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Health, Diet & Exercise
Dr M D Mohire, MD, DM
Neurology Centre & Research Kolhapur, Maharashtra, INDIA
The current WHO definition of health, formulated in 1948,
describes health as “ Not only absence of disease but a state
of wellness & person enjoys physical, mental, social &
Spiritual wellbeing.
Health
Staying healthy doesn't happen by accident. It's the product
of healthy habits practiced everyday. This could mean opting
for an apple instead of chips with lunch, limiting your TV time,
taking the stairs instead of the elevator or setting health
goals…
American life expectancy has dropped for the first time in twenty years,
according to national data from 2015. American women are now
expected to live for 81.2 years and men for 76.3 years, compared to 81.3
and 76.5 years in 2014.
Obesity
Obesity then puts you at risk for life-threatening conditions like:
Heart disease
Diabetes
High blood pressure
A long list of cancers, including breast, colon and pancreatic cancer
Calculate BMI,
BMI = Weight in kg / Hright in meters square
Normal BMI should be less than 25
Overweight is if BMI is more than 25 up to 30
Obesity is if BMI is more than 30
IDF Worldwide Definition of the Metabolic Syndrome
The metabolic syndrome is a cluster of the most dangerous
heart attack risk factors: diabetes and prediabetes, abdominal
obesity, high cholesterol and high blood pressure.
Bigger the waist, you have Metabolic Syndrome
You are prone to High BP, Diabetes & high Cholesterol
If you have 1 kg extra body weight, you have 5% chance of Diabetes.
If you have 1 kg extra body weight, you have 10 % risk of High BP
(WHO) 1999 Definition of Metabolic (Insulin Resistance) Syndrome
Components
Hypertension Raised arterial pressure (>140/90 mm Hg) or antihypertensive medication
Dyslipidemia Raised plasma triglycerides (>1.7 mmol/L) or low HDL cholesterol (<0.9
mmol/L min in men and <1.0 mmol/L in women)
Central or
general obesity
Waist to hip ratio >0.90 in men; >0.85 in women or body mass index >30
kg/m
2
Microalbuminuria Urinary albumin excretion rate >20µg/min or albumin:creatinine ratio >30 mg/g
*Two hours post–glucose load plasma venous glucose >7.8 mmol/L. 140 mg %
Fasting plasma venous glucose >6.1 mmol/L(110 mg%) or 2-hour post–glucose load plasma
venous glucose >11.1 mmol/L (200 mg %).
Highest quartile fasting insulin or Homeostasis Model Assessment score for population under
investigation.
Criteria
WHO--Causes of Death-2002 35 %
HEART DISEASE IS THE NUMBER
ONE CAUSE OF MORTILITY AND A
SILENT EPIDEMIC AMONG INDIANS
WOMEN ARE AT HIGH RISK AFTER MENOPAUSE
CardioVascular Disease
• World’s number one killer.
• 17.3 millions death per year.
• 82% occur in the developing world.
• By 2030, an expected rise is 23 million.
WHF Annual Report ,2013
WHF Annual Report ,2013
Obesity on the rise in India, says Lancet (Malnutrition)
Almost doubling in less than 10 years.
Obesity
Starvation
American College of
Endocrinology (ACE)
introduced a novel term for
obesity — adiposity-based
chronic disease (ABCD)-
2016
Ban Fat Back &Tone Your Tummy
Loose the Ponch
"The main message is that obesity and overweight at a younger age and substantial
weight gain is significantly associated with low physical performance in old age,"
25-35 age group is far from being fit.
50% consume high fat diet.
30% eating out frequently
30% indulge high salt-diet
55% are Nonvegetarian
65% are obese.
6% carry out regular physical exercise.
JUST AN HOUR’S WALK A DAY
DECREASES …
Chances of heart disease by 40 %.
The risk of a stroke by 30%.
Chances of breast cancer by 20 %
The risk of diabetes by 50 %.
Young
India
is
unfit!
Non Communicable Diseases
• CVD,Diabetes,COPD,Cancer.
• 60% deaths worldwide.
• CVD deaths constitute half of them.
Survey : 50% doctors at risk of
cardiovascular diseases
TOI : 17/12/2016
50%
HEART ATTACKS IN INDIA OCCURE BEFORE 50 YEARS
20s is
the
new
40s
30 s
is
the
new
70s
NATURAL PROTECTION GOES DOWN AFTER
MENOPAUSE, SMOKING AND DRINKING MAY LEAD
TO HEART ATTACKS
Women up against risk of heart
disease 
THE TIMES OF INDIA, MAY29,2013
STROKE
7 Cases per minute
In India
Know your risk of CVD..
• Get BP
• Cholesterol
• Glucose levels
• Weight
• BMI
measured by Health professional.
Dyslipidemia: Screening once between the ages of 9 and 11
years, and once between ages 17 and 21 years, which is
consistent with the guidelines of the National Heart, Lung,
and Blood Institute.
Hypertension
• HTN attributes to 13% global deaths.
• Nearly 1 billion adults (more than a quarter of the world’s
population) has hypertension in 2000, and this is predicted to
increase to 1.56 billion by 2025.
WHS,2013.
Diabetes after 50 cuts Life by 8 Years!
Reduced Lifespan: Men lose 7.5 Years, , Women 8.2 Years.
Diabetic Men & Women Twice at risk of Heart Disease.
INDIA has 70 million Diabetics, 60% are above 50 years.
By 2030 number will touch 80 million
India is 3rd in Top in Obesity.
1 million people in India die from Diabetes every year
High Blood Pressure – Keep a Check on BP Regularly
High B P is a 1st cause of Stroke(Paralysis)
Be proud if you have High BP. It is better to treat high BP than to neglect.
If you neglect, it is as good as you are driving a Car on Highway without Breaks.
Changes in Blood Pressure Classification.
Chobanian A V et al. Hypertension 2003;42:1206-1252
Copyright © American Heart Association
(Hypertensive Urgency and Hypertensive Emergency)
Lower The Better
9/20/2017
Cases Now Seen In Age Group Of 35-45 Years, Finds
Study
Spike in obesity-induced hypertension
cases
Urban Pune
20-40%
-----------------
Rural Areas
12-17%
Prevalence of
Pre-Hypertension
60-70%
9/20/2017
Spike in obesity-induced hypertension cases
KEY FINDINGS OF THE REPORT
 35-40% of youngsters and middle-aged diagnosed with hypertension
Hypertension is more prevalent in uppermiddle class as compared to
middle class.
