Lancaster (UK) (The Conversation): Our abdominal muscles are among the hardest-working muscles in the body. They are involved in nearly every move we make, keeping the body stable and balanced, protecting our spine and even ensuring our internal organs stay where they're supposed to.

But certain health conditions and even unnecessarily tensing the muscles during your daily life can cause the abdominal muscles to become imbalanced.

Over time, this can lead to a condition called "hourglass syndrome" a detrimental change in the structure of the abdominal wall, which may cause a visible crease to form in the mid-abdomen.

Not only that, but this change can also have a knock-on effect on the internal organs and other parts of the body if left untreated.

There are four main causes of hourglass syndrome. All of them result in an imbalance in the function of the abdominal muscles.

The first is due to certain congenital conditions (such as gastroschisis or omphacele) which cause the abdominal muscles to develop incorrectly, leading to muscle imbalances.

Poor posture is another cause. This leads the spine to move away from its normal, s-shaped curvature, resulting in detrimental changes in the tension and function of the abdominal muscles, leading to imbalances.

Pain in the abdomen (whether from stomach, liver or gallbladder problems) can also cause a person of voluntarily or involuntarily contract their abdominal muscles in order to reduce or avoid pain.

But another surprising cause of hourglass syndrome may be body image issues, which are an increasing issue. People who may feel insecure in their body or who want a flat stomach may suck their stomach muscles to achieve this look.

Muscle imbalance

When we suck our stomach in it causes our rectus abdominis (commonly referred to as our "six-pack" muscles) to contract. But since we tend to store more fat tissue in our lower abdomen, the muscles at the top of the stomach tend to be more active.

This creates a fold or crease in the abdomen over a long period, with the belly button being pulled upwards.

Regardless of the cause whether voluntary or involuntary sucking the stomach in places greater pressure on the lower back and neck. This is because they now have to compensate for changes in core stability.

The compression of the abdomen also reduces the amount of space available for the abdominal organs to reside. If you consider the abdomen like a tube of toothpaste, squeezing it in the middle creates pressure at the top and bottom.

The pressure at the top affects breathing by making the diaphragm (the major muscle involved in drawing air in) unable to pull down as far.

The pressure at the bottom places greater force on the pelvic floor muscles as the abdominal cavity reduces in volume when the abdomen is sucked in. Alongside this, there are increased forces placed on the joints of the spine and pelvis because the abdominal muscles are less able to absorb impact when tensed.

Although there's limited research looking at the effect of hourglass syndrome itself on breathing capacity, research on abdominal strapping (where the whole abdomen or only part of it is strapped to aid recovery from a muscle injury or after surgery), shows a 34 per cent decrease in the amount of air that's exhaled and a 27 per cent - 40 per cent reduction in total lung capacity.

It's uncertain if this leads to long-term changes in breathing capacity. But in the short term, this may it harder to exercise and you may also feel fatigued earlier due to reduced oxygen coming into the bloodstream.

Sucking in the abdomen can place strain on the pelvic floor, which will affect the function of the bladder, uterus and rectum, potentially causing urine or faecal matter to leak, as well as uterine prolapse. For people who already have issues with pelvic floor dysfunction (such as urinary or faecal incontinence), sucking in the stomach may worsen them.

Fortunately, hourglass syndrome is reversible. Treating the muscular imbalance through exercises that strengthen all of the core muscles will help. Exercises such as planks or bridges are just a couple of examples. Similarly, activities such as yoga or pilates are also likely to be beneficial in relaxing the muscles.

Hourglass syndrome is probably something that will develop over a long period weeks of consistently sucking in the stomach. So occasionally sucking the stomach muscles in is not likely to cause problems.

There are also many ways you can avoid it. If you have unexplained or prolonged abdominal pain, it's worth seeking medical advice not only to prevent muscle imbalances but also to treat the root cause of the pain.

If you tend to suck your stomach in to improve your appearance, exercises that strengthen the muscles and back will be useful for helping maintain good posture and flatten the abdomen.

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Chandigarh, Mar 18 (PTI): The mastermind behind the 2018 rape and murder of an eight-year-old in Kathua does not deserve the "concession of suspension of sentence at this stage", the Punjab and Haryana High Court has said while dismissing a plea from former temple caretaker Sanji Ram.

Ram, who was caretaker of the 'devasthanam' (temple) where the crime took place in January 2018, was sentenced to life by a sessions court in Pathankot the following year. His nephew Parvesh Kumar and special police officer Deepak Khajuria were also given life terms.

A division bench of Justices Gurvinder Singh Gill and Ramesh Kumari passed the order on Ram's plea on March 6. The three-page order was made available earlier this week.

Without commenting on the merits of the case, the court said it was of the opinion "that it is not a case where the applicant/appellant deserves the concession of suspension of sentence at this stage".

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"The application, as such, is dismissed," it said.

The court, however, directed the registry to list Ram's main appeal against conviction for final hearing in September this year given the fact that he has already spent a substantial amount of time in custody.

According to the 15-page chargesheet filed by the Jammu and Kashmir crime branch in April 2018, the nomadic girl was abducted on January 10 that year and raped in captivity in the small village temple in Jammu's Kathua region that was exclusively manned by Ram. She was kept sedated for four days and later bludgeoned to death, it said.

Arguing for suspension of Ram's life sentence, senior advocate Vinod Ghai said before the high court that the prosecution examined as many as 114 prosecution witnesses but no concrete evidence was brought on record to establish his involvement.

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He also said Ram had already undergone a substantial period of more than eight years and deserves the concession of suspension of sentence.

The state of Jammu and Kashmir was represented by senior advocate R S Cheema. Advocates Mandeep Singh Basra and Anupinder Brar represented the victim's family.

Cheema recalled the manner in which heinous crime was committed and said based on the testimonies of the prosecution witnesses and the circumstances brought on record, the accused's complicity is "clearly evident".

"It has been submitted that since upon findings of guilt having been recorded by the trial court, the presumption of innocence of the applicant is no longer available to him, the applicant does not deserve to be released on bail," he said.

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The Pathankot sessions court had also sentenced three policemen to five years imprisonment for cover up and destruction of evidence while Ram's son Vishal was acquitted.

In June 2019, then sessions judge Tejwinder Singh said, “In the present case, facts are many but truth is one that under a criminal conspiracy, an innocent eight-year-old minor girl has been kidnapped, wrongfully confined, drugged, raped and ultimately murdered. The perpetrators of this crime have acted in such a manner as if there is a 'law of jungle' prevalent in the society."

The judge summed up the enormity of the crime with a couplet by Mirza Ghalib: "Pinha tha daam-e-sakht qareeb ashiyaan ke, udhne hi nahi paye the ki girftar hum hue" (hunters had placed the net near a nest and the young one was caught before it could take its first flight).

In his 432-page judgment, the judge described the crime as a "devilish and monstrous" one committed in the most "shameful, inhumane and barbaric manner" for which poetic justice needs to be done to its perpetrators.

After initial hiccups, the case, which triggered nationwide outrage, was handed over to the crime branch, which unravelled the conspiracy.

In 2018, the Supreme Court directed the case to be shifted out of Jammu and Kashmir and directed the sessions court in Pathankot to hear it on a daily basis.