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September 28, 2017 By Anusha Subramanian Leave a Comment

Know your ‘Heart’ and its risks

Know your heart

Mahesh Agrawal was the happiest man as he watched his only daughter walk down the stairs in her bright red bridal dress. His eyes were moist. Father and daughter posed happily for photographs, laughed and joked. Amidst all the happiness and laughter, Mr Agrawal suddenly realized a strange discomfort in his chest. It was more likely an excruciating pain and he started to profusely sweat. The pain had now moved to his neck and he developed shortness of breath almost feeling choked. He held his hand tightly on his chest and slowly settled himself on a chair without letting anyone know.

At this point in time, he remembered his father had a similar heart attack. But, he did not want that scene to cloud the happy scene of watching his daughter getting married. As he watched his daughter get married he bid her a silent goodbye and passed away peacefully with a smile on his face. Unfortunately, it was too late before a doctor was called in.

When everybody got to know what had happened there was a sudden atmosphere of gloom. Nobody was aware what had happened. Today, on World heart Day, let’s try and understand more about our hearts and through this story we could exactly understand what happened to Mr Agrawal and why?

On doctor’s examination, the doctor revealed that Mr Agrawal had suffered a heart attack and that was because he had a Coronary Heart Disease (CHD). A heart attack occurs if the flow of oxygen-rich blood to a section of heart muscle is cut off. If blood flow isn’t restored quickly, the section of heart muscle begins to die. Without quick treatment, a heart attack can lead to serious health problems or death. CHD is the most common of all heart diseases. In the United States, CHD is the #1 cause of death for both men and women. India is not far behind. According to an article by Dr Arvind Kohli, a Cardiac Surgeon, there has been a dramatic rise in heart disease in India.

India will soon be the largest burden of heart disease globally. In India, out of the estimated population of more than 1.27 billion dispersed across various geographical regions, about 45 million people suffer from coronary artery disease. According to current estimates, India will soon have the highest number of cases of cardiovascular disease in the world. It is estimated to account for 35.9 percent deaths by the year 2030, said the article.

Over time, CHD can weaken the heart muscle and lead to heart failure and arrhythmias (ah-RITH-me-ahs). Heart failure is a condition in which your heart can’t pump enough blood to meet your body’s needs. Arrhythmias are problems with the rate or rhythm of the heartbeat.

Knowing the warning symptoms of a heart attack and how to take action can save your life or someone else’s say, doctors. In many cases patients are unaware of the risk factors and that this could be a problem that has developed over the years due to pre-existing heart disease. Several factors such as genetic, metabolic, early-life, conventional and non-conventional risk factors are suspected to cause high CHD morbidity and mortality rates among Indians. Knowing who is at risk helps a great deal. Men have a greater risk of heart attack than women do, and men have heart attacks earlier in life than women. However, beginning at Age 70, the risk is equal for men and women.

Many are of the opinion that heart disease is a lifestyle disease that occurs because one is not maintaining a proper healthy lifestyle. But, you are mistaken. Heart disease could also be due to family history. Here is where the nature vs nurture concept comes in. Did you develop a heart disease over the years, did you already have it and it went undiagnosed or did someone give it to you. In fact, you have an increased risk of developing heart disease if you have a parent with a history of heart disease, especially if they were diagnosed before Age 50. Ask your doctor when it’s appropriate for you to start screenings for heart disease so it can be detected and treated early.

The other common risk factors could include cigarette smoking and exposure to tobacco smoke, high blood cholesterol, and high triglycerides – especially high LDL (“bad”) cholesterol over 100 mg/dL and low HDL (“good”) cholesterol under 40 mg/dL. Some patients who have existing heart or blood vessel disease, and other patients who have a very high risk, should aim for an LDL level less than 70 mg/dL. Your doctor can provide specific guidelines.

The risk of heart disease is also highest among the urban population. A 2013 study concluded that over 70 percent of the Urban Indian population is at the risk of being diagnosed with heart disease. This is mainly due to unhealthy eating habits, lack of physical activity and stress.

