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March 1, 2025 By Dr Ashwin Nanda 2 Comments

Tension or HYPERTENSION

hypertensionI can’t count how many times in my 12 years of medical practice a patient with just a headache has eventually been diagnosed with high blood pressure (hypertension). Whenever a patient complains of a headache, I always make it a point to check their blood pressure (BP), as it is a very common symptom of fluctuating BP. This often presents around the temples but can also be felt at the back of the head (occipital region).

What is Blood Pressure?

The pressure exerted by the column of blood flowing in the arteries once it has been pumped by the heart is called systolic (higher value) blood pressure. Diastolic (lower value) BP refers to the resistance in the arteries, which is always present due to their elastic tone.

Blood Pressure Categories:

  • Normal: Up to 120/80 mmHg
  • Pre-Hypertensive: 130/90 to 140/90 mmHg
  • Hypertension: Above 140/90 mmHg

A person is diagnosed with high BP if three readings taken on separate days are consistently high.

BP - HypertensionSigns & Symptoms of Hypertension

If I have to look for signs of high BP, these symptoms should raise suspicion

  1. Headache
  2. Feeling of tiredness.
  3. Difficulty breathing
  4. Heaviness in the eyes / blurred vision.
  5. Irritability
  6. Severe cases: Heart attack or haemorrhagic stroke

What Causes High BP?

High BP is common in adults over 50 but is increasingly being diagnosed in younger people due to poor lifestyle choices, such as:

  • Lack of sleep—Irregular sleep cycles disrupt the circadian rhythm.
  • High salt intake—Excess salt from processed foods, snacks, pickles, and sauces.
  • Smoking—Nicotine constricts blood vessels, increasing BP.
  • Obesity—Being overweight adds strain to the heart.
  • Lack of exercise—Sedentary lifestyle leads to poor heart health.
  • Stress—From chaotic city traffic, financial strain, and work pressure.
  • Other Causes: BP can also rise due to secondary conditions like thyroid disorders and narrowing of arteries supplying the kidneys (Renal Artery Stenosis).

Why is it Important to Maintain Normal BP?

Persistently high BP damages the internal lining of blood vessels, gradually affecting the brain, kidneys, and eyes. This can lead to serious complications such as:

  • Stroke (brain damage due to reduced blood flow)
  • Kidney failure
  • Hypertensive retinopathy (damage to the eyes)

All of these complications can be prevented by keeping BP within the normal range.

Managing High BP Naturally

Since lifestyle choices are the single most important factor in controlling BP, here’s how you can manage hypertension without medication:

  • Sleep Better:
    • Aim to sleep by 11 PM and wake up by 6-7 AM to regulate your circadian rhythm.
    • Avoid using screens before bedtime to improve sleep quality.
  • Diet Adjustments:
    • Reduce salty foods such as crisps, salted nuts, pickles, and processed sauces.
    • Eat more potassium-rich foods like bananas, spinach, and lentils.
  • Exercise Regularly:
    • Engage in 45 minutes of brisk walking, 30 minutes of swimming or cycling, or 30 minutes of aerobics at least 5 days a week.
    • Strength training also helps improve circulation and heart health.
  • Manage Your Weight: 
    • If overweight, aim to lose 1-2 kg per month until you reach a healthy BMI (Body Mass Index) of 25.
  • Reduce Stress: 
    • Practise deep breathing or meditation daily.
    • Set realistic personal and professional goals to avoid unnecessary stress.
  • Stay Socially Connected:
    • Engage in social activities and maintain a healthy support system. A positive social life can improve mental health and reduce stress-induced BP spikes.

When to Consider Medication?

If lifestyle modifications do not lower BP within 6 months, it’s time to consult a doctor to explore medical options.

Additionally, if hypertension is caused by an underlying condition (such as thyroid disease or renal artery stenosis), treating the root cause can help normalise BP.

Even the word HyperTENSION (high BP) has ‘TENSION’ in it! Managing stress and adopting healthier lifestyle choices can significantly improve your heart health.

Have you successfully managed your BP through lifestyle changes? Share your experiences in the comments below!

#BeTheForce

Disclaimer: The information provided in this blog is for general awareness and educational purposes only. It is not intended to replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider for personalised medical guidance or concerns related to your health.