Men and women in the age group of 30-45 years smoke heavily and this
has increased the numbers too
Physical inactivity
• Electronic revolution.
– Everything at your finger tips.
• Games
• TV
• Social media
• Competitive world (imp. of numbers, rather than knowledge)
• IT boom. (more work – high pay, no activity).
•
WHITE COATS IN DANGER
 Survey covered 250
doctors and nurses in a
medical college and
hospital near Chennai.
 It found that 31%
of all study
subjects and 50%
of doctors were at
high risk for
cardiovascular
diseases (CVDs)
 Physical inactivity
and dietary pattern are
related
Shortage of
doctors. WHO
recommends
doctor-population
ratio to be 1:1,000.
In india it is
0.702/1,00000TOI : 17/12/2016
Cut your stress levels
17 grams of sugar and 31 grams of carbohydrate.
A large banana contains almost 500 milligrams of potassium, as well as 37 grams of magnesium,
Vit , B6 3.5 gm fibre.C
Sugar bomb: Bananas
Helps your heart and muscles work
Keeps your blood pressure within a healthy range
Helps your kidneys filter urine more efficiently
Sugar bomb: Pomegranates
23 grams of sugar and more than But tiny arils pack a whole lot more than just natural sugar.
Make sure you eat the whole aril—don’t spit out the seed—since the seeds carry most of a
pomegranate’s 7 grams of fiber. Arils are also rich in antioxidants like polyphenols, which may
help protect the body against inflammation.
Indians among Laziest in the World
WALKS OF LIFE
Nationality Steps/day
Indians 39th of 46
Men
Women
4257
4606
Hongkong(1st ) 6880
Americans (30th ) 4774
Indonesia (46th ) 3513
World average 4961
Stanford University Study,700,000 people from 46 countries done with Smartphone App
July,10,2017
Don’t let stress control you. This Special Health Report will show you how to control it.
Shoulder Girdle muscle Exercises
Health
Physical Health
Mental Health
Spiritual Health
Intellectual Health
Emotional Health
Metabolic Health
Social Health
Marital Health
Eating a diet heavy on plant-based foods is all well and good for cardiovascular health,
Abdominal fat and what to do about it
Visceral fat is directly linked with higher total cholesterol and LDL (bad) cholesterol, lower
HDL (good) cholesterol, and insulin resistance.
How to Boost Your Joint Health and Lengthen Your Life
“Move naturally” and keep moving
“7.4% of all cardiometabolic deaths (Stroke,
Heart Disease & T2DM) were linked to sugar-
sweetened beverages, and 8.2% were linked to
processed meats”
“One helpful rule of thumb is one half a plate of
vegetables, one fourth a plate of lean protein, and
one fourth a plate of high-fiber complex carbs, plus
one serving of healthy fat.”
“The Mediterranean diet is heavy in vegetables,
fruits, nuts, fish, whole grains, and healthy
unsaturated fats (found in olive, avocado, and other
plant oils).”
DASH Diet
Increased vegetable and fruit intake;
Consumption of foods that are high in
fiber;
Consumption of whole-grain foods;
Increased water intake;
Decreased intake of dietary sugar (eg,
sugar-sweetened beverages);
Sufficient protein intake; and
Sufficient intake of healthy fats.
Snack on fresh cherries
Plump berries may help promote, younger-looking skin
Cooking hacks for easy meatless meals
Incredibly simple stir-fry
Eat regular meals throughout the day
Make sure your bedroom is just for sleeping—and sex
Super-agers. Term refers to people in their 70s and 80s who have the mental or physical
capability of their decades-younger counterparts. By embracing new mental challenges is the
key to preserving both brain tissue and brain function.
Sitting longer is more Toxic than Smoking
It negatively affects your blood sugar, triglycerides, good cholesterol, resting blood pressure and
levels of the “appetite hormone” leptin, all of which are biomarkers of obesity and
cardiovascular disease.
“Bursts of exercise is not the answer; 2 hours of exercise per day will not
compensate for 22 hours of sitting
Sitting for five or six hours a day, even if you spend an hour a day at the gym, is the equivalent of
smoking an entire pack of cigarettes.
The Best Foods for Good Gut Bacteria CURDS in Breakfast
Interval Walking
One minute on, one minute off, or two minutes on, two minutes off.
Exercise: An effective prescription for joint pain
BEEF 15,415 MUTTON 8,763
PORK 5,988
CHICKEN 4,325
Liters of Water required to produce 1 kg
EGGS 3,265
7.4% of all cardiometabolic deaths were linked to sugar beverages, and 8.2% were linked to
processed meats.
NUTS 7063
Liters of Water required to produce 1 kg
CEREALS 1,644 MILK 1,020
FRUITS 962 VEGETABLES 332
Eat this if You cannot Button your Pants
Bananas will also Relieve Bloating
Eat this if You cannot Button your Pants
Bananas will also Relieve Bloating
This 30-Second Exercise Could save Your Back
Maintain this position without movement for 30 seconds and then rest for another minute.
Repeat this up to 5 times throughout the course of the day. Maintain this Position for 30
seconds, Rest for 1 minute, do 5 repititions. This gives Exercise to Diaphram, Planks &
Abdominal muscles. This relieves Anxiety, Stress Fatique & keeps you Alert & Sharp
Exercise can boost your memory and thinking skills
Preserve the Muscle Volume
50 Years of CABG (1967-2017)
People who eat
less meat have
lower rates of
heart disease,
Keraliya A, Blankstein R. N Engl J Med 2017;376:1370-1370.
Regression of Coronary Atherosclerosis with Medical Therapy
N E J M - 2017
All-natural tips to improve your sex life
Exercise, diet changes may help reverse ED
A man with a 42-inch waist is 50% more likely
to have ED than one with a 32-inch waist.
Our four limbs are the four tiers of a Car.
Exercising regularly maintains adequate air in tiers.
Yogas keeps our wheel alignment physically and mentally.
If you avoid regular Exercise & Yoga, then Y may get a Stroke(Paralysis)
Paralysis is like having puncture of two tiers of a Car.
