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October 23, 2018 By Trishala Chopra Leave a Comment

Do you really need a multivitamin?                  

                                                      

Multivitamins

The topmost questions on the mind of all my patients are “I am getting so tired these days, doctor do you think that I should take a multivitamin?” and “I am taking these multivitamins which I got from the US, do you think it’s good enough for me to have?”

These are just 2 such questions but trust me, I get loads of such questions on Multivitamins. Based on these questions, I decided I should talk about it in my blog and present the facts on the matter.

Let us first understand

What is multivitamin?

If I just try to understand the word in literal terms, a multivitamin is a supplement that contains more than one vitamin. But is it just vitamins? Certainly not. Multivitamin is a supplement that contains many vitamins and essential minerals which helps you fight against different nutritional deficiencies and their symptoms.

Who actually needs a multivitamin?

  1. You need a multivitamin if you are not able to get adequate nutrition from your diet.
  2. You need a multivitamin if you are severely deficient in different nutrients as detected in your blood reports
  3. You need a multivitamin if you are looking for micronutrients for specific symptoms.

Apart from this, there are other population groups as well which might need a multivitamin in addition to a variety of foods in their diet.

  1. Pregnant women
  • During pregnancy, consumption of multivitamins reduces the risk of birth defects in the foetus.
  • There are different kinds of research which are done taking multivitamins into consideration but since multivitamins consist of various vitamins and minerals, we don’t exactly know which nutrient is giving the maximum benefits.
  • Folic acid perhaps is the most important micronutrient but doctors anyways give it in a completely separate form so talk to your healthcare professional before starting on any multivitamin.
  1. Senior citizens
  • People over the age of 65 are generally low on B- vitamins, vitamin D, iron and magnesium.
  • Supplementing senior citizens with a multivitamin can definitely help in reducing their nutritional deficiencies to a great extent.
  1. People who are on different food restrictions
  • People who are on a gluten-free diet are usually low on calcium, iron, magnesium, zinc, folate, vitamin B12 and vitamin D.
  • Vegan people are usually low in calcium, iron, zinc and vitamin B12.
  • People who are on low carb diet are usually low in calcium, copper, magnesium, potassium and vitamin E

Multivitamin in these cases will help in overcoming these nutritional deficiencies.

  1. People who have undergone bariatric surgery
  • During bariatric surgery, size of the stomach is reduced which reduces nutrient absorption which can further lead to nutritional deficiencies.
  • Even after taking a multivitamin, nutrient absorption is not very high but this will be much better than not taking a supplement and remain extremely nutritionally deficient

The above is related specifically for people with some health issues. Let us now look at the general population! Does the general population need a multivitamin and what can be the possible benefits?

  1. Multivitamins can help in increasing the quality of life
  2. Multivitamins can help in reducing mood swings
  3. Multivitamins can help in reducing complications related to eyes

These are some points which researches have come up with however nothing is claimed so far.

Normally what I have seen is that when people are taking multivitamin they are okay to substitute it for a balanced diet but a multivitamin is a SUPPLEMENT and not a SUBSTITUTE.

Let’s understand about how to select a multivitamin for you.

Your healthcare professional can suggest you one but, you should always know how to pick up one for yourself!

Consider the following points when you buy a multivitamin

  1. Choose a multivitamin that contains close to your recommended dietary allowance (RDA) of vitamins and minerals. Sometimes a particular multivitamin crosses much more than your RDA per day.

For example:

  • Excess of potassium at one go on an empty stomach can lead to elevated potassium levels in the body which can affect your heart rhythm that is why your potassium in a multivitamin should always be limited to 99 mg.
  • Magnesium in your multivitamin should be limited to 350 mg because higher doses of magnesium in the body can lead to diarrhoea and other stomach issues.
  • Excess of calcium in your multivitamin might increase the risk of kidney stones, and too much total calcium can result in hypercalcemia in the body.

B. If a multivitamin supplement is only having vitamins and minerals then its fine to pick it up but usually this doesn’t happen. A single multivitamin is full of special ingredients which can put a body into negative balance hence avoid taking multivitamins which has too many extra ingredients.

C. I have seen my patients doing this a lot that they get confused between the pill and serving.

For example: A multivitamin pack might mention that it contains 300 mg of vitamin C per serving. When it is said so, please understand that a serving does not necessarily mean that 1 pill equals 1 serving. Serving completely depends upon how the company is depicting it. It could mean a whole pack is 300 mg.