June 15, 2024 By Geetika Patni 7 Comments

Mindful eating: Control portions and be wise! – Part 3


portion-control-plate

In my previous two blogs, I discussed the concept of Mindful Eating and the harmful effects of Mindless Eating. In my second blog, I explained why eating slowly is crucial to enjoy your meal fully (check it out here). Today, continuing this 5-part series on Mindful Eating, I will take you through portion control and why it is a must.

Appetite is complex and dieting is a challenge.

With every passing year, it gets more harrowing. We end up blaming the food industry, which has, over the years, increased portions per package and per serving size by whopping 2-7 times than the recommended value. Most of these take-away food products and dishes don’t fit in a healthy eating plan.

Mindful eating is the key to fix this chaos. When we can’t change anyone else (i.e. food industry), we can still change ourselves.

The art of being in present when you are eating your food is termed as Mindful Eating. Eating mindfully has tremendous benefits – you really learn to taste food and realize your real favourites and dislike, thus knowing what foods best fuel your exercise, work and leisure. If you enjoy eating or your food experience, you tend to enjoy life better. The by-product of this mindfulness is also a healthy weight loss and maintenance, and even the reversal of lifestyle disorders.

Among the many advantages of this healthy practice, my favourite one is learning to eat when hungry and stop when full, avoiding overeating at any given time. I have maintained my weight for years by effectively practicing portion control.

This is difficult, yet the easiest way to lose weight, keep it off, and moreover, it’s a lifestyle change – something that can change this whole obesity epidemic. We all struggle with food. This may be the solution to eating our favourite food, yet controlling the portions and being fair to our bodies.

portion-control-1

Portion control is easily achieved when you slow down your pace of eating. When you eat slowly, you become aware of when your stomach gets full and you also know how much to serve yourself and when to stop. Portion size and eating speed can be well explained through the famous ‘French Paradox’ which says that despite high intake of calorie-rich and fatty foods in France as compared to the US, the incidence of heart disease and overweight is relatively low in France.

It is well-documented fact that the French eat much slower than the Americans, thus ending up taking smaller portions. Sensible eating, therefore, works miraculously for the weight-watchers.

In this blog, I am sharing some good tricks and hacks that will help you prevent overeating and eliminate the need to diet ever.

When you first go through the list, pick up only 2 tasks which you can practice as your healthy habits. As you succeed, take up new ones gradually and implement them consistently to build in mindful eating approach for life.

portion-control1

Here’s how to practice portion control- 

      A) At home or for your regular eating

  1. Replace your food plates with smaller plates or use a side plate as your main plate. The food portion has grown bigger, and by choosing a small plate (law of size-metrics), you will reduce your consumption.
  1. Serve backwards – visualize your plate has 2 compartments. First fill up one half of it with veggies, both raw and cooked, and then serve other half of your plate with a portion of proteins (dal/curd) and carbs (rice/roti) combined. Eating veggies make you feel full, so serving it first on your plate and eating in larger portion quickly drives up the fullness quotient.
  1. Sit Down to eat- even if it is a snack. You are making your meal more organized by sitting down when dining, and this habit will prevent on-the-go munching that you may be unknowingly overdoing.
  • Deep breathe before you start your meal. This works as ‘ringing the bell’ –bringing your attention to your next to-do task, which is feeding yourself. Gently inhale through your nose, filling your chest with air, drawing your shoulder upwards, and exhale through your mouth for a little longer. Now take your first bite or sip.
  • Dine! Don’t multitask- Eating while watching TV or while fiddling with your cell phone will distract you from your meal. And distraction will lead to over consumption. Put away all gadgets while eating and you’ll be surprised that going back to your smart phone after 20 minutes is so refreshing. Plus, the added bonus of having a satisfying meal.
  • Have liquid first – A glass of water or a bowl of healthy soup. Starting your meal with fluids will fill up your belly to prevent over eating. It will irrigate the lining of your digestive tract, making your meals easier to flow down, and, probably quench your thirst, which may be the real reason behind your rumbling belly.
  • Eat slowly – to finish a meal in no less than 20 minutes. You may realize you don’t need the second helping if you eat your meals slowly.
  • Get Smart with leftovers – Because no one is judging how clean your plate is. If you are done with dinner, don’t stuff yourself just so that you don’t have to pack up the remaining food. Wrapping up remaining food is a smart way (as leftovers taste better too!) or downsizing your cooking is another idea to prevent over consumption.
  • Snack from a bowl– and not from a bag or box. You may end up eating 50% more if the snack you are having is hidden from your view. Pour a serving in a bowl and then munch.

portion-control

If you buy a bag of trail mix that reads 10 servings, divide the contents of the bag into 10 smaller bags or label it bold – ‘to be finished in 10 attempts’.

