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May 11, 2017 By Farida Gohil 2 Comments

Nutritional facts to help preserve muscles in Seniors

As you grow older it become imperative to work towrads building strength. The elderly need strength training more and more as they grow older to stay mobile for their everyday activities. The less active a person’s lifestyle, the earlier age-related changes will manifest.

According to International Osteoporosis Foundation (IOF), Nutrition working Group examines role of Nutrition in Sarcopenia, with focus on protein, vitamin D and B, and acid-based diet.

Age-related muscle loss, called sarcopenia, is a natural part of aging. An article published in Harvard Health said that after age 30, you begin to lose as much as 3% to 5% per decade. Sarcopenia is a common consequence of aging, and poses a significant risk factor for disability in older adults. As muscle strength plays an important role in the tendency to fall, sarcopenia leads to an increased risk of fractures and other injuries.

Quoting from an article in Harvard Health, according to Dr. Thomas W. Storer, director of the exercise physiology and physical function lab at Harvard-affiliated Brigham and Women’s Hospital, just because you lose muscle does not mean its gone forever. The elderly can increase muscle mass lost as a consequence of aging. “

The International Osteoporosis Foundation (IOF) Nutrition Working Group has published a new review which identifies nutritional factors that contributes to loss of muscle mass, or conversely, are beneficial to the maintenance of muscle mass. The Group reviewed evidence on worldwide studies on the role of nutrition in sarcopenia, specifically looking at protein, acid-base balance, vitamin D/calcium, and other minor nutrients like B vitamins.

The most obvious intervention against sarcopenia is exercise in the form of resistance training. However, adequate nutritional intake and an optimal dietary acid-base balance are also very important elements of any strategy to preserve muscle mass and strength during aging.

The review discusses and identifies the following important nutritional factors that have been shown to be beneficial to the maintenance of muscle mass and the treatment and prevention of sarcopenia:

Protein: Your diet also plays a role in building muscle mass. Protein is the king of muscle food. The body breaks it down into amino acids, which it uses to build muscle. The authors of the study propose an intake of 1.0-1.2 g/kg of body weight per day as optimal for skeletal muscle and bone health in elderly people without severely impaired renal function. .”While food sources are the best, supplemental protein can help if you struggle with consuming enough calories and protein from your regular diet,” says Dr. Storer.
Vitamin D: As many studies indicate a role for vitamin D in the development and preservation of muscle mass and function, adequate Vitamin D should be ensured through exposure to sunlight and/or supplementation if required. Vitamin D supplementation in seniors, and specially in institutionalized elderly, is recommended for optimal musculoskeletal health.
Avoiding dietary acid loads: Excess intake of acid-producing nutrients (meat and cereal grains) in combination with low intake of alkalizing fruits and vegetable may have negative effects on musculoskeletal health. Modifying the diet to include more fruits and vegetables is likely to benefit both bones and muscles. Emerging evidence also suggests that vitamin B12 and/or folic acid play a role in improving muscles function and strength.

The Review discusses non-nutritional interventions such as hormones, and calls for more studies to identify the potential of antioxidants and anti-inflammatory compounds in the prevention of Sarcopenia.

Strategies to reduce the numbers of falls and fractures within aging populations must include measures to prevent sarcopenia. At present, the available evidence suggests that combining resistance training with optimal nutritional status has a synergistic effect in preventing and treating sarcopenia.

Check with your doctor before embarking on any kind of strength-training routine. Then have a well-qualified personal trainer to help set up a detailed routine and supervise your initial workouts to ensure you perform them safely and in the best manner.

March 16, 2017 By Trupti Hingad Leave a Comment

Healthy Soups in a Bowl!

I still remember those days when I was following a light dinner habit as suggested by one of the health professionals for reducing my fat percentage. I would add lots of raw veggies to keep my stomach full and get the nutrients. But, later on, it got very monotonous and I terribly started disliking the idea of eating raw veggies. That led me to the thought of how these could be incorporated into my daily meal so as to get all the nutrients without putting too much effort of chewing it raw?

Bingo! I came up with several soup ideas. Today, I am sharing some of these soup recipes for the benefit of all.

Soup, a liquid food that can be cold or hot. You can throw in a variety of ingredients such as meat, veggies mixed with stock, water or other liquids into a slow cooker in the morning before you leave for work or school and return home to a delicious meal in the evening

The wealth of ingredients in a bowl of soup provides a good balance of carbohydrates, protein and fats as well as the vitamins and minerals required to create energy and keep us going without getting tired.

Soup is healthy: Perhaps the easiest way to add vegetables to your daily meals is to have a soup. Eating vegetables is part of a healthy diet so veggie soups are highly recommended.

