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Effect Of Lockdowns On Birth Rates In The UK

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Why This UNMH Doctor Is Urging Pregnant Women To Get Vaccinated Against COVID-19 ASAP


Many wondered whether the COVID lockdowns would lead to a baby boom or a bust. We finally have some answers – for the UK, at least.

Broadly, provisional data from the Office for National Statistics suggests there was a temporary decline in babies conceived during the first three months of the first lockdown in 2020, but then the fertility rate rebounded to levels above those seen in previous years. Let’s take a closer look.

The earliest we would have expected COVID to affect people’s decisions to become pregnant would have been February 2020, influencing births on average from November 2020.

The number of monthly births were plotted for the years 2018-21 in Scotland, England and Wales, and Northern Ireland. Before the pandemic, the number of births had been falling in all countries of the UK.

By 2019, the average fertility rate for Scotland was 1.37 births per woman. This was the lowest level ever recorded and was significantly lower than the level in 2008 (around 1.77) before the effects of the economic recession hit.

In 2019, fertility rates were slightly higher in England and Wales (1.65) and Northern Ireland (1.82) than in Scotland, but again, these levels were some of the lowest ever recorded.

The onset of the pandemic was initially associated with a decline in the number of births, particularly from November 2020 to February 2021. Yet from March 2021 onward, the number of monthly births recovered and sometimes exceeded 2019 levels, particularly in the last quarter of 2021. This is despite there having been a second wave of the pandemic in the UK in late 2020 and early 2021.

For England and Wales, the average fertility rate in 2021 was 1.61 children per woman compared with 1.58 in 2020 – the first time since 2012 this figure has increased from one year to the next.

This recovery might be explained by births taking place where conception had been postponed during the first lockdown. Or perhaps birth rates had reached their lowest point and would have increased, anyway.

We can find out more about what’s happened if we look at trends in birth rates by mother’s age. These age-specific fertility rates are, at the time of writing, only published up to 2021 for England and Wales, and are only available for women.

This data shows that the effect of the pandemic on childbearing in England and Wales differed by age. Among women aged under 25, fertility rates fell and continued to fall through 2020 and 2021. Among women in their 30s, fertility rates recovered in 2021 after falling in 2020. Rates for those in their early 40s have remained stable at a low level.

So, what might be happening? In a research article written in 2021, we speculated that the pandemic would not have a uniform effect on fertility rates, but would affect childbearing differently based on a woman’s age.

We considered several ways the pandemic might decrease fertility rates. For example, national lockdowns sharply reduced socialising. Young adults may have been particularly affected by this, with fewer opportunities to meet people and form romantic and sexual relationships. Meanwhile, increased uncertainties associated with the economic fallout of the pandemic might have deterred people from planning a baby.

We also put forward reasons why the pandemic may increase childbearing, including increased time spent together and a focus on home life among established couples. Furlough and working from home might have encouraged people in longer-term relationships to have children they may not otherwise have had, or that they might have had at a later time. Among parents already considering having another child at some point, births of subsequent children might have been brought forward.

Among younger adults, we found more reasons for a decline in childbearing than an increase, while among slightly older people we found more reasons to expect an increase.

The observed age-specific fertility trends are consistent with our predictions, though from this data we cannot know whether the reasons we proposed were exactly correct.

Looking back and looking forward

Historical evidence on fertility rates following the 2008 recession from other European countries suggests that it is younger people who are most likely to experience a decline in childbearing in response to shocks and crises.

Younger women have more opportunities to postpone their childbearing in response to uncertainties because they have more time to catch up on any births that had previously been put off.

Young people have been uniquely affected by the pandemic, being more likely to lose their jobs, or to change their living arrangements, often returning to their parents’ home. Among slightly older women, the pandemic could have increased fertility, for example, through more time spent with their partner, and changes in work-life balance due to COVID.

So what might the future hold in terms of fertility in the UK? Will the increasing birth rates among those in their 30s continue, with previously postponed births caught up at later ages? If this happens, we could see an increase in fertility rates.