  • Out of sight-out of mouth – Keep tempting treats like chips, cookies, candies, and ice creams out of sight – high up in the kitchen cabinet or in the back line of the pantry shelf. Putting a fruit bowl, dark chocolate, dates, and nuts in the front row and within reach easily gets you to practice snacking.
  • Follow IN/OUT rule – When at home, the rule is to eat nutritious, balanced, and wholesome meals, avoiding all treats (White Sugar/breads/pasta/creamy desserts, and fried foods). When outside treat yourself to your favourite delicacies (but in moderation, lest you slip down the slope). This way you will be able to eat super healthy most of the time, and the occasional indulgences will soothe your soul.

Here are few suggestions to practice portion control outside home

When dining out –

  • Plan Ahead – Right when you start from home, put up a portion in head- “I’ll have only 2 glass of wine today”, “I’ll eat only 1 plate of pasta tonight”. When a plan is there, you only need to work on your determination during the action, so it makes sense to make a quick portion note prior to stepping out.
  • Survey the spread first (or read menu carefully) – By getting a sense of what are the foods available, you avoid heaping on excess of usual offerings because you didn’t realize earlier that the ‘can’t miss items’ were at the end of the line. So make your plate with intention and eat only what you really want to eat.
  • Order to serve your salad or soup first and entrée only after the appetizers are done with. A lot of food on the table and in sight will promote over eating.
  • Split and Share –the entrée with your dining partner. If eating alone, try doubling up your appetizer and skipping the main course altogether.
  • Indulge wisely – If you intend to end your meal with drinks or dessert, eat only half of your capability. Yes, it’s your treat meal! But a firm moderation now will prevent you from guilt trip later.
  • Split and share desserts too – or skip them totally and order yourself an unsweetened coffee/hot beverage to end the meal. Some metabolic push there! Plus you can always have a cube of dark chocolate when you reach home.
  • If Ice cream melts you away – Choose inedible dishes- say a cup over a cone, as your ice cream serving dish. Or if a cone gets you carried away, choose a kiddie, regular or sugar cone, as a waffle cone will increase your portion considerably. Avoid toppings or go for fruit based ones.
  • Tall and slim – Research says drinking from tall and slim glasses will cut down the portion of your drink by 20%, and so does avoiding exotic mixed liquor drinks. It’s that easy!
  • If you are travelling – Avoid heading to a restaurant directly. Instead take a pit stop at a fruit vendor first. A healthy snack before a meal will not spoil it, but help you portion mindfully.

Eating in moderation and compensating with a good round (or extra round) of exercising keeps one in balance. Avoid overeating and practice mindfulness – your ideal weight is just this one healthy habit away!

In my fourth blog, I shall talk about emotional eating. Very often, we find ourselves overeating or better to say indulge in mindless eating such as stress eating. Too happy indulge in over eating, too sad again indulge in over eating to feel good. The blog will take you through some pointers on how to avoid stress eating and satisfy your needs with mindfulness.

To be continued…

#BeTheForce

April 20, 2024 By Ami Shah 2 Comments

Health Benefits of Garlic‎

health benefits of garlic
What is the first thing that comes to your mind when you think of garlic? It’s a herb having a strong odour and pungent flavour that leaves behind a bad odour after having it. It is used by many cuisines around the world to add flavour to food. But, it enhances the flavour of the food, making it more scrumptious!

There are many who do not eat tubers and root for varied reasons including religious. But, I really feel they are losing out on such an important food ingredient!

Garlic has many medicinal, therapeutic and culinary uses. Most of the health benefits of garlic are attributed to the compound allicin. So, cooking garlic destroys allicin which in return destroys the health benefits. One should try and use garlic in a raw form wherever possible. This can be done by finely chopped in salads/buttermilk to avoid the pungent flavour.