High blood pressure (140/90 mmHg or higher), uncontrolled diabetes (HbA1c >7.0), physical inactivity and being overweight (body mass index [BMI] 25–29 kg/m2) or being obese (BMI higher than 30 kg/m2) are other risks for heart diseases. The population of diabetics in India is about 50.8 million, making India the diabetic capital of the world. The prevalence is higher in urban areas (6-8 percent) compared to rural areas (2-3 percent), according to statics provided in Dr Kohli’s article. The increase in hypertension prevalence has been steady over the last 50 years, more in urban than in rural areas. Hypertension is about 25-30 percent in urban and 10-15 percent in rural individuals.

You might be surprised but uncontrolled stress and anger could also lead to CHD. Staying calm helps. Indians like Americans have a higher degree of obesity due to bad food habits. Diet high in saturated fat and cholesterol apart from drinking too much alcohol are also a major risk factor for CHD. The more risk factors you have, the greater your risk of developing coronary artery disease.

Hence knowing the symptoms and risk factors is very important. The most common symptom of CHD is angina (also called angina pectoris). Angina is often referred to as chest pain. It is also described as chest discomfort, heaviness, tightness, pressure, aching, burning, numbness, fullness, or squeezing. It can be mistaken for indigestion or heartburn. Angina is usually felt in the chest, but may also be felt in the left shoulder, arms, neck, back or jaw. All of these symptoms were witnessed by Mr Agrawal.

Other symptoms that may occur with coronary artery disease include:

  • Shortness of breath
  • Palpitations (irregular heartbeats, skipped beats or a “flip-flop” feeling in your chest)
  • A faster heartbeat
  • Dizziness
  • Nausea
  • Extreme weakness
  • Sweating

Cardiac surgeons opine that the treatment for CHD involves reducing your risk factors. Change your lifestyle. Get active, exercise and eat right and sleep well. If lifestyle changes aren’t enough to control your heart disease, taking medications as prescribed to treat certain risk factors, such as high cholesterol or high blood pressure helps. Possibly undergoing invasive and/or surgical procedures, and seeing your doctor for regular visits is also good. Treating CHD is important to reduce your risk of a heart attack or stroke. If the problem is detected early lifestyle changes, medicines, and medical procedures can help prevent or treat CHD. These treatments may reduce the risk of related health problems.

September 2, 2017 By Anusha Subramanian 7 Comments

Trekking is not difficult…If you know how to walk

trekking
There are all kinds of exercises that one adheres to for fitness. For me hiking or trekking is one way to remain physically and mentally fit. My friends and colleagues who are not into adventure activities like trekking or cycling always thought I was a nerd who at the drop of a hat will leave everything to take off to the mountains for 20 to 25 days or go for long distance cycling. They would always wonder what kind of a holiday is this where you go and tax yourself again instead of relaxing and enjoying yourself on a holiday.

For most of the level-headed outsider who is  unexposed to the outdoors or wilderness – trekking is normally associated as arduous task trudging on some hard and uneven ground, climbing and walking on moraines amidst hostile environment with bare shelter, food and clothing essentials. My friends and colleagues could never fathom the fact that I would come back looking more fresh, rejuvenated and happy than ever before. One can never understand the gung-ho attitude after completing a trek until one has venture into a task of this nature.

At the outset let me tell you that trekking is fun and not laborious. That’s a myth according to me. Believe me, start slow. Begin with a small hike into the wilderness over the weekend and see how happy you come back.

So what is it about trekking that makes one so happy and rejuvenated? Is trekking so difficult that only a select few can do? These questions are best answered by experiencing a trek firsthand. For those who are still trying to make up their mind and confused whether to venture into something like this or no,  let me give you a sneak preview of what hiking or trekking is but this in no way can compensate the real experience.

trekking2

Hiking applies to shorter routes and plain walks. These are simpler & controlled environment version of trek. Trekking applies to more rigorous walking along different terrains and altitudes. If you want to get used to walking in the wilderness and getting a whiff of the outdoors one can start simple with short hikes. Although these activities leads one into unknown territories and gets the environment challenging and physically uncomfortable, it still remains safe when approached with the right guides.

While trekking you might come across situations where you are stuck and most times hit by the sheer untouched beauty of the, a picture perfect image that embeds itself permanently in your memory as you are exposed to the wilderness for a longer duration in a day. This beauty can be seldom enjoyed while in a car. While trekking you confront complete new situations as the day progresses slowly. Every little thing through the journey becomes an important memory to be cherished all your life. Human togetherness becomes simple in the face of this challenging lifestyle for the otherwise confused and unprepared mind.

