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June 20, 2017 By GOQii Editor 1 Comment

First ‘Walk with A Doc’ begins in Mumbai with a bang !

Dr Aashish Contractor addressing the walker at the WWAD India’s first walk at NCPA-Marin Drive

For sedentary people, getting off the couch and taking that first step is a huge task and often the hardest step. While doctors give detailed exercise prescriptions with heart rate guidelines seldom do patients adhere to doing the exercises and following a regular exercise regime.

As Dr Aashish Contarctor, head of Dept-Rehabilitation and Sports Medicine at Sir H.N. Reliance Foundation Hospital in his book-‘The Heart Truth’ says, “My initial advice to people who do nothing at present is to simply start doing something. This something could be a daily walk of 10 minutes. Ony 10 minutes? Many ask and I tell them that is enough to get started.”

Dr. Aashish takking about heart and how to check pulse

No wonder that Dr. Contractor took to the idea of the ‘Walk with A Doc’ program very easily and led the maiden walk on Sunday June 18, 2017 from NCPA at 7 am in the morning. The 40-minute-long walk started at 7 am from NCPA and covered a distance of 5 kms on NCPA-Marine Drive promenade and ended back at NCPA at 7.45 am. The walk saw a large turnout of people who are patients of Dr. Contractor including GOQii players.

Walkers along with Dr. Aashish, GOQii Team and Sir HN reliance Foundation hospital team

The walk began with Dr.Ashish taking the walkers through the basics of understanding the Heart and how to measure pulse rate. In all a little over 50-people attended the first walk. Dr Bipin Chandra Bhambre, Dr Jaini Patel, dr Chandan Poddar and Dr. Richa Nadkarni from Sir H N Reliance Foundation hospital along with Dr. Akshat Chadha – head of medical services at GOQii attended the walk as well. The walk ended with a summation by Dr. Contractor.

“It was wonderful to see the enthusiastic response of the patients, inspite of rainy weather. They enjoyed the walk and were interested in both learning and walking more,” said Dr. Contractor.

Dr. Akshat Chadha, from GOQii said, “The concept of Walk with A Doc is an excellent idea for making ‘Practice what you Preach’ genuine. As a Doctor I keep telling all my patients to get up and get moving but that doesn’t mean that they do it. Seeing the doctor walk alongside, gives the due importance to being physically active along with creating a bond with the patient by breaking the doctor-patient barrier.”

The idea of walking with a doctor is to encourage people to gove up the sedentary lifestyle and focus on healthy living. Ideally, walking may be the simplest wat to work out. You can do it almost anywhere, and it’s easy tos tart- just put one foot ahead of the other.

Most walkers present were over the age of 50 and found the initiative ‘Walk with A Doc’ a very encouraging concept and found walking with their doctor very comfortable. They felt that the whole walk was so different from the regular walks that they have attended in the past.

Rahul Nandkeolyar who was one of the walker had this to say, “Not having been much of a walker, I actually walked approx. 5 km in about 45-50 minutes. Felt good. Would have done better if my shoes had not given way. I am now going to walk regularly around my home.”

Another walker said, “I like this idea of walking with the doctor. I would like to get tips regarding walking to loose weight, the walker said pointing to his wearable watch. How should I pace myself?” said another walker who participated. Most walkers were very keen to get tips on walking.

WWAD program aims to reimagine healthcare between doctors and their communities. Initiatives like WWAD will have great significance in India where the people are at a high risk due to sedentary lifestyle and the doctor to patient ratio is lower than WHO recommendations. WWAD aims to bridge the gap between the doctor and the community to promote preventive healthcare.

Dr. Aashish with his and GOQii team after the walk

GOQii and WWAD have strategically come together to spread this movement across India. The first walk in 2005 in the US with Dr David Sabgir, whose brainchild is ‘Walk with A Doc saw 101 people showing up for the walk. After 10 years, there are 3011 WWAD chapters spread across 44 states in the US averaging 25 walkers per walk; which are done weekly/bi-weekly/monthly by doctors.

Walk with A Doc has already helped thousands commit to a healthy lifestyle in USA and we at GOQii along with WWAD wish to make this program help many Indians commit to a healthy lifestyle under the able guidance of doctors in India. In addition to being part of an extremely rewarding program and helping patients lead healthier lives, Walk with A Doc can help improve patient satisfaction and has helped position doctors as wellness leaders in their communities.