Body is a Car
Protein: Meat and more
Food Serving Protein (grams)
Roasted chicken
breast
3.5 ounces 31
Pink salmon,
canned
3.5 ounces 20
Greek yogurt,
plain
6 ounces 17
Milk, 2% far 1 cup 10
Beans, cooked ½ cup 6-9
Cheddar cheese 1 ounce (slice) 7
Egg 1 large 6
Nuts 1 ounce (1/4 cup) 4-7
Corn on the cob 1 large ear 4
Baked potato 1 medium 3
Courage Consolidation
Concentration Attitude
Perfect sincierity Analysis
Curiosity Vision
Compassion Philantrophy
Determination Happiness
Giagantic intellect Conquering will
Patience
Persistence Fearfulness
Openness
Passion Adaptability
Remaining Cool Cheerfulness & Happy in Odd circumstances
Sympathy Tolerence
Knowledge of History, Geography of World and beyond
Positive thinking Serenity & Foresight
Kindness High Energy & Positive thinking
Prediction
Intusion
Planning
Decision making
Prepareedness
Risk taking
Shroudness
Recapitulation, Hunger for Knowledge
Qualities Required to become CEO of a Company
Controls high blood pressure, heart-threatening high triglycerides (over 100), or low heart-
protective HDL cholesterol.
The rule of thumb? For a longer life, eat until your stomach is about 80 percent full—you
should not feel hungry, but you shouldn’t necessarily feel full either
In 2014, more than 70,000 Americans lived to be at least 100 years old
Heart Healthy Breakfast
Improving Your Mobility
Millet can work
magic on diabetes
TOI,4/4/2017
Change of LIFESTYLE can prevent Diabetes
Study
It compared sugar
levels in 105 patients
with type-2 diabtes
one and a half hours
after they were given
foxtail millet(Thinai)
dosa on one day and
rice dosa on another.
Result
The glycaemic index-the
number associated with
a food item’s effect on a
person’s blood sugar
level – was 59.25 for
millet dosa and 77.96 for
rice dosa.
Benefits of foxtail millets
 Keeps digestive tract clean
 Reduces heart attack risk
 High antioxidants
 Helps in weight loss
 Reduced gastric problems
Chennai
TOI,4/4/2017
Exercise: An effective prescription for joint pain
A cardio routine you can do in your own living room in just a few
minutes
Strength training moves that target upper body, lower body, and total
body
A balance workout that can reduce your risk for falls
Stretching routines — complete with yoga moves
Walking workouts with 3 different levels of difficulty
Post-workout stretches that improve your flexibility
Easy Workouts to keep you absolutely Fit
Kegel Exercises
Kegel exercises to strengthen pelvic floor muscles have long been seen as just for women, but
they may be a way for men to address some common unpleasant issues as they age.
These muscles also are activated during erection, orgasm, and ejaculation.
Kegels can be performed while lying down, sitting, or standing. A typical routine consists of a set
amount of "hold" time, followed by adequate rest time between repetitions. The number of
reps per session can vary from 10 to 100 depending on your need.
Kegels for better sex
Did you know?
Astronaut John Glenn returned to space at age 77.
Frank Lloyd Wright was still working at age 91.
Ronald Reagan was elected to his second term at age 73.
Georgia O’Keefe kept painting well into her 90’s.
Mary Fasano graduated from Harvard University at age 89.
Dr. William Worrall Mayo founded Mayo Clinic at age 70.
Why you need to watch your waistline
A 2010 study of nearly 105,000 people, published in JAMA Internal
Medicine, suggested that people with larger waistlines (more than 47
inches for men and 43 inches for women) were twice as likely to die
during the study period than people with smaller waistlines (less than
35 inches in men and less than 30 inches in women). Bigger waists are
also associated with insulin resistance, type 2 diabetes, inflammation,
cholesterol problems and coronary heart disease.
What you can do
Targeted fat loss, sometimes called "spot reduction," is a myth; there’s
no way to eliminate belly fat on its own. So, while sit-ups may give you
rock-hard abs, they’ll still be buried under layers of fat.
Instead, you can lose fat all over, and the best way to do that is to keep
your diet in check. The good news is that visceral fat goes away
comparatively more easily than subcutaneous fat, and getting rid of it
can lower your blood pressure and cholesterol levels.
Get Slimmer With This One Practice
You can increase reading comprehension through meditation
Constipation
Eat a high-fiber diet and drink lots of water: Eat a lot of fiber-rich foods like beans and whole
grains, or take a fiber supplement two or three times a day, recommends Bisong. Women should
have 25 grams of fiber per day, and men should shoot for 38. And flush out your digestive
system with water—aim for eight, eight-ounce glasses a day.
People with a genetic predisposition to put on weight around their
middle were more likely to have elevated triglycerides, serum glucose,
and blood pressure and develop type 2 diabetes or coronary heart
disease (CHD), in a new study.
Genetic predisposition to a higher waist-to-hip ratio, adjusted for body
mass index (BMI) as a surrogate for visceral adiposity, was associated
with increased risk of type 2 diabetes and CHD.
They had a mean waist-to-hip ratio of 0.875.
Specifically, each one-standard-deviation increase in waist-to-hip ratio
based on the polygenic risk score and adjusted for BMI was associated
with 27-mg/dL higher triglyceride levels, 4.1-mg/dL higher 2-hour
glucose levels, and 2.1–mm Hg higher systolic blood-pressure levels.
Genetic Study Points to Abdominal Fat as Cause of Diabetes, CHD
Choose rich, filling lentils instead of red meat
Stock up on cheap, heart-healthy whole grains
Avoid risky habits that can cost you big in the long run
Weigh Once a Week
1 of 3 kids does not
have a healthy body
mass index
Elementary, middle, and high schools provided students with fresh fruits and vegetables and
restricted the availability of sugar-sweetened beverages, this would reduce deaths from
coronary heart disease, stroke, and diabetes (cardiometabolic deaths) in the general population
many years later.
MUMBAI FIT HAI KYA ?
Out of the 843 children surveyed, 67% recorded a healthy
BMI in Mumbai
Sample size : 1,69,932
Children aged : 7-17
Schools covered : 326
Cities : 86
THE FINDINGS
Percentage of students who met minimum requirements for
fitness parameters
Sprint
capacity
Flexibility Lower
body
strength
Upper
body
strength
Abdominal
strength
BMI
INDIA 66.3 71.6 57.96 65.4 73.7 65.03
MUMBAI 57.8 77.8 61.1 56.7 73.3 66.9
Compound
Exercises : The
quickest way to get
into shape
TRY THESE EXERCISES
DUMBELL LUNGES
Lunges are an excellent multi joint exercise. They
are great for your lower body(abs, back,
glutes(buttock muscles) and hamstrings). They are
more functional than isolation exercises like leg
extensions or leg curls.
