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May 19, 2015 By Anushree Ashtekar 1 Comment

Red Signal To Excess Good things we overdo -part 1

don't overdo on dietPlato rightly said, “Excess generally causes reaction and produces a change in the opposite direction, whether it be in seasons, or in individuals, or in governments”.

We all crave for healthy and fulfilling lives. In order to achieve this, we try to do our best in matters of food, clothing, shelter; in short, have a good standard of living. But, what about when we go overboard while taking care of ourselves? Overdoing something which is usually good for our health also, has it’s own ill-effects. Let’s take a look at some of the ‘healthy’ things that many of us tend to go high on:-

  • Excessive drinking of water: Almost all of our major body systems depend on water to function properly. Optimum hydration helps in flushing toxins out of the body, preventing digestive ailments like acidity and constipation, regulating body temperature and many other functions. Many a times, people are low on water intake and are dehydrated. But, there are also instances where people tend to go too much on water intake causing a condition known as over hydration. Over hydration is a potentially deadly condition that causes severe imbalance between water and sodium in the body. People, consciously or unconsciously, can go high on water. Especially, when they sweat a lot, increased thirst due to uncontrolled diabetes, some psychiatric conditions like Schizophrenia can cause compulsive drinking of water, certain medications can cause dry mouth and make the person feel thirsty. Also, over hydration due to water retention (inability of the body to get rid of excessive water) can result due to underlying medical conditions such as kidney problems, liver cirrhosis, congestive heart failure and SIADH (Syndrome of Inappropriate Antidiuretic Hormone). Symptoms of over hydration may include headache, nausea and vomiting, confused or disoriented state of mind, loss of sleep as people frequently get up in the night to go to the loo. If not treated early, over hydration may lead to a hyponatremia (dangerously low levels of sodium in blood) leading to much severe conditions like seizures, muscle cramps or spasms, unconsciousness and coma. The best way to ensure optimum hydration is to drink a glass of water at regular intervals in a day. 8-10 glasses of water per day is usually needed for good hydration but, mostly it differs from person to person. Over hydration can be dealt with by treating the underlying medical conditions and consulting a nutritionist about your hydration status.
  • Excessive exercise: A routine of regular exercising gives us health benefits like improved cardiovascular endurance, muscular endurance, musculoskeletal strength and ideal body composition. But, exercising too much can prove detrimental to health. ‘Overtraining Syndrome’ is common among fitness enthusiasts and athletes. It may manifest itself through various physical and psychological symptoms. The physical symptoms of overtraining syndrome are unexplained weight loss, decreased appetite, excessive thirst indicating dehydration, cardiovascular complications(increased Resting Heart Rate), decreased immunity, muscle soreness, increased occurrence of injuries, decreased performance in sports and day to day activities.

Psychological symptoms include fatigue, irritability, disturbed sleep patterns, apathy and hostility. Levels of stress hormones (cortisol) increase and testosterone levels decrease. The adverse effects are seen in both, men and women. Overtraining syndrome can be avoided by following a proper training program with compulsory resting days. Medical treatment for the physical and psychological symptoms.