D. I have seen this quite often that many people are usually only deficient in one or 2 nutrients in such cases taking a multivitamin is not a very good option. Pick up those nutritional supplements only which are on the lower side.

Hence, it is always good to take Vitamins after you speak to your doctor. Do not indulge in self- medication.

You might need a multivitamin but, it is not necessary that everyone might need it.

 

 

May 23, 2017 By Azra Faizan 22 Comments

Why you need to strengthen your core?

plank-variations

‘You need to work on strengthening the core’

‘Why not start with some core strengthening exercises’

How often have you heard this line from a fitness trainer/doctor/health coach??

Now, how many of you know exactly what the core is??  My guess would be ‘we have a general idea, though not sure’

So let me try and explain first, what ‘the core’ is…

I do not want to bore you with the scientific names of the muscles consisting of the core, which I’m sure nobody would understand and everybody would just scroll over.

So to make it simple, the core of the body is broadly considered to be the torso.

It is a complex series of muscles, extending far beyond your abs, including everything besides your arms and legs. The major muscles of the core reside in the area of the belly and the mid and lower back, and peripherally include the hips, the shoulders and the neck.

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It is incorporated in almost every movement of the human body. Functional movements are highly dependent on this part of the body, and lack of core muscular development can result in a predisposition to injury.

The core forms a sturdy central link between your upper and lower body. Much like the trunk of a tree, core muscles need to be strong yet flexible. A weak or inflexible core drains power from many movements and can make it downright difficult to do some.

Functions:

  1. Contains and protects the internal organs –You will notice that this part of your body (core) doesn’t have many bones, except for the spine and some floating ribs, yet it contains many important internal organs that need to be kept safe and sound. Without the bony structure to rely on, the entire area needs to be wrapped up tightly to maintain the integrity of its contents. So I like to think of our core musculature as a tightly wrapped package protecting the internal organs.
  1. Ensures greater mobility of the spine and trunk –Because of the way our core musculature is organized, it allows a great range of movement in the trunk. It allows us to bend forward, backwards, sideways, twist and do combinations of those.
  • Stabilizes the top part of the body over the bottom part- the core determines to a large part a person’s posture. In all, the human anatomy is built to take force upon the bones and direct autonomic force, through various joints, in the desired direction. The core muscles align the spine, ribs, and pelvis of a person to resist a specific force, whether static or dynamic.
  1. Controls the pelvic-lumbar relationship – The core is used to stabilize the thorax and the pelvis during dynamic movement and it also provides internal pressure to expel substances such as urine (continence),feces, air, vomit and also for labor and childbirth in women,

Core Stability:

In essence, core stability means ‘stability of the spine’, ‘core strength’ is the ability to support your spine and keep your body stable and balanced.  It is the strength that allows you to perform manual tasks safely and effectively in everyday life.

There are “five different components of core stability: strength, endurance, flexibility, motor control, and function”. Without motor control and function, the other three components are useless, like a fish flopping out of water no matter how strong you are or how much endurance you have.

I like to believe that core strength is as vital as most of the major organs in the body, let me tell you why –

  • Muscular tone helps blood circulate more effectively once it’s pumped from your heart. Core muscles are no exception, and when your core is strong you can notice an improvement in blood circulation.
  • Core stability promotes healthierdigestion. The digestive system contains a lot of blood vessels and when the core area is stagnant, the whole digestive system may feel more sluggish too. You may see increased bloating, discomfort, and indigestion associated with meals. The digestive system also contains a large and essential part of the immune system. Core strength can help support your body’s immunity too as it rounds out healthy digestion and circulation.
  • Because the diaphragm is located near the core, core strength promotes deeper and higher quality breathing.
  • Because the pelvis is located near the core, women may find relief from cramps and PMS around the menstrual cycle after strengthening core muscles. Women use their core muscles during labor and delivery too, and having a strong core, help in an easier labor.
  • Finally, the physical balance that comes from supporting your core can extend to yourmental-emotional health as well. Physical balance promotes a sense of calm, steadiness, and support.

How to Measure your core strength –

Let’s end with a fun activity!!