Having this let me assure you that trekking is not tough. Believe me if you know to walk then you can trek as well. When I say this it does not mean that you venture into unknown territories on your own to explore the unknown. Walking along a trail around with a backpack does not require exceptional skills but does require certain amount of physical fitness, planning, the right clothes, shoes and above all old common sense.

A first time trekker should start with easy effortless trails of one hour or so and then work your way up to longer, more difficult treks. The difficulty of any trek or walk depends on the hilliness of the terrain, and altitude. Most walking trips, tailored for moderately active people, cover gentle terrain at low altitudes, and many have optional shorter routes. One can also take breaks along the trails. This applies to treks in Maharashtra or anywhere in South India.

Himalayan treks where the altitude is over 8000 feet and can extend up to 18,000 feet needs mental conditioning and excellent physical fitness. Most professional outfits organizing these treks can assess your fitness levels. If in doubt, be conservative, especially when it comes to the dizziness and shortness of breath associated with high altitudes. At high altitudes, altitude sickness is one of the first and foremost things that one needs to take care of. I would recommend further reading on altitude sickness and one can also contact your organizer for the same before going on a long trek.

One basic and important thing to remember while trekking is to respect nature and environment. While on a trek you are forced to live in harmony with nature and her moods, for every pain that your limbs feel while trekking, there is this rewarding and enriching feeling of rejuvenation that you will come across due to this very harmonizing quality.

Essential Skills

Skills needed for trekking apply to any outdoor sport. A course in basic first aid wouldn’t hurt, but the least you can know is how to bandage a wound and detect the signs of dehydration and heatstroke. Learn to understand the weather conditions of the day.

Gear Up: This is the basic that an individual should understand while trekking. The right backpack is a must. Have a backpack which fits well on your back and does not ‘hang’. Therefore choose a backpack with multiple pockets, padded shoulder straps, and large zipper closure. And make sure it’s the right size: When properly adjusted, the base should sit on your hips and the top should be at least one hand-width below the base of your neck. A fit backpack on your back is half the battle won while trekking.

The rest half of the battle is won with the right clothes and shoes. Wear loose clothes like tracks or cotton slacks or trousers with a loose T-Shirt. Avoid wearing denims especially during monsoons. If it gets wet it gets very heavy thus making it difficult for you to walk. On a Himalayan Trek a multipurpose jacket which can take the cold as well as the wind is a must.

While on a Himalayan trek it is recommended that you wear woolen or synthetic blend socks designed to wick moisture away from the feet, as wet feet is the primary cause of blisters.

Footwear designed specifically for trekking offers better support and traction. Choose a pair that’s a half-size larger than your street shoes to allow for some swelling as you walk and to accommodate slightly heavy hiking or a towel socks.

That little tingle of friction you feel on your foot before you get a blister. Don’t ignore the feeling: Take off your boot and wrap your foot with a light cloth before that tingling evolves into a full-fledged blister.

Some things to keep in your day pack: first-aid kit; water bottle; Swiss Army knife; topographic map; compass and sweater or a jacket. Jacket is advisable while trekking in the monsoons in Maharashtra and of course it is a must while on a Himalayan Trek.

On any trek avoid carrying electronic gadgets like music players or the likes. These require ample batteries and they amount to lot of weight. This is very essential to note on a Himalayan Trek. Many electronics refuse to work below freezing or in cold conditions. Cold electronics gadgets consume more battery and hence you will have to carry extra batteries and hence extra load. Each pencil cell battery will weigh about 50 gms and if you plan to carry even five extra pairs that add 500 gms, besides the problem of disposing them. Used batteries are considered to be one of the biggest environmental hazards. These also attract the attention of locals / porters and may induce them into theft. Protecting your electronics from the elements may pose another challenge.

Carry batteries only for your camera: Carry the essential amount. The rule is always that know what you want and only click those that will also save you from wasting rolls (in case you are not using a digital camera).

Benefits of Trekking

Some basics to bear in mind: 

• Walk straight and when at slopes never sit and climb down it will get more painful.
• When tired please avoid sitting down on the trail. This will only increase the tiredness further and make it difficult for you start walking again
• Always carry salt and sugar with you and mix it with your water. An easier option is to have Electoral or Glucose mixed with your bottle of water.
• Never gulp water when you halt to take a break only sip water.
• Whenever you feel uneasy immediately make it a point to tell your trek leader or your organizer. So that things do not get out of hand.
• It’s always nice to keep a small notepad with you to jot down your experiences and also details on the place.

