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September 11, 2017 By Luke Coutinho 4 Comments

Signs you need to know to support your metabolism

fast-metabolism

When we hear the term “fast metabolism,” it’s usually regarding people — often younger than us —who seem to be able to eat whatever they want and as much of it as they can: They can indulge in sweets, fried food, simple carbs and more without gaining an ounce of fat.

But just because they don’t appear to gain weight, it doesn’t necessarily mean they’re optimally healthy.

They may experience the same low energy, mood swings, brain fog, digestive upset and other effects of unhealthy dietary habits which over time can worsen.

You see, true metabolic health isn’t just about having your cake and eating it too, so to speak.
The state of your metabolism has much more to do with your overall health than simply your weight. Metabolism lies at the foundation of health. It’s a complex system that directly influences how our cells, tissues and body systems function and get the nutrients they need — while getting rid of what they don’t.

Metabolic processes are involved in our most critical areas of health, including cardiovascular, cognitive, inflammation and immunity. Essentially, good metabolism doesn’t mean you don’t gain weight, it means you feel good every day, have plenty of energy for daily activities and are in good overall health. Poor metabolism often means the opposite.

Just as metabolic health can be influenced by a variety of factors, a number of signs and symptoms can indicate that your metabolism needs support. If left unchecked, these early signs may eventually manifest into metabolic syndrome and its dangerous offspring, Type 2 Diabetes. If you experience a number of these signs regularly, it’s time to take action.

Wide Waist: What’s your waist size? Extra fat around the abdomen is the unhealthiest type of fat and one of the most common signs that you may need to support your metabolism. If you are a man with a waistline of 40 inches or greater, or a woman with a waistline of 35 inches or greater, your metabolic health may need to be examined.

Fatigue: Do you generally feel run down, like you’re “running on fumes?” Do you become exhausted after eating? Feeling sleepy once in a while after a restless night can be expected. But, if you are frequently tired with low energy throughout the day — even after a good night’s sleep — your metabolism may be to blame.

Excessive Sweating: Do you sweat for no apparent reason? Perspiring when it’s hot or you’re doing hard physical exertion is normal and healthy. But if simple, daily tasks like doing the dishes or walking up a flight of stairs make you drip, you may need to address your metabolic health.

Poor Circulation: Do you feel cold all time? Are your fingers and toes always chilled or do your hands and feet fall asleep easily? When you hurt yourself, does it take a long time to heal? Low circulation may be a sign that your metabolism could use some help.

Unhealthy Gums And Teeth: Do your gums bleed when you brush or floss? Are they painful? Do you have a propensity for cavities?
More and more research points to a relationship between gum disease and chronic health conditions such as heart disease, cancer, and metabolic issues such as diabetes and metabolic syndrome.
How regularly do you see the dentist? If your oral health is suffering, your metabolic health may be deteriorating according to research demonstrating links between metabolic dysfunction and periodontitis.

Maintain Metabolic Health: So you’ve determined that your metabolism isn’t what you want it to be. Now what? The good news is that a large part of your metabolic health can be improved using targeted diet, exercise and lifestyle adjustments.

Handle Stress: High stress is a culprit in metabolic mayhem. It fuels inflammation and metabolic-disrupting stress hormones like cortisol. Try adding 15 minutes of meditation to your daily routine. In addition, when you feel your stress levels are getting out of hand, take 20 seconds to stop whatever you’re doing and simply breathe. Take three deep breaths and exhale fully, pulling your bellybutton toward your spine to completely empty your diaphragm. A mere 20 seconds is so quick that nobody will even notice that you “checked out” for that time.
But it may be enough to bring you (and your metabolism) some peace.

Exercise: Any kind of cardio (aerobic exercise) helps to both rev up your metabolism and reduce your stress. Studies show that 1½ hours per week of moderate physical activity, like brisk walking, keeps the average person healthy (more is needed if you want to lose weight). What’s more, studies show that 10 minutes work out too work just as well as 45-minute workouts, as long as your total exercise time adds up to 90 minutes or more over the course of the week.