Soups are slimming and help you lose weight. Of course, that is if you strictly follow a weight-loss plan and exercise well. A bowl of soup packs minimal calories but is very nutritious.

Soup fills you up because it stretches the stomach. You easily feel full so it’s ideal to eat soup at the beginning of every meal.

Soup is easy to make and can make you feel better.

Ever wondered why a soup is recommended to people who are sick? That is because soup is easily digested and good for health.

Here are some hot and cold soup recipes:-

1. SPRING ONION AND PEAS SOUP

Ingredients:
Spring Onion/Scallions – 1 bunch
Peas – 2 Cup boiled
Onion – 1 Medium chopped
Garlic – 1 Pod chopped
Olive Oil – 2 tsp
Vegetable Stock/Water – 3-4 Cups
Salt & Pepper – To taste

Method:

Heat 1 tsp oil in a pan sauté chopped onions, garlic and 1.5 cup boiled peas for 2-3mins.

Add finely chopped spring onion bulbs to this and sauté for 2-3mins.

Remove from the stove and let it cool for a while.

Blend it all to make a paste.

Heat 1 tsp of oil in a vessel, add chopped spring onion greens and ½ cup peas and stir fry for 2-3mins.

Add puree and veg stock and seasoning.

Cook until 1 boil & serve piping hot.

Serve with soup sticks or toasted brown bread slice.

2. DETOX SOUP

Ingredients

Tomato- 2 in nos

Pumpkin- 100gms

Carrot- 1 in no

Cabbage-100gms

Broccoli- ½ cup florets

Bell pepper- cut into julienne (red, yellow, green)

Ginger, garlic and chilli paste- 1 tsp

Olive oil- ½ tsp

Method:

Pressure cook tomato, pumpkin, carrot, cabbage, ginger garlic & blend to make a puree.

SauteBroccoli florets, bell pepper in olive oil.

Add the puree to it and water to make the soup consistency.

Serve piping hot.

3. HERBAL OATS SOUP

Ingredients
Oats – 4 tablespoons
Garlic – 1 pod

Celery and Parsley- 1 stalk each
Pepper – 1/2 teaspoon
Salt to taste

Method

Roast oats in a heated vessel.

Add chopped garlic, celery and parsley.

Add 2 cups of water, salt and pepper and simmer for 5 minutes. Serve hot.

4. Green Gram (MOONG) SOUP WITH Cottage Cheese (PANEER)

Ingredients:

¾ cup Moong (Green Gram)

2tbsp Paneer( Cottage Cheese) chopped

1 tsp lemon juice

1 tspJeera (Cumin seeds )mustard

1/4^thtsp, hing (Fenugreek), pepper.

2 tbsp ghee (Clarified Butter)

Salt to taste.

METHOD:

Soak Green Gran (Moong) for 6hrs. Cook in a pressure cooker. Blend it and strain.

Heat clarified butter (ghee) in a pan, add cumin seeds, mustard, fenugreek seeds and green gram liquid.

Add lemon, salt, pepper, cottage cheese and cook for 2 min

Serve piping hot.(This is a high protein soup)

5. SUNSHINE DELIGHT.

Ingredients

Yellow Squash (pumpkin) – 100gms

White squash (pumpkin) – 100gms

Carrot- 1 in no

Onion- 1 in no

Ginger- a small piece

Garlic- 1 pod

Seasoning:

Salt & pepper- according to taste

Lime juice- 1 tsp

Method:

Pressure cook all veggies and then blend to make a Puree. Add 1 cup water and cook until it comes to boil. Add seasoning and garnish with shredded carrot and pumpkin seeds.

Serve piping hot.

6. AVOCADO SOUP

Ingredients

½ seedless cucumber

1 medium avocado

1 shallot

2 tbsp. plain yogurt

2 tbsp. fresh mint

1 sprig fresh mint

4 tsp. fresh lime juice

1½ tsp. salt

¼ tsp. ground black pepper

¼ tsp. ground cumin

1 radish

Method:

Place the cucumber, avocado, shallot, yoghurt, 2 tablespoons mint, lime juice, salt, pepper, cumin, and 1 cup cold water in a blender, and process until smooth.

Chill for at least 1 hour. Serve garnished with the radish and remaining mint leaves. Perfect soup for this summer.

7. COLD CUCUMBER SOUP

Ingredients

3 medium seedless cucumbers

¾ c. Thinly sliced green onions

1 tbsp. lemon juice

1 tsp. lemon zest

1 tsp. Sea Salt

½ tsp. Freshly ground pepper

1½ c. vegetable broth

½ c. sour cream

Method:

Place cucumbers, green onions, lemon juice, lemon zest, sea salt, pepper, and vegetable broth in a blender or food processor and puree.

