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COVID-19 Life Style Changes
Dr B Bora, M.S.
Former Epidemiologist,
WHO EBOLA MISSION, AFRICA (2015)
Dr B Bora 1
Presenting Outline
1. What is Lifestyle
2. Modern Lifestyle
3. Hypokinetic Diseases
4. Changes of Lifestyle behaviour due to Covid-19
5. How to minimise the impact on Health
6. Role of Stakeholders
Dr B Bora 2
A style of living that reflects the attitudes and
values of a person or group(WHO).
Or
lifestyle is the way you live including your
style, attitudes and possessions. ... A way of
life or living of a person or group.
Taking on an infant would mean a
massive lifestyle change.
Life Style :
Dr B Bora 3
The term lifestyle was introduced by Austrian
psychologist Alfred Adler in his book, The
Case of Miss R., (1929) with the meaning of
"a person's basic character as established
early in childhood".
The broader sense of lifestyle as a
"way or style of living" has been
documented since 1961.
Dr B Bora 4
Alfred Adler was an Austrian doctor and therapist who is
best-known for forming the school of thought known as
individual psychology.
He is also remembered for his concept of the inferiority
complex, which he believed, played a major part in the
formation of personality.
Alder was initially a colleague of Sigmund Freud(Austrian
neurologist and the founder of Psychoanalysis), helped
establish psychoanalysis, and was a founding member of
the Vienna Psychoanalytic Society.
Adler’s theory focused on looking at the individual as a
whole, which is why he referred to his approach as
individual psychology.
Dr B Bora 5
MODERN LIFESTYLE
Dr B Bora 6
Modern lifestyle increases the risk of obesity.
Consequently, leading to diabetes, heart diseases and
cancers.
Social isolation occurs due to spending long time on
computer and internet.
Psychologically, persons are prone to increased stress
level and depression.
Pollution caused by the machines and advanced
transportation leads to atopic diseases which are
the group of hereditary diseases contributing to
allergies and asthma.
Dr B Bora 7
Stress
Dr B Bora 8
Advantage of modern lifestyle
Dr B Bora 9
Disadvantage of modern lifestyle
Dr B Bora 10
HYPOKINETIC
DISEASES
Dr B Bora 11
Hypokinetic diseases are conditions that occur
from a sedentary lifestyle and caused due to lack
of physical activity
It describes many of the diseases and conditions
outlined in “Physical Activity and Health”.
Now, the Health problems brought about by lack
of exercise have increased. This can be
accounted for, to some extent by the change
from jobs needing physical effort to more
sedentary occupations (e.g. office jobs)
Dr B Bora 12
Dr B Bora 13
Prevention of
Hypokinetic Diseases
Dr B Bora 14
Regular Physical Activity
Give you energy
Reduce Stress
Improve Stress
Improve efficiency at
work
Dr B Bora 15
DRINK SUFFICIENT WATER : 3 to 3.5 Liter
Per Day
Dr B Bora 16
Changes of Life style behaviour
due to Covid 19
Dr B Bora 17
Dietary and eating behaviour
A mixed result was observed among all the surveys
conducted.
However, in general, an overall change in eating and
dietary habits than usual was observed in terms of
overeating.
Snacking and meal frequency was found to be
increased. An increased intake of fruits, herbal tonics,
vitamins , consumption of ginger, garlic along with
multivitamins among the participants due to their
perceivable immune-boosting effect was observed.
Substance Abuse paused as a major threat
Consumption of hydroxychloroquine as prophylaxis by
the participants was also observed.
Dr B Bora 18
Physical activity
The level of physical activity and exercise duration was
found to be reduced and an increase in weight gain
among the participants was observed.
Psychosocial or mental stress
Out of 11 studies included in the present review, the
prevalence of any kind of mental stress particularly the
level of anxiety was found to be at the highest.
In one study conducted by Sankar P et al. (2020), it was
observed that the majority of the participants with
increased mental stress were following an unhealthy
dietary pattern .
Dr B Bora 19
Roy D. et al. (2020) , reported 36.4% of participants were
distressed due to social media and more than 80% of
participants felt the need for their mental wellbeing and
counselling.
Chakraborty K et al. (2020) , observed that 71.8% and
24.7% were more afraid and depressed, which had
affected (64.9%) their mental level status to some extent.
However, only 2.2% took psychiatry help and 2% of those
were started on anti-depressant or anti-anxiety drugs.
Sleep
Sleep was found to be affected in most of the studies.
Importantly, not only sleeping hours but the quality was
also observed to be affected .
Dr B Bora 20
How to minimise the
Impact on Health
Dr B Bora 21
DURING COVID-19…
The COVID-19 pandemic means that many of us are staying at
home and doing less in terms of social interactions and exercise.
This can have a negative effect on your physical and mental health.
