After Indians migrate from rural to urban areas, the longer they live in a city the worse they score on measures of cardiac health and diabetes risk compared to those who remained in rural areas, according to an Indian study.
Body fat, blood pressure and fasting insulin levels - a measure of diabetes risk - all increased within a decade of moving to a city, while for decades after, blood pressure and insulin kept rising above the levels in rural counterparts, says the study in the American Journal of Epidemiology.
The results raise broad global public health concerns, given the rising urban population.
"The findings suggest that body fat increases rapidly when one first moves to an urban environment, whereas other cardiometabolic risk factors evolve gradually," wrote the study leader Sanjay Kinra, of the London School of Hygiene and Tropical Medicine.
According to the United Nations, the growth change in India's urban population is 1.1 per cent each year, while the change in the proportion of people in rural areas is declining by 0.37 per cent.
But the proportion of urban residents in the United States is much higher. Just 30 per cent of Indians live in urban areas, against 82 per cent of US residents.
For the study, Mr Kinra and his team compared rural Indians to their siblings who moved to one of four cities in India: Lucknow, Nagpur, Hyderabad and Bangalore.
Siblings who lived in a city the longest had the highest average blood pressures.
For instance, men who lived in a city for more than 30 years had an average systolic blood pressure of 126, while men who lived in a city for 10 to 20 years had an average of 124. Those who stayed in rural areas had an average of 123.
The change in body fat was most evident in the first 10 years after moving to a city, but then it levelled off.
Men who stayed in rural areas had 21 per cent body fat on average, while those who moved within the past 10 years had 24 per cent on average.
"Age, gender, marital status, household structure and occupation did not influence the patterns appreciably," Mr Kinra wrote.
"However, stronger gradients for adiposity were noted in migrants from lower socioeconomic positions."
The study did not pinpoint the cause of the difference between siblings, nor did it mention whether the increased levels of body fat, blood pressure and insulin resulted in more disease.
Though other studies have found negative health effects related to moving to cities, city dwellers in the United States tend to be healthier than those who live in rural areas and even the suburbs.
Other international studies have found that people who lived in cities were more likely to be active and to walk places. They also tend to be closer to doctors and hospitals.
Mr Kinra and his colleagues wrote that the changes among Indian city-dwellers might be explained by rapid weight gain once people move to a city, spurred by a less healthy diet and less active lifestyle.
"Programmes focused on preventing obesity in new migrants to urban areas and tailored to the needs of those in lower socioeconomic positions could deliver long-term health benefits," they added.
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COMPANY%20PROFILE
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The specs
Engine: 2.7-litre 4-cylinder Turbomax
Power: 310hp
Torque: 583Nm
Transmission: 8-speed automatic
Price: From Dh192,500
On sale: Now
Company%20Profile
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BORDERLANDS
Starring: Cate Blanchett, Kevin Hart, Jamie Lee Curtis
Director: Eli Roth
Rating: 0/5
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COMPANY%20PROFILE%20
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MEDIEVIL%20(1998)
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Libya's Gold
UN Panel of Experts found regime secretly sold a fifth of the country's gold reserves.
The panel’s 2017 report followed a trail to West Africa where large sums of cash and gold were hidden by Abdullah Al Senussi, Qaddafi’s former intelligence chief, in 2011.
Cases filled with cash that was said to amount to $560m in 100 dollar notes, that was kept by a group of Libyans in Ouagadougou, Burkina Faso.
A second stash was said to have been held in Accra, Ghana, inside boxes at the local offices of an international human rights organisation based in France.
SPEC%20SHEET%3A%20APPLE%20M3%20MACBOOK%20AIR%20(13%22)
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Our family matters legal consultant
Name: Hassan Mohsen Elhais
Position: legal consultant with Al Rowaad Advocates and Legal Consultants.