Stir in sour cream and chill until very cold, about 1 hour.

Serve topped with additional chopped cucumber, green onion, and lemon zest.

8. WATERMELON GAZPACHO

Ingredients:

About 8 cups watermelon, cubed

1 medium cucumber
1 medium tomato
2 medium shallots¼ cup loosely packed basil leaves
2 tablespoons red wine vinegar
¼ teaspoon salt

Chop the watermelon into rough cubes. Place it in a blender and blend (the blended amount should fill a 1 ½ quart blender). Pour into a bowl or container, and set aside.

Cut the cucumber in half; remove the seeds by scooping them out with a spoon. Peel the cucumber halves, then roughly chop them into a few smaller pieces. Roughly chop the tomato into quarters. Cut off the ends of the two shallots and peel them; cut them into quarters.

Place the cucumber, tomato, shallots, and ¼ cup loosely packed basil leaves into the pitcher of the blender. Blend until smooth. Pour the mixture into the container with the watermelon mixture and mix them with a spoon until fully combined.

Stir in 2 tablespoons red wine vinegar, ¼ teaspoon kosher salt, Place in the refrigerator and chill for about 2 to 3 hours, until cold. If desired, garnish with a few drops of olive oil.

Try some of these soups and drink your wealth of nutrients with this bowl.

February 17, 2017 By Dr Darshana Salve 2 Comments

Blood should circulate – Donate Blood!

We only understand the importance of blood donation when someone close to us is in need of it. A few days back my cousin contacted me to know the availability of blood for her friend’s father who met with an accident. Unfortunately, we lost him due to excess blood loss. We know of this incident because it’s a dear friend’s father but, on a daily basis there are so many such cases where there is loss of death due to non-availability of blood.

Statistics show that roughly every year in India there are 234 million major operations, 63 million trauma-induced surgeries, 31 million cancer-related procedures and 10 million pregnancy related complications which require blood transfusions.

Apart from these there are also disorders like sickle cell anemia, thalassemia and hemophilia that require repeated blood transfusions.

One of the main reasons for lack of blood is, many people are skeptical about blood donation. They have fears of contracting infections during blood donation, fear of the needle or feeling weak after blood donation. Human body approximately has 4.7-5.5 L of blood, out of it only 350/ 450 ml of blood is withdrawn during blood donation drives and it takes only a day or two to replenish the fluid volume in the body and three months for the regeneration of red cells to donate more blood.

There is no substitute for human blood. Blood cannot be manufactured – it can only come from
volunteer donors like you and me. One blood donation can save 3 lives. But, unfortunately only 1 % of volunteer donors come forward to donate blood and majority of the blood donation comes from replacement donors.

Replacement donors are friends and relatives of a patient who donate blood as replacement for the blood given to the patient.

At times, these replacement donors (friends and relatives) are more likely to harm the recipients by hiding or overlooking the many don’ts of donation.

Though voluntary self-referral to donate without citing reasons is widely accepted, replacement donors rarely adhere to it either to hide their high-risk behavior or due to pressure to meet the immediate demand for certain units of blood. As a result, the prevalence of HIV, hepatitis B, and hepatitis C is much higher among family donors when compared to voluntary donors, according to a 2012 study published in the Asian Journal of Transfusion Science.

Donation of safe blood can be achieved only when replacement donors are replaced by healthy volunteer donors to meet ‘over 95 per cent of blood requirement’. This can be done through increased awareness, providing appropriate facilities for people to donate blood, and improved donor retention.

While donating blood always be truthful about your health status!

Do not donate blood if you have any of these conditions

Cold / fever in the past 1 week.
Under treatment with antibiotics or any other medication.
Cardiac problems, hypertension, epilepsy, diabetes (on insulin therapy), history of cancer, chronic kidney or liver disease, bleeding tendencies, venereal disease etc.
Major surgery in the last 6 months.
Vaccination in the last 24 hours.
Miscarriage in the last 6 months or have been pregnant / lactating in the last one year.
Had fainting attacks during last donation.
Have regularly received treatment with blood products.
Shared a needle to inject drugs/ have history of drug addiction.
Had sexual relations with different partners or with a high risk individual.
Tested positive for antibodies to HIV.
If you are Underweight ( below 50 KGs)

Pregnancy and Menstrual Cycle

Females should not donate blood during pregnancy and lactation.
Females should not donate blood if they are having heavy menstrual flow or menstrual cramps.

Do donate blood if…

You are between age group of 18-60 years.
Weight is 50 kgs or more.
Hemoglobin is 12.5 gm% minimum.
Last blood donation was 3 months earlier.
You are healthy and have not suffered from malaria, typhoid or other transmissible disease in the recent past.