And many of us are staying at home and sitting down more than
we usually do. It’s hard for a lot of us to do some sort of exercise,
we normally do. It’s even harder for people who don’t usually do a
lot of physical exercise.
But at a time like this, it’s very important for people of all ages and
abilities to be as active as possible. WHO’s Be Active campaign
aims to help you do just that - and to have some fun at the same
time.
Remember - Just taking a short break from sitting, by doing 3-4
minutes of light intensity physical movement, such as walking or
stretching, will help ease your muscles and improve blood
circulation and muscle activity.
Dr B Bora 22
WORKING FROM HOME IS
CHALLENGING – I NEED TO
STAND UP AND MOVE
EVERY 30 MIN
Dr B Bora 23
WORKING FROM HOME
IS CHALLENGING – I
NEED TO STAND UP
AND STRETCH
I NEED TO STAND UP
AND MOVE EVERY 30
MIN
I NEED TO STAND UP
AND STRETCH
Dr B Bora 24
Regular physical activity benefits both the body and mind.
It can reduce high blood pressure, help manage weight and
reduce the risk of heart disease, stroke, type 2 diabetes, and
various cancers - all conditions that can increase
susceptibility to COVID-19.
It also improves bone and muscle strength and increases
balance, flexibility and fitness.
For older people, activities that improve balance help to
prevent falls and injuries.
It’s also good for our mental health - reducing the risk of
depression, cognitive decline and delay the onset of
dementia - and improve overall feelings.
DURING COVID-19…contd.
Dr B Bora 25
How much physical activity is recommended for your
age group?
WHO has recommendations on the amount of physical activity people of all
ages should do to benefit their health and wellbeing.
Infants under 1 year of age
• All infants should be physically active several times a day.
• For those not yet mobile, this includes at least 30 minutes in prone
position (tummy time), as floor-based play, spread throughout the day
while awake.
Children under 5 years of age
• All young children should spend at least 180 minutes a day in a variety of
types of physical activities at any intensity
• 3-4 year old children should spend at least 60 minutes of this time in
moderate- to vigorous-intensity physical activity
Dr B Bora 26
Children and adolescents aged 5-17 years
• All children and adolescents should do at least 60
minutes a day of moderate to vigorous-intensity physical
activity
• This should include activities that strengthen muscle and
bone, at least 3 days per week
• Doing more than 60 minutes of physical activity daily will
provide additional health benefits
Dr B Bora 27
Adults aged over 18 years
• All adults should do at least 150 minutes of moderate-intensity physical
activity throughout the week, or at least 75 minutes of vigorous-intensity
physical activity throughout the week.
• For additional health benefits, adults should increase their moderate-
intensity physical activity to 300 minutes per week, or equivalent.
• For developing and maintaining musculoskeletal health, muscle-
strengthening activities involving major muscle groups should be done on
2 or more days a week
• In addition, older adults with poor mobility should do physical activity
to enhance balance and prevent falls on 3 or more days per week.
Dr B Bora 28
Dr B Bora 29
Dr B Bora 30
Dr B Bora 31
Dr B Bora 32
Across the world, due to the spread of coronavirus disease
(COVID-19), children are affected by physical distancing,
quarantines and nationwide school closures.
Some children and young people may be feeling more isolated,
anxious, bored and uncertain. They may feel fear, and grief, over
the impact of the virus on their families.
Working with partners, WHO will bring you content to help open
the world of isolation. Watch out for resources and ideas to
support parents and projects that will engage children in
understanding the coronavirus, the challenges it brings to their
world and what can be done to protect them.
WHO will also introduce children to creative content that will
entertain and provide a much-needed escape into the fun and
magical worlds of imagination.
CARE FOR THE CHILDREN
Dr B Bora 33
If your family is stuck at home during the coronavirus disease
(COVID-19) outbreak, it’s likely your children are spending a
lot more time online. School, chats with friends and
grandparents, even music lessons — so much has shifted
online.
Being connected helps children and teenagers reduce the
impact of this new normal situation and encourages them to
continue with their lives. But it also presents a new set of
challenges for every parent.
How can you maximize all that the internet has to offer,
while minimizing the potential harm? It’s not an easy
balance on a normal day, let alone when facing a health crisis
like COVID-19.
CARE FOR THE CHILDREN…contd.
Dr B Bora 34
1. Keep them safe with open communication.
Have an honest dialogue with your children about who they
communicate with and how.
Make sure they understand the value of kind and
supportive interactions and that mean, discriminatory or
inappropriate contact is never acceptable.
If your children experience any of these, encourage them to
tell you or a trusted adult immediately.
Be alert if your child appears to be upset or secretive with
online activities or if they are experiencing cyberbullying.
Work with your child to establish rules on how, when and
where devices can be used.
5 ways you can help keep your children safe online
Dr B Bora 35
2. Use technology to protect them
Check that your child’s device is running the latest
software and antivirus programs, and that privacy settings
are on. Keep webcams covered when not in use.
