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December 13, 2016 By Urvashi Sareen 19 Comments

10 health care tips for a shift worker

vegi-protein

Shift workers as we know them are people who work through the night. But, ideally, it is not so. Anyone who works outside a steady 9 to 5 schedule is considered a shift worker. Working in shifts has become more prevalent in the last few years thanks to the numerous BPOs that have started across the country. Anyone working in shift goes through serious psychological and physiological changes that give rise to health issues

Working in a shift can have a serious impact both in the short and long term. Short term symptoms are equivalent to symptoms faced by individuals who have had a long flight, or a late night at work these include Gastrointestinal symptoms like upset stomach, nausea, diarrhea, constipation, and heartburn, Increased risk of injuries and accidents, Insomnia, decreased the quality of life and general feeling of being unwell.

Long-term effects are much serious and these include cardiovascular diseases, diabetes and metabolic syndrome. A Japanese study found that shift workers — specifically, those who worked 16-hour shifts — had a 50% higher incidence of diabetes than those who work during the day for normal hours.Metabolic syndrome is a combination of high blood pressure, high blood sugar, obesity, and unhealthy cholesterol levels. These lead to diabetes, heart attacks, and stroke. Apart from these individuals working in shifts are prone to obesity, mood swings and depression and serious gastrointestinal problems. 

Here are 10 healthcare tips for individuals working in shifts:

  • Take an hour or so to relax after work, whether it is day or nighttime. Relaxing music or a warm bath will help.
  • Eat meals at the same time each day seven days a week. This schedule helps maintain the body’s clock.
  • Eat high protein foods (egg whites, peanut butter on crackers, roasted nuts etc) to keep you alert. If you simply must eat some sweets, which tend to make you sleepy, do so at the END of your shift.
  • Avoid drinking alcoholic beverages before bedtime. Although the sedative effect helps you fall asleep, it tends to wear off in 2 – 3 hours and causes disturbed sleep in the latter half of the night.
  • Avoid coffee, tea, colas, and other caffeine drinks, which interfere with sleep. During a coffee break, drink orange juice and walk around. Physical activity promotes wakefulness.
  • Avoid going to bed on an empty stomach. If you don’t feel like eating much, try a glass of milk or dairy products, which promote sleep.Keep the temperature in your bedroom cool, not cold.
  • Darken bedroom or wear comfortable eyeshades. Eyes are sensitive to light even when the lids are closed, preventing you from falling asleep or getting consolidated sleep.
  • Block out daytime noises, which can disturb deep restful sleep. Use comfortable sponge ear plugs or “white noise” electrical devices such as fans, air conditioners, or a quiet tape.
  • Exercise, at least, every other day AFTER sleep. Daytime sleepers should avoid early morning exercise, which can promote wakefulness during the day.
  • Beware of certain medication. Avoid prolonged use of sleeping pills and other sedatives, which interfere with normal sleep patterns. Beware of cold and allergy medications which have sleep-related side effects. Pseudoephedrine (Sudafed) has a stimulating effect and antihistamines (Dristan) can cause drowsiness.

Follow these tips and bring a permanent shift in your lifestyle. Get healthy and fit.

December 8, 2016 By Farzana Chauhan 1 Comment

Health Benefits of the Wonder Spice Cinnamon

Cinnamon sticks and powder on wooden table. Selective focus

Cinnamon, an aromatic spice, is obtained from the inner bark of a tropical evergreen tree belonging to the laurel family. This hot and sweet spice does not only add a special flavour to different cuisines but also helps in combating health conditions such as diabetes, cancer, stomach flu, cold, cough and tooth decay among others.

Let us have a detailed look at the benefits of Cinnamon.

Type 2 Diabetes: It has been proved time and again that cinnamon helps in controlling blood sugar levels and is thus beneficial for Type 2 diabetes patients. Researchers state that cinnamon bark contains potassium, manganese, chromium, copper, calcium, iron iodine, phosphorus, vitamins A, Bi, B2, C and zinc that help in preventing and curing diabetes.

As per a study published in the Journal of Diabetic Medicine, the blood sugar levels of the participants who had cinnamon supplements showed greater improvement as compared to those who had the standard diabetes medicine.

Stomach Flu: Stomach infection can give you sleepless nights. While pain killers may give instant relief however doctors advice against these as they may cause adverse side effects. Cinnamon, known for its strong anti-bacterial properties, is an effective way to cure this condition. The strong anti-bacterial properties of this wonder spice helps in destroying the Salmonella, Campylobacter and Escherichia coli bacteria that cause stomach flu. Cinnamon also works faster as compared to other natural herbs.

Cancer: Cinnamon is also known to prevent cancer. Researchers claim that cinnamon extracts limit the growth of various kinds of cancer including melanoma cancer, colorectal cancer, cervical cancer and lymphoma cancer. It is said that this super spice interferes with a protein that aids the tumors in establishing blood supply which is imperative for their growth.

Weight Loss: Regular consumption of cinnamon helps in thinning your blood and improving blood circulation. Proper circulation of blood in the body boosts your metabolism and thus helps you lose weight. However, studies show that coumarin, the ingredient that mainly helps in thinning the blood is found in large amount in cassia cinnamon and regular and high dose of this particular ingredient is not good for your liver.

