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November 23, 2017 By Dr. Viral Thakkar 2 Comments

Identify Slow Poisons in your Life

 

chronicXdisease

According to the EURO Symposium, a chronic disease has been defined as “An impairment and/or function that necessitates a modification of patient’s normal life, and has persisted over an extended period of time”. According to a report by WHO, the total number of people dying from chronic diseases is double that of all infectious diseases (including HIV/AIDS, tuberculosis and malaria), maternal and perinatal conditions, and nutritional deficiencies combined. The exact cause of any chronic disorder is not yet known, though it is concluded that it is multifactorial and many theories have proved there are associated risk factors.

slow poison-1

Prominent of chronic diseases are

  • Coronary artery disease including blood pressure
  • Ischemic stroke
  • Mental disease
  • Diabetes
  • Thyroid
  • Some Cancers

Main causes for these are

  • Over-nutrition
  • Lack of physical activity
  • Addictions like smoking, alcohol, tobacco etc.
  • Poor sleeping habits
  • Stressful lives

These lead to raised blood pressure, glucose levels, abnormal blood lipids, overweight and obesity. If you indulge in the above, you are at risk! There are numerous other factors which cause chronic disorders and are beyond your control, for instance:

Conditions before birth and in early childhood influence health later. E,g, low birth weight is known to be associated with high blood pressure, heart disease, stroke and diabetes.

  1. The impact of risk factors increases with age.
  2. Social, economic and cultural change – globalization, urbanization, pollution, population ageing, and the general policy environment have impacted health.
  3. Psychosocial and genetic factors also play a role.

 

healt check up-diagnosis

Listen to your Body– Meet a medical practitioner if you have the below symptoms –

  • Unusual pain/ discomfort in your chest, neck, jaw or arms, pressure or tightness in the chest usually points towards a heart attack
  • Dizziness, lightheadedness, or fainting with exercise or exertion
  • Shortness of breath with mild exertion, at rest, or when lying down or going to bed
  • Ankle swelling, especially at night
  • A rapid or pronounced heartbeat
  • Lower leg pain when you walk, which goes away with rest
  • Frequent urination, excessive thirst, increased hunger, weight loss, tiredness, lack of interest and concentration, a tingling sensation or numbness in the hands or feet usually point towards diabetes.

What can be done?

You can’t blame the government for your health! You play a VERY IMPORTANT role in being healthy

  1. Eating healthy won’t kill you! Include fruits & green vegetables in your meals. Indulge, but complement it with exercising & prevent risk factors like cholesterol, diabetes and all metabolic syndromes
  2. Get Moving! People don’t swear by Yoga, gym workouts and walk for nothing! Exercise delivers oxygen and nutrients to your tissues and helps your cardiovascular system to work efficiently.
  3. Tobacco, alcohol and drugs run havoc with your system. The nicotine makes your heart beat faster; the particulates will make it harder for your lungs to exchange gasses; the carbon monoxide will make it harder for your blood to carry oxygen efficiently, and the carcinogens make it harder for your body to keep itself cancer-free.  Illegal drugs can damage the brain, heart, and other important organs.
  4. It is a good practice to conduct basic medical tests. The symptoms discussed are just a tip of the iceberg. Many times when symptoms set in, all the physiological compensatory mechanisms also set in, so to pick up a disease early in an annual checkup plays a major role. To know more, read the blog “A stitch in time saves nine”.

A detailed account of all chronic disorders is difficult to mention in this blog, but be rest assured, you are shaping your health every moment. Your attitude, mental health, physical habits and way of living life at this moment decide your next. So you take a call whether you want to stay healthy and cherish this creation or be a victim of chronic disorder tsunami which is engulfing us today. CHOICE IS YOURS…….

November 22, 2017 By Parwage Alam 8 Comments

How to select your running Shoes?

running shoes1

If you indulge in a kind of fitness, you will realize that almost all kinds of workouts require decent sports shoes. Based on what is your fitness regime? Whether you are a runner, or you play a racket sport, or any other sport, or just train in the gym, depending on the workout or the sport, you have to have appropriate shoes.