For younger children, tools such as parental controls,
including safe search, can help keep online experiences
positive.
Be cautious of free online educational resources. Your
child should never have to provide a photo or their full
name to use these resources.
Remember to check the privacy settings to minimize data
collection. Help your child learn to keep personal
information private, especially from strangers.
Dr B Bora 36
3. Spend time with them online
Create opportunities for your child to have safe and positive
online interactions with friends, family and you. This can be
an excellent opportunity for you to model kindness and
empathy in your “virtual interactions”.
Help your child recognize and avoid misinformation and
age-inappropriate content that may increase anxiety about
the COVID-19 virus. Many digital resources from credible
organizations like UNICEF and WHO are available for you and
your child to learn about the virus together.
Spend time with your child to identify age appropriate apps,
games and other online entertainment.
Dr B Bora 37
4. Encourage healthy online habits
Promote and monitor good behaviour online and on video
calls. Encourage your children to be kind and respectful to
classmates, to be mindful of what clothes they wear and to
avoid joining video calls from a bedroom.
Familiarize yourself with school policies and helplines to
report cyberbullying or inappropriate online content.
As children spend more time online, they can be exposed to
more advertising that may promote unhealthy foods, gender
stereotypes or age-inappropriate material.
Help them recognize online ads and use the opportunity to
explore together what is wrong with some of the negative
messaging you see.
Dr B Bora 38
5. Let them have fun and express themselves
Spending time at home can be a great opportunity for your
children to use their voices online to share their views and
support those in need during this crisis.
Encourage your child to take advantage of digital tools that
get them up and moving, like online exercise videos for kids
and video games that require physical movement.
Remember to balance online recreation with offline
activities, including time outside, if possible.
Dr B Bora 39
What we eat and drink can affect our body’s ability to
prevent, fight and recover from infections and it is very
important during the COVID-19 pandemic.
While no foods or dietary supplements can prevent or cure
COVID-19 infection, but, healthy diets are important for
supporting immune systems.
For babies, a healthy diet means exclusive breastfeeding in
the first six months, with the introduction of nutritious and
safe foods to complement breastmilk from age 6 months to 2
years and beyond. For young children, a healthy and
balanced diet is essential for growth and development.
For older people, it can help to ensure healthier and more
active lives.
Healthy Diet
Dr B Bora 40
1. Eat a variety of food, including fruits and vegetables
• Every day, eat a mix of wholegrains like wheat, maize
and rice, legumes like lentils and beans, plenty of fresh
fruit and vegetables , with some foods from animal
sources (e.g. meat, fish, eggs and milk).
• Choose wholegrain foods like unprocessed maize,
millet, oats, wheat and brown rice when you can; they
are rich in valuable fibre and can help you feel full for
longer.
• For snacks, choose raw vegetables, fresh fruit, and
unsalted nuts.
Tips for maintaining a healthy diet:
Dr B Bora 41
Breastfeed babies and young children
Breastmilk is the ideal food for infants. It is safe, clean and
contains antibodies which help protect against many
common childhood illnesses. Babies should be breastfed
exclusively during the first 6 months of life, as breast milk
provides all the nutrients and fluids they need.
• From 6 months of age, breast milk should be
complemented with a variety of adequate, safe and
nutrient-dense foods. Breastfeeding should continue under
babies at 2 years of age or beyond.
Women with COVID-19 can breastfeed if they wish to do so
and should take infection prevention and control measures.
(Please see Q&A on breastfeeding and COVID-19)
Dr B Bora 42
Tips for Food Safety during COVID-19
There is no evidence that COVID-19 can be spread
through contact with food or food packaging. COVID-
19 is generally thought to be spread from person to
person.
However, it’s always important to practice good
hygiene when handling food to prevent any food-
borne illnesses.
Follow WHO’s Five keys to safer food:
Keep clean
Separate raw and cooked
Cook thoroughly
Keep food at safe temperatures
Use safe water and raw materials.
Dr B Bora 43
Dr B Bora 44
Dr B Bora 45
Why should you quit smoking
and how can you do it?
Smokers have a higher risk of getting coronavirus
because they are constantly putting their hands to their
lips.
And then, if they get coronavirus, they run a greater
risk of getting a severe case because their lung function
is impaired.
Quit today to reduce these risks and start living a
healthier life.
Dr B Bora 46
Quick tips to curb your cravings:
Delay: Delay as long as you can before giving in to your urge.
Deep breathing: Take 10 deep breaths to relax yourself from
within until the urge passes.
Drink water: Drinking water is a healthy alternative to sticking a
cigarette in your mouth.
Do something else to distract yourself: Take a shower, read, go
for a walk, listen to music!
There are many resources within your own community. Find out
if your healthcare providers, Quit line Counsellors, mCessation
programmes are available to support you in your journey to quit.