There are ample of health benefits and other advantages…here are a few advantages

Boosts immunity:  This herb could help keep those colds and flu at bay. Try steeping garlic into a tea by steeping chopped garlic in hot water. Add a bit of natural honey to soothe your throat and cut some of the intense garlic taste.

Full of antioxidants: You can add few garlic cloves (finely chopped) to your salads as it is very rich in anti-oxidants. These antioxidants can kill the bacteria that cause acne. Next time you have a pimple, try rubbing a sliced clove of raw garlic.

Heart friendly: It helps in reducing hypertension, coronary heart diseases.

Anti-inflammatory: Garlic has anti-inflammatory properties. If you have psoriasis, a skin condition related to inflammation try rubbing garlic oil directly on the affected area for relief.

Embrace the multifaceted advantages of garlic for your health and wellness journey. Share your experiences and tips for incorporating garlic into your diet in the comments below. For more insights on nutrition and holistic health practices, check out Healthy Reads or speak to a certified expert by subscribing to GOQii’s Personalised Health Coaching here.

#BeTheForce

January 28, 2024 By Ranveer Allahbadia 3 Comments

Kickstart Your Fitness Journey: The First Step to a Flat Stomach and a New You

loose-belly-fat

Long before candy crush, iPads & McDonalds came into existence there was a time when apes had just evolved into an intelligent, NEW species. Apes evolved to become the apex predator. This new species could “out run” any other animal and was known to hunt down its prey by doing exactly that – Chasing it till it gives up. That’s precisely what human bodies are meant to do. In our most natural form we are built to run gigantic distances, hunt mammoths and throw weapons to kill our prey.

A child born in 10,000BC grew up hunting and climbing trees. Humans born any time after World War II are spoilt by technology, luxuries and wrong food. Fortunately for us, a sudden wave has come our way. People all over the world are embracing ‘BEING FIT’. And “being fit” is all about drifting towards our more primal selves.

Being fit isn’t as hard as people think it is. The only thing people need help with is a road map.

The one single substance keeping us away from attaining our maximum potential is sugar.

Sugar is a substance that activates the same parts of your brain that get activated by consuming addictive drugs like cocaine. But, unlike addictive drugs, you don’t buy sugar in shady lanes, you buy it in general stores. Any 10 year old can walk up to his local general store and purchase what is essentially a drug. This is why sugar is the single most dangerous food out there. It is a legal substance that can do as much harm as cigarettes or cocaine.

If you were wondering where YOUR journey in fitness should start – It should begin with Sugar. Eliminate this ENEMY and embrace a new you. Eliminating sugar from your diet can do wonders in the long term. With just this one change, I guarantee that you will drop those extra kilos and move towards that flat stomach you’ve always wanted.

When you eliminate all kinds of sugar, there are two main villains you are eliminating. Firstly liquid sugars in the form of fizzy (aerated) drinks. Secondly and more importantly – all desserts. Desserts are made of the 3 devil foods – sugar, refined carbs and unhealthy fats. And all these 3 ingredients destroy your body in different ways.

There is literally nothing worse you can put into your system than that simple dessert after dinner. In fact, for anyone who is overweight, I guarantee you it’s not the snacks between meals, the alcohol or the excess meat consumption – it’s the dessert that’s keeping them fat.

How you look depends primarily on what you eat. The kind of exercise you do will just hasten and enhance the process towards getting fit. And, for anyone with a sedentary lifestyle, remember these 5 words – ‘something is better than nothing’.

As I’ve always maintained – Fitness isn’t deadlifting a 100 kg or running marathons. Fitness is doing the smallest things to ensure that your body is better today than it was yesterday.

Do the minimal – walk around for 20 minutes every day, take the stairs instead of the lift, if you have the time then try your hand at free body movements like push-ups and sit-ups. But, above all just keep your body active.

The combination of a zero sugar diet and an active lifestyle is the key to long term health. This is the bare minimum you owe to your body. It’s about time we make our bodies do what they were created to do.

Take that first step!

We believe this article has empowered you with the fundamental steps to initiate your path towards a healthier and revitalized version of yourself. Should you find this information valuable, feel free to share your feedback in the comments section. Explore more insightful articles on holistic well-being at Healthy Reads. For personalised assistance and expert guidance, consider subscribing to GOQii’s Personalised Health Coaching here.

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