It’s time that we take up the responsibility to do voluntary blood donation. Donate Blood without waiting for a call.

October 20, 2016 By Dr Anand Kulkarni 3 Comments

OSTEOPOROSIS

How often have you come across your parents, grandparents or an elderly relative who has had a minor fall in the bathroom, slipped on the floor or had a terrible jerk while travelling on a bumpy road and sustained fractures of bones with a lot of pain, suffering and disability.

It has been noticed that the culprit for such incidents is OSTEOPOROSIS.

Osteoporosis is one of the most common disabilities encountered in the elderly. It literally means POROUS BONE. The condition results in reduced density and increased fragility of bones resulting in higher risk of fracture with minor falls, cough, sneeze, or minor bumps.

The condition is observed worldwide. There are more than 10 million cases per year in India. In the USA about 55% of its population aged 50 years and older have Osteoporosis. One third have disabilities and one third regain their pre-fracture status. The health costs from fractures are tremendous amounting to billions of dollars annually.

It is very important to learn about osteoporosis because it is a ‘SILENT DISEASE’ except occasional bone pains. You may not know that you have osteoporosis until your thin weakened bones fracture in a bump or fall. The more common sites are Hip, Spinal Vertebrae and Wrist.

Clinical studies suggest that approximately 1 in 2 women and 1 in 4 men aged 50 years and older will break a bone due to osteoporosis. Such people in this age group usually present with chronic vague backache, loss of height, or stooping (Kyphosis) and should consult doctor immediately.

THE RISK FACTORS ARE,

Advanced age
Family history of osteoporosis
Early menopause
Short Stature
Lack of Exercise
Poor nutrition with lack of Calcium
Lack of Vitamin D
Chronic Cigarette Smoking and Excessive Alcohol Consumption
Medical Illnesses- like hyperthyroidism, surgical removal of ovaries, long term steroid therapy and rare inherited bone disorders like Osteogenesis Imperfecta.

SCREENING is advised for all elderly above 65 years of age and Men and Women less than 65 years of age who have increased risk of fracture or already suffered from fracture.

DIAGNOSIS – is by bone scan which measures-Bone Mineral Density (BMD). The test called DEXA (Dual Energy X ray Absorptimetry) gives indication of likelihood of fracture due to osteoporosis.

It is also used to monitor response to treatment.

Result.— T score a) ( -1) and above ——- normal

b) (-1) to ( -2.5) ——- mild bone loss or osteopenia
c) ( -2.5) and below —- osteoporosis

Our aim should be to prevent bone less or slow down the occurrence of Osteoporosis and encourage healthy bone mineralization.

Following measures are recommended:

Healthy Nutritional Diet – To be incorporated during childhood and adolescent period itself with adequate calcium and magnesium intake. Calcium intake should be 1000 to 1200 mg per day. Common calcium rich foods are dairy products, cheese, ragi, broccoli, spinach, cabbage, green beans, soy beans, okra, dates, egg, salt water fish and fruits like orange, figs.
Vitamin D intake of 800 IU per day is a must. We encourage exposure to SunLight and supplementation as Vitamin D requirement cannot be fulfilled through nutrition alone.
EXERCISE plays a major role. Weight bearing exercises like walking, playing golf, Dancing, Hiking, Racket sports like Tennis, Squash promote mineralization of bones and make them healthy. Muscle strengthening exercises like weight lifting benefit by increasing muscle strength and Non- Impact activities like YOGA help in balancing, posture, agility of joints and benefit people with osteoporosis by decreasing the risk of falls and fractures.

Studies have also reported an increase in BMD in the spine of those who do YOGA regularly. Exercise should be tailored to the individual person based on BMD report and medical condition in consultation with health care professional.

Other Lifestyle Changes – Have a Positive Attitude towards Life, avoid the use of tobacco and Cigarette Smoking, moderate alcohol intake if any, and measures to avoid falls like having railings, avoid slippery floors, having a mat or carpet on the floor helps etc.

Medications—You may also require osteoporosis medications to either build or maintain bone density. People have been treated with medications like Bisphosphonates, Hormone Therapy in Women, Calcitonin, Parathyroid Hormone. Stem Cell Therapy is also being tried out in severe cases.

But, any of these modalities of treatment should be undertaken in consultation with your Doctor. The doctor is the only one who will be able to decide the right treatment for you weighing the benefits and risks of the therapy.

Cultivate healthy living and enjoy life!

Nutritional facts to help preserve muscles in Seniors

Healthy Soups in a Bowl!

Blood should circulate – Donate Blood!

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