Barbell Squats
Squats are one of the best compound exercises.
They work all the major muscles including your butt,
thighs, and calves. This compound exercise
strengthens your stomach and back muscles.
Exercise is one of the best Prescriptiontin not just for your body but for your brain
Alzheimer’s Disease
How Two Minutes of Walking Per Hour Can Save Your Life
Exercise is Medicine
Foods to boost your immune system
Some Pathways through Which Excess Adiposity Leads to Major Risk Factors and Common
Chronic Diseases.
Heymsfield SB, Wadden TA. N Engl J Med 2017;376:254-266
Other ways to control your portions:
Start with a salad: Eating a salad before your meal can decrease your
calorie intake by 10 to 12 percent, says Alladi. Salads are high in fiber,
which helps you feel full sooner and keeps you satisfied longer. Since
you have to spend more time chewing a salad, it also gives your brain a
chance to catch up with your stomach.
Don’t eat in front of the television: If you eat in front of the TV, you
won’t pay as much attention to your food. The distraction—not to
mention all the restaurant ads—may easily lead to food choices you’d
regret.
Step away from your desk: “Don’t eat in a high-stress atmosphere,”
recommends Alladi. “It causes your brain to release the stress hormone,
corticotropin factor, which can trigger ‘stress eating.’ Increased stress
levels lower your motivation to eat nutritious foods.”
After age 30 you start losing bone density. In fact, women will lose up to
20 percent of bone mineral density in the five to seven years after
menopause.
And by age 65 men and women lose bone density at the same rate.
Sadly, loss of bone mass often ends up causing life-changing fractures.
Estimated glomerular filtration rate (eGFR) may be falsely low
after a meal of high meat content, as blood creatinine
concentration increases after meat intake, potentially
misclassifying patients as having chronic kidney disease
Meat & Kidney Dysfunction
Simple math equals easy weight loss
Walking or jogging uses roughly 100 calories per mile. (Precisely how many calories you'll burn
depends on a number of things, including your weight and how fast you walk.) So you'd lose
about one kilogram for every extra 75 Km you walk — provided you don't change anything
about your current food intake or other activities.
Current recommendations
The USDA’s current dietary guidelines (called “MyPlate”) urge everyone to choose
healthy foods. For example:
Half of each meal should consist of whole fruits and vegetables.
About a quarter of each meal should be made up of protein, and another quarter
grains (especially whole grains).
Low-fat dairy products such as low-fat milk and yogurt are preferred over higher fat
options.
Moderate total calorie intake (depending on your age, gender, size, and physical
activity).
Reduce the intake of saturated fat, sodium, and added sugar. Read nutrition labels so
you know what you’re eating.
Preventing Diabetes
Exercise & Genetics also Play Important role.
If pregnant women can avoid high-fat diets during their pregnancy, they might
help reduce the likelihood for obesity in their children
Exposure to High-Fat Diet In Utero Linked to Subsequent Obesity in Offspring
The health risks of being overweight
80% of people with type  Sleep apnea is higher for
2 diabetes are overweight. people with overweight.
 Overweight may increase the  Overweight may cause inflammation of
risk of several types the joints, raising the risk for osteoarthritis.
of cancer.
 Overweight is a major risk factor for  People who are overweight have a
heart disease and stroke. higher risk for developing gallbladder
disease and gallstones.
 Overweight are more  People who have diabetes or pre-diabetes
likely to suffer from high blood pressure, are more likely to have fatty liver disease
high levels of triglycerides and bad than people without these conditions.
cholesterol.
(Source: National Institute of Diabetes and Digestive and Kidney Disease, USA)
Aerobic Anaerobic
1. Low to moderate intensity activity High intensity activity done for
sustained for long duration short duration
2. Oxygen is required to keep muscles Oxygen is deficient during
in motion exercise
3. Muscles make use of glycogen from Glycogen is burnt in the absence
carbohydrates of Oxygen giving end product of
lactic acid, causes muscle fatique
4. Jogging, swimming, cycling Fast running and
Weight lifting, pushups, situps
5. Improves fitness, reduce risk of lifestyle Makes muscles stronger and
disease, helps in weight management helps to reduce body fat, builts
muscle mass and bone density
6. Recommended for youngsters, not for Recommended for elders
elders
Youngsters should start aerobic exercises for few weeks and then do both types.
Best Anti-Aging Tips for Men
Anerobic Exercise
I’d have to lose a lot of weight for my diabetes to improve
Higher cardio fitness may improve multitasking skills
Balance Boosters
Stretching promotes flexibility and helps your
joints maintain a healthy range of motion, and
in doing so, also lowers the chances of joint
and muscle strain
A workout for your brain
Physical Benefits of Yoga
Yoga can improve your strength, balance, flexibility, and your health!
Know your 10 numbers :
1. BP 2. Pulse 3. Body weight
4. Lipid Profile 5. Bl. Sugar. 6. Haemoglobin
7. TSH 8. B-12 9. Vitamin-D
10. C-reactive protein
If you don’t have 30 minutes TIME for exercise then
better get prepared for DEATH.
NONVEGETERIANS ARE AT HIGH RISK FOR DIABETES
Red meat may have DNA-damaging compounds.
GBS-Campylobactor Jejuni
Causing paralysis
The latest FoodNet report shows that Campylobac (ter (8547) and
Salmonella (8172) were the leading cause of such infections in 2016,
followed by Shigella (2913), Shiga toxin-producing Escherichia coli
(1845), and Cryptosporidium (1816). Yersinia, Vibrio, Listeria, and
Cyclospora were also reported, but with about 300 or fewer cases each.
Foodborne Illnesses Hit 24,000 Americans in 2016 (CDC)
There were 5512 hospitalizations and 98 deaths attributed to foodborne
pathogens.
Nonvegiterian Food leads to so many Diseases
Cysticerci(A): as seen in infected pork. (B): excised into a Petri dish. The white dot in each cyst
corresponds to the scolex
NCC-Neurocysticercosis
Taenia solium – Pork Related
Philips CA, Sahney A. N Engl J Med 2017;376:e4.