This is a relief for any busy person; it’s much easier to fit a 15-minute walk into your daily lunch break than it is to get up an hour early to go to the gym. Although light cardio is important, don’t forget to include some muscle-building exercises. Muscle is more active than fat, so more muscle means more efficient metabolism. Explore different ways to fit muscle training into your day. Do squats while you’re waiting for dinner to cook. Do some push-ups or sit-ups while waiting for your shower to get hot. Install an over-the-door pull-up bar and do one or two pull-ups every time you walk by. Be creative!
Healthy Diet:

Easy metabolic tip:

(i) Eat more green vegetables, fiber and protein. Eat less sugar and simple carbs.

This alone should be enough to put you well on your way to metabolic health, but it’s not hard to take your food consciousness to an even higher level for greater vitality and health.

(ii) Learn the difference between good fats and bad fats. For example: deep-fry oil, trans-fat and anything hydrogenated are all bad. Omegas, coconut, avocados, olive oil, seeds and nuts: These are good.

(iii)  Incorporate vegetables of some form into every meal: Yes, even eat these at breakfast! Try blending some spinach or kale into a fruit and yogurt smoothie and I bet you won’t even taste the greens. Vegetables should make up at least half of each meal.

Supplements

Natural supplements like curcumin, caratirm, and special teas like Green and herbal infusions can stroke the metabolism and help in the whole process of wellness.

Your metabolism defines your health from a cellular level. Take care of it. It’s never about weight loss, it’s about your metabolism and how strong it is.

 

 

 

September 9, 2017 By Dr Ashwin Nanda 17 Comments

Know all about Dengue and Chikungunya and how to prevent it

Dengue and Chikungunya

Chikungunya and Dengue have created havoc in the capital city of Delhi and certain other parts of the country. The death toll from the two vector-borne diseases has been climbing every day even as the number of affected people crossed 2,800. It has been reported that according to the National Vector Borne Disease Control Programme (NVBDCP), the number of chikungunya cases in Delhi had spiked to over 2000 till September 11 as fever clinics in the city continue to be swamped with patients.

The World Health Organisation has said that in recent years, globalisation of travel and trade, unplanned urbanisation and environmental challenges including climate change has had a “significant” impact on transmission of vector-borne diseases.

However, the key to averting such an adverse outcome is timely diagnosis and appropriate monitoring along with supportive care.

Let me begin with the basics about dengue and chikungunya…….the culprit for both is the Aedes aegypti mosquito and hence a person can be infected with both diseases simultaneously by its bite. Viruses are the cause of both problems, which enter the mosquito when it bites a human suffering from dengue or chikungunya.

The most likely time for this mosquito to bite is 2 hrs after sunrise and 2 hrs before sunset but, probability of a bite occurring is anytime during daylight hours. So it’s active during the time when most of us are also likely to be outdoors.

Chikungunya begins with sudden onset of high fever, ranging from 101 to 105 degree Fahrenheit accompanied by severe pain in joints. Other symptoms like chills, headache, fatigue, abdominal pain, nausea, vomiting, diarrhea, reduced appetite and conjunctivitis can also be seen. Rash occurs typically on day 2 or 3 when the fever has subsided along with itching.

The Complete Blood Count (CBC) may show reduction in the total White cell count and platelet count, though neither are severe nor life threatening. IgM (Immunoglobulin M) antibody against Chikungunya can be detected in blood after 5 days till months after onset of symptoms. Joint pains and stiffness can last for weeks or months and can be distressing.

Treatment involves paracetamol to control fever, although NSAIDS (Non-Steroidal Anti Inflammatory Drugs like Brufen and diclofenac) may be needed to reduce fever and joint pains as paracetamol may not suffice. Ice compress on the joints can reduce pain. Ensuring water intake of at least 3 liters/day for adults is a must to counter the dehydration resulting from high fever. Antihistamines reduce the rash and itching. Extreme joint pains get relieved by oral steroids.