  • Excessive calorie control in meals: Calorie counting is termed as an eating disorder. It’s not about how many calories we consume but, what quality of calories we are consuming. For eg; we think that low-fat yogurt is healthier than full-fat yogurt as it has less calories. Whereas, the truth is quite opposite. Low-fat yogurt is less in fat but, high on sugars. Fat soluble vitamins A, D, E, and K are lost when you remove the fat. Similar case with skim milk and regular milk. Skim milk is low-fat but, also completely rid of Vitamins A and D which the normal milk is rich in. They may contain added Vitamins but, they are synthetic and harmful. Egg yolk is discarded due to high fat and cholesterol content but, the yolk is almost twice as rich in all the nutrients as the egg white; the egg yolk can resolve most of the common nutrient deficiencies. Also, these so-called ‘low-fat’, ‘low-sugar’ foods cost more than their regular counterparts. Calorie is not what builds up the fat in your body; it is simply the unit of energy that our body uses for it’s functions. Think about building muscle because, more muscle will raise the body BMR and burn calories for energy throughout the day. Moreover, calorie counting leads to mental stress and does not let you enjoy your meals. The solution to this is quality check of foods, mindful eating and portion control.
  • Excessive consumption of fruits, fruit juices and dried fruits: Fruits are packed with vitamins, minerals, water, antioxidants and fiber. Daily consumption of fruits gives us many health benefits. But, over-consumption has it’s own ill effects. Fruits are nutritious but, also high on sugars. Fruit juices and dried fruits contain denser amount of sugars than the fresh, whole fruits. Overeating may lead to high blood glucose levels and eventually the unused calories go into fat store. Too much sugars can also increase acidity. Fruit contains fiber which if consumed too much, can cause gastrointestinal discomfort like cramping, gas, bloating and loose motions. Fruits are simple carbohydrates lacking amino acids and essential fatty acids so, cannot be considered as complete food. 1 or 2 servings of fruits per day can be recommended. Include a variety of fruits in the diet.
  • Excessive fiber intake: Fiber is found in whole grains, fruits and vegetables. It is needed for healthy digestion process. Fiber gives satiety for longer time and prevents constipation. But, too much of it can cause several health problems. Fiber cannot be easily digested so, too much of it can cause cramping. Fiber speeds up the passage of the food in the gut and too much of it can speed up the passage too fast leading to diarrhea. Too much of fiber with less water intake can make you constipated. There can also be , gas, bloating and flatulence. Excessive fiber can lead to malabsorption of certain nutrients like calcium, iron, zinc and magnesium. The worst effect of consuming too much of fiber can be intestinal blockage and may also require surgery. Have both, soluble and insoluble fiber, equally, and adequate amount of water.
  • Excessive sleeping/resting: Many of us think about compensating for the weeks’ lost hours of sleep by oversleeping at the weekends. A good night’s sleep is very much essential for good health but, oversleeping comes with it’s own share of adverse effects. Along with the quantity of the sleep, the quality of the sleep also matters. If you try to compensate low quality of sleep with high quantity of sleep, you will end up feeling more tired. Sleeping too much can lead to many health problems like obesity, heart disease, diabetes and depression. It can slow down the brain functioning. According to WebMD research it has been found that sleeping for more than 8 hours can shorten the span of life.

These are some of the healthy things that we over do. In my next blog part 2 we will see how we overdo ‘unhealthy’ things.

To be continued…….

May 19, 2015 By Hardika Vira Leave a Comment

Did you know about Syndrome X?

 

metabolic syndromeSyndrome X is also known as metabolic syndrome, cardio metabolic syndrome, insulin resistance syndrome, Reaven’s syndrome (named after Gerald Reaven an American endocrinologist and professor at Stanford University who has worked upon insulin resistance and diabetes), and CHAOS (in Australia). It’s one of the leading lifestyle related disorders.

As is defined by Wikipedia-Syndrome X is a disorder of energy utilization and storage, diagnosed by a co-occurrence of three out of five of the following medical conditions: abdominal (central) obesity, elevated blood pressure (Hypertension), elevated fasting plasma glucose (Diabetes/ insulin resistance), high serum triglycerides (hypertriglyceridemia), and low high-density cholesterol (HDL) levels.

In today’s times you will seldom find people with one single issue. You more often meet people with multiple issues for e.g.: You will see a person who is diabetic also has hypertension, and has a big belly at the same time. So, would you categorize this person as a diabetic or hypertensive or obese? Well, None of these! It is Metabolic Syndrome

How do you categorize a person suffering from metabolic syndrome?

He should have any of these 3 categories positive. As per American Heart Association(2004)

  • Elevated waist circumference: mortazavi20120513095818513
    • Men — greater than 40 inches (102 cm)
    • Women — greater than 35 inches (88 cm)
  • Elevated triglycerides: Equal to or greater than 150 mg/dL (1.7 mmol/L)
  • Reduced HDL (“good”) cholesterol:
    • Men — Less than 40 mg/dL (1.03 mmol/L)
    • Women — Less than 50 mg/dL (1.29 mmol/L)
  • Elevated blood pressure: Equal to or greater than 130/85 mm Hg or use of medication for hypertension

blood-pressure-monitor

  • Elevated fasting glucose: Equal to or greater than 100 mg/dL (5.6 mmol/L) or use of medication for hyperglycemia

Glucometer

Let us concentrate on the prevention part rather than treatment as we already know prevention is better than cure. The prevention for Metabolic Syndrome is same as its treatment.