Dr B Bora 47
If you are a parent
In times of stress, it is common for children to seek more
of your attention.
What you can do:
Maintain familiar routines as much as possible, or create
new ones, especially if you must stay at home.
Discuss the new coronavirus with your children in an
honest way, using age-appropriate language.
Support your children with at-home learning and make
sure time is set aside for play.
Dr B Bora 48
If you are a parent….
Help children find positive ways to express feelings such as fear
and sadness.
Help children stay in contact with friends and family members
through telephone and online channels.
Make sure that your children have time away from screens
every day and spend time doing off-line activities together.
Do something creative: draw a picture, write a poem, build
something. Bake a cake. Sing or dance, or play in your garden,
if you have one.
Try and ensure that your children do not spend significantly
more time than usual on video games.
Dr B Bora 49
If you are an older adult
Keep in regular contact with loved ones, for example by
telephone, e-mail, social media or video conference.
Keep regular routines and schedules as much as possible for
eating, sleeping, and activities you enjoy.
Learn simple daily physical exercises to do at home when in
quarantine so you can maintain mobility.
Find out how to get practical help if needed, like calling a taxi,
having food delivered or asking for medical care. Make sure
you have a one-month supply or longer of your regular
medicines. Ask family members, friends or neighbours for
support, if needed.
Dr B Bora 50
Continue to take medication as prescribed, particularly if
you receive treatment with opioid medicines such as
methadone or buprenorphine, and that you have a way of
obtaining a regular supply of your medication.
If you are receiving support through a psychologist or
support group, find out how to continue that support
during the outbreak.
If you are being treated for gaming or gambling disorder,
continue with your treatment if possible.
Check with your therapist or health-care provider about the
best way of continuing with therapy during confinement at
home.
If you have a mental health condition…..
Dr B Bora 51
Role of Stakeholders
Dr B Bora 52
COMPLETE
WELLNESS
Physical
Health
Mental
Health
Social
Heath
Health is a combination of 3 Components
WELLNESS TRIANGLE
Dr B Bora 53
Problems arises due to Covid-19
 Economy
 Poverty
 Food
 Social Disturbances
 Health issues : Physical, Social and Mental
 Communicable and Non Communicable
Disease Prevention
 Education
 SDG Goals ……etc. ,
Dr B Bora 54
The Decision-Making Model
 State the situation
 List all possible options
 Consider the consequences
 Consider your values
 Make a decision based on Everything you
know, and act on it
 Evaluate your decision
Dr B Bora 55
Suppose,
6+3=9,
Explore the different Options….
………to achieve the Goal.
And Also 5+4=9
Dr B Bora 56
COMPLETE
WELLNESS
ROLE OF STAKEHOLDERS
ARCHITECT
PLANNER
ENGINEER
TECHNOCRAT
INDUSTRIALIST
GASTRONOMIST
DESIGNER
INFLUENCERS
AGRICULTURALIST
SCIENTIST
Social Heath
NGOs
OTHERS
OTHERS
OTHERS
OTHERS
OTHERS
OTHERS
Dr B Bora 57
https://www.who.int/campaigns/connecting-the-world-to-combat-coronavirus/healthyathome/healthyathome---mental-health
https://doi.org/10.1371/journal.pone.0248935.t002
https://doi.org/10.1371/journal.pone.0248935.t004
https://doi.org/10.1073/pnas.2016632118
https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.