Or is the pandemic bounce-back in childbearing a blip in an otherwise downward trend in fertility? Increased economic uncertainty, difficulties in securing stable, affordable housing, a greater awareness of environmental concerns and worries about global security are all likely to diminish certain people’s desires to have children.

Ultimately, it will be some years before we know whether the pandemic’s effects on childbearing are temporary or will be longer lasting.

Ann Berrington, Professor of Demography, Centre for Population Change, University of Southampton and Joanne Ellison, Research Fellow, Centre for Population Change, University of Southampton

This article is republished from The Conversation under a Creative Commons license. Read the original article.





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Feeling Tired All The Time? Possible Causes And Solutions

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Long days of work, lack of sleep, and stress at the office can be the most common factors that make you feel tired. However, feeling “tired all the time” (TATT) without known reasons can be an indication of an underlying health issue that needs immediate attention.

Finding the exact cause of the lingering tiredness can be the first step toward solving the symptom.

Health conditions that cause fatigue:

1. Anemia – Anemia is one of the most common causes of fatigue. A person who has anemia does not have enough red blood cells in the body, causing symptoms such as tiredness, dizziness, feeling cold and crankiness.

Most often, anemia is caused by iron deficiency. Hence, the condition can be best resolved by including iron-rich foods in the diet and use of iron supplements.

2. Sleep Apnea – It causes the body to stop breathing momentarily during sleep. The condition can affect the quality of sleep and hence make you feel fatigued.

For milder cases of sleep apnea, lifestyle changes such as losing weight or quitting smoking can help solve the sleep disorder. In more severe cases where there is an obstruction in breathing, surgeries and therapies can help.

3. Diabetes – A person who has diabetes has changes in blood sugar level, which can cause fatigue. A patient who is already on diabetic medication can also experience tiredness as a side effect of the medication.

Early identification and taking the correct treatment is the key to managing diabetes. Losing extra weight and having a healthy diet also help in the treatment.

4. Thyroid – Thyroid diseases can be due to an overactive or an underactive thyroid gland. In people who have an underactive thyroid (hypothyroidism), the metabolism slows down leading to symptoms such as lethargy and fatigue. In people with an overactive thyroid (hyperthyroidism), the metabolism speeds up leading to fatigue and difficulty sleeping.

Right diet and lifestyle choices, along with medications, can help in thyroid management.

5. Infections – A person can show symptoms of fatigue when the body is fighting a viral or bacterial infection. Infections ranging from the flu to HIV can cause tiredness.

Along with fatigue, other symptoms such as fever, headache, body aches, shortness of breath and appetite loss can also accompany the infection. Treating the symptoms and taking adequate rest helps in faster recovery.

6. Food allergies – Fatigue may be an early warning sign of hidden food allergies and autoimmune disorders such as celiac disease. Identifying the allergen using a food allergy test or through an elimination diet can help in allergy treatment.

7. Heart disease – If you feel exhausted from an activity that used to be easy, then it is good to check your heart health, as fatigue can be an indication of underlying heart disease.

8. Depression/ anxiety – Fatigue can also be an indicator of a mental health disorder such as depression or anxiety. A combination of medication and psychotherapy can help relieve symptoms.

Lifestyle causes

Apart from serious health conditions, certain lifestyle habits such as dehydration, poor diet, stress and insufficient sleep can cause exhaustion. Having a well-balanced diet, regular exercise and routine sleep can help solve fatigue caused by lifestyle habits.

Published by Medicaldaily.com



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How To Overcome Your Sleep Debt And Reclaim Energy

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Picture this: you’re burning the midnight oil, studying or binge-watching your favorite shows, all at the expense of a good night’s sleep. Have you ever stopped to think about the toll it takes on your body and mind? The consequences can be more serious than you might realize.

Not getting enough sleep can translate into a multitude of issues, including weight gain, lack of focus, tiredness, a haze of confusion, and even depression. If you too are encountering similar issues lately then chances are you have a sleep debt.

Wondering what is sleep debt?

People from 13-18 years of age need 8 hours of sleep, whilst adults beyond that age will require at least 7 hours of snooze.

Sleep debt is a collection of the total hours you haven’t slept or traded your sleep for something else. Sleep debt keeps piling up as a person falls short of the total hours of sleep recommended for an adult, according to the Centers for Disease Control and Prevention.