Cold and Flu: One of the most common problems, especially during the changing season, cold and flu may also be prevented with the consumption of this aromatic spice. It is the anti-bacterial and warming properties of cinnamon that help in fighting against this ailment.

Besides these, cinnamon also helps in curing arthritis, heart disease, irritable bowel syndrome, depression, Parkinson’s disease and boosts concentration power.

How to Have Cinnamon?

It is best to boil a few cinnamon sticks in water for some time and add some honey to it. You may even add ginger to it to make it more effective. Various brands sell cinnamon tea however it is better not to go for these as they have artificial flavourings and very little anti-bacterial properties.

It is also recommended to go for Ceylon cinnamon and not Cassia cinnamon which is readily available at the retail stores. This is because cassia cinnamon contains high levels of coumarin which may damage the liver.

 

November 22, 2016 By Shimpli Patil 2 Comments

Preparing for a 50 km Trail walk – What you need to remember and do

Marathon walking

Walking is one of the easiest things one can do. We all do it every day. But how does it feel when I say let’s walk 50 km in 18 hours! “Are you kidding me?” That’s exactly how I reacted when I came across the 50 km Trail Challenge. It is indeed a crazy bet!!

I have been into dancing and fitness for years. But, I never wanted to stop at just being fit. There has always been a kind of restlessness within me, an unreasonable desire to try out something new that I would remember for life and proudly tell my grandchildren about. That’s when I decided to push my limits and test my endurance and willpower, and there was ‘No way’ I could say a ‘No’ to this breath-taking Challenge – A 50 km Trail Challenge.

Apart from training, there are 2 most crucial things that we need to pay special heed to.

Nutrition and Hydration

Let’s check out what we need to do before, during and after the trail walk.

  • NUTRITION BEFORE THE TRAIL WALK (3 days prior)-

We need to keep our Glycogen stores ready. Glycogen is nothing but a storage form of Glucose (energy), which disintegrates to release glucose in the bloodstream when body demands energy.

The only way to build up the glycogen stores is to Carbo-load our body 3 days prior to the event (exactly how the marathoners do). Many people consider it as a “golden opportunity”. That’s simply because we have all the liberty to relish the foods which are otherwise considered “fattening”. You might think I am joking, but we need this to blow up our glycogen reserves, which would ensure sustained energy supply during the event.

It’s a complete carb-treat for 3 days! We need to have a mix of complex and simple carbs. We can enjoy Rice, Rotis, Potatoes, Sweet Potatoes, Fruits, Dry Fruits, Breakfast Cereals (Oats, Cornflakes, Wheat flakes, Muesli), whole wheat bread with Peanut Butter, Daliya (broken wheat), Idli, Dosas, Biscuits, Noodles, Whole Wheat Pasta, Spaghetti, Nachos, Tortillas. Go for tomato sauce in pasta/spaghetti/nachos instead of cheese sauce. Foods with cheese is acidic which might just slow down our body.

Acidic body equals to less Oxygen to the cells. Thus, along with carb-loading, we also need to make sure we keep our body alkaline. Oxygen breeds in an alkaline medium, and our cells need maximum Oxygen during this period. Quick ways to ensure alkalinity- Grab a glass of lemon water twice a day or simply sprinkle lemon over your food before you eat or go for a bowl of sliced cucumber during lunch and dinner. Stay off Naans and Tandoori rotis. Most importantly, we need to stay miles away from the road-side food or unhygienic food as we don’t want to fall ill few days before the event or ever.

  • HYDRATION BEFORE THE TRAIL WALK

3 days prior, we need to double our water intake. If you drink 3 litres on a regular basis, you got to drink 6 litres now. This is just to make sure our body cells are well hydrated and well energized.

  • NUTRITION DURING THE TRAIL WALK

Surprisingly, you don’t feel very much hungry during the walk as your primary focus is on walking and completing it. Now that doesn’t mean you should forget to eat. We need the sugar boost, we need the food! Carry dry munchies with you such as dry fruits, nuts, khakras, biscuits, cookies, rice puffs or wheat puffs, roasted chanas, peanuts, fox nuts (makhanas), soya nuts, energy bars, etc. and munch on them at regular intervals not only for energy but to prevent acidity and headache caused due to large meal gaps.

When you halt for breakfast/lunch/dinner, make sure you aren’t loading your body with too much food. It might just make you sluggish and sleepy, making it difficult for you to get going again. Ensure that you effectively follow the ‘Portion Control’ mantra rather than going overboard with eating.

  • HYDRATION DURING THE WALK

Though we don’t feel the hunger, our thirst center is very much active and we need to quench our thirst at regular intervals. It’s important that we don’t GULP down water but patiently SIP it.

Apart from plain water, we also need electrolytes (Sodium-Potassium) to prevent cramps/spasms while walking. Carry a small 250 ml bottle filled with ORS (electoral/ glucon D/ enerzal/ lemon water with salt) and make sure it lasts for the 10 km distance, which means we need not even over consume the electrolytes. Remember, moderation is the key.