https://www.niua.org/content/presentation-impact-covid-19-lives-and-livelihoods-prof-dr-debolina-kundu
https://nutrition.org/how-to-stay-fit-and-healthy-during-coronavirus-covid-19-pandemic/
https://www.who.int/news-room/campaigns/connecting-the-world-to-combat-coronavirus/healthyathome/healthyathome---physical-
activity
Effects of COVID-19 lockdown on type 2 diabetes, lifestyle and psychosocial health: A hospital-based cross-sectional survey from South
India
Prasanth Sankar,a,∗ Waseem N. Ahmed,b Vineetha Mariam Koshy,a Rittin Jacob,a and Saranya Sasidharana
Impact of COVID-19 outbreak on lifestyle behaviour: A review of studies published in India
Dimple Rawat,a Vivek Dixit,b,∗ Sarthak Gulati,c Shreya Gulati,d and Arti Gulatia
Impact of COVID-19 on lifestyle-related behaviours- a cross-sectional audit of responses from nine hundred and ninety-five participants
from India
Sakshi Chopra,a Piyush Ranjan,b,∗ Vishwajeet Singh,c Suraj Kumar,d Mehak Arora,d Mohamed Shuaib Hasan,d Rhytha
Kasiraj,d Suryansh,d Divjyot Kaur,a Naval K. Vikram,b Anita Malhotra,e Archana Kumari,f Kamal Bandhu Klanidhi,c and Upendra Baithab
COVID-19 lockdown and lifestyles: A narrative review [version 1; peer review: awaiting peer review]
Sathyanarayanan Doraiswamy https://orcid.org/0000-0002-4198-8065
1, Sohaila Cheema1, Ahmad Al Mulla2, Ravinder Mamtani1
Impact of COVID-19 outbreak on lifestyle behaviour: A review of studies published in India
Dimple Rawat,a Vivek Dixit,b,∗ Sarthak Gulati,c Shreya Gulati,d and Arti Gulatia
References :
Dr B Bora 58
Thank You
For your patience hearing
Dr B Bora 59

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Change of Life style due to covid 19

  • 1. COVID-19 Life Style Changes Dr B Bora, M.S. Former Epidemiologist, WHO EBOLA MISSION, AFRICA (2015) Dr B Bora 1
  • 2. Presenting Outline 1. What is Lifestyle 2. Modern Lifestyle 3. Hypokinetic Diseases 4. Changes of Lifestyle behaviour due to Covid-19 5. How to minimise the impact on Health 6. Role of Stakeholders Dr B Bora 2
  • 3. A style of living that reflects the attitudes and values of a person or group(WHO). Or lifestyle is the way you live including your style, attitudes and possessions. ... A way of life or living of a person or group. Taking on an infant would mean a massive lifestyle change. Life Style : Dr B Bora 3
  • 4. The term lifestyle was introduced by Austrian psychologist Alfred Adler in his book, The Case of Miss R., (1929) with the meaning of "a person's basic character as established early in childhood". The broader sense of lifestyle as a "way or style of living" has been documented since 1961. Dr B Bora 4
  • 5. Alfred Adler was an Austrian doctor and therapist who is best-known for forming the school of thought known as individual psychology. He is also remembered for his concept of the inferiority complex, which he believed, played a major part in the formation of personality. Alder was initially a colleague of Sigmund Freud(Austrian neurologist and the founder of Psychoanalysis), helped establish psychoanalysis, and was a founding member of the Vienna Psychoanalytic Society. Adler’s theory focused on looking at the individual as a whole, which is why he referred to his approach as individual psychology. Dr B Bora 5
  • 7. Modern lifestyle increases the risk of obesity. Consequently, leading to diabetes, heart diseases and cancers. Social isolation occurs due to spending long time on computer and internet. Psychologically, persons are prone to increased stress level and depression. Pollution caused by the machines and advanced transportation leads to atopic diseases which are the group of hereditary diseases contributing to allergies and asthma. Dr B Bora 7
  • 9. Advantage of modern lifestyle Dr B Bora 9
  • 10. Disadvantage of modern lifestyle Dr B Bora 10
  • 12. Hypokinetic diseases are conditions that occur from a sedentary lifestyle and caused due to lack of physical activity It describes many of the diseases and conditions outlined in “Physical Activity and Health”. Now, the Health problems brought about by lack of exercise have increased. This can be accounted for, to some extent by the change from jobs needing physical effort to more sedentary occupations (e.g. office jobs) Dr B Bora 12
  • 13. Dr B Bora 13
  • 15. Regular Physical Activity Give you energy Reduce Stress Improve Stress Improve efficiency at work Dr B Bora 15
  • 16. DRINK SUFFICIENT WATER : 3 to 3.5 Liter Per Day Dr B Bora 16
  • 17. Changes of Life style behaviour due to Covid 19 Dr B Bora 17
  • 18. Dietary and eating behaviour A mixed result was observed among all the surveys conducted. However, in general, an overall change in eating and dietary habits than usual was observed in terms of overeating. Snacking and meal frequency was found to be increased. An increased intake of fruits, herbal tonics, vitamins , consumption of ginger, garlic along with multivitamins among the participants due to their perceivable immune-boosting effect was observed. Substance Abuse paused as a major threat Consumption of hydroxychloroquine as prophylaxis by the participants was also observed. Dr B Bora 18
  • 19. Physical activity The level of physical activity and exercise duration was found to be reduced and an increase in weight gain among the participants was observed. Psychosocial or mental stress Out of 11 studies included in the present review, the prevalence of any kind of mental stress particularly the level of anxiety was found to be at the highest. In one study conducted by Sankar P et al. (2020), it was observed that the majority of the participants with increased mental stress were following an unhealthy dietary pattern . Dr B Bora 19