The injury caused by inappropriate shoes can needlessly derail your fitness routine. Strenuous outdoor workout or long distance running puts an increased amount of pressure on your feet and therefore wearing the right shoes are important to prevent injury.

The next most common question asked by people is what shoe do I buy? Whether you are a pro, intermediate or beginner in running, shoe shopping can be tricky. The technology is constantly changing and there is continuous research happening on this front due to which new products, foams, and materials are being invented every year. This is creating confusion among runners and they do not know what to believe and what not to believe.

Some common mistakes Runners make while buying Running Shoes.

  • Wrong foot measure leading to wrong shoe size impacts running.
  • Confusing volume with the width of the shoes. Should I buy with more cushioning or less? And, end up selecting the wrong one.
  • Buying one size bigger than your original size and they trying to adjust the size by wearing thicker socks, this hinders running practice.
  • Following your Runner Friends. If you are a beginner and you have a friend who is a good runner, you always end up buying the same shoes which your Friend is using.
  • Wrong reviews about shoes. Nowadays people start purchasing shoes online and their online seller can easily manipulate the reviews by giving fake reviews. Which misguide the people who buy their shoes on the basis of Reviews.
  • Cool dashing Shoes. Sometimes you end up buying the shoes only because it looks cool and enhances your personality.
  • Discount and Offers – Some stores trying to clear their stocks and run some attractive offers, please avoid such offers as all shoes have their life and these shoes under offer has already spent their life on a shelf.
  • Buying shoes during the day- Most are unaware of the fact that feet swell during the course of the day. Your feet tend to get bigger at night. Therefore, you need a footwear that fits well—not too tight—during all hours, so always prefer your shoe shopping later in the day.
  • Trying only one shoe– While buying shoes more often than not, most try out only one shoe. I am not sure if you are aware that both your feet are not the same size. Chances are that one shoe will be fit on your one feet but not the other one. Hence,  measure both your feet and then buy a pair of running shoes that fit the bigger foot.
  • Try shoes with the right socks: We always check the shoes by wearing the dress socks which is provided at the store for trial but let me point out here that dress socks are generally thinner than running socks (that has more cushioning), and this affects the fit of the shoes. Always take your running socks with you when you go to purchase running shoes.

Let me now give you some basic information about shoes and all that you need to keep in mind while shopping for your running shoes.

Here is the image of basic Shoe anatomy:

running shoe image 1

running shoe

 

running shoe-image 2

running shoe 2

Running Shoes are divided into 3 parts:

  1. Outsole
  2. Midsole
  3. Insole
  4. Upper

 

  1. Outsole: A rubber outsole is where the bottom of a shoe is made of rubber. The outsole is the part of the shoe that comes in contact with the ground. It’s made of carbon rubber, blown rubber or a combination of the two. It provides durability and traction. The outsole can have many designs, flex grooves, and a split heel

running shoe image 3
2. Midsole:

running shoe image 4

The midsole comprises the cushioning material, mostly a closed cell foam called EVA (ethylene vinyl acetate). Polyurethane may also be used. Proprietary cushioning devices like encapsulated air or gel can be inserted into the midsole foam. Posts are areas of firmer, harder to compress EVA (ethylene vinyl acetate). Plates stiffen the forefoot area of the shoe. Shank stiffens the shoe under the arch and the middle area of the shoe.

  1. Insole: It’s a removable insert that the foot sits on in the shoe

running shoe image 5

 

  1. Upper: This is the material that encases the foot. It’s made from a soft, breathable material. The upper determines how the shoe fits and it has all the fancy looks and design.

