
Need action to create safer, healthier environment for adolescent girls in state: Experts
Gender Resource Centre
of Chanakya National Law University (CNLU) and the United Nations Population Fund (UNFPA) here on Friday.Through collaborative dialogue and evidence-based discussions, the workshop on "The Case for Investment in Interventions to Child Marriage and Reduce Adolescent Pregnancy in Bihar" underscored the need for coordinated action to create a safer, healthier, and more equitable environment for adolescent girls across the state.They observed that despite the state's rich cultural heritage and vibrant demographics, alarming statistics from the National Family Health Survey (NFHS-5) depict a sorry state of affairs so far as the growth and development of girl child is concerned.
The statistics reveal that Bihar has the second-highest incidences of child marriage in the country, with 40.8% of women married before reaching the legal age of 18. Additionally, the prevalence of adolescent pregnancies continues to be a significant concern, with 11% of girls aged between 15 and 19 are either already mothers or pregnant with their first child.Prominent among those who attended the workshop and shared their experiences included development commissioner, Pratyaya Amrit; social welfare department's secretary, Bandana Preyashi; CNLU's vice-chancellor Faizan Mustafa and others.
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Time of India
6 hours ago
- Time of India
Mizoram's hypertension, overweight rates outpace nat'l figures: Survey
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First Post
a day ago
- First Post
Silent killer alert: Nearly 20 cr Indians have high BP, renal denervation therapy offers new hope
India faces a hypertension crisis with only a fraction of patients controlling blood pressure. Experts point to renal denervation as a minimally invasive therapy showing sustained results in resistant cases. Read here With nearly 20 crore adults in India estimated to be living with hypertension and only about 2 crores managing to keep it under control, the condition has emerged as one of the country's most pressing public health concerns. Medical experts have warned of the rising prevalence of resistant hypertension and highlighted the role of renal denervation (RDN), an advanced therapy showing promising results in managing uncontrolled cases. A growing health concerns Data from the National Family Health Survey (NFHS) shows that hypertension prevalence ranges from 16% to over 25% in some states, with urban areas reporting a higher share of patients whose blood pressure remains uncontrolled despite treatment. In Delhi, prevalence is estimated at 28%. Experts note that about 5–10% of hypertensive patients in India may suffer from resistant hypertension, defined as persistently high blood pressure (≥150 mmHg) despite lifestyle measures and treatment with three or more antihypertensive drugs. STORY CONTINUES BELOW THIS AD Resistant hypertension can progress gradually, presenting with symptoms such as frequent headaches, dizziness, breathlessness or chest discomfort. Over time, persistently elevated blood pressure places sustained strain on the cardiovascular system and other vital organs. Studies show that lowering systolic blood pressure by just 10 mmHg can reduce the risk of heart disease by 20% and stroke by 27%. What is Resistant hypertension Resistant hypertension defined as persistently high blood pressure (≥150 mmHg) despite lifestyle measures and treatment with three or more antihypertensive drugs is an under-recognized contributor to this challenge, affecting patients' long-term health and wellbeing. As per National Family Health Survey – 5, hypertension prevalence in Delhi is estimated to be 28%. Estimated 5-10 % of hypertensive patients in India are resistant, based on clinical practice. Resistant hypertension may progress gradually, with symptoms such as frequent headaches, dizziness, breathlessness, or occasional chest discomfort. Over time, persistently elevated blood pressure places sustained strain on the cardiovascular system and other vital organs. Average BP reduction seen in patients treated in clinic; observed improvement in cardiovascular risk profile. Clinical studies show that lowering systolic blood pressure by just 10 mmHg can reduce the risk of heart disease by 20% and stroke by 27%. 25 per cent average BP reduction with Renal Denervation Dr Praveen Chandra, Chairman, Cardiology, Medanta (The Medicity) said 'While antihypertensive medicines are highly effective for many, control remains difficult for a significant number of patients. When patients understand their condition and the options available, they are better equipped to take control of their health and work with their doctors towards better outcomes.' Renal Denervation: Hypertension solution Renal Denervation is an advanced therapy that is minimally invasive, catheter-based procedure that addresses one of the underlying drivers of hypertension, overactive nerve signals between the brain and kidneys, Dr Chandra said, adding that by interrupting these signals, RDN helps lower and stabilise blood pressure over time. 'As per my experience, till date; 25% average BP reduction has been achieved in these patients; with a significant reduction seen in medication load post-procedure.' Hypertension and kidney disease closely linked 'Uncontrolled hypertension is associated with multiple risk factors, including chronic kidney disease. Hypertension is very common in patients with CKD and CKD is the most important cause of resistant hypertension. Uncontrolled hypertension can cause rapid progression of kidney disease leading to kidney failure,' said Dr Shyam Bansal, Vice Chairman, Institute of Nephrology & Kidney Transplant, Medanta. 'In such cases, advanced therapies such as renal denervation can revolutionize treatment for resistant hypertension, allowing patients to take control of their health. Clinical evidence shows sustained BP reduction for 3+ years across varied patient groups; effectiveness in patients with chronic kidney disease, diabetes, and other co-morbidities and potential to reduce reliance on multiple medications and improve quality of life,' Dr Bansal added. RDN shows promise in hypertension treatment Recent clinical experiences with RDN show promising results, with reductions in blood pressure ranging between 40–45 mmHg systolic and 15–20 mmHg diastolic across diverse patient groups. Many had histories of stroke or chronic kidney disease, where hypertension was accelerating decline in kidney function. Following the procedure, their eGFR levels remained stable during 9–12 months of follow-up. The broader benefits of blood pressure reduction are also striking. Lowering systolic BP by just 10 mmHg is linked to a 27% reduction in stroke risk, 28% in heart failure, and 17% in coronary artery disease. Patients undergoing RDN also reported a meaningful drop in medication dependence from an average of 5 drugs to just over 3, easing side effects and improving adherence. STORY CONTINUES BELOW THIS AD Baseline office BP levels in many cases averaged 186/99 mmHg, with patients experiencing nearly a 50 mmHg drop in systolic BP at discharge, and sustained improvements at one and six months. Uncontrolled and resistant hypertension not only elevates risks of heart attack, stroke, and kidney disease but also adds to healthcare costs, hospitalisations, and productivity losses. Experts say that advanced therapies like RDN could help ease the long-term burden — enabling patients to rely on fewer medications, cut down hospital visits, and live healthier, more active lives.