Dengue is equally dangerous and spreading. According to New Johns Hopkins Bloomberg School of Public Health’s research finds that the Dengue virus is the most rapidly spreading virus transmitted by mosquitoes and is a major source of illness in the tropics and subtropics, infecting as many as 400 million people annually.

Dengue symptoms are no different from Chikungunya. Both have similar onset with high grade fever (102 to 105 degree fahrenheit), headaches especially behind the eyes, back pain, muscle & joint pains, weakness. Rash can also occur. Cold and cough, vomiting and diarrhoea may accompany other symptoms. The diagnosis can be done through blood tests like Dengue NS1 which comes positive during first 3 days of fever & Dengue IgM which is detected from 5th to 7th day from onset of fever.

Treatment of uncomplicated dengue is same as chikungunya. Hospitalization is a must in worsened abdominal pain & vomiting, significant fall in blood pressure, breathlessness and platelet count going lower than 30,000. Platelet transfusions may be needed along with fluid infusion.

There are no antiviral medicines yet for dengue and chikungunya. Prevention of mosquito bites is the easiest way of avoiding these diseases, wearing full length shirts & trousers helps, applying mosquito repellent & using mosquito nets goes a long way in avoiding bites.

The Aedes aegypti mosquito breeds in stagnant fresh water which is avoidable by disposing used plastic bottles & discarded tyres properly. Pooling in plant trays and coolers also needs to be prevented. Also one should cover water containers that can be mosquito breeding grounds.

August 7, 2017 By Jayshree Dhabalia 1 Comment

Let’s understand Cravings

Three colorful green, pink and yellow tart cakes wrapped in measuring tape on white background, unhealthy lifestyle concept, studio

Food craving (defined as an intense desire to eat a specific food) is of interest because it is extremely common and because it influences obesity or nutritional status. It has also been suggested that food craving may be the evolutionary source for cravings of all kinds including cravings for drugs and alcohol.  “Surveys estimate that almost 100% of young women and nearly 70% of young men had food cravings during the past year,” says Mercia Levin Pelchat, of Monell Chemical Senses Center in her published article ‘Food Cravings in Young and Elderly Adults’ in the journal Appetite*

As humans, we’re biologically wired to crave for Food. The more bad food we eat, the more our body will learn to accept and want them. We become addicted to highly palatable, energy dense food. Well, yes many of the food we eat today (ready made) are extremely addictive, and we are hardwired to crave them. Anything that gives us pleasure and offers relief, our body will want more and crave.

What food am I referring to?

Processed food. They are prepared with a combination of fat, sugar, and salt and provide very fewer nutrients.

Studies have found, highly processed food have the same effect on the brain as some drugs. It helps release feel good hormone which in turn helps to relieve stress temporarily.

What about those people who have food craving even without indulging in processed foods often? The answer for this could be due to missing micro nutrients from your diet, which causes you to crave for certain foods.

amazed young woman eating popcorn

What’s the Solution to Carvings?

Let’s take a look at why we should be adding more veggies, fruits, and other unprocessed food to our diet.

I have covered here few very commonly reported cravings and deficiency associated with the same:

Food Craving Bread
Nutrient Deficiency Nitrogen
Nutritious food Green Leafy Vegetables, Nuts, Seeds, Legumes, Grains
Food Craving White Pastas, Cake, Pastries
Nutrient Deficiency Chromium
Nutritious food Onion, Lettuce, Tomatoes, Cinnamon, Grapes
Food Craving Crisps/Potato Chips, Salty foods
Nutrient Deficiency Chloride
Nutritious food Celery, Olives, Tomatoes, Kelp, Himalayan Sea Salt
Food Craving Chocolate
Nutrient Deficiency Magnesium
Nutritious food Raw Cacao, Whole Grains, Beans, Nuts, Seeds, Fruit, Green Veggies
Food Craving Fizzy/Aerated Drinks
Nutrient Deficiency Calcium
Nutritious food Broccoli, Kale, Sesame seed, legumes, mustard, turnip, greens
Food Craving Coffee / Black tea
Nutrient Deficiency Sulphur
Nutritious food Cruciferous Veggies, Cranberries, horseradish, garlic, onion
Food Craving Ice, Chilled water
Nutrient Deficiency Iron
Nutritious food Beans, Legumes, Dates, Black raisin, Jaggery, Spinach
Food Craving Sweets
Nutrient Deficiency Phosphorous
Nutritious food Citrus Fruits, Green Leafy Veggies, Banana, Tomatoes, Black Olives.