Benefits of Walking

Maintain a healthy weight.
Prevent or manage various conditions, including heart disease, high blood pressure and type 2 diabetes.
Strengthen your bones and muscles.
Improve your mood.
Improve your balance and coordination.
Improves Posture and reduces Belly fat

May 27, 2017 By Farida Gohil 3 Comments

Low fat, low carb, or Mediterranean: which diet is right for you?

Losing weight sometimes takes experimentation. If you give a diet your best shot and it does not work long term, may be it was not the right one for you, your metabolism, or your situation.Genes, families, your environment – even your friends – influence how, why, what and how much you eat, so don’t get too discouraged or beat yourself up because a diet that “worked for everybody” didn’t pay off for you. Try another, keeping in mind that almost any diet will help you shed pounds – at least for a short time.

Here is a look at three common diet approaches.

Low fat: does not taste Great… and is less filling

Once the main strategy for losing weight, low fat diets were shoved aside by low-carb frenzy. But, healthy fats can actually promote weight loss, and some fats are good for the heart; eliminating them from the diet can cause problems.

Since fat contains nine calories per gram while carbohydrates contain four, you can theoretically eat more without taking in more calories by cutting back on fatty foods and eating more that are full of carbohydrates, especially water-rich fruits and vegetables. Still such a diet tends to be less filling and flavourful than other diets, which lessens its long-term appeal. And, if the carbs you eat in place of fat are highly processed and rapidly digested, you may be sabotaging your weight loss plan.

Low carbohydrate: Quick weight loss but long-term safety questions

Eating carbohydrates – especially highly processed ones like white bread and white rice quickly boosts blood sugar, which triggers an outpouring of insulin from the pancreas. The surge of insulin can rapidly drop blood sugar, causing hunger. Low-carb proponents claim that people who eat a lot of carbohydrates take in an extra calories and gain weight. Limiting carbs in favour of protein and fat is suppose to prevent the insulin surge and make you feel full longer.

To make up for the lack of carbohydrates in the diet, the body mobilises its own carbohydrates stores from liver and muscle tissue. In the process the body also mobilises water, meaning that the pounds shed are water weight. The result is rapid weight loss but, after a few months, weight loss tends to slow and reverse, just as happens with other diets.

The American Heart Association cautions people against following the Atkins diet because it is too high in saturated fat and proteins, which can be hard on heart, kidneys and bones. The lack of carb rich fruits and vegetables is also worrisome, because eating these foods tends to lower the risk of stroke, dementia and certain cancers. Most experts believe that the south beach and the less restrictive low-carbohydrate diet offer a more reasonable approach.

Mediterranean style: Healthy fats and carbs with a big side of fruits and vegetables

Good fats are the monounsaturated fats found in olive oil and other oils like Coconut oil etc,and the polyunsaturated fats found in fish, Canola oil, walnuts and other foods.(Saturated fats and trans fats are the bad guys.) Mediterranean diets tend to have a moderate amount of fat, but most of it comes from healthy fats. The carbohydrates in the Mediterranean-style diet comes from unrefined, fiber-rich sources like whole wheat and beans. These diets are also rich in fruits and vegetables, nuts,seeds and fish with only modest amount of meat and cheese.

People living in the Mediterranean countries have a lower-than-expected rate of heart disease. But the traditional lifestyle in the region also includes lot of physical activity, regular meal patterns, wine, and a good social support. It is hard to know what relative role these different factors play – but there is growing evidence that, in and of itself the diet can reduce cardiovascular risk and the development of Diabetes.

MAKE YOUR OWN

A good diet should provide plenty of choices, relatively few restrictions, and no longer grocery lists of sometimes expensive special foods. It should be good for your heart, bones, brain and colon as it is for your waistline. And, it should be something you sustain for years. Such a diet will not give you a quick fix. But, they can offer you something better- a lifetime of savoury, healthy choices that will be good for all of you, not just a part of you.

May 11, 2017 By Farida Gohil 2 Comments

Nutritional facts to help preserve muscles in Seniors

As you grow older it become imperative to work towrads building strength. The elderly need strength training more and more as they grow older to stay mobile for their everyday activities. The less active a person’s lifestyle, the earlier age-related changes will manifest.