  • 20. Roy D. et al. (2020) , reported 36.4% of participants were distressed due to social media and more than 80% of participants felt the need for their mental wellbeing and counselling. Chakraborty K et al. (2020) , observed that 71.8% and 24.7% were more afraid and depressed, which had affected (64.9%) their mental level status to some extent. However, only 2.2% took psychiatry help and 2% of those were started on anti-depressant or anti-anxiety drugs. Sleep Sleep was found to be affected in most of the studies. Importantly, not only sleeping hours but the quality was also observed to be affected . Dr B Bora 20
  • 21. How to minimise the Impact on Health Dr B Bora 21
  • 22. DURING COVID-19… The COVID-19 pandemic means that many of us are staying at home and doing less in terms of social interactions and exercise. This can have a negative effect on your physical and mental health. And many of us are staying at home and sitting down more than we usually do. It’s hard for a lot of us to do some sort of exercise, we normally do. It’s even harder for people who don’t usually do a lot of physical exercise. But at a time like this, it’s very important for people of all ages and abilities to be as active as possible. WHO’s Be Active campaign aims to help you do just that - and to have some fun at the same time. Remember - Just taking a short break from sitting, by doing 3-4 minutes of light intensity physical movement, such as walking or stretching, will help ease your muscles and improve blood circulation and muscle activity. Dr B Bora 22
  • 23. WORKING FROM HOME IS CHALLENGING – I NEED TO STAND UP AND MOVE EVERY 30 MIN Dr B Bora 23
  • 24. WORKING FROM HOME IS CHALLENGING – I NEED TO STAND UP AND STRETCH I NEED TO STAND UP AND MOVE EVERY 30 MIN I NEED TO STAND UP AND STRETCH Dr B Bora 24
  • 25. Regular physical activity benefits both the body and mind. It can reduce high blood pressure, help manage weight and reduce the risk of heart disease, stroke, type 2 diabetes, and various cancers - all conditions that can increase susceptibility to COVID-19. It also improves bone and muscle strength and increases balance, flexibility and fitness. For older people, activities that improve balance help to prevent falls and injuries. It’s also good for our mental health - reducing the risk of depression, cognitive decline and delay the onset of dementia - and improve overall feelings. DURING COVID-19…contd. Dr B Bora 25
  • 26. How much physical activity is recommended for your age group? WHO has recommendations on the amount of physical activity people of all ages should do to benefit their health and wellbeing. Infants under 1 year of age • All infants should be physically active several times a day. • For those not yet mobile, this includes at least 30 minutes in prone position (tummy time), as floor-based play, spread throughout the day while awake. Children under 5 years of age • All young children should spend at least 180 minutes a day in a variety of types of physical activities at any intensity • 3-4 year old children should spend at least 60 minutes of this time in moderate- to vigorous-intensity physical activity Dr B Bora 26
  • 27. Children and adolescents aged 5-17 years • All children and adolescents should do at least 60 minutes a day of moderate to vigorous-intensity physical activity • This should include activities that strengthen muscle and bone, at least 3 days per week • Doing more than 60 minutes of physical activity daily will provide additional health benefits Dr B Bora 27
  • 28. Adults aged over 18 years • All adults should do at least 150 minutes of moderate-intensity physical activity throughout the week, or at least 75 minutes of vigorous-intensity physical activity throughout the week. • For additional health benefits, adults should increase their moderate- intensity physical activity to 300 minutes per week, or equivalent. • For developing and maintaining musculoskeletal health, muscle- strengthening activities involving major muscle groups should be done on 2 or more days a week • In addition, older adults with poor mobility should do physical activity to enhance balance and prevent falls on 3 or more days per week. Dr B Bora 28
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  • 33. Across the world, due to the spread of coronavirus disease (COVID-19), children are affected by physical distancing, quarantines and nationwide school closures. Some children and young people may be feeling more isolated, anxious, bored and uncertain. They may feel fear, and grief, over the impact of the virus on their families. Working with partners, WHO will bring you content to help open the world of isolation. Watch out for resources and ideas to support parents and projects that will engage children in understanding the coronavirus, the challenges it brings to their world and what can be done to protect them. WHO will also introduce children to creative content that will entertain and provide a much-needed escape into the fun and magical worlds of imagination. CARE FOR THE CHILDREN Dr B Bora 33
  • 34. If your family is stuck at home during the coronavirus disease (COVID-19) outbreak, it’s likely your children are spending a lot more time online. School, chats with friends and grandparents, even music lessons — so much has shifted online. Being connected helps children and teenagers reduce the impact of this new normal situation and encourages them to continue with their lives. But it also presents a new set of challenges for every parent. How can you maximize all that the internet has to offer, while minimizing the potential harm? It’s not an easy balance on a normal day, let alone when facing a health crisis like COVID-19. CARE FOR THE CHILDREN…contd. Dr B Bora 34
