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Children with temporary facial paralysis can recover without treatment: Study

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Children with temporary facial paralysis can recover without treatment: Study

A recent study found that the majority of children with a syndrome that temporarily paralyses or weakens the facial muscles recover without the need of medication within six months.

According to studies conducted by the Murdoch Children’s Research Institute and published in Neurology, prednisolone had no appreciable impact on a child’s ability to recover from Bell’s palsy.

While research on adults with Bell’s palsy had indicated that administering steroids helped to decrease facial nerve swelling and temporal bone damage, Franz Babl, a professor at Murdoch Children’s Hospital, highlighted that no comparable studies had been carried out on children.

The randomised-controlled study included 187 Bell’s palsy patients who visited EDs between the ages of six months and 17 years. The investigation was carried out in 11 EDs using sites provided by the Paediatric Research in Emergency Departments International Collaborative (PREDICT) research network in Australia and New Zealand. Within 72 hours of the onset of symptoms, they were enrolled, and for 10 days, either prednisolone or a placebo was given to them (no active drug).

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The study found that 57% of those who did not take any medication had their facial function back after one month, 85% had it back after three months, and 93% had it back after six months.

Recovery rates were 49% after one month, 90% after three months, and 95% after six months in those who received prednisolone. The most frequent negative effects were short-term behavioural changes and an increase in hunger. Throughout the experiment, no harmful side effects were identified.

Bell’s palsy, which causes the lower half of the face to droop, is the third most common disorder in children causing a sudden change in nerve function. Although the precise cause of facial paralysis is frequently unknown, it could be related to a viral infection.

Professor Babl claims that while the use of steroids in children with Bell’s palsy has not been established, other therapeutic modalities have been used. General practitioners, emergency department doctors, and paediatricians may be better able to have informed discussions with affected families if they are aware that early prednisolone medication doesn’t speed up recovery.

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How to stay fit during Diwali 2024: Diet tips, easy workouts, tricks to manage stress during the festive season

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How to stay fit during Diwali 2024: Diet tips, easy workouts, tricks to manage stress during the festive season

Staying on track with your fitness goals during Diwali season can be challenging. These expert-recommended tips can help you stay active amid the festivities.

Diwali 2024: How can you stop feeling bloated, tired, and stressed out during the festive season? What should you eat at Diwali parties? How can you stay fit and look your best? If you, too, are wondering how to stay healthy during the festive season and control your calorie intake while also eating and doing what you want, you have come to the right place. Also read | Dussehra to Diwali holiday health tips: Stress management during the festive rush

Even the most disciplined people can find it difficult to stick to their health routines during the festive season. But you can make things different this year. All that eating and socialising does not have to set you back on your fitness goals. 

To help keep you on track, we’ve enlisted the aid of leading experts in health, fitness and nutrition for some much-needed advice. If you tend to get a little anxious around the festive season, don’t miss these simple tips and tricks to follow:

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Nutrition and diet tips for Diwali festivities

Payal Kothari, nutritionist and author of The Gut, has shared with HT Lifestyle her tips on how to enjoy Diwali parties without compromising gut health. She says, “The festive season is filled with irresistible treats and family gatherings, but it doesn’t mean you have to compromise on your health goals.”

She suggests opting for healthier alternatives without missing out on the joy of eating; but the key word there is balance. “Choose nutrient-dense snacks like roasted nuts, baked samosas, and fresh fruit platters over fried foods. Moderation is key — enjoy your sweets, but keep portion sizes in check,” Payal says.

Dr Kiran Soni, head of the department of Nutrition and Health at Yatharth Hospitals Greater Noida, adds that to maintain health and fitness during Diwali, you should focus on portion control rather than completely rejecting your favourite dishes.

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“Fill your plate primarily with vegetables and lean proteins, leaving smaller portions for sweets and fried items. Stay hydrated; when attending parties, eat a small protein-rich snack beforehand to avoid overindulging,” she says.

Another one of your non-negotiables this festive season should be staying hydrated. Payal says, “Focus on staying hydrated by drinking plenty of water, herbal teas, and infused water to flush out toxins and curb overeating. Drink soup at home if you can, and then head out, or eat a small protein meal before heading out.”

Easy workouts to fit into your festive schedule

It’s not easy to fit in your workouts during the festive season, but even if exercise isn’t quite your top priority during the month of October, you can still move to stay active. Dr Soni says, “Maintaining physical activity is crucial during the festive season. Aim for short, high-intensity workouts when time is limited. Consider morning yoga or stretching sessions to energize your day. Take walks after heavy meals to aid digestion and burn calories.”

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Payal recommends short, effective workouts, such as a 15-20-minute HIIT session, 20-30 burpees yoga stretches, or even a brisk walk. She says, “If you’re attending family gatherings or parties, use the opportunity to stay active—dance during celebrations. Being the first one to initiate the moves on the dance floor can help digest the extra food and burn those calories. Or go for a walk with your loved ones. Even 10 minutes of stretching in the morning can improve your energy levels and help you feel your best.”

How to manage stress during the festive season

Diwali season can bring a lot of stress and strain on your mental health, ranging from mild annoyances to the types of anxieties that keep you up at night. And as you probably know, exercise is a great way to relieve all of that. Another truth: what you eat matters too.

Payal suggests adding mood-boosting and stress-relieving foods to your diet, like dark leafy greens, almonds, and foods rich in Omega-3s, such as chia seeds and flaxseeds. She says, “Soups are great for gut-brain health.”

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Dr Soni adds, “Managing stress is essential for overall well-being during busy festive periods. Incorporate stress-reducing foods into your diet, such as foods rich in omega-3 fatty acids (like fatty fish, walnuts, and flaxseeds), complex carbohydrates (whole grains, vegetables), and magnesium-rich foods (leafy greens, legumes). Prioritise sleep and maintain a consistent sleep schedule as much as possible.”

Other coping mechanisms? “Practise mindfulness by incorporating short meditation or deep breathing exercises into your day, even if it’s just for five minutes. Prioritise quality sleep, and try to set aside a few moments of ‘me time’ to recharge. By making these small adjustments, you can enjoy the festivities guilt-free while maintaining a balance between health and celebration,” Payal says.

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