According to International Osteoporosis Foundation (IOF), Nutrition working Group examines role of Nutrition in Sarcopenia, with focus on protein, vitamin D and B, and acid-based diet.

Age-related muscle loss, called sarcopenia, is a natural part of aging. An article published in Harvard Health said that after age 30, you begin to lose as much as 3% to 5% per decade. Sarcopenia is a common consequence of aging, and poses a significant risk factor for disability in older adults. As muscle strength plays an important role in the tendency to fall, sarcopenia leads to an increased risk of fractures and other injuries.

Quoting from an article in Harvard Health, according to Dr. Thomas W. Storer, director of the exercise physiology and physical function lab at Harvard-affiliated Brigham and Women’s Hospital, just because you lose muscle does not mean its gone forever. The elderly can increase muscle mass lost as a consequence of aging. “

The International Osteoporosis Foundation (IOF) Nutrition Working Group has published a new review which identifies nutritional factors that contributes to loss of muscle mass, or conversely, are beneficial to the maintenance of muscle mass. The Group reviewed evidence on worldwide studies on the role of nutrition in sarcopenia, specifically looking at protein, acid-base balance, vitamin D/calcium, and other minor nutrients like B vitamins.

The most obvious intervention against sarcopenia is exercise in the form of resistance training. However, adequate nutritional intake and an optimal dietary acid-base balance are also very important elements of any strategy to preserve muscle mass and strength during aging.

The review discusses and identifies the following important nutritional factors that have been shown to be beneficial to the maintenance of muscle mass and the treatment and prevention of sarcopenia:

Protein: Your diet also plays a role in building muscle mass. Protein is the king of muscle food. The body breaks it down into amino acids, which it uses to build muscle. The authors of the study propose an intake of 1.0-1.2 g/kg of body weight per day as optimal for skeletal muscle and bone health in elderly people without severely impaired renal function. .”While food sources are the best, supplemental protein can help if you struggle with consuming enough calories and protein from your regular diet,” says Dr. Storer.
Vitamin D: As many studies indicate a role for vitamin D in the development and preservation of muscle mass and function, adequate Vitamin D should be ensured through exposure to sunlight and/or supplementation if required. Vitamin D supplementation in seniors, and specially in institutionalized elderly, is recommended for optimal musculoskeletal health.
Avoiding dietary acid loads: Excess intake of acid-producing nutrients (meat and cereal grains) in combination with low intake of alkalizing fruits and vegetable may have negative effects on musculoskeletal health. Modifying the diet to include more fruits and vegetables is likely to benefit both bones and muscles. Emerging evidence also suggests that vitamin B12 and/or folic acid play a role in improving muscles function and strength.

The Review discusses non-nutritional interventions such as hormones, and calls for more studies to identify the potential of antioxidants and anti-inflammatory compounds in the prevention of Sarcopenia.

Strategies to reduce the numbers of falls and fractures within aging populations must include measures to prevent sarcopenia. At present, the available evidence suggests that combining resistance training with optimal nutritional status has a synergistic effect in preventing and treating sarcopenia.

Check with your doctor before embarking on any kind of strength-training routine. Then have a well-qualified personal trainer to help set up a detailed routine and supervise your initial workouts to ensure you perform them safely and in the best manner.

May 3, 2017 By GOQii Editor 7 Comments

GOQii ‘India Fit’ 2017 reveals alarming facts

1/3^rd Indians over 30 years suffer from Lifestyle diseases

4% people are suffering from high cholesterol, followed by 7.7% with diabetes and 6.7% with thyroid
Improper nutrition, lack of sleep and stress are adding to the fitness woes of Indians
Kolkata is the unhealthiest city with 35.7% population suffering from at least one lifestyle diseases; Bangalore is the new fitness capital of India closely followed by Mumbai and Pune on second and third spot
Average step count of Indian increases from 6680 to 7746 steps

GOQii, the health and wellness ecosystem that is striving hard to get Indians to be fit and healthy and prevent illness, has recently released it’s India fit report which reveals some hard facts. As per the GOQii India Fit’ 2017, while, the average daily step count of an individual across India is 7746 steps, a steady increase over last year’s figure of 6800 step counts, it still does not match the recommended daily step count of 10,000 steps by World Health Organization in order to lead a healthy lifestyle.