Let’s all of us measure our core strength, this way even people with regular exercise (including me) will know where we stand and how much further we need to work for a strong core..

Core Muscle Strength & Stability Test was designed by Brian Mackenzie, a senior athletics coach with UK Athletics, the United Kingdom’s National Governing body for Track and Field Athletics.

Preferably use a mat for performing this test, to get accurate results.

  1. Position a stop watch where you can easily see it
  2. Start in the Plank Exercise Position (elbows on the ground)
    Hold for 60 seconds
  3. Lift your right arm off the ground, Hold for 15 seconds
  4. Return your right arm to the ground and lift the left arm off the ground, Hold for 15 seconds
  5. Return your left arm to the ground and lift the right leg off the ground, Hold for 15 seconds
  6. Return your right leg to the ground and lift the left leg off the ground, Hold for 15 seconds
  7. Lift your left leg and right arm off the ground. Hold for 15 seconds
  8. Return you left leg and right arm to the ground
  9. Lift your right leg and left arm off the ground, Hold for 15 seconds
  10. Return to the Plank Exercise Position (elbows on the ground), Hold this position for 30 seconds

Results

  • Good Core Strength
    If you can complete the test fully, you have good core strength.
  • Poor Core Strength
    if you cannot complete the test fully, your core strength needs improvement.
    Poor core strength results in unnecessary torso movement and swaying during all other athletic movements. People with poor core strength are  more likely to suffer from back injuries, and the likelihood of other peripheral injuries also increases in those with a weak core

This results in wasted energy and poor biomechanics.

If you are unable to complete the test practice the routine three or four times each week until you improve.

By comparing your results over time, you will note improvements or declines in core strength.

April 17, 2017 By GOQii Editor Leave a Comment

GOQii Sanjeevani : Our Village Experience

GOQii Team elated after the successful completion of giving out 50 bands in Waghadi (1)

It was a big day for all of us at GOQii as the company was kick-starting its new project GOQiiSanjeevani in the village of Waghadi in Palghar district on April 7th-World Health day. 10 of us expert coaches along with our two in-house doctors and 5 tech team personnel and other senior members from GOQii including our CEO Vishal Gondal travelled on the morning of April 7th to Waghadi for the launch. We were going there with a purpose to consult the villagers and guide and educate them on their health issues.

GOQii doc Darshana and coach in interaction with the villager Sandeep Dalvi
For the last 3 years that most of us have been here at GOQii, we have been dealing with urbanites who have a hectic, stressful and majorly sedentary lifestyle. GOQiiSanjeevani gave us a fresh new opportunity to Coach the villagers who have totally different concerns when it comes to health.

50 villagers with smartphones were shortlisted. They were given the band and also asked to install the app in their phones. Once that was done they were sent to the expert coaches for an interaction. Initially, the villagers were a little apprehensive to share information but when we explained to them how the band, the app along with the coaching is going to help and prevent them from falling ill they got interested.

GOQii coaches interacting with the villagers.

We found that the villagers are active in their own ways as they walk quite a distance due to lack of frequent public transportation.Women here take care of farming while men are involved in different occupations like teaching, driving etc.  However, on talking to them we realized that they do not have major health issues as of now but are almost on the brink of developing disorders like diabetes, thyroid, acidity, UTI due to poor diet habits and hygiene etc. It was hard to believe that many are indulging in regularly eating processed food and junk foods like Chinese, VadaPav (Indianised burger), Samosa etc.

GOQii tech Personel helping Snehlata Satvi to wear teh band

Issues Seen in them: 

  • Acidity due to skipping Breakfast and large meal gaps through the day
  • Lack of Fibre in terms of Veggies & Fruits in regular daily diet
  • Joint Pain and Anemia in Women
  • Sleep Issues

As for now, GOQii Expert Coaches have majorly started working on

  • Regular meals
  • Inclusion of fruits and vegetables in their daily food
  • Have Breakfast
  • Add Iron & Calcium food sources for women

Once we finished interacting with the 50 villagers there was a bit of an apprehension from our side. Most of us were not sure if the villagers would keep in touch and interact with us

But, we are pleasantly surprised with theresponse we are getting from the villagers. On a dailybasis, they are informing us how much they are eating and what they are eating, if they’re sleeping well etc.They are following our instructions and that is overwhelming for us.