  1. Exercise daily for 30-60 minutes. Exercising increases the insulin sensitivity, helps reduce waist circumference, manages blood pressure and also improve HDL cholesterol. Exercise daily / Being active whole day is the requirement
  2. Lose weight if overweight. Nearing your IBW (Ideal Body Weight) helps to reduce the pressure exerted on the walls of the arteries to supply blood to all parts of the body. It also helps in better glucose uptake. Reducing even 10% of your body weight helps you control diabetes, blood pressure and weight
  3. Eat healthy and keep a check on the portions – Include a good amount of fruits and veggies in your daily diet. They are rich in fiber, vitamins and minerals. Fiber helps in maintaining blood sugar levels, choose whole grains and their products over the refined ones, choose low fat dairy products and lean proteins over red meat as red meat is high in fats and sodium. Go easy on saturated fats and trans fats like butter, ghee, margarine, vanaspati ghee, bakery products. Restrict cholesterol consumption to less than 300 mg/ day. Generally non-veg foods contain cholesterol. Veg sources do not contain cholesterol. Make it a point to check the nutritional label of the packaged foodstuff that you pick for cholesterol and Sodium content.
  4. Quit smoking and alcohol- Getting rid of your habits reduces the risk factor to a large extent by preventing damage to your organs. Alcohol raises triglyceride levels, helps increases belly fat and smoking induces chain reaction which destroys other organs too.
  5. Reduce stress levels- Stress hormone cortisol is known to increase blood sugar levels and create a negative impact on your body as well. Practicing deep breathing exercises and getting involved into your hobbies / recreational activities help curb the stress levels

Practicing these would not only help you lower the risk factors but also help lower your medication.

April 24, 2015 By Hardika Vira 3 Comments

5 WAYS TO BOOST METABOLISM

Fibre-Rich-Diet

In so many years of my practice as a dietician consultant, I have seen people literally starving themselves to lose weight. But, what if I could convince you that without starving and just by eating healthy and your heart felt or more than what you generally eat, you can lose fats/ look more toned and reduce weight at the same time? You can achieve this by improving your basal metabolism.

What is basal metabolism?

It is the rate at which our body burns calories when even at rest. It includes calories burnt for the process of digestion, and carrying out basic functions of the body. Basically when you are not being physically active.

We have an assumption that exercising is the only way to improve metabolism. It is true but, there is loads to add to the list of foods that help improve metabolism like having small frequent meals i.e every 2.5-3 hours, quantity and quality of food consumed etc.

Today I will share 5 of easiest ways for the same

  1. CONSUMING MORE FIBER RICH FOODS

Fiber is the undigestible material of the plant that provides bulk and adds satiety levels. When we include more fiber in the meals, our body takes more time and effort to break those fiber molecules thus spending/ burning more calories. There are 2 kinds of fibers, soluble and insoluble.

Here is a list of fiber rich foods: whole grains, bran, whole fruits, vegetables like carrots, cucumber, green leafy vegetables, cabbage, bell peppers, broccoli, etc., beans, nuts,

  1. INCLUDE PROTEINS IN EACH MEAL

Proteins take more time to digest than carbs and hence the thermic effect of food i.e the calories that are burned during the digestion of proteins increases. Proteins also aids in functions of growth and development i.e. building muscles, growth and for wear and tear of the tissues used throughout the day this requires a lot of energy. Higher the muscle content in the body, higher is the metabolism.

Sources of proteins: Milk, paneer (cottage cheese), plain yoghurt, buttermilk, pulses, sprouts, soya, tofu, eggs, chicken, fish. Also lente carbs in chick peas (chhole) and kidney beans (rajma) keep you full for long time and helps increase the metabolis

  1. DRINK PLENTY OF WATER

2/3rd of your body is water. Muscles are approx 75% water and cells, bones, blood hold water and float in it.Basically it is required to carry out each and every biological function in the body. Thus when the body is in the state of dehydration, the metabolism slows down as the ability to generate energy and body’s ability to utilize fat as fuel is severely inhibited.

  1. INCORPORATE SPICES IN THE MEALS-

Ginger (gingerols and capsaicin), garlic (allicin), cinnamon, pepper and chillies (capsaicin), turmeric(curcumin) etc. also known as hot spices are known to improve metabolism and also help in carrying other antioxidant functions.

