercise intensities. Intensities were set based on a fixed rate of metabolic heat production relative to body size, so that each participant was given the same heat load and therefore amount of heat to lose.

The researchers caution that the findings are based on a male-only cohort of physically active individuals (at least 150-minutes of exercise per week). This might not represent the most heat-vulnerable among those living with type 2 diabetes. Further investigations are needed to understand the changes in the body’s physiological capacity to dissipate heat when sedentary and more vulnerable individuals exercise in the heat.

Dr. Glen Kenny, University of Ottawa, Canada, said, “Type 2 diabetes is associated with higher rates of heat illness and death during heat stress when compared to the general population. By defining the levels of heat stress where diabetes-related impairments in the body’s ability to lose heat cause dangerous increases in core temperature, we can provide better heat-protection advice to safeguard the health and well-being of these heat-vulnerable individuals.  This includes guidance that can assist their health-care providers to manage heat stress in their patients who may be engaged in leisure, athletic activities or job-related activities in the heat.”

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Pru Life UK agents, customers, executives celebrate Year of the Wood Dragon

The insurer maintains its top position in New Business Annual Premium Equivalent & total Premium Income from Variable Life Insurance products according to the Insurance Commission’s Life Insurance Sector Quarterly Statistics for Q3 2023.

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With a strengthened commitment to providing better financial protection for every Filipino, Pru Life UK celebrates the start of the Year of the Wood Dragon. Over 200 Pru Life UK leaders, agents, clients, and employees joined and wished everyone PRU Love during the festivities held at the heart of its Escolta branch in Binondo Manila.

The insurer maintains its top position in New Business Annual Premium Equivalent & total Premium Income from Variable Life Insurance products according to the Insurance Commission’s Life Insurance Sector Quarterly Statistics for Q3 2023.

Pru Life UK’s products are made accessible through its over 42,000 digitally-empowered agency workforce and like-minded partners.

The Company recently launched PRULove for Life – an affordable, limited-pay, whole-life participating plan for as low as Php 87 per day* with lifetime coverage up to age 100 and flexible payment terms of 5, 10, 15, or 20 years to pay. To know more about PRULove for Life, talk to your Pru Life UK agent today or visit Pru Life UK’s website.

Pru Life UK is also committed to driving up financial awareness, literacy, and inclusion in the country by leading industry discussions and programs for the community. Its PRUBabies campaign seeks to protect 175,000 newborns with free insurance coverage against select infectious diseases such as Dengue, Typhoid, Measles, and Malaria.

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Eating too much protein is bad for your arteries, and this amino acid is to blame

Consuming over 22% of dietary calories from protein can lead to increased activation of immune cells that play a role in atherosclerotic plaque formation, driving the disease risk.

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University of Pittsburgh School of Medicine researchers discovered a molecular mechanism by which excessive dietary protein could increase atherosclerosis risk. The findings were published in Nature Metabolism.

The study, which combined small human trials with experiments in mice and cells in a Petri dish, showed that consuming over 22% of dietary calories from protein can lead to increased activation of immune cells that play a role in atherosclerotic plaque formation, driving the disease risk. Furthermore, the scientists showed that one amino acid – leucine – seems to have a disproportionate role in driving the pathological pathways linked to atherosclerosis, or stiff, hardened arteries.

“Our study shows that dialing up your protein intake in pursuit of better metabolic health is not a panacea. You could be doing real damage to your arteries,” said senior and co-corresponding author Babak Razani, M.D., Ph.D., professor of cardiology at Pitt. “Our hope is that this research starts a conversation about ways of modifying diets in a precise manner that can influence body function at a molecular level and dampen disease risks.”

According to a survey of an average American diet over the last decade, Americans generally consume a lot of protein, mostly from animal sources. Further, nearly a quarter of the population receives over 22% of all daily calories from protein alone.

That trend is likely driven by the popular idea that dietary protein is essential to healthy living, says Razani. But his and other groups have shown that overreliance on protein may not be such a good thing for long-term health.

Following their 2020 research, in which Razani’s laboratory first showed that excess dietary protein increases atherosclerosis risk in mice, his next study in collaboration with Bettina Mittendorfer, Ph.D., a metabolism expert at the University of Missouri, Columbia, delved deeper into the potential mechanism and its relevance to the human body.

To arrive at the answer, Razani’s laboratory, led by first-authors Xiangyu Zhang, Ph.D., and Divya Kapoor, M.D., teamed up with Mittendorfer’s group to combine their expertise in cellular biology and metabolism and perform a series of experiments across various models – from cells to mice to humans.

“We have shown in our mechanistic studies that amino acids, which are really the building blocks of the protein, can trigger disease through specific signaling mechanisms and then also alter the metabolism of these cells,” Mittendorfer said. “For instance, small immune cells in the vasculature called macrophages can trigger the development of atherosclerosis.”