TRAP
Starring: Josh Hartnett, Saleka Shyamalan, Ariel Donaghue
Director: M Night Shyamalan
Rating: 3/5
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Company%20Profile
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57%20Seconds
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UPI facts
More than 2.2 million Indian tourists arrived in UAE in 2023
More than 3.5 million Indians reside in UAE
Indian tourists can make purchases in UAE using rupee accounts in India through QR-code-based UPI real-time payment systems
Indian residents in UAE can use their non-resident NRO and NRE accounts held in Indian banks linked to a UAE mobile number for UPI transactions
COMPANY%20PROFILE
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Adele: The Stories Behind The Songs
Caroline Sullivan
Carlton Books
The specs: 2018 Jeep Compass
Price, base: Dh100,000 (estimate)
Engine: 2.4L four-cylinder
Transmission: Nine-speed automatic
Power: 184bhp at 6,400rpm
Torque: 237Nm at 3,900rpm
Fuel economy, combined: 9.4L / 100km
SPECS%3A%20Polestar%203
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Kandahar%20
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RoboCop%3A%20Rogue%20City
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The specs
Engine: 2.0-litre four-cylinder turbo
Power: 268hp at 5,600rpm
Torque: 380Nm at 4,800rpm
Transmission: CVT auto
Fuel consumption: 9.5L/100km
On sale: now
Price: from Dh195,000
The specs: 2017 Dodge Ram 1500 Laramie Longhorn
Price, base / as tested: Dhxxx
Engine: 5.7L V8
Transmission: Eight-speed automatic
Power: 395hp @ 5,600rpm
Torque: 556Nm @ 3,950rpm
Fuel economy, combined: 12.7L / 100km
The specs
Engine: 3.0-litre flat-six twin-turbocharged
Transmission: eight-speed PDK automatic
Power: 445bhp
Torque: 530Nm
Price: Dh474,600
On Sale: Now
Mercer, the investment consulting arm of US services company Marsh & McLennan, expects its wealth division to at least double its assets under management (AUM) in the Middle East as wealth in the region continues to grow despite economic headwinds, a company official said.
Mercer Wealth, which globally has $160 billion in AUM, plans to boost its AUM in the region to $2-$3bn in the next 2-3 years from the present $1bn, said Yasir AbuShaban, a Dubai-based principal with Mercer Wealth.
“Within the next two to three years, we are looking at reaching $2 to $3 billion as a conservative estimate and we do see an opportunity to do so,” said Mr AbuShaban.
Mercer does not directly make investments, but allocates clients’ money they have discretion to, to professional asset managers. They also provide advice to clients.
“We have buying power. We can negotiate on their (client’s) behalf with asset managers to provide them lower fees than they otherwise would have to get on their own,” he added.
Mercer Wealth’s clients include sovereign wealth funds, family offices, and insurance companies among others.
From its office in Dubai, Mercer also looks after Africa, India and Turkey, where they also see opportunity for growth.
Wealth creation in Middle East and Africa (MEA) grew 8.5 per cent to $8.1 trillion last year from $7.5tn in 2015, higher than last year’s global average of 6 per cent and the second-highest growth in a region after Asia-Pacific which grew 9.9 per cent, according to consultancy Boston Consulting Group (BCG). In the region, where wealth grew just 1.9 per cent in 2015 compared with 2014, a pickup in oil prices has helped in wealth generation.
BCG is forecasting MEA wealth will rise to $12tn by 2021, growing at an annual average of 8 per cent.
Drivers of wealth generation in the region will be split evenly between new wealth creation and growth of performance of existing assets, according to BCG.
Another general trend in the region is clients’ looking for a comprehensive approach to investing, according to Mr AbuShaban.
“Institutional investors or some of the families are seeing a slowdown in the available capital they have to invest and in that sense they are looking at optimizing the way they manage their portfolios and making sure they are not investing haphazardly and different parts of their investment are working together,” said Mr AbuShaban.
Some clients also have a higher appetite for risk, given the low interest-rate environment that does not provide enough yield for some institutional investors. These clients are keen to invest in illiquid assets, such as private equity and infrastructure.
“What we have seen is a desire for higher returns in what has been a low-return environment specifically in various fixed income or bonds,” he said.
“In this environment, we have seen a de facto increase in the risk that clients are taking in things like illiquid investments, private equity investments, infrastructure and private debt, those kind of investments were higher illiquidity results in incrementally higher returns.”
The Abu Dhabi Investment Authority, one of the largest sovereign wealth funds, said in its 2016 report that has gradually increased its exposure in direct private equity and private credit transactions, mainly in Asian markets and especially in China and India. The authority’s private equity department focused on structured equities owing to “their defensive characteristics.”
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How to protect yourself when air quality drops
Install an air filter in your home.
Close your windows and turn on the AC.
Shower or bath after being outside.
Wear a face mask.
Stay indoors when conditions are particularly poor.
If driving, turn your engine off when stationary.
Poacher
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