  1. OPT FOR GREEN TEA-

Green tea is rich in polyphenols like catechins and flavonoids which are antioxidants. It also contains caffeine in small amounts. Through few studies, it has been seen that green tea increases metabolism and rate of fat burning. But ensure that you consume a glass of water after every cup of green tea as the caffeine present in the green tea helps in dehydration of cells apart from giving a boost to metabolism.

The above ways are the some of the simplest ones which can be controlled/ practiced without any difficulty. Apart from these as mentioned above exercise helps improve metabolism. But, do you really know which one is more effective?

Combining strengthening exercises in the schedule will really help improve the metabolic rate for a longer duration until the repair/wear and tear of the broken muscles occur as compared to the cardio exercises which raises metabolic rate only for a limited period. It is always better to practice each on alternate days. Afterall, every exercise has its own benefits.

April 15, 2015 By Ami Shah 1 Comment

TRANS FAT-The biggest enemy of your heart

heart
I have friends who binge all the time on deep fried chips/wafers.. Its their way to satisfy their hunger. I asked them if they were aware that of why these chips feel scrumptious and crispy. Their reply was who cares we are just happy that it tastes so good.

This is not the case with only my friends, most people never bother to find out what the chips is made of, what goes into make it so tasty and crispy. Instead of creating nutrition awareness, the gimmicks around it entice people and children to buy these crispies.

Nutritional labels are overlooked. Many people don’t know how to read the nutritional label and what do the fancy ingredients mean? Even if they know they will only look for major component such as carbs, proteins, fat what about the breakdown of these macro nutrients like sugars/fiber comes under carbs.

Likewise, saturated fats/trans fat/MUFA/PUFA is also part of the Fat group. These lip smacking wafers which most people and kids gorge on area red alert for your heart! That’s because of the TRANS FAT (Bad fat). Caution- It’s a major enemy of heart!

First let’s understand what is trans fat??

Most trans fat are artificially synthesized through an industrial process that adds hydrogen molecule to vegetable oil, which causes the oil to become solid at room temperature. This partially hydrogenated oil is less likely to spoil, so foods made with it have a longer shelf life. Some restaurants use partially hydrogenated vegetable oil in their deep fryers, because it doesn’t have to be changed as often as do other oils. These fats are used in making c akes/pastries/puffs/rolls, margarine, doughnuts/wafers/chip/butter/margarine etc which provides empty calories (only calories and no nutrients).

Trans fat are inexpensive and gives a desired texture and taste to the item. (yes, you got it right.. the secret behind all these irresistible things is TRANS FATS!).

What does this trans fat do in the body?

Trans fat gets deposited in the arteries making them clogged. Clogged arteries are a sign of heart disease; they increase your risk of both heart attack and stroke. Here’s how it works: Trans fats raise low-density lipoprotein (LDL) or “bad” cholesterol levels. This contributes to the buildup of fatty plaque in arteries and lowering of your good (HDL) cholesterol levels. Eating trans fats increases your risk of developing heart disease and stroke. It’s also associated with a higher risk of developing type 2diabetes by increasing insulin resistance!

How can you limit your intake of Trans Fat?

Checking the nutrition label is very important.. When the Nutrition Facts label says a food contains 0 g of trans fat, but includes partially hydrogenated oil in the ingredient list, it means the food contains trans fat, but less than 0.5 grams of trans fat per serving.  The daily limit intake of trans fat should be zero. If you are buying any fod packet, please check the nutritional label for trans fat.

Here are some alternative to Trans fat:

    • Keep the usage of butter/margarine at bay. Instead use ghar ka desi Ghee. 🙂
    • Choose to eat foods that contain healthier fats, such as nuts ( walnuts and almonds), seeds (sunflower, pumpkin, watermelon, flax seeds), olives and avocados.
    • Opt for Rice bran oil, Oilve oil, Soyabean oil and mustard oil. They are a good source of MUFA (good quality fat)
    • Choose low-fat or fat-free dairy products and lean cuts of meat and skinless poultry. Keep red meat at bay.
    • Get plenty of foods that are naturally low in fat and high on fiber, such as whole grains, fruits and vegetables.

So, next time when you grab a packet of chips or wafers, remember the above points.

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