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Search Results for: heart health

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.

May 15, 2015 By Parwage Alam 2 Comments

Breathing: A source of life

deep-breathing

What is the first thing that comes to your mind when you think of a doctor? I would imagine a stethoscope. Stethoscope is used to hear our heart beat or the voice of our breathing. Breathing sounds can indicate problems within the lungs such as obstructions, inflammation, or infection and is an important part of diagnosing many different medical conditions.

The quality of your breathing is a powerful determinant of your physical and emotional state of being. I would like to share some of my knowledge and experience with you.

There are different types of breathing techniques available, which you can do to make your body, mind and soul healthy and fit. When we are talking about breathing techniques “YOGA” word automatically occurs to you and while talking about yoga -Pranayama, Anuloma Viloma will automatically comes to our mind. I have been practicing yoga for several years and would like to share some of my experiences with you and help you understand about breathing better.

Pranayama breathing techniques: Pranayama also has different kinds of breathing techniques like Dirga Pranayama, Nadi Shodhana, Ujjayi Pranayama, Kumbhaka etc..

  1. Dirga Pranayama : It’s a basic technique which teaches us the various ways of breathing and how to breathe right – Deep Breathing. We usually breathe shallowly and use approximately one fourth portions of our lungs. This technique helps us to learn how to utilize the lungs properly for breathing. We have to breathe deeply so that our stomach fills with air, then our chest, till finally it seems like our shoulder blades are being displaced by the air you are breathing in. Dirga Pranayama is akin to filling up and emptying a vessel with water and replenishing the body and soul.
  1. Nadi Shodhana: Nadi Shodhana, also known as Alternate Nostril Breathing, is a powerful breathing practice with wide reaching benefits. Alternate Nostril breathing is a beautiful breathing technique that helps keep the mind calm, happy and peaceful by just practicing it for a few minutes.

In this you have to cover your right nostril using the thumb of your right hand and take deep breaths with the left nostril. In the pause between inhalation and exhalation, you release the right nostril and close your left nostril with the ring finger of your right hand. Once you finish exhaling fully, you inhale through the same nostril. In the pause between the inhalation and exhalation, you close your right nostril with your thumb while releasing the left nostril.

  1. Ujjayi Pranayama: The beauty of unifying breath and movement is truly majestic. More popularly the term Ujjayi Pranayama is known as ‘Ocean Breath’ or ‘Victorious Breath’. In this Inhale slowly from your nose and exhale from your mouth. When exhaling, produce the sound ‘HHHHHAAAA’ (ocean sound).

Now, try to keep your mouth closed while exhaling. Generate the same sound as before but, this time with your mouth closed. Inhalation and exhalation are both done through the nose. The position of your throat is unchanged and natural. Make sure the sound originates from your throat and not from your nose.

The “ocean sound” is created by moving the glottis as air passes in and out. As the throat passage is narrowed so, too, is the airway, the passage of air through which creates a “rushing” sound

Kumbhaka : This technique is an advanced level of Pranayama where you have to hold your breath either at the end of each inhalation, exhalation, or both. Do not practice this technique on your own but, only under the supervision of a learned practitioner.

You can also do Kapalabhati, which is most popular in Yoga. Kapāla means skull and Bhati means light. This exercise gets its name from the fact that when practicing the mind fills up with a bright light. This is due to the change in oxygen and energy levels received by the mind. It cleanses your nasal passage, lungs and your entire respiratory system or in short you are strengthening your lungs and stomach muscles.

In this technique, you take passive inhalations followed by forceful exhalations, by contracting your abdominal muscles quickly as you exhale rapidly through your nose. Try to learn this correctly from a certified yoga instructor, It will help you to avoid any drawbacks.

I would like to conclude by saying that you are still breathing, But, if you breath as per the above techniques, you can take your body, mind and soul to the another level of fitness.

