London, May 9: Consuming one gram of fish oil every day and including spinach in the diet could help reduce the pain of patients with osteoarthritis, the most common form of arthritis that generally affects the hands, hips and knees.

In the study published in the journal Rheumatology, the researchers examined the link between diet and the effective self-management of osteoarthritis.

Analysing 68 previous studies in the field, they found that a low-dose supplement of fish oil (one and a half standard capsules) could result in pain reduction for patients with osteoarthritis and help improve their cardiovascular health. 

Essential fatty acids in fish oil reduce inflammation in joints, helping to alleviate pain, the study said.

An increase in foods rich in vitamin K such as kale, spinach and parsley was also found to deliver benefits to patients with osteoarthritis. 

Vitamin K is needed for vitamin-K-dependent (VKD) proteins, which are found in bone and cartilage. 

An inadequate intake of the vitamin adversely affects the working of the protein, affecting bone growth and repair and increasing the risk of osteoarthritis.

"The importance of a good diet and regular exercise should never be underestimated. Not only does it keep us fit and healthy, but as we have learned from this study, it can also lessen painful symptoms of osteoarthritis," said study co-author Margaret Rayman, Professor at the University of Surrey in Britain.

"We are what we eat and it is important that we have the right amount of nutrients from our food to ensure that our body systems work as they should," Rayman added. 

The researchers also found that a reduction of weight for overweight and obese patients and the introduction of exercise tailored to mobility could also help ease the symptoms of osteoarthritis. 

Not only does obesity increase strain on joints, it can cause low-grade, systemic inflammation in the body aggravating the condition further.

A calorie restricted diet, combined with strengthening, flexibility and aerobic exercises, was identified as an effective approach in reducing pain in overweight patients.

There is no evidence that a calorie restricted diet does anything beneficial for lean patients with the condition, the study said.

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New Delhi (PTI): The India-Russia collaboration is not directed against any country and it is solely aimed at safeguarding the national interests of the two sides, Russian President Vladimir Putin has said against the backdrop of Washington's aggressive approach towards New Delhi and Moscow.

In the context of India's energy ties with Russia, Putin said certain "actors" dislike New Delhi's growing role in international markets in view of its close relations with Moscow and these elements are aiming to constrain India's influence for political reasons by imposing "artificial obstacles".

In an interview to India Today news channel that was released on Thursday evening, the Russian president, referring to Western sanctions against Moscow, said his country's energy cooperation with New Delhi largely "remains unaffected".

Putin landed in New Delhi this evening on a two-day visit to hold summit talks with Prime Minister Narendra Modi.

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His trip comes at a time India-US relations are going through possibly the worst phase in the last two decades after Washington imposed a whopping 50 per cent tariff on Indian goods, including 25 per cent levies for New Delhi's procurement of Russian crude oil.

"Neither me nor Prime Minister Modi, despite certain external pressure we face, have never approached our collaboration to work against someone," the Russian president said in response to a question on Washington's aggressive approach.

"President Trump has his own agenda, his own goals, whereas we focus on ours -- not against anyone, but rather aimed at safeguarding our respective interests, India's and Russia's interests," he said.

Rejecting Washington's objection to India procuring crude oil from Russia, Putin said if the US has the right to buy Russian fuel, why "shouldn't India have the same privilege".

"As for India's purchase of energy resources from Russia, I would like to note and have already mentioned this once, the US itself still buys nuclear fuel from us for its own nuclear power plants," Putin said.

The Russian president also responded to a question on India lowering procurement of crude oil from Russia in view of Western sanctions on Moscow.

ALSO READ: Russian president Putin arrives in Delhi on 2-day visit

"Well, there is a certain decline in overall trade turnover during the first nine months of this year. This is just a minor adjustment. Overall, our trade turnover stands almost at the same level as before," he said.

"I can't give you exact monthly figures right now, but trade in petroleum products and crude oil, as well as the production of petroleum products for consumers of oil, Russian oil, is running smoothly in India," he said.

Putin also said that India cannot be treated the way it was several decades back.

"Prime Minister Modi is not someone who succumbs to pressure easily. The Indian people can certainly take pride in their leader. This is absolutely obvious," he said.

"His stance is unwavering and straightforward, without being confrontational. Our goal is not to provoke conflict; rather, we aim to protect our lawful rights. India does the same," he said.

On the Ukraine conflict, Putin said he believed the US is actively seeking a solution to this problem. "I am absolutely certain, with no doubt at all, he (Trump) sincerely aims for a peaceful resolution."

Putin said Trump genuinely wants to end the hostilities and prevent further loss of lives. "But there could also be political interests tied to ending the confrontation between Russia and Ukraine, or economic motives too."

On bilateral trade, Putin said over 90 per cent of "our transactions are already conducted in national currencies".

"While some complications arise due to the presence of numerous intermediaries, there are also solutions," he said.

The Russian president also complimented PM Modi's leadership.

"Our collaborative endeavours with Prime Minister Modi carry significant weight because they transcend our mutual ties," he said.

"Given its direct relevance to both nations, ensuring stability in key areas of engagement is crucial, as it helps secure the fulfilment of our objectives. Prime Minister Modi sets very challenging tasks for the country --and for himself in the first place, then for the administration, and eventually for the nation," he said.

The Russian president did not give a direct reply to a question on if India was looking at procuring additional batches of S-400 missile systems.

"India stands out as one of our reliable and privileged partners in this area. We are not merely selling something to India and India isn't merely buying something from us in the sphere of defence and security.

"It is a different level, a different quality of relations we have with India, and we value this. We see how India values this relationship too," he said.

Putin said Russia is not simply selling defence technology to India but it is sharing it with the country.

"It is a very rare thing to see in the sphere of military-technical cooperation. It speaks to the level of trust between the two countries and the level of trust between the two peoples.

"We have a broad portfolio indeed, including naval construction, rocket and missile engineering, and aircraft engineering," he added.