According to the report, Bengaluru and Much as moved ahead of Mumbai and is dubbed the most active city with a daily average step count of 7915. Bengaluru and Mumbai are followed by Pune. Younger population (below 35 years age bracket) in Bengaluru and Chennai is more active as compared to people in other cities.

While it is overwhelming to note that people are walking and striving to be fit, the alarming fact is that chronic lifestyle diseases are a cause for concern in the current times and the epidemic is spreading like wildfire here in India. There have been disruptive lifestyle changes in the country over the past two decades mainly due to the rapidly evolving urban economy and the Indian Middle class.

Chronic diseases (eg, cardiovascular diseases, diabetes, and cancer) and injuries are the leading causes of death and disability in India, and this is only likely to increase in their contribution to the burden of diseases over the next two decades.

As per the GOQii India Fit’ 2017 report, 33% of the Indian population above 30 years of age is suffering from one or more lifestyle diseases such as diabetes, cardiac problems including high cholesterol, blood pressure, thyroid, and Cancer. Close to 9.4% people are suffering from high cholesterol followed by 7.7% suffering from diabetes and 6.76% people suffering from thyroid.

Based on data from over one lakh subscribers of GOQii both male and female from across 8 fitness conscious cities in India namely Ahmedabad, Bengaluru, Chennai, Delhi, Hyderabad, Kolkata, Mumbai and Pune, the report states that since 2015 there is a consistent increase in lifestyle diseases. As per data, a major cause for concern is high cholesterol among individuals.

It is estimated that around 130 million may suffer from lifestyle diseases such as diabetes in the next few years. Apart from these two diseases, the other prevalent chronic diseases are Cardiac ailments, hypertension, and high blood pressure. The risk factors for chronic diseases are highly prevalent among the Indian population.

Vishal Gondal, Founder, and CEO of GOQii says: “Over the years, there has been an increase in the number of chronic diseases due to the disruptive lifestyle changes in the country. Lack of exercise, erratic eating habits, increase in stress levels and poor sleep patterns are just some of the key reasons behind the increase of this epidemic’’.“

Data starting January 2016 through December 2016 was collected to determine the various fitness metrics (rest & activity) such as steps, food, water, sleep, etc. We have been very meticulous in collecting data and then deciphering it to be realistic so as to bring out near accurate results.

Another alarming fact is Kolkata has earned the tag of being the unhealthiest city in India. The majority of the population in Kolkata suffers from lifestyle diseases related to stress, cardiovascular ailments, and digestive disorders. Kolkata also tops the chart with the highest number of digestive disorders. Cities like Chennai, Ahmedabad, and Hyderabad have maximum cases of obesity amongst Indians. Although awareness around the use of medication amongst people has increased, their lifestyle is still the same as there is no one to tell them the benefits of lifestyle change.

GOQii India Fit’ 2017 report indicates that an average Indian sleeps for 6.72 hours every day which is less than a healthy average of 7-9 hours daily. Lack of proper sleep is a grave concern for 31.3% population. And with age, India is sleeping lesser by the day. This coupled with the lack of exercise and increase in stress is adding to the cause of falling health levels of Indians. People in the age group of 31-60 years are the most stressed people in the country.

Gender wise data reveals that men across category are focused on staying active with weight training, playing sports and running apart from adding more protein in pre and post workout meals to their diet. Women, on the other hand, are focused on weight management and eating healthy. Women also prefer dance, yoga, and aerobics as part of their daily exercise.

Overall, the report recognises the fact that Indians are trying to improve their lifestyle but a lot is yet to be done. Eating right and exercising regularly is the first step in the right direction. ‘’It is encouraging to see that young Indians are increasingly focusing more on preventive health and controlling illnesses as they age. I hope that through such initiatives, we are able to motivate more people to adopt a healthy lifestyle,’’ ConcludesGondal.

First ‘Walk with A Doc’ begins in Mumbai with a bang !

Low fat, low carb, or Mediterranean: which diet is right for you?

Nutritional facts to help preserve muscles in Seniors

GOQii ‘India Fit’ 2017 reveals alarming facts

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