Figure Animals carrying zoonotic pathogens that may cause bacterial meningitis
Anusha van Samkar et al. Neurology 2016;87:1171-1179
© 2016 American Academy of Neurology
Meng Q, Liu L. N Engl J Med 2016;375:e52.
Cysticercosis of Brain & Muscles – Pork Related
Toxoplasmosis
Healthy Heart ends here
You Eat Like You’re in College
Item Weight (Grams) Calories
1. Chivada 100 420
2. Chakali 100 798
3. Karanji 100 692
4. Rava Laddu 100 464
5. Boondi Laddu 1 Piece 160
6. Gulab Jamun 100 412
7. Kachori 100 500
8. Samosa 100 417
High Calorie due to high Fat & Sugar
Heart Healthy Food
GET FRUITY
MART SNACKINGS
Eat negative calorie foods
Negative calorie foods are foods that burn more calories in the process of chewing and digestion
when compared to the number of calories it provides the body. Eating such foods creates a
calorie-deficit in the system, which can aid weight loss. The term ‘negative calories’, however,
can be misleading as it might suggest that such foods have no calories at all, which is not true
ICECREAM CONTAIN HIGH CALORIES
AVOID MILK AND MILK PRODUCTS
Which dish to Choose
Worth Your Salt
TOI : 14 JUNE 2015
TAKE IT WITH A PINCH OF SALT
SALTY FOODS ONE MUST AVOID
 Cheese
 Pickles
 Papads
 Salted nuts
 Wafers, chips and
other savoury farsan
 Soy sauce
 Tomato ketchup, mayonnaise
and other readymade sauces
 Breads
 Ready-to-eat soups, noodles
pasta
TOI 31 AUG 2014
TAKE IT WITH A PINCH OF SALT
BALANCE THE SALT INTAKE
Focus on potassium
Increase in the level of potassium helps lower
sodium levels, thus balancing blood pressure
positively. Potassium – rich foods include fruits-
Banana, orange, spinach, prunes raisins and
apricots to name a few.
TOI 31 AUG 2014
I tell my patients to beware of the three whites – maida,
rice and sugar, if one can control the intake of these three,
it can help curb a number of lifestyle health problems
- Dr. K K Aggarwal, SENIOR VICE-PRESIDENT,
INDIAN MEDICAL ASSOCIATION.

MORE KIDS SUFFER FROM HIGH BP
10% of kids in Delhi suffer from high BP
5 % kids of Maharashtra
35-40% patients of high BP patients develop Heart Disease
75% patients of high BP patients suffer Brain Attack
Regular BP check up is advised from 4 year onwards annually
Reduce Salt consumption
2.5 million people die annually (high salt consumption).
5 Gm/Day, (Less than 2.5 GmSodium)
TOI : 25 JUNE 2015
OCCUPATION HAZARD
THOSE WITH DESK-BOUND
OCCUPATIONS ARE MORE PRONE
TO A HOST OF LIFESTYLE DISEASE.
THIS IS WHAT HAPPENS TO YOUR
BODY WHEN YOU SIT FOR TOO
LONG.
STAND UP FOR YOUR HEALTH
Or turn into sitting duck for diabetes
You’re a Couch Potato
STAND UP FOR YOUR
HEALTH
Or turn into sitting duck
for diabetes
TOI : 25 JUNE 2015
STAND UP FOR YOUR HEALTH
Or turn into sitting duck for diabetes
TOI : 25 JUNE 2015
BEWARE OF THE CHAIR
 Set a goal of walking 7,000 to 10,000 steps a day
Walk across the hall to talk to a co-worker instead of sending an email
 Take stairs instead of elevator
 Park your car farther away from your office.
 Take a longer, roundabout way to your desk
 Set a timer to remind your to stand up and move fro at least 10
minutes each hour
 Visit gym or badminton court on your office premises during free
time.
Mindfulness exercise for pain
Thinner the waist : Smarter the Brain
Look Smart by Weight Loss
Diet to regulate your Cholesterol
Best Anti-Aging Tips for Men
Alcohol increases risk of breast, colon, lung, kidney, and liver cancers.
40 Lakhs of People in the World & 8 Lakhs in
India Die due to Tobacco yearly.
16 Crores of MEN & 9 Crores of Wemen are
Tobacco Addict.
25% People in Maharashtra are Tobacco Addict
22% of School Children consume Gutaka.
1 packet of Gutaka reduces Life by 20 minutes.
Infertility, Impotency, Young age Death ,
Stroke , Heart Attack, Cancer and Fetal
malformations occure due to Tobacco
TOBACCO IS SELF KILLING
Why Exercise?
Petrol is essential for CAR, Air is also important, Oil, Shock Absorbers needed
Without all these CAR is Paralysed.
So Body need both Nutrition and Exercise
Do’not DIET, EAT what is needed for your BODY, Dieting makes You Tired and
WEAK. WE WANT STRONG INDIA, NOT MALNOURISHED INDIA
EAT SMARTLY AND EXERCISE SMARTLY
YOU LIKE OR DO’NT LIKE, IF YOU WANT BODY MACHINE TO FUNCTION
NORMALLY, EXERCISE DAILY!
The #1 WORST Food that HARMS Your Brain (avoid!)