  • 35. 1. Keep them safe with open communication. Have an honest dialogue with your children about who they communicate with and how. Make sure they understand the value of kind and supportive interactions and that mean, discriminatory or inappropriate contact is never acceptable. If your children experience any of these, encourage them to tell you or a trusted adult immediately. Be alert if your child appears to be upset or secretive with online activities or if they are experiencing cyberbullying. Work with your child to establish rules on how, when and where devices can be used. 5 ways you can help keep your children safe online Dr B Bora 35
  • 36. 2. Use technology to protect them Check that your child’s device is running the latest software and antivirus programs, and that privacy settings are on. Keep webcams covered when not in use. For younger children, tools such as parental controls, including safe search, can help keep online experiences positive. Be cautious of free online educational resources. Your child should never have to provide a photo or their full name to use these resources. Remember to check the privacy settings to minimize data collection. Help your child learn to keep personal information private, especially from strangers. Dr B Bora 36
  • 37. 3. Spend time with them online Create opportunities for your child to have safe and positive online interactions with friends, family and you. This can be an excellent opportunity for you to model kindness and empathy in your “virtual interactions”. Help your child recognize and avoid misinformation and age-inappropriate content that may increase anxiety about the COVID-19 virus. Many digital resources from credible organizations like UNICEF and WHO are available for you and your child to learn about the virus together. Spend time with your child to identify age appropriate apps, games and other online entertainment. Dr B Bora 37
  • 38. 4. Encourage healthy online habits Promote and monitor good behaviour online and on video calls. Encourage your children to be kind and respectful to classmates, to be mindful of what clothes they wear and to avoid joining video calls from a bedroom. Familiarize yourself with school policies and helplines to report cyberbullying or inappropriate online content. As children spend more time online, they can be exposed to more advertising that may promote unhealthy foods, gender stereotypes or age-inappropriate material. Help them recognize online ads and use the opportunity to explore together what is wrong with some of the negative messaging you see. Dr B Bora 38
  • 39. 5. Let them have fun and express themselves Spending time at home can be a great opportunity for your children to use their voices online to share their views and support those in need during this crisis. Encourage your child to take advantage of digital tools that get them up and moving, like online exercise videos for kids and video games that require physical movement. Remember to balance online recreation with offline activities, including time outside, if possible. Dr B Bora 39
  • 40. What we eat and drink can affect our body’s ability to prevent, fight and recover from infections and it is very important during the COVID-19 pandemic. While no foods or dietary supplements can prevent or cure COVID-19 infection, but, healthy diets are important for supporting immune systems. For babies, a healthy diet means exclusive breastfeeding in the first six months, with the introduction of nutritious and safe foods to complement breastmilk from age 6 months to 2 years and beyond. For young children, a healthy and balanced diet is essential for growth and development. For older people, it can help to ensure healthier and more active lives. Healthy Diet Dr B Bora 40
  • 41. 1. Eat a variety of food, including fruits and vegetables • Every day, eat a mix of wholegrains like wheat, maize and rice, legumes like lentils and beans, plenty of fresh fruit and vegetables , with some foods from animal sources (e.g. meat, fish, eggs and milk). • Choose wholegrain foods like unprocessed maize, millet, oats, wheat and brown rice when you can; they are rich in valuable fibre and can help you feel full for longer. • For snacks, choose raw vegetables, fresh fruit, and unsalted nuts. Tips for maintaining a healthy diet: Dr B Bora 41
  • 42. Breastfeed babies and young children Breastmilk is the ideal food for infants. It is safe, clean and contains antibodies which help protect against many common childhood illnesses. Babies should be breastfed exclusively during the first 6 months of life, as breast milk provides all the nutrients and fluids they need. • From 6 months of age, breast milk should be complemented with a variety of adequate, safe and nutrient-dense foods. Breastfeeding should continue under babies at 2 years of age or beyond. Women with COVID-19 can breastfeed if they wish to do so and should take infection prevention and control measures. (Please see Q&A on breastfeeding and COVID-19) Dr B Bora 42
  • 43. Tips for Food Safety during COVID-19 There is no evidence that COVID-19 can be spread through contact with food or food packaging. COVID- 19 is generally thought to be spread from person to person. However, it’s always important to practice good hygiene when handling food to prevent any food- borne illnesses. Follow WHO’s Five keys to safer food: Keep clean Separate raw and cooked Cook thoroughly Keep food at safe temperatures Use safe water and raw materials. Dr B Bora 43
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  • 45. Dr B Bora 45