The Upper comprises several parts :

➢Vamp and quarter panel

➢Toe box

➢Laces, Tongue, Eyelets, Eyestay, Overlays

➢Heel counter and Heel tab

running shoe image 6

shoe diagram image 6

 

While Selecting a Running Shoe you have to focus on the following aspects:

  1. Road vs Trail vs Track: Road shoes should be more flexible and lightweight than the trail shoes which are sturdier and heavier. Track shoes are designed for traction and speed for various track surfaces.
  2. Women’s shoes tend to be lighter with a softer midsole.
  3. Foot Strike Pattern: How the foot initially contacts the ground – forefoot, midfoot or heel determines the area and level of cushioning that the runner may require.
  4. Speed Work: Performance shoes for speed work are built lighter, narrower and lower to the ground than most running shoes. They tend to wear out faster than normal running shoes.
  5. Injuries and Common Foot Problems: Injuries must be medically evaluated for shoe/orthotic prescription. Common foot problems like black toe, bunions, corns & calluses, ingrown toenails, etc. may find solutions in properly fitting shoes.
  6. The degree of Pronation:

➢ Normal Pronation: It is the inward roll of the foot (about 15%) on landing

➢ Overpronation: It is the excessive inward roll of the foot (over 15%) on landing

➢ Under pronation: It is the insufficient inward roll of the foot

(less than 15%) upon landing.

running shoe image 7

 

Shoes are broadly classified as neutral, motion-control and

Stability/ support on the basis of the degree of pronation.

Tips for Fitting a Shoe:

  1. Measure the size of the foot at the store as sizes differ between brands.
  2. Shoes must be tried on both the feet
  3. Feet swell after exercise or a run so it’s better to try on shoes when the feet are swollen.
  4. Try the shoe with socks and orthotics that will be used.
  5. The toe box should be roomy and shoes comfortable from the start.
  6. Walk or preferably run on a firm surface with the shoes.

Finally, I would like to finish with the great lines of Hal Higdon – Finish: Even if you run slower than expected time, you succeed in any Marathon when you finish.

So keep running !!

November 16, 2017 By Dr. Viral Thakkar 2 Comments

A stitch in time saves nine

 

There are a number of discussions these days on why medical tests should be conducted at all. The veracity of tests is questioned many times by patients or health seekers, and this is what prompts me to write this blog on ‘Significance of Regular Medical Checkup’.

healt check up-diagnosis

‘Health is Wealth’ is a significant phrase and rightly so. Maintaining one’s health is a continuous process. Nature has created this body which is a sophisticated software and gives feedback in case of a major change. Your today’s body and personality is that feedback. When anything is amiss it manifests in the form of symptoms or alteration in the investigations.

You cannot eat healthy, exercise for a week and expect lifelong results. Maintaining one’s health stems from dietary habits, physical activity (including exercises), rest, occupation, exposure to high-risk factors, etc. To measure the above influential parameter, health checkup plays a vital role for every individual. Hence, health checkups including pathological and radiological investigations are useful if used judiciously and under health provider advice.

health check up-image 2

Benefits of a Medical Check

  1. Prevention of disease

People falling into the high-risk category can easily detect the onset of a problem before it occurs.

  1. Prevention / Early detection of incurable diseases

Regular medical checkup ensures catching up with body signals before an incurable disease becomes unmanageable. For instance, cervical cancer, breast cancer can be detected early if clinically examined at regular intervals. Usually, these can be caught during the basic 6 monthly or yearly checkups.

  1. Since every person is different, a health issue might occur specifically due to age, sex, hereditary conditions, etc. Therefore, every individual will have a varied checkup according to the background. A person with a family history of diabetes can start taking early precautions, deliver lifestyle modifications to delay/stop the disease from affecting the body.
  1. Another scenario is where the patient is suffering from a disease and the tests affirm or give indication of a change in the management. For instance, a person suffering from a high blood pressure needs to check his BP (blood pressure) regularly to ensure all is well.
  1. If the disease is detected early and managed appropriately it can avoid the economic burden of long hospitalization.
  1. A wonderful example is the detection of thalassemia minor patient to be careful while choosing a partner.
  1. Investigations also play an essential role in altering one’s habits for good. eg. fired lungs act as a motivation for smokers to quit!