Pissa, Pasta,Burger, Hot Dog, Meat, Egg Yellow, Ketchups, Sodas and
Cold Drinks
Ghee, Butter, Cheese, Fried Foods, Sweets, Breads, Biscuits, Cakes,
Icecreams, Sweet Fruits, Sugar, Honey, High Fat Milk and Tea
Fried Foods Vegeterian and Nonvegeterian
High salt, Pickles, Papads
No Click , only Enlarge for motion picture
BRAIN E-TIPS
1) No alcohol, smoking or any other form of Tobacco
2) Regular Physical Activity for 30-40 minutes everyday
3) Vegeterian food with low dairy fat and 3-4 fruits everyday
4) Set and stick to routine sleep shedule
5) Meditate daily change from Anger to Love
Healthy Brain, Healthy Lives
6) Filter out Digital distractions and concentrate on Goals
Make a Habit to do Tomorrow’s Work Today, and Today’s Work Just Now
Change of Fashion
From Nonvegeterian to Vegeterian
From terroerism to philontrophy
From Violence to peace
From Indiscipline to Discipline
From Restlessness to Compassion
From Ignorance to Knowledge
From Cruelity to Humanity
From Alcoholic to Nonalcoholic
-1980

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Health, Diet & Exercise

  • 1. Health, Diet & Exercise Dr M D Mohire, MD, DM Neurology Centre & Research Kolhapur, Maharashtra, INDIA
  • 2. The current WHO definition of health, formulated in 1948, describes health as “ Not only absence of disease but a state of wellness & person enjoys physical, mental, social & Spiritual wellbeing. Health
  • 3. Staying healthy doesn't happen by accident. It's the product of healthy habits practiced everyday. This could mean opting for an apple instead of chips with lunch, limiting your TV time, taking the stairs instead of the elevator or setting health goals…
  • 4. American life expectancy has dropped for the first time in twenty years, according to national data from 2015. American women are now expected to live for 81.2 years and men for 76.3 years, compared to 81.3 and 76.5 years in 2014. Obesity Obesity then puts you at risk for life-threatening conditions like: Heart disease Diabetes High blood pressure A long list of cancers, including breast, colon and pancreatic cancer Calculate BMI, BMI = Weight in kg / Hright in meters square Normal BMI should be less than 25 Overweight is if BMI is more than 25 up to 30 Obesity is if BMI is more than 30
  • 5. IDF Worldwide Definition of the Metabolic Syndrome The metabolic syndrome is a cluster of the most dangerous heart attack risk factors: diabetes and prediabetes, abdominal obesity, high cholesterol and high blood pressure. Bigger the waist, you have Metabolic Syndrome You are prone to High BP, Diabetes & high Cholesterol If you have 1 kg extra body weight, you have 5% chance of Diabetes. If you have 1 kg extra body weight, you have 10 % risk of High BP
  • 6. (WHO) 1999 Definition of Metabolic (Insulin Resistance) Syndrome Components Hypertension Raised arterial pressure (>140/90 mm Hg) or antihypertensive medication Dyslipidemia Raised plasma triglycerides (>1.7 mmol/L) or low HDL cholesterol (<0.9 mmol/L min in men and <1.0 mmol/L in women) Central or general obesity Waist to hip ratio >0.90 in men; >0.85 in women or body mass index >30 kg/m 2 Microalbuminuria Urinary albumin excretion rate >20µg/min or albumin:creatinine ratio >30 mg/g *Two hours post–glucose load plasma venous glucose >7.8 mmol/L. 140 mg % Fasting plasma venous glucose >6.1 mmol/L(110 mg%) or 2-hour post–glucose load plasma venous glucose >11.1 mmol/L (200 mg %). Highest quartile fasting insulin or Homeostasis Model Assessment score for population under investigation. Criteria
  • 8. HEART DISEASE IS THE NUMBER ONE CAUSE OF MORTILITY AND A SILENT EPIDEMIC AMONG INDIANS WOMEN ARE AT HIGH RISK AFTER MENOPAUSE
  • 9. CardioVascular Disease • World’s number one killer. • 17.3 millions death per year. • 82% occur in the developing world. • By 2030, an expected rise is 23 million. WHF Annual Report ,2013 WHF Annual Report ,2013
  • 10. Obesity on the rise in India, says Lancet (Malnutrition) Almost doubling in less than 10 years. Obesity Starvation American College of Endocrinology (ACE) introduced a novel term for obesity — adiposity-based chronic disease (ABCD)- 2016
  • 11. Ban Fat Back &Tone Your Tummy
  • 12. Loose the Ponch "The main message is that obesity and overweight at a younger age and substantial weight gain is significantly associated with low physical performance in old age,"
  • 13. 25-35 age group is far from being fit. 50% consume high fat diet. 30% eating out frequently 30% indulge high salt-diet 55% are Nonvegetarian 65% are obese. 6% carry out regular physical exercise. JUST AN HOUR’S WALK A DAY DECREASES … Chances of heart disease by 40 %. The risk of a stroke by 30%. Chances of breast cancer by 20 % The risk of diabetes by 50 %. Young India is unfit!
  • 14. Non Communicable Diseases • CVD,Diabetes,COPD,Cancer. • 60% deaths worldwide. • CVD deaths constitute half of them.
  • 15. Survey : 50% doctors at risk of cardiovascular diseases TOI : 17/12/2016
  • 16. 50% HEART ATTACKS IN INDIA OCCURE BEFORE 50 YEARS
  • 18. NATURAL PROTECTION GOES DOWN AFTER MENOPAUSE, SMOKING AND DRINKING MAY LEAD TO HEART ATTACKS Women up against risk of heart disease  THE TIMES OF INDIA, MAY29,2013
  • 19. STROKE 7 Cases per minute In India
  • 20. Know your risk of CVD.. • Get BP • Cholesterol • Glucose levels • Weight • BMI measured by Health professional. Dyslipidemia: Screening once between the ages of 9 and 11 years, and once between ages 17 and 21 years, which is consistent with the guidelines of the National Heart, Lung, and Blood Institute.
  • 21. Hypertension • HTN attributes to 13% global deaths. • Nearly 1 billion adults (more than a quarter of the world’s population) has hypertension in 2000, and this is predicted to increase to 1.56 billion by 2025. WHS,2013.
  • 22. Diabetes after 50 cuts Life by 8 Years! Reduced Lifespan: Men lose 7.5 Years, , Women 8.2 Years. Diabetic Men & Women Twice at risk of Heart Disease. INDIA has 70 million Diabetics, 60% are above 50 years. By 2030 number will touch 80 million India is 3rd in Top in Obesity. 1 million people in India die from Diabetes every year
  • 23. High Blood Pressure – Keep a Check on BP Regularly High B P is a 1st cause of Stroke(Paralysis) Be proud if you have High BP. It is better to treat high BP than to neglect. If you neglect, it is as good as you are driving a Car on Highway without Breaks.
  • 24. Changes in Blood Pressure Classification. Chobanian A V et al. Hypertension 2003;42:1206-1252 Copyright © American Heart Association (Hypertensive Urgency and Hypertensive Emergency) Lower The Better
  • 25. 9/20/2017 Cases Now Seen In Age Group Of 35-45 Years, Finds Study Spike in obesity-induced hypertension cases Urban Pune 20-40% ----------------- Rural Areas 12-17% Prevalence of Pre-Hypertension 60-70%
  • 26. 9/20/2017 Spike in obesity-induced hypertension cases KEY FINDINGS OF THE REPORT  35-40% of youngsters and middle-aged diagnosed with hypertension Hypertension is more prevalent in uppermiddle class as compared to middle class. Men and women in the age group of 30-45 years smoke heavily and this has increased the numbers too
  • 27. Physical inactivity • Electronic revolution. – Everything at your finger tips. • Games • TV • Social media • Competitive world (imp. of numbers, rather than knowledge) • IT boom. (more work – high pay, no activity). •
  • 28.