Please Note: While most of these apply to a normal local treks, there are few specifics for Himalaya Treks. In this note I have jotted some most important things for the Himalayan Treks 

Monsoons are soon to begin and it’s the best season in Maharashtra to take to trekking in the Sahyadri ranges.
Happy Trekking!

September 1, 2017 By Anusha Subramanian 16 Comments

“#FitBy40: To lose 40 KGS by the time I turn 40”


Arjun-Narayan

He led a sedentary lifestyle for several years until one day he realized that he had crossed the barrier of being unhealthy. Here is Arjun Narayan’s inspirational story in his own words.

I couldn’t believe my ears when the guy at the Levi’s store said, “Sir, a 32” size jeans would be perfect for you”. I was shocked because I always wore a 44” jeans until recently!

My normal day would start pretty late. If early, I would begin my day at 8 AM or even 9 AM depending on how late I slept the previous night. I had absolutely no grip on my meals, the greasier and tastier the meal – the higher the chances that I would go for it. I led sedentary lifestyle and walked less than 2,000 steps a day. Dinner times would be erratic and could be as bad as 2 AM. Beer cans would get opened for the smallest event that called for a celebration. All in all, it was as bad as it could get. I also stated that I probably get a zero for a quiz about nutrition or what protein was, what carbohydrates are as my knowledge on this was absolute zilch.

Before a doctor could ask me to get the situation under control regarding my health, I wanted to take charge. Another thing that kept bothering me was, I could never purchase a ready to wear trouser from the market as most brands did not cater to a 44” waist size.

I decided to hire a personal gym trainer. My story was similar to many out there who join the gym to lose weight. I was regular at the gym for a period of three months, but I did not shed a single gram of weight.

When I analysed to check what was I doing wrong– I realised, despite working out in the gym there was absolutely no discipline on my diet. While, I was battling the dilemma on how to rectify the situation, I bumped into these two statements in an article – ‘Weight Loss is 80% diet and 20% exercise’ and ‘Abs are made in the kitchen’. These statements made me think about this entire weight loss program in a different way”. Now, I knew that I had to get a personal coach who can advise me on diet and be by my side if I wanted this weight loss exercise to get anywhere”.

I had been following Vishal Gondal on Twitter for about 2 years and I knew about GOQii. What made GOQii interesting was the ‘services’ component to the business in addition to the product. I never evaluated any other option as I knew it had to be GOQii. Any other band would not solve the problem as I would have the data – but the bigger concern was not knowing what to do with the data.

In Jan 2016, I took up GOQii and came up with a project for myself #FitBy40 and the goal of the project was to lose 40 KGS by the time I turn 40 (which is this month). By the 9th month – 5th September to be precise, I had lost 36 KGS! I started my GOQii journey at 115.1 KGS and by September I was at 79 KGS.

Today, diet and exercising is my pet topic. I get up at 5:30 AM and on bad days it is not later than 7:15 AM.

I attribute my success to my GOQii coach Kruti Jain. While, I have been extremely sincere and diligent about the entire process, she is the one who gave me the direction.

In the beginning she started advising me on what kind of a meal would be ideal for me, and it gradually started building from there. As I started seeing the results, I was motivated to push harder.

Now I can hold fitness sessions for an hour to a group of people and tell them how they can get a grip on stuff and the best part is that it is practical and doable. A year ago, I would have felt that this would be impossible to achieve – but trust me it is very doable. Today, people come up to me and say that I am an inspiration to them and it feels so good and if I have to look back, I don’t think I could have achieved any of this without Kruti’s assistance.

A normal day in my life ‘today’ looks like this:

My day starts with 2 hours of tennis / an hour in the gym and then I go for a swim in the evenings or for a walk. A newly opened restaurant in town doesn’t excite me anymore. What excites me is going for a run on the treadmill and running for 45 minutes or playing tennis for 2 hours. What excites me even more is going to a readymade garment store and trying out new trousers as my waist size is now down to 32″ from 44″. The last I had worn a 32″ jeans was probably in 1999 or so or maybe even earlier.