It must be pointed out here that before any test is run, the complete history of the person must be taken to ensure correct tests are recommended.

Commonly advised investigations are;

CBC- Complete Blood Count

ESR- Erythrocyte Sedimentation Rate

LFT- Liver Function Test

RFT- Renal Function Test

Blood sugar fasting and post lunch, HBA1C

B12 and D3

Lipid profile

X-ray Chest

Pap smear for adult female

PSA for prostate adult males

Mammography

Thyroid Profile

Additional investigations might be prescribed depending on the history, age, sex, and other influential factors of the person.

Depending on what stage the disease is one can decide the line of action. Investigations if done under the supervision of a good practitioner can play a major role in the prevention of a disease.

So friends just like there are numerous facets of maintaining good health, ensure you do not forget the role played by a scientific investigation in helping you to be fit, fine and healthy.

November 14, 2017 By Zehra Fatima 4 Comments

5 major reasons why people give up?

never-giveup

As a lifestyle coach, I have come across many who initially set for themselves very high goals to achieve but, after few weeks they give up thinking they cannot do it anymore. One does not just give up, there are several reasons attributed to giving up. Some of these are…

why people give up

  1. Expecting fast results: Most people have a mindset of achieving higher goals in a shorter span of time and once they are unable to achieve it in the said time frame, they get disheartened. One must understand that one size does not fit all. Each one of us is different with different body type and levels of metabolism. You just cannot predict how much of workout you should be doing to lose X no. of kgs in so and so time frame. A person whose BMI is high tends to lose weight faster than a person whose BMI is low. Initially, some people achieve weight loss in few months due to high metabolic rate and some people achieve weight loss due to high metabolism in later months.
  2. Past Failures: No success stories comes with ease and especially if you are pursuing a health goal never be dependent on shortcuts. A person may try weight loss program through shortcuts like going in for a herbal product or supplements but eventually after a few days do not see any considerable change and give up. The products that are available for weight loss in the market might work on a few and might not work on some. Always approach a goal in a scientific and realistic manner. To be able to do this, you have to bring about the desired modification in your lifestyle by slowly and steadily shedding your unhealthy habits and acquire healthy ones. Patience is therefore key ingredient.
  3. REGRET: “Regrets are just wasted thoughts, focus on the Present”. Regret can only make you guiltier, unworthy of yourself and develop inferiority complexes. But, instead of wallowing in self-pity and regret, it’s never too late to start a new journey with a new perspective towards life. Mistakes happen for a reason and that you may learn from them and do better then what you use to do. There is no successful person in this world who has not tasted failure in life. It is how you handle that failure, learn from it and move on to do better in life.
  4. FEAR TO CHANGE: In a complex society, the truth is, many people shy away from change because of fear of doing or indulging in something that most people aren’t. People want to be a part of a crowd than stand alone. Bringing about change is definitely difficult and requires strong willpower and confidence. Never settle to fit in the box. You might be that one person to take the first leap and try something new or bring about a change and, you never know you might just have followers who believe in you. Take that one step ahead confidently and change.
  5. ASSUMING THEIR PROBLEMS ARE UNIQUE: Many feel this way because their whole focus is their own life. They fail to see the larger picture. For instance, you might be suffering from a medical condition for the longest time and there are no visible signs of its curing. Given this condition, if you are trying to bring about a change in your fitness goals it could take a while to achieve your goal. For instance, if you have been trying to lose weight and have not seen significant results, chances are that it is because you are not medically fit. The first thing is such a case is to treat the medical ailment, bring your body on normal parameters and then work on weight loss or a good physique body.

“NEVER GIVE UP IN LIFE NO MATTER WHAT. GREAT THINGS TAKE TIME TO COM

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