India Today
a day ago
- India Today
Resistant hypertension: The dangerous type of high BP that medicines can't fix
High blood pressure, or hypertension, has quietly become one of India's biggest health to the India Hypertension Control Initiative, nearly 20 crore adults in the country have hypertension, but only 2 crore have it under control. That means most people either don't know they have it, or their treatment isn't working well from the National Family Health Survey (NFHS) shows that hypertension affects anywhere between 16% to 25% of adults, depending on the state, with urban areas reporting a higher proportion of people struggling to keep their blood pressure in WHAT IS RESISTANT HYPERTENSION?Among those who already have high blood pressure, some suffer from what doctors call resistant hypertension. This means that despite lifestyle changes and taking three or more blood pressure medicines, their readings still stay high—often 150 mmHg or is estimated that about 5–10% of patients with hypertension in India have resistant hypertension. In Delhi alone, NFHS-5 data suggests that nearly 28% of adults have hypertension, making the challenge even more hypertension doesn't always show sudden symptoms, but it can progress slowly. People may experience frequent headaches, dizziness, breathlessness, or occasional chest discomfort. Left untreated, it places constant strain on the heart, kidneys, and other vital organs—raising the risk of heart attack, stroke, kidney failure, and heart UNCONTROLLED BLOOD PRESSURE IS SO RISKYHigh blood pressure is a major health issue, yet it remains under-recognised and undertreated both globally and in India."Only about one in ten patients have their blood pressure under control. Many don't check it regularly, or they don't take their medicines as prescribed. But controlling blood pressure is critical—it's one of the leading causes of kidney failure, heart failure and strokes," Dr. Praveen Chandra, Chairman, Cardiology, Medanta, tells fact, even a small reduction of just 2 mmHg can lower the risk of heart attack, kidney failure and stroke by 20–25% in a year.A NEW OPTION: RENAL DENERVATION THERAPYFor people with resistant hypertension, doctors in India are now turning to a new treatment called renal denervation therapy (RDN). This is a minimally invasive, one-time procedure that takes about an hour, requires only a day in hospital, and doesn't involve surgery, stitches, or general anaesthesia.'In this therapy, radiofrequency energy is delivered to the arteries supplying the kidneys. Since the kidneys play a key role in blood pressure control, this resets the nerve signals that keep the blood pressure elevated. The procedure is painless, safe, and has shown very good results," explains Dr. it is currently expensive (around Rs 5–6 lakh), RDN has shown long-lasting benefits. In India, patients have seen their blood pressure drop significantly, by about 40–45 mmHg systolic and 15–20 mmHg diastolic, with improvements sustained for KIDNEYS MATTER IN HYPERTENSIONKidneys and blood pressure are closely linked. 'Uncontrolled hypertension is associated with multiple risk factors, including chronic kidney disease (CKD). Hypertension is very common in patients with CKD, and CKD is the most important cause of resistant hypertension,' says Dr. Shyam Bansal, Vice Chairman, Institute of Nephrology & Kidney Transplant, hypertension can cause rapid progression of kidney disease leading to kidney failure. In such cases, advanced therapies such as renal denervation can revolutionize treatment, allowing patients to take control of their evidence shows sustained blood pressure reduction for over 3 years, even in patients with diabetes, CKD, and other conditions.'Lowering systolic blood pressure by just 10 mmHg can reduce the long-term risk of stroke by 27%, heart failure by 28%, and coronary artery disease by 17%. Patients who undergo RDN have also been able to reduce their dependence on medicines, from an average of five to just over three, making treatment easier and side effects fewer.- EndsMust Watch