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The areca nut (/ˈærɪkə/ or /əˈriːkə/) is the fruit of the areca palm (Areca catechu), which grows in much of the tropical Pacific (Melanesia and Micronesia), South Asia, Southeast Asia, and parts of east Africa. It is commonly referred to as betel nut, not to be confused with betel (Piper betle) leaves that are often used to wrap it.

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In parts of India, Sri Lanka, and southern China, areca nuts are not only chewed along with betel leaf, but are also used in the preparation of Ayurvedic and traditional Chinese medicines. Powdered areca nut is used as a constituent in some dentifrices.[4] Other traditional uses include the removal of tapeworms and other intestinal parasites by swallowing a few teaspoons of powdered areca nut, drunk as a decoction, or by taking tablets containing the extracted alkaloids.[4] According to traditional Ayurvedic medicine, chewing areca nut and betel leaf is a good remedy against bad breath.[5][unreliable source?] Diplomat Edmund Roberts noted that Chinese people would mix areca nut with Uncaria gambir during his visit to China in the 1830s.[6] After chewing a betelnut, the red residue is generally spat out. Accordingly, places have banned chewing this nut to avoid eyesores.[7][8][9]

In Assam, as well as most of its neighbouring Northeastern states, Areca Nut is preferably consumed in its fermented form, which is supposed to make the fruit harder and sweeter. The raw nut may also be eaten during certain seasons when the fermented variety becomes unavailable, although it has more of ritual importance. Standard sized pieces of the nut and leaf are usually consumed in combination with lime and a bit of tobacco. In Assam, betel nut and leaf has indispensable cultural value; offering betel leaf and nut, (together known as gua) constitutes a part of social greeting and socialising. It is a tradition to offer pan-tamul (betel leaves and raw areca nut) to guests immediately upon arrival, and after tea or meals, served in a brass plate with stands called bota. In traditional Assamese societies carrying a pouch of tamul-pan upon one's person during journeys or during farming activities, and sharing of the same, was an essential requirement. Among the Assamese, the areca nut also has a variety of uses during religious and marriage ceremonies, where it has the role of a fertility symbol. No religious ritual is complete without the offering of tamul-pan to the gods and spirits as well as to the assembled guests [28] A tradition from Upper Assam is to invite guests to wedding receptions by offering a few areca nuts with betel leaves. During Bihu, the husori players are offered areca nuts and betel leaves by each household while their blessings are solicited.

In Bhutan, the areca nut is called doma. The soft and moist raw areca nut is very potent. When chewed it can cause palpitation and vasoconstriction. This form is eaten in the lower regions of Bhutan and in North Bengal, where the nut is cut into half and put into a local paan leaf with a generous amount of lime. In the rest of Bhutan the raw nut, with the husk on, is fermented such that the husk rots and is easy to extract. The fermented doma has a putrid odour, which can be smelled from miles.[citation needed] Traditionally, this fragrant nut is cut in half and placed on top of a cone made of local betel leaf, which has a dash of lime put into it. "Myth has it that the inhabitants of Bhutan traditionally known as Monyul, the land of Monpas where Buddhism did not reach lived on raw flesh, drank blood, and chewed bones. After the arrival of Guru Rinpoche in the eighth century, he stopped the people from eating flesh and drinking blood and created a substitute which is betel leaf, lime and areca nut. Today, chewing doma has become a custom. Doma is served after meals, during rituals and ceremonies. It is offered to friends and is chewed at work places by all sections of society and has become an essential part of Bhutanese life and culture."[30]

In India (the largest consumer of areca nut) and the rest of the Indian subcontinent, the preparation of nut with or without betel leaf is commonly referred to as paan. It is available practically everywhere and is sold in ready-to-chew pouches called pan masala or supari, which is the dried form of the Areca Nut, as a mixture of many flavours whose primary base is dried areca nut crushed into small pieces. Poor people, who may eat only every other day, use it to stave off hunger pains.[23][31] Pan masala with a small quantity of tobacco is called gutka. The easily discarded, small plastic supari or gutka pouches are a ubiquitous pollutant of the South Asian environment. Some of the liquid in the mouth is usually disposed of by spitting, producing bright red spots wherever the expectorate lands.[citation needed]