Our overall experience was enriching. It was a new learning on how to communicate with the villagers.

May 4, 2016 By Anusha Subramanian 1 Comment

“Little changes in lifestyle will help you live smart “

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He is part of the senior management in an automotive company. He travels 14 days a month and his works long hours that sometimes stretches into late nights. He tried to manage and fit into a workout regime twice or three a week but could not be regular. At 52, he wanted to change his lifestyle but ,was unable to do it on his own. He needed an external stimuli……and guess what he found it and today he is active and has learnt to eat and live smart……let us hear Bharatendu Kapoor’s story in his own words….

I head the spare parts business of a Mumbai-based automotive company and my job involves procurement of spare parts for all our projects and supply spare parts to all the auto divisions including truck and buses division. My work also involves travel for about 12 to 14 days in a month and long hours on a daily basis.

This daily routine and constant travel led him to adopt irregular food habits. I would never have food at the right time. However, I would try and work out twice or thrice a week for about half hour to 40 minutes. I was not regular though with the workouts and the days were not fixed.Sometimes I would go for walks but again it was not very regular.

Such was my irregular routine for several years. Then one day in November 2015, through an engagement program my company bought 200 GOQii bands. I was one among the 200 employees who got the band and my journey with GOQii started.

GOQii was a boon in disguise. I am 52 years old and I was going through this thought process of wanting to change my lifestyle, considering the job I do. Given my age and lack of understanding about exercise and nutrition, I sure needed an external stimulus to help me through this. And, GOQii was the answer.

The best part of GOQii is the coach who you can interact with on a daily basis. The coach is the external stimuli that helped me. The coach guided me on my lifestyle, nutrition, sleep etc. Sheetal, helped me make small changes and disciplined me in my eating habits. I am very conscious now of what I eat, how much I eat. It has been a wonderful experience for me in the last 5 months .

Lots of other improvements also came within me. My water intake that was very less has increased considerably. I have an alarm system that reminds me to drink water every hour.

Initially, when I started, the first month was tough and tiring for me to adjust to the new kind of fitness regime and making lifestyle changes. Eventually, as days passed I got used to it, I diligently started following the routine. I went for my regular daily walks, met my daily step target, slept well and hydrated well.

The most interesting aspect is that the results are evident and the changes were visible. I lost 6 kgs and about 3 inches. Such positive results keep you motivated. The result prompted me to refrain from using the elevator and instead take the flight of steps in Office and this has become a daily habit for me.

Believe me, when I say this that I have never been happier with myself. My main health goal when I started on GOQii was to lose 8 kgs and after 5 months I lost 6 kgs which are a great achievement for me and my coach.

If I reflect back into the 6 months prior to GOQii, the changes are very little. I have not done anything drastic. But, I have learnt how to live smart and eat smart and become more energetic. Instead of sitting on the chair throughout the day like I used to do earlier while in Office, I started walking after every two hours. So just change a little and that’s the trick.

Before using GOQii band I was barely walking 2500 to 3000 steps after I got the band I set for myself a goal of 10000 steps daily and in the last three months, I have been easily crossing 15K steps on a daily basis.  Walking and exercises have become part of daily routine. People around me are noticing the change in me and that makes me feel good.

What does coach Sheetal Shah have to say about Bharatendu?

Bharatendu’s job involves a lot of travelling at least 10 – 15 days a month. Due to his work schedules, he was unable to dedicate time daily for workouts etc .  When he joined GOQii in November 2015, his long-term goal set is to lose weight. His smart goal was a brisk walk of 45 minutes initially and 30 minutes normal walk in the evening.   In the second month, I shared some strength training workout videos with him. Now he does Brisk and Strength training workout regularly. His water intake was pretty low..but that has also improved now and has increased to approx 2.5 liters in a day.

Bharatendu does not have any medical conditions nor he is on any medication. He is very much dedicated to the planned goals and follows them consistently.He logs the food data and syncs the band religiously. He has lost 6 kgs in the last 5 months. In Nov 2015, he weighed 78 kgs and as of April 2016, he weighs 72.1 Kg. His target is to reach 68 Kg. He has lost inches around his waist. We are now concentrating on fat loss rather than weight Loss. I monitor his meals and other data on a regular basis and suggest him dos and don’ts about healthy meal pattern.

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