  • 29. WHITE COATS IN DANGER  Survey covered 250 doctors and nurses in a medical college and hospital near Chennai.  It found that 31% of all study subjects and 50% of doctors were at high risk for cardiovascular diseases (CVDs)  Physical inactivity and dietary pattern are related Shortage of doctors. WHO recommends doctor-population ratio to be 1:1,000. In india it is 0.702/1,00000TOI : 17/12/2016
  • 30. Cut your stress levels
  • 31.
  • 32.
  • 33. 17 grams of sugar and 31 grams of carbohydrate. A large banana contains almost 500 milligrams of potassium, as well as 37 grams of magnesium, Vit , B6 3.5 gm fibre.C Sugar bomb: Bananas Helps your heart and muscles work Keeps your blood pressure within a healthy range Helps your kidneys filter urine more efficiently
  • 34. Sugar bomb: Pomegranates 23 grams of sugar and more than But tiny arils pack a whole lot more than just natural sugar. Make sure you eat the whole aril—don’t spit out the seed—since the seeds carry most of a pomegranate’s 7 grams of fiber. Arils are also rich in antioxidants like polyphenols, which may help protect the body against inflammation.
  • 35. Indians among Laziest in the World WALKS OF LIFE Nationality Steps/day Indians 39th of 46 Men Women 4257 4606 Hongkong(1st ) 6880 Americans (30th ) 4774 Indonesia (46th ) 3513 World average 4961 Stanford University Study,700,000 people from 46 countries done with Smartphone App July,10,2017
  • 36. Don’t let stress control you. This Special Health Report will show you how to control it.
  • 38. Health Physical Health Mental Health Spiritual Health Intellectual Health Emotional Health Metabolic Health Social Health Marital Health
  • 39. Eating a diet heavy on plant-based foods is all well and good for cardiovascular health,
  • 40.
  • 41. Abdominal fat and what to do about it Visceral fat is directly linked with higher total cholesterol and LDL (bad) cholesterol, lower HDL (good) cholesterol, and insulin resistance.
  • 42.
  • 43. How to Boost Your Joint Health and Lengthen Your Life
  • 45. “7.4% of all cardiometabolic deaths (Stroke, Heart Disease & T2DM) were linked to sugar- sweetened beverages, and 8.2% were linked to processed meats”
  • 46. “One helpful rule of thumb is one half a plate of vegetables, one fourth a plate of lean protein, and one fourth a plate of high-fiber complex carbs, plus one serving of healthy fat.”
  • 47. “The Mediterranean diet is heavy in vegetables, fruits, nuts, fish, whole grains, and healthy unsaturated fats (found in olive, avocado, and other plant oils).” DASH Diet
  • 48. Increased vegetable and fruit intake; Consumption of foods that are high in fiber; Consumption of whole-grain foods; Increased water intake; Decreased intake of dietary sugar (eg, sugar-sweetened beverages); Sufficient protein intake; and Sufficient intake of healthy fats.
  • 49. Snack on fresh cherries
  • 50. Plump berries may help promote, younger-looking skin
  • 51. Cooking hacks for easy meatless meals
  • 53. Eat regular meals throughout the day
  • 54. Make sure your bedroom is just for sleeping—and sex
  • 55. Super-agers. Term refers to people in their 70s and 80s who have the mental or physical capability of their decades-younger counterparts. By embracing new mental challenges is the key to preserving both brain tissue and brain function.
  • 56. Sitting longer is more Toxic than Smoking It negatively affects your blood sugar, triglycerides, good cholesterol, resting blood pressure and levels of the “appetite hormone” leptin, all of which are biomarkers of obesity and cardiovascular disease. “Bursts of exercise is not the answer; 2 hours of exercise per day will not compensate for 22 hours of sitting Sitting for five or six hours a day, even if you spend an hour a day at the gym, is the equivalent of smoking an entire pack of cigarettes.
  • 57. The Best Foods for Good Gut Bacteria CURDS in Breakfast
  • 58. Interval Walking One minute on, one minute off, or two minutes on, two minutes off.
  • 59. Exercise: An effective prescription for joint pain
  • 60. BEEF 15,415 MUTTON 8,763 PORK 5,988 CHICKEN 4,325 Liters of Water required to produce 1 kg EGGS 3,265 7.4% of all cardiometabolic deaths were linked to sugar beverages, and 8.2% were linked to processed meats.
  • 61. NUTS 7063 Liters of Water required to produce 1 kg CEREALS 1,644 MILK 1,020 FRUITS 962 VEGETABLES 332
  • 62. Eat this if You cannot Button your Pants Bananas will also Relieve Bloating
  • 63. Eat this if You cannot Button your Pants Bananas will also Relieve Bloating
  • 64. This 30-Second Exercise Could save Your Back Maintain this position without movement for 30 seconds and then rest for another minute. Repeat this up to 5 times throughout the course of the day. Maintain this Position for 30 seconds, Rest for 1 minute, do 5 repititions. This gives Exercise to Diaphram, Planks & Abdominal muscles. This relieves Anxiety, Stress Fatique & keeps you Alert & Sharp
  • 65. Exercise can boost your memory and thinking skills
  • 67. 50 Years of CABG (1967-2017) People who eat less meat have lower rates of heart disease,
  • 68. Keraliya A, Blankstein R. N Engl J Med 2017;376:1370-1370. Regression of Coronary Atherosclerosis with Medical Therapy N E J M - 2017
  • 69. All-natural tips to improve your sex life Exercise, diet changes may help reverse ED A man with a 42-inch waist is 50% more likely to have ED than one with a 32-inch waist.