What does Coach,Kruti Jain have to say about her player Arjun Narayan?

Arjun came on board with a goal of bringing his weight down to 70 kgs (ideal body weight). He further specified the goal by saying that he would like to get to a 2 digit weight, i.e, 99 kgs within 5-6 weeks (about 10 kg loss)

Achieving such a goal would’ve required drastic dietary modifications and intense workouts. I explained to him the challenges expected on this path and tried convincing him to choose a rather easier and sustainable path of correcting the lifestyle which will automatically lead him to his health goal. He did agree to this but, only in words (for the sake of it).

As a coach, I helped him understand the nature and the nutritive quality of different foods, the trick of balancing meals, healthy snacking, and the impact of foods or lack of food / nutrients on our behaviour and food choices (cravings). These are just a few points to mention but our discussions went beyond the basics.

On the workout front, he chose his activities on his own as doing something of your interest is what keeps you going. I only helped him change and modify the workouts when his body got used to these activities.

According to me, what helped in this case was the player’s strong determination to get to his goal. He was religious in monitoring his progress and kept revising his plans and targets. Not only that, if the progress wasn’t as expected for a particular week, he had me reason it out & find out the limiting factors.

If I asked him to slow down (workouts) or to not be so strict on the diet front (to avoid its negative impact on his health), he would try to understand the “Why?” in detail and argue if not convinced. You just couldn’t stop or slow him down because he could only see the goal and the distance in between them.

Lifestyle before I came on board as his coach:

Diet: He was already following a low fat, high protein diet which was helping him lose weight.

Workout: 1- 1.5 hr of Tennis/ walking everyday

How I helped?

  1. Tried educating him about the negative impact of such diets on health (only proteins or only salads for meals)
  2. Improve satiety quotient of the meals by adding fibre and complex carbs
  3. Balance meals (right proportions of carbs, proteins, fibre& micro- nutrients)
  4. Snacking on nutrient dense foods to avoid deficiencies
  5. Satisfy taste buds without guilt (indulgence on a weekly basis, but in controlled portions)
  6. Deal with cravings and avoiding them
  7. Change the workout at the right time or modify them so that the rate of weight loss does not fall (combination of workouts like swimming/ tennis/ walking/ gym cardio).

These changes helped him sustain the diet and lose weight at such a rate (1.5 kgs/ week)

‘Want to get featured here? Click Here to tell us your story.’

July 24, 2017 By Anusha Subramanian 3 Comments

Making money on Fitness and Youtube

gr1

He is a millennial, a YouTube celebrity and is all over the net inspiring people to get healthy and fit but, did you know he had to work hard too to get fit and fab. Today, he runs his own health and fitness YouTube channel called BeerBiceps which has a huge following. When asked why ‘BeerBiceps’? “My idea of BeerBiceps(www.youtube.com/c/beerbicepsofficial)is to be fit and have fun too”, says RanveerAllahbadia on ‘Beneath the Force-The Vishal Gondal Show’.

On the show he talks of from being a fat boy where his life was full of ‘One more beer’ and ‘one more cheesecake’, no clear goal and more importantly, NO PURPOSE,to coming a long way and walk the path of health and fitness. Ranveer realized there was no short cut to fat loss and the solution was only through proper diet, exercise and discipline. Today, having a fit lifestyle has literally created a career for him.

He is a full time weight loss and strength coach. He is also the present trainer of TanmayBhat of the AIB fame who purely by following diet and exercise under the guidance of Ranveer has been able to lose 100+ kgs. Ranveer says that fitness has given him something much bigger than just a career. “As much as fitness has trained my body, it’s trained my mind even more,”he adds.

Ranveer’smantra is ‘fitness should be a permanent change in one’s lifestyle. Not a temporary activity to get to your physical goals’. His advice to one and all is embrace a fit lifestyle ‘JUST’ to develop as a person.

Some take away from the podcast

  • From aspiring to being a film director, chef finally fitness became an escape for him
  • The superhero is really enchanted by is ‘Batman’. He says, “Batman is a superhero without super powers but his brain was a super power and that appeals to me”

Life hack- his to do list. He says, “everything in my life works on a to-do-list’

20 minutes meditation in the morning keeps him happy and peaceful

You can listen to the podcast here:

Making Money on Youtube With Beer Biceps

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