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May 25, 2015 By Anushree Ashtekar Leave a Comment

Red Signal to Excess-Part 2 – Moderation is key to Good health

eat in moderation

In Part 1, we saw how good things in excess can adversely affect our health. In this follow up blog, I talk of bad things in excess, which is also not right.

Let’s take a look at some of these bad things in excess and how it could be detrimental to our health.

1) Excessive consumption of junk/processed foods: Fast food means food that can be made and served quickly. These junk foods are mostly processed, containing large amounts of refined carbohydrates, added refined sugars, added salt (sodium) and bad quality fats. They are high on calories but, minimal on nutritional value. Eating junk/processed foods instead of fresh, whole, nutritious food has many adverse effects on the body. Junk foods and drinks are packed with refined sugars which cause insulin spike gradually leading to insulin resistance and Type- 2 diabetes.

The empty calories just go easily go into the body fat store leading to obesity which can further give rise to severe health issues like heart problems, respiratory problems, etc. The trans fats in the junk foods, increase the LDL cholesterol levels and subsequently decrease the HDL cholesterol levels. Lot of salt (sodium) causes water retention, high blood pressure and enlarged heart muscle. Too much sugars cause acidity which destroy the tooth enamel causing dental cavities. MSG (Monosodium Glutamate) found in processed foods create stomach distress. Some of the artificial colors and preservatives used in processed foods are found to be carcinogenic (cancer causing). Drinking too much of soda can leach calcium out of the bones making them soft and brittle. Also, the aluminium soda cans are inwardly lined with an epoxy resin called bisphenol A (BPA) which protects the metal can from the reaction of acids in the sodas. This BPA is found to be disrupting normal hormone functioning that can lead to obesity, diabetes and reproductive cancers.

2) Excessive alcohol consumption: It is no big secret that alcohol consumption has no good effects but, chronic heavy drinking has many bad effects. Researchers have found alcohol to be linked to more than 60 diseases. Alcohol can cause liver cirrhosis. Alcohol is empty calories so, can cause unwanted fat storage in the body. Alcohol disturbs the working of the sympathetic nervous system leading to high blood pressure, heart problems, stroke and kidney disease. Heavy drinking can cause gastritis (stomach irritation), inflammation of pancreas, decrease in immunity, nerve damage (alcoholic neuropathy). As people age, their brains shrink but, heavy drinking can cause faster brain shrinking leading to memory loss and other symptoms of dementia. Depressed people drink to ‘feel good’ but, in fact, drinking leads to further depression. Alcohol can aggravate the condition of gout. It can worsen the condition of an epileptic and cause seizures even in non-epileptic individuals. Chronic heavy drinking can lead to cancer of the mouth, esophagus, liver, breast, and colorectal region.

3) Excessive cigarette smoking/tobacco chewing: Nicotine is a highly addictive drug that alters the brain chemistry making it both, physically and psychologically addictive. According to AHA (American Heart Association), nicotine causes short-term rise in heart-rate, blood flow and blood pressure which, in a long term, can cause cardiovascular complications. Carbon monoxide in cigarette smoke causes fat buildup in arteries leading to hardening of the arterial walls (atherosclerosis). Tobacco smoking and chewing, both, can lead to oral and lung cancers. Smoking/chewing tobacco can also cause tissue damage in various organs of the body and dental diseases.

4) Excessive Tea/Coffee drinking: We all wish to have a cup of tea/coffee to kick-start our day. It’s not too bad to drink tea and coffee. It is the too much drinking that is the concern.

Caffeine is a natural stimulant found in coffee, tea, chocolate, yerba mate and certain herbal teas. Caffeine is generally a very safe stimulant. It improves alertness and is a mood enhancer. Usually, it is 200-300 mg of coffee that can be safely consumed per day (roughly 3 cups) but, this differs from person to person, depending on their own ‘caffeine sensitivity’. Too much coffee consumption can lead to symptoms like irritability, nervousness, headache, dizziness, insomnia, fever, increased heart-rate, increased thirst, stomach upset and muscle tremors. Same is the case with teas. A cup of hot tea in the morning will boost your energy for the day where as a cup of herbal tea at night will help you relax. Tea contains lesser amount of caffeine than coffee but, there are side effects of having too much of it.