Based on initial experiments in healthy human subjects to determine the timeline of immune cell activation following ingestion of protein-enriched meals, the researchers simulated similar conditions in mice and in human macrophages, immune cells that are shown to be particularly sensitive to amino acids derived from protein.

Their work showed that consuming more than 22% of daily dietary calories through protein can negatively affect macrophages that are responsible for clearing out cellular debris, leading to the accumulation of a “graveyard” of those cells inside the vessel walls and worsening of atherosclerotic plaques overtime. Interestingly, the analysis of circulating amino acids showed that leucine – an amino acid enriched in animal-derived foods like beef, eggs and milk – is primarily responsible for abnormal macrophage activation and atherosclerosis risk, suggesting a potential avenue for further research on personalized diet modification, or “precision nutrition.”

Razani is careful to note that many questions remain to be answered, mainly: What happens when a person consumes between 15% of daily calories from protein as recommended by the USDA and 22% of daily calories from protein, and if there is a ‘sweet spot’ for maximizing the benefits of protein – such as muscle gain – while avoiding kick-starting a molecular cascade of damaging events leading to cardiovascular disease.

The findings are particularly relevant in hospital settings, where nutritionists often recommend protein-rich foods for the sickest patients to preserve muscle mass and strength.

“Perhaps blindly increasing protein load is wrong,” Razani said. “Instead, it’s important to look at the diet as a whole and suggest balanced meals that won’t inadvertently exacerbate cardiovascular conditions, especially in people at risk of heart disease and vessel disorders.”

Razani also notes that these findings suggest differences in leucine levels between diets enriched in plant and animal protein might explain the differences in their effect on cardiovascular and metabolic health. “The potential for this type of mechanistic research to inform future dietary guidelines is quite exciting,” he said.

Additional authors of the study are Yu-Sheng Yeh, Ph.D., also from Pitt; Alan Fappi, Ph.D. and Vasavi Shabrish, Ph.D., both of the University of Missouri, Columbia; Se-Jin Jeong, Ph.D., Jeremiah Stitham, M.D., Ph.D., Ismail Sergin, Ph.D., Eman Yousif, M.D., Astrid Rodriguez-Velez, Ph.D., Arick Park, M.D., Ph.D., Joel Schilling, M.D., Ph.D., Marco Sardiello, Ph.D., Abhinav Diwan, M.D., Nathan Stitziel, M.D., Ph.D., Ali Javaheri, M.D., Ph.D., Irfan Lodhi, Ph.D., and Jaehyung Cho, Ph.D., all of Washington University School of Medicine, St. Louis; Arif Yurdagul Jr, Ph.D., and Oren Rom, Ph.D., both of the Louisiana State University Health Sciences Center; and Slava Epelman, M.D., Ph.D., of the University of Toronto.

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IRONKIDS Cebu in Lapu-Lapu partners with RLC Residences

This April will be the first event of the partnership as the brand extends their support for the budding young athletes. The aquathlon will see participants from ages 6 to 15 years old complete the race happening at The Reef Island Resort in Mactan.

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The IRONMAN Group Philippines and RLC Residences have announced in 2023 a new partnership—as the residential brand of Robinsons Land Corporation, RLC Residences becomes the title sponsor for IRONKIDS Lapu-Lapu and IRONKIDS Davao for 2024.

This April will be the first event of the partnership as the brand extends their support for the budding young athletes.  The aquathlon will see participants from ages 6 to 15 years old complete the race happening at The Reef Island Resort in Mactan.

RLC Residences Head of Brand Management Mr. Dan Carlo Torres shares his enthusiasm towards the event. “We are very excited to see this partnership unfold. We’ve been very supportive of IRONMAN, especially IRONKIDS because we also believe in the importance of promoting an active and purposeful lifestyle at such a young age and we hope to continuously be part of IRONMAN as we create more vibrant opportunities for our future triathletes,” he added.

“As we aspire to live our best lives, we work to inspire the wider community,” said Ms Princess Galura, Regional Director of the IRONMAN Group Philippines.  “For 10 years, the IRONKIDS has been a part of the Cebuano youth’s stepping stone to either a future in sports, representing the Philippines in international events, as well as planting the seeds of a healthy, sporty lifestyle.  Our partnership with RLC Residences allows us to do so and we are excited to hold the festivities for our youth once again in Lapu-Lapu this April,” she added.

The IRONKIDS event in Lapu-Lapu will feature age group categories for the 6 to 8 years old, 9 to 10 years old, 11 to 12 years old and 13 to 15 years old.  Relay categories are also available for mixed team relay for 6-10 year-olds and 11-15 year-olds. 

Swim and run courses, the transition area and finish line will be at The Reef Island Resort, which is conveniently located in a gated community.  Families who are checked in during race weekend can enjoy amenities of the resort –  including the beach, lap pool and game room.  The resort’s restaurant is operated by Cebu-based top tier chain, Abaca.

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