And when you keep letting go of your sleep for other activities, the body adapts to the new normal and effects start to reflect on the energy levels, which deplete.

“However, like every other debt out there, this too has a repayment option,” Dr. Kunal Kumar, medical director of the Sleep Center at Einstein Medical Center in Philadelphia, told Livestrong.

Below are some expert-vetted ways you can pay back the sleep debt. (Courtesy: Livestrong and Sleepfoundation)

Just like financial debt, imagine sleep debt as a debt you owe to your body. It needs to be repaid. The good news is that catching up on sleep is indeed possible.

  • Maintain a set sleep schedule: Overhauling the sleep schedule is a pretty difficult task to achieve, and it’s best to do that gradually. Create a set sleep schedule by making some small changes to your routine. Instead of making abrupt shifts in your bedtime or wake-up time, adjust them gradually by 15 to 30-minute increments.
  • Minimize your gadget usage: Wind down activities and minimize electronic usage before bed to promote better sleep. Relax and prepare for quality sleep by dimming the lights and setting an alarm for 30 minutes to an hour before bed.
  • Reshuffle your sleeping arrangements: Are you finding it hard to get a good night’s sleep due to excessive sweating? Well, here’s a handy solution: consider upgrading to a cooling mattress or opting for cooling sheets. These innovative sleep essentials can help regulate your body temperature, and keep you comfortably cool throughout the night, ensuring a more blissful slumber. Memory foam pillows can work wonders in relieving neck and back discomfort in case you are struggling with backache.
  • Improve the bedroom environment: Create a sleep-friendly bedroom environment by adjusting the temperature for comfort, and blocking out disruptive lights, or noises that might disturb your restful slumber. And if your mattress, pillow, or sheets are worn out or no longer providing the support you need, consider treating yourself to new ones.

Published by Medicaldaily.com



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Omega-3 Fatty Acids Slow The Progression Of Amyotrophic Lateral Sclerosis: Study

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Omega-3 fatty acids are known for a range of health benefits, from promoting brain and heart health to reducing inflammation and protection against several chronic conditions.

In a new study, researchers found that omega-3 acids, especially the type found in foods like flaxseeds, walnuts, chia seeds, canola oil and soybean oil, can slow down the progression of amyotrophic lateral sclerosis (ALS).

It is a debilitating nervous system disease that gradually worsens over time and can be fatal. The condition results in a loss of muscle control and affects the nerve cells in the brain and spinal cord. It is also known as Lou Gehrig’s disease after the baseball player who was diagnosed with it.

The initial symptoms of the disease include muscle weakness, difficulty in walking and hand movements. The symptoms can slowly progress to difficulties with chewing, swallowing, speaking and breathing.

The exact cause of ALS is not known. However, around 10% of people get it from a risk gene passed down from a family member. It is estimated that more than 32,000 people in the U.S. live with the condition.

In the latest study, researchers from Harvard T.H. Chan School of Public Health in Massachusetts evaluated 449 people living with ALS in a clinical trial. The team assessed the severity of their symptoms, the progression of their disease, along with the levels of omega-3 fatty acids in their blood, for 18 months.

The study suggested that alpha-linolenic acid (ALA), a type of omega-3 found in plants, is particularly beneficial in slowing the progression of ALS. The participants with the highest levels of ALA had a 50% reduced risk of death during the study period compared to those with the lowest levels of ALA.

Researchers also found a reduction in death risk in participants who had eicosapentaenoic acid, the type of omega-3 fatty acid found in fatty fish and fish oil, and linoleic acid found in vegetable oils, nuts and seeds.

A previous study conducted by the same team suggested that a diet high in ALA and higher blood levels of the nutrient could reduce the risk of developing the condition.

“In this study, we found that among people living with ALS, higher blood levels of ALA were also associated with a slower disease progression and a lower risk of death within the study period. These findings, along with our previous research suggest that this fatty acid may have neuroprotective effects that could benefit people with ALS,” said Kjetil Bjornevik, the lead author of the study.

Published by Medicaldaily.com



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