As you can see on the table, a simple mindful inclusion of certain food does not only save you from lot more cravings and its ill effect but can also provide you with lots of nutrients and minerals.

So what will you choose?

*Appetite is an international research journal specializing in cultural, social, psychological, sensory and physiological influences on the selection and intake of foods and drinks. It covers normal and disordered eating and drinking and welcomes studies of both human and non-human animal behaviour towards food

 

August 2, 2017 By Dr Ashwin Nanda Leave a Comment

Understanding Autism


I have had firsthand contact with 2 children with autism in my complex and hence I wish to share my experience with these children and talk about Autism. An autistic child lives in her/his own world and finds it quite difficult to associate and relate to the external world. The child takes a long time to bond with another person, even the mother child bonding takes very long to develop. Children with autism seldom establish eye contact, do handshakes and give high fives like their counterparts. They seem extremely shy but the issue is deeper than just being plain simple shy.

Let me take you through these kids’ stories and also in the process talk about what is Autism?

This is the story of Rudraesh, 13. He is the second son and his mother recalls that when he was brought home from the maternity ward after 4 days, he cried a lot for the next 2 days. This behaviour of his was peculiar as she remembers her elder son never reacted this way. In hindsight, she says that it was typical of an autistic child to be uncomfortable in a new environment. When her son did not develop the social milestone of smiling at another person which her elder one had, she got worried and consulted the paediatrician who confirmed her fear that he was autistic.

Autism is a spectrum of disorders in which the difficulty to adapt to the world and be able to take care of oneself varies from mild to severe. Rudraesh is severely autistic since it took 12 years for him to get toilet trained and hygiene conscious. Since his elder brother is normal, his mother feels the reason for his autism is the undue emotional stress she had while she was pregnant with him.

The exact cause of autism still eludes mankind. Researchers are trying to find possible associations which lead to autism. A strong belief is that MMR vaccine (Measles, Mumps and Rubella) predisposes a child to autism. Indiscriminate use of antibiotics during pregnancy and infancy is also suspected to increase the chances of autism. It appears that autism runs in families since many extended families have more than one child affected by it.

Rudraesh has the good fortune of having a dedicated and caring mother and a father who is earning well. She has painstakingly ensured that he picks up basic survival skills and his father spares no expense in getting best possible assistance in the form of special schooling and occupational therapy. Their dream is that Rudraesh can earn a living for himself and be self-sustained. It’s a challenging dream but with the hard work that both parents are putting in, it looks like a reality albeit in distant future.

The second story is that of Madhav, 5. Madhav’smom was heartbroken when the paediatrician diagnosed him to be a mildly autistic child. Initially, she thought her son was mentally retarded. Unlike mentally retarded children, autistic children usually are gifted e.g a few of them have a drawing and painting talent and some are excellent with numbers. Remember Dustin Hoffman’s character in the epic movie Rainman?

Hoffman played an autistic adult who won his brother millions in the casino because of his mathematical gift of predicting permutations in the card deck. Madhav is a mild case because he was able to do a lot of other activities which kids his age did except that he didn’t know his name was Madhav, something a normal 8 months old definitely knows. He wouldn’t respond when his name was called out. Since his autistic trait was diagnosed in time and his parents took help from a good team of therapists who treat children with developmental delays, at age 4 years he is now at par with other normal children. The therapy involves multiple innovative ways of stimulating the child’s brain to grow and learn and catch up.

To summarize, autistic individuals need a lot of support and patience from the society so that their troubles can be minimized.Occupational and behaviour therapy specialists along with parents of these children make a lot of efforts to help them learn to integrate with the world around them and we as mature citizens also need to support them by being non-judgemental and understanding.

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