In the northern Philippines, particularly the Cordillera Administrative Region, betel nut chewing remains prominent to the point that restrictions and fines have been established in urban areas such as Baguio City in the Benguet province. These restrictions were made under the idea that momma or moma (betel nut) chewing and spitting are improper during public transportation drivers' work hours and are considered stains to the city roads and sidewalks.[32] Despite these restrictions, betel nut thrives across the Cordilleran market. An example of its commerciality can be observed in Ifugao, one of the provinces of the Philippine Cordilleras, where betel nuts are high-demand products sourced from the province's different cities and municipalities.[33]

In Guam and the neighboring Northern Mariana Islands, betel and areca nut chewing is a social pastime as a means to extend friendship, and can be found in many, if not most, large gatherings as part of the food display.[citation needed]

We gratefully acknowledge the cooperation of the study participants and the support of the school principals, staff and LifeFirst intervention team - Sadashiv Hattarki, Asha Kamble Shridhar Mulam, Nitesh Agre and Vishal Sodaye.

Introduction: The youth are a vulnerable population-group for tobacco-related harms. Schools are an excellent setting for health promotion; yet there is a dearth of school-based cessation interventions, rarely evaluated for their impact. Here, we assess the impact of the LifeFirst program: an ongoing tobacco and supari (areca nut) cessation intervention delivered to students from corporation schools in Mumbai city.

Methods: We used a prospective quasi-experimental design with an intervention and a control arm embedded within an ongoing LifeFirst program in select schools. We used a difference-in-difference analysis with baseline and end-line surveys to assess the program's impact on students' knowledge about harms, students' refusal skills, and prevalence of tobacco/supari use. We report our work using the TREND statement checklist.

Results: A total of 959 students registered in the LifeFirst program. In our analysis, we included 827 students who completed both the baseline and end-line surveys. Postintervention, we found both tobacco and supari use reduced substantially among the intervention group while tobacco use increased among the control group. The difference-in-difference estimates show a statistically significant reduction of 17.9 and 38.1 percentage points in the intervention group for tobacco and supari use respectively, beyond the reduction in the control group.

Conclusions: The LifeFirst program was successful in reducing tobacco and supari use among the study participants and protected students in the intervention group against new uptake of tobacco. It helped improve knowledge score and refusal skills among students. Implementation and evaluation of similar school-based programs should be considered as part of a multi-strategy approach to reducing tobacco use among young people.

Areca nut or betel nut, as commonly referred in India is a seed of the Areca Palm tree, that goes with the botanical name Areca catechu. Native to India, also known as supari, the word areca originated from multiple South Indian languages like Adike in Kannada, Ataykka in Malayalam and Adaikkay in Tamil. According to historians, it is believed that this hard nut with intense flavour was first introduced to European countries by Portuguese sailors.

Areca nut has been an integral part of traditional medicine for many centuries and is used extensively in Ayurveda and traditional Chinese medicines. Ayurveda describes the taste of areca nut as a mix of astringent (Kashaya) and sweet (madhura), dry or ruksha in nature, in cold potency, which transforms into pungent taste during digestion. It has potent anti-inflammatory, antioxidant, analgesic, antiulcer and neuroprotective properties.

There are many varieties of betel nut based on the processing techniques. White areca nut is prepared by harvesting fully ripe acrea nut and drying it under for two months. The shells on the nuts are then removed and it is known as supari. The red supari is made by harvesting green areca nut, husking and boiling it in hot water. The final product is known as Chikni supari.

Nibbling on supari or areca nut occasionally is permissible but do not let it become an addiction. Regular chewing of this nut can increase heart rate, blood pressure and can interfere with the cognitive functions of the brain leading to lack of focus and memory.

Areca nut or betel nut or supari is an integral part of Indian culture and is a must-have in festivals, function, of course an offering to the God. Native to India, Areca nut exhibits various therapeutic properties. According to Ayurveda, it balances the Kapha, pitta doshas and it serves a natural mouth freshener, cleanses gut from tapeworms, parasites and clear dental plaque.

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