 

May 4, 2015 By Dave Hellman 1 Comment

Autonomy + Motivation + Accountability = Wellness

AutonomyPlusMotivation

Everyone knows the basics of healthy living. Eat a balanced diet. Exercise. Get a good night’s sleep. Not long ago, if you needed more guidance than that, you had to find an expert (books, physicians, etc.). They were the only ones with the tools and knowledge to help you. This was okay for people who had the time and resources to seek out that expertise but for most people it was a huge barrier. And when we’re looking to make changes in our behavior, barriers strip us of motivation.

Flash forward to the current day and we have a convergence of technologies that addresses some significant obstacles. These include:

  • Wearable Fitness Technology – Wristbands, watches, pendants, eyeglasses, and even clothing that can sense steps taken, quality of sleep, heart rate, and more.
  • Smartphone Apps – For detailed tracking of exercise, food and nutrients consumed, blood sugar level, etc.
  • Online Services – That were formerly only available to professionals such as genome testing, full lab panels and microbiome (gut bacteria) testing.
  • Internet of Things – Infrastructure that allows these technologies to talk with one another. Step on your scale and it updates the food diary on your smartphone tracker app with your weight.

The age of autonomy is here. No longer must we depend on experts to know where we stand health-wise. But is that enough? Apparently not. As noted in a previous post on this site, Rethink Wearable Tech…Fad or Future, despite the growing popularity of devices like Wearable Fitness Trackers, many people stop using them only a short time after they get them.

You see, technology hasn’t figured out when you need space and when you need a little nudge. It’s not very good at helping you explore why you’re stuck or why you sometimes regress. It does a bad job at changing and adapting with you. And, it doesn’t know how to link your goals for good health to your vision, your values. Technology is just clueless about motivation and accountability.

Enter the Health Coach. Health Coaches are the latest member of your wellness team. Unlike physicians whose role is to diagnose and prescribe, Health Coaches help you make the changes you want to make by stoking the fire you have within. And unlike Nutrition Counselors or Personal Trainers who hand over wellness plans and monitor compliance, Health Coaches partner with you to uncover the strategies that honor your values and lifestyle. They work with you to keep you accountable.

Health Coaches are experts in human behavioral change. They recognize that family, physicians, and employers may influence positive changes in health, but the real inspiration to move towards wellness has to come from you. Health coaches use a process that surfaces what is most important to you and links those values to the healthy behaviors and goals that matter most. This is where motivation comes from.

As you progress, your coach helps you create a plan to reach those goals. The emphasis on you is critical. The plan can’t be some cookie cutter nutrition or exercise program that the coach pulls from some file. It must be a customized plan that strikes a balance between flexibility, because “stuff happens,” and specificity so you can link your plan to your progress. Without a tailored plan, it’s difficult to hold yourself accountable.

Health Coaching is a new field. Research on its impact is just emerging but initial results are encouraging. These include:

  • Patients with poor cardiovascular health who undergo health coaching show improvements in total cholesterol and BMI, lower stress, more physical activity, better nutrition, and reduced smoking.
  • Cancer patients who work with health coaches demonstrate better pain control.
  • Health coaches help obese patients decrease their waist circumference and improve their functional health.
  • Diabetes and kidney patients who engage with health coaches experience decreases in fasting blood glucose levels?, hemoglobin A1C, hospital admission rates, and amputations.

And all of these studies took place prior to and without the benefit of the technologies mentioned earlier. When we combine the ability for technology to collect data in a transparent way with the skills and knowledge of a professionally trained Health Coach, some magic starts to happen. Health Coaches know you as a person and can figure out when you need space and when you need a little nudge. Health Coaches excel at helping people explore why they’re stuck or why they sometimes regress. Health Coaches understand that wellness goals must change and adapt as you change and adapt. And Health coaches know how to link your goals for good health to your vision, your values.

Technology provides you autonomy. Health Coaches honor that autonomy, inspire motivation, and maximize accountability. And this combination results in a happy, healthy, and productive life.

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.

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