  • 46. Why should you quit smoking and how can you do it? Smokers have a higher risk of getting coronavirus because they are constantly putting their hands to their lips. And then, if they get coronavirus, they run a greater risk of getting a severe case because their lung function is impaired. Quit today to reduce these risks and start living a healthier life. Dr B Bora 46
  • 47. Quick tips to curb your cravings: Delay: Delay as long as you can before giving in to your urge. Deep breathing: Take 10 deep breaths to relax yourself from within until the urge passes. Drink water: Drinking water is a healthy alternative to sticking a cigarette in your mouth. Do something else to distract yourself: Take a shower, read, go for a walk, listen to music! There are many resources within your own community. Find out if your healthcare providers, Quit line Counsellors, mCessation programmes are available to support you in your journey to quit. Dr B Bora 47
  • 48. If you are a parent In times of stress, it is common for children to seek more of your attention. What you can do: Maintain familiar routines as much as possible, or create new ones, especially if you must stay at home. Discuss the new coronavirus with your children in an honest way, using age-appropriate language. Support your children with at-home learning and make sure time is set aside for play. Dr B Bora 48
  • 49. If you are a parent…. Help children find positive ways to express feelings such as fear and sadness. Help children stay in contact with friends and family members through telephone and online channels. Make sure that your children have time away from screens every day and spend time doing off-line activities together. Do something creative: draw a picture, write a poem, build something. Bake a cake. Sing or dance, or play in your garden, if you have one. Try and ensure that your children do not spend significantly more time than usual on video games. Dr B Bora 49
  • 50. If you are an older adult Keep in regular contact with loved ones, for example by telephone, e-mail, social media or video conference. Keep regular routines and schedules as much as possible for eating, sleeping, and activities you enjoy. Learn simple daily physical exercises to do at home when in quarantine so you can maintain mobility. Find out how to get practical help if needed, like calling a taxi, having food delivered or asking for medical care. Make sure you have a one-month supply or longer of your regular medicines. Ask family members, friends or neighbours for support, if needed. Dr B Bora 50
  • 51. Continue to take medication as prescribed, particularly if you receive treatment with opioid medicines such as methadone or buprenorphine, and that you have a way of obtaining a regular supply of your medication. If you are receiving support through a psychologist or support group, find out how to continue that support during the outbreak. If you are being treated for gaming or gambling disorder, continue with your treatment if possible. Check with your therapist or health-care provider about the best way of continuing with therapy during confinement at home. If you have a mental health condition….. Dr B Bora 51
  • 53. COMPLETE WELLNESS Physical Health Mental Health Social Heath Health is a combination of 3 Components WELLNESS TRIANGLE Dr B Bora 53
  • 54. Problems arises due to Covid-19  Economy  Poverty  Food  Social Disturbances  Health issues : Physical, Social and Mental  Communicable and Non Communicable Disease Prevention  Education  SDG Goals ……etc. , Dr B Bora 54
  • 55. The Decision-Making Model  State the situation  List all possible options  Consider the consequences  Consider your values  Make a decision based on Everything you know, and act on it  Evaluate your decision Dr B Bora 55
  • 56. Suppose, 6+3=9, Explore the different Options…. ………to achieve the Goal. And Also 5+4=9 Dr B Bora 56
  • 58. https://www.who.int/campaigns/connecting-the-world-to-combat-coronavirus/healthyathome/healthyathome---mental-health https://doi.org/10.1371/journal.pone.0248935.t002 https://doi.org/10.1371/journal.pone.0248935.t004 https://doi.org/10.1073/pnas.2016632118 https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight. https://www.niua.org/content/presentation-impact-covid-19-lives-and-livelihoods-prof-dr-debolina-kundu https://nutrition.org/how-to-stay-fit-and-healthy-during-coronavirus-covid-19-pandemic/ https://www.who.int/news-room/campaigns/connecting-the-world-to-combat-coronavirus/healthyathome/healthyathome---physical- activity Effects of COVID-19 lockdown on type 2 diabetes, lifestyle and psychosocial health: A hospital-based cross-sectional survey from South India Prasanth Sankar,a,∗ Waseem N. Ahmed,b Vineetha Mariam Koshy,a Rittin Jacob,a and Saranya Sasidharana Impact of COVID-19 outbreak on lifestyle behaviour: A review of studies published in India Dimple Rawat,a Vivek Dixit,b,∗ Sarthak Gulati,c Shreya Gulati,d and Arti Gulatia Impact of COVID-19 on lifestyle-related behaviours- a cross-sectional audit of responses from nine hundred and ninety-five participants from India Sakshi Chopra,a Piyush Ranjan,b,∗ Vishwajeet Singh,c Suraj Kumar,d Mehak Arora,d Mohamed Shuaib Hasan,d Rhytha Kasiraj,d Suryansh,d Divjyot Kaur,a Naval K. Vikram,b Anita Malhotra,e Archana Kumari,f Kamal Bandhu Klanidhi,c and Upendra Baithab COVID-19 lockdown and lifestyles: A narrative review [version 1; peer review: awaiting peer review] Sathyanarayanan Doraiswamy https://orcid.org/0000-0002-4198-8065 1, Sohaila Cheema1, Ahmad Al Mulla2, Ravinder Mamtani1 Impact of COVID-19 outbreak on lifestyle behaviour: A review of studies published in India Dimple Rawat,a Vivek Dixit,b,∗ Sarthak Gulati,c Shreya Gulati,d and Arti Gulatia References : Dr B Bora 58
  • 59. Thank You For your patience hearing Dr B Bora 59