NUTRITION AFTER THE TRAIL WALK

Now this feels Wow! It’s time to celebrate! It’s time to rest and recover. Along with carbs, we now need adequate good quality proteins as well.

Look out for a good mix of carb+protein in your meals-

Milkshakes or Fruit Smoothies, Paneer Roll or Paneer toast, Hummus with Pita bread, roasted Chicken or Chicken gravy with bread/rotis, Yogurt sprinkled with crushed nuts/chopped fruits/pumpkin seeds/sunflower seeds, Sprout Chaat with chopped veggies, Egg and Cheese toast, Grilled Fish with Boiled Potatoes and Salad, Bean rice (Rajma-Kidney Beans) with curd.

These are a few ways of ensuring that your muscles are well treated with proteins for recuperation and that your body is fuelled with a good power supply (carbs).

HYDRATION AFTER THE TRAIL WALK-

You can get your water intake back to normal, but make sure it doesn’t go below 3 litres.

12 glasses or 3 litres is what our body needs to stay hydrated even on a regular basis.

So folks, gear up for the Mega event of your life, feel the rush and say it out loud- “BE THE FORCE!”

November 14, 2016 By Dr Ashwin Nanda 2 Comments

DECODING DIABETES

Diabetes-Day

Last month, I had 2 patients on the same day diagnosed with Diabetes- one an overweight 34 year old IT professional and the other a 6-year-old girl. The reason, why this incident comes to my mind today is because they were both diabetics but, had different diabetes and even their course of treatments was different.

But, the first question I was asked in both the cases was whether they will need to be put on insulin injections immediately. Well, this is a common question asked by patients. To understand this condition better, let me try and explain a bit about the different types of diabetes on the basis of which the required treatment is normally recommended.

Diabetes is a group of metabolic disorders in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body’s cells do not respond properly to insulin or both. Common symptoms of either diabetes are unexplained weight loss, excess hunger, and excess thirst and delayed wound healing.

Today, I would like to take you through specifically 3 major types of diabetes namely, Type 1, Type 2 and gestational Diabetes.

Let’s talk about

Type 1 Diabetes: is caused by a loss or malfunction of the insulin-producing cells in the pancreas, called beta cells. Damage to beta cells results in absence or insufficient production of insulin. Most cases of Type 1 Diabetes have an autoimmune basis in which immune system mistakenly attacks and destroys its own beta cells. These cases are detected either in childhood or teenage years. There are many theories about what causes type 1 diabetes like autoimmune disease, viral infection, genetic predisposition and environmental factors may also play a role.

Whatever be the cause, this missing insulin has to be replaced as insulin is necessary to sustain life. It is responsible for entry of glucose into the body cells from where the glucose is further utilized for energy and other activities. This glucose which is not entering the cells is circulating in the blood which gets detected as high blood sugar. The replacement insulin is administered by injection using a syringe or an insulin pump. Thanks to the invention of Insulin clubbed with a healthy lifestyle, a Type 1 diabetic is able to lead a happy good quality life.

Coming to Type 2 diabetes most often than not your tissues will be resistant to insulin, so the insulin is being produced but unfortunately not being utilized properly. It is the most common form of diabetes worldwide and accounts for 90-95% of the cases.

Insulin resistance in type 2 diabetes means the signal insulin gives to a cell is weakened. This results in less glucose uptake by muscle and fat cells and a reduction in insulin mediated activities inside cells.

Risk factors for Type 2 Diabetes include an Unhealthy Lifestyle (being physically inactive or less active, erratic food and sleep habits, stress), being overweight or obese and importantly family history of diabetes in close relatives.

Diabetes-Risk

We have ample medicine combinations for type 2 diabetes like tablets which keep the blood sugar under control. But if sufficient sugar control is not achieved in spite of oral medications and a healthy lifestyle, then insulin might be required for further management.

Another type of Diabetes I would like to talk about is Gestational diabetes which basically refers to diabetes diagnosed during pregnancy.

Pregnancy hormones can interfere with the way insulin works in the mother’s body which can lead to elevated blood glucose levels during pregnancy. Women are typically screened for gestational diabetes at 24-28 weeks of pregnancy, however, women who have risk factors may be screened earlier.

Risk factors for developing gestational diabetes include having a family history of diabetes, being overweight, or over 28 years old. Blood glucose control during pregnancy is critical as elevated maternal glucose levels can lead to pregnancy complications and pose risks to the health of the baby. Gestational diabetes is likely to recur during subsequent pregnancies.

Gestational diabetes requires specialized treatment for the rest of the pregnancy. After the pregnancy is over, most women will have normal blood sugars again; however, up to 20-50 % can develop type 2 diabetes within 10 years. Regular screening is recommended.

A study conducted on people at risk of type 2 diabetes, it was seen that those who lost just 7% of their weight and exercised about 30 minutes a day cut their risk of diabetes by nearly 60%. In a nutshell, irrespective of the type of diabetes the best prevention or diabetes management strategy is to eat healthy, stay active and keep a check on your weight.

Reference: University of California, San Francisco – Diabetes online Education website.

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