Drinking too many cups of tea in a day can lead to symptoms like restlessness, anxiety, disturbed sleep, skeletal fluorosis (a painful bone condition), yellow pigmentation of the teeth. Green tea is no less. Though healthy, if had too much, it can worsen the condition in people suffering from high blood pressure, anxiety and stomach ulcers.

5) Excessive stress: In this fast paced world, stress is become an inevitable part of our lifestyle. Our body reacts/adjusts to outward changes with physical, mental and emotional responses. This response amounts to stress. Stress is a part of our daily, normal lives. Our body is designed to feel and react to 2 kinds of stress; positive and negative stress. Positive stress is the one where the body prepares itself for a ‘fight or flight’ mode. Negative stress is the one in which the body is continuously facing challenges, without time for rest and recovery. As a result, stress related tensions build up. A person going through stress for a very long time without relief, can enter a stage called as ‘distress’. This distress is indicated by many physical symptoms like fatigue, headache, dizziness, disturbed sleep patterns, high blood pressure, stomach upsets. Stress plays a role in aggravating medical conditions like diabetes, blood pressure, heart problems, depression, asthma, anxiety, skin problems, gastrointestinal disorders, Obesity, Alzheimer’s disease. In many cases, chronic, untreated stress can also lead to accelerated ageing and premature death.

Lastly, I would like to end by saying, “too much of anything, is good for nothing”.

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 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 27, 2015 By Shimpli Patil 38 Comments

Should we brisk walk before the meal or after?

people_walking

As an adolescent, I was a victim of this common misconception that brisk walking immediately post meal helps burn calories. It’s quite natural to think that once we eat a meal and walk it out quickly, it will burn the calories that we just consumed. But hey! For that food to get converted into calories it requires a long process, which is called nothing but digestion. Unless and until we don’t let the food to get digested thoroughly, are we going to burn the calories? Obviously not!

Brisk walking post meal is a not a very good idea. It may cause acid reflux, ingestion or stomach upset. The reason is very simple- after the meal, our digestion process is all ready to go. Digestive juices are released in the stomach and intestine. This is the time when the stomach and intestine need most blood supply to carry on this process smoothly. Hence, the blood flow needs to be directed to this area for better digestion. If we perform any vigorous activity as simple as brisk walking after the meal, the blood circulation gets directed to our extremities which compromises the blood flow to the core region of the body, thus hampering the digestive processes.

Working out especially post dinner not only affects our digestion but may also postpone our sleep time. Workouts are a stress buster. Our body experiences an endorphin rush (feel good factor) after a nice cardio/strengthening session. Once we are on an endorphin high, we feel extremely elated and energized which tends to delay our sleep.

So what’s best for us? It’s always best to go for a brisk walk or any other workout before the meal (30 minutes prior or so). It exhausts our body’s energy stores which is then all set to fill up the stores again with a good meal. This reduces the chances of fat conversion during the meal as whatever we consume is utilized by the body cells for energy which leaves least for fat storage. In short, a pre meal workout fires up our body’s metabolism which therefore ensures better burn up of calories after we consume and digest the meal.

A similar point was proven by a 2006 study published in “Applied Physiology, Nutrition and Metabolism,” which says that people who walked prior to putting any food in their stomach and who walked hard enough to perspire burnt more fat than those who walked after eating.

Thus, it’s quite clear that in order to reap most benefits of brisk walking or other workouts, we need to schedule it prior to our meal. However, we can certainly go for a leisurely walk post meal, but again, not immediately. We can go after a 45 minutes gap. That is just to get over the bloat of eating way too much or to give your muscles a good stretch and it’s anytime a better option than promoting fat deposition by lying on the sofa watching TV. But remember, this should be a short 10-15 minute walk and not a long one.

Now that we have blown away the misconceptions, let’s implement the right thing and experience the change! Let’s Rock the pre-meal walk!

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