  • 70. Our four limbs are the four tiers of a Car. Exercising regularly maintains adequate air in tiers. Yogas keeps our wheel alignment physically and mentally. If you avoid regular Exercise & Yoga, then Y may get a Stroke(Paralysis) Paralysis is like having puncture of two tiers of a Car. Body is a Car
  • 71. Protein: Meat and more Food Serving Protein (grams) Roasted chicken breast 3.5 ounces 31 Pink salmon, canned 3.5 ounces 20 Greek yogurt, plain 6 ounces 17 Milk, 2% far 1 cup 10 Beans, cooked ½ cup 6-9 Cheddar cheese 1 ounce (slice) 7 Egg 1 large 6 Nuts 1 ounce (1/4 cup) 4-7 Corn on the cob 1 large ear 4 Baked potato 1 medium 3
  • 72. Courage Consolidation Concentration Attitude Perfect sincierity Analysis Curiosity Vision Compassion Philantrophy Determination Happiness Giagantic intellect Conquering will Patience Persistence Fearfulness Openness Passion Adaptability Remaining Cool Cheerfulness & Happy in Odd circumstances Sympathy Tolerence Knowledge of History, Geography of World and beyond Positive thinking Serenity & Foresight Kindness High Energy & Positive thinking Prediction Intusion Planning Decision making Prepareedness Risk taking Shroudness Recapitulation, Hunger for Knowledge Qualities Required to become CEO of a Company
  • 73. Controls high blood pressure, heart-threatening high triglycerides (over 100), or low heart- protective HDL cholesterol. The rule of thumb? For a longer life, eat until your stomach is about 80 percent full—you should not feel hungry, but you shouldn’t necessarily feel full either In 2014, more than 70,000 Americans lived to be at least 100 years old
  • 76. Millet can work magic on diabetes TOI,4/4/2017 Change of LIFESTYLE can prevent Diabetes
  • 77. Study It compared sugar levels in 105 patients with type-2 diabtes one and a half hours after they were given foxtail millet(Thinai) dosa on one day and rice dosa on another. Result The glycaemic index-the number associated with a food item’s effect on a person’s blood sugar level – was 59.25 for millet dosa and 77.96 for rice dosa. Benefits of foxtail millets  Keeps digestive tract clean  Reduces heart attack risk  High antioxidants  Helps in weight loss  Reduced gastric problems Chennai TOI,4/4/2017
  • 78. Exercise: An effective prescription for joint pain
  • 79. A cardio routine you can do in your own living room in just a few minutes Strength training moves that target upper body, lower body, and total body A balance workout that can reduce your risk for falls Stretching routines — complete with yoga moves Walking workouts with 3 different levels of difficulty Post-workout stretches that improve your flexibility Easy Workouts to keep you absolutely Fit
  • 80. Kegel Exercises Kegel exercises to strengthen pelvic floor muscles have long been seen as just for women, but they may be a way for men to address some common unpleasant issues as they age. These muscles also are activated during erection, orgasm, and ejaculation. Kegels can be performed while lying down, sitting, or standing. A typical routine consists of a set amount of "hold" time, followed by adequate rest time between repetitions. The number of reps per session can vary from 10 to 100 depending on your need. Kegels for better sex
  • 81. Did you know? Astronaut John Glenn returned to space at age 77. Frank Lloyd Wright was still working at age 91. Ronald Reagan was elected to his second term at age 73. Georgia O’Keefe kept painting well into her 90’s. Mary Fasano graduated from Harvard University at age 89. Dr. William Worrall Mayo founded Mayo Clinic at age 70.
  • 82. Why you need to watch your waistline A 2010 study of nearly 105,000 people, published in JAMA Internal Medicine, suggested that people with larger waistlines (more than 47 inches for men and 43 inches for women) were twice as likely to die during the study period than people with smaller waistlines (less than 35 inches in men and less than 30 inches in women). Bigger waists are also associated with insulin resistance, type 2 diabetes, inflammation, cholesterol problems and coronary heart disease.
  • 83. What you can do Targeted fat loss, sometimes called "spot reduction," is a myth; there’s no way to eliminate belly fat on its own. So, while sit-ups may give you rock-hard abs, they’ll still be buried under layers of fat. Instead, you can lose fat all over, and the best way to do that is to keep your diet in check. The good news is that visceral fat goes away comparatively more easily than subcutaneous fat, and getting rid of it can lower your blood pressure and cholesterol levels.
  • 84. Get Slimmer With This One Practice You can increase reading comprehension through meditation
  • 85. Constipation Eat a high-fiber diet and drink lots of water: Eat a lot of fiber-rich foods like beans and whole grains, or take a fiber supplement two or three times a day, recommends Bisong. Women should have 25 grams of fiber per day, and men should shoot for 38. And flush out your digestive system with water—aim for eight, eight-ounce glasses a day.
  • 86. People with a genetic predisposition to put on weight around their middle were more likely to have elevated triglycerides, serum glucose, and blood pressure and develop type 2 diabetes or coronary heart disease (CHD), in a new study. Genetic predisposition to a higher waist-to-hip ratio, adjusted for body mass index (BMI) as a surrogate for visceral adiposity, was associated with increased risk of type 2 diabetes and CHD. They had a mean waist-to-hip ratio of 0.875. Specifically, each one-standard-deviation increase in waist-to-hip ratio based on the polygenic risk score and adjusted for BMI was associated with 27-mg/dL higher triglyceride levels, 4.1-mg/dL higher 2-hour glucose levels, and 2.1–mm Hg higher systolic blood-pressure levels. Genetic Study Points to Abdominal Fat as Cause of Diabetes, CHD
  • 87. Choose rich, filling lentils instead of red meat
  • 88. Stock up on cheap, heart-healthy whole grains
  • 89. Avoid risky habits that can cost you big in the long run
  • 90. Weigh Once a Week
  • 91. 1 of 3 kids does not have a healthy body mass index Elementary, middle, and high schools provided students with fresh fruits and vegetables and restricted the availability of sugar-sweetened beverages, this would reduce deaths from coronary heart disease, stroke, and diabetes (cardiometabolic deaths) in the general population many years later.
  • 92. MUMBAI FIT HAI KYA ? Out of the 843 children surveyed, 67% recorded a healthy BMI in Mumbai Sample size : 1,69,932 Children aged : 7-17 Schools covered : 326 Cities : 86 THE FINDINGS Percentage of students who met minimum requirements for fitness parameters Sprint capacity Flexibility Lower body strength Upper body strength Abdominal strength BMI INDIA 66.3 71.6 57.96 65.4 73.7 65.03 MUMBAI 57.8 77.8 61.1 56.7 73.3 66.9
  • 93. Compound Exercises : The quickest way to get into shape
  • 94. TRY THESE EXERCISES DUMBELL LUNGES Lunges are an excellent multi joint exercise. They are great for your lower body(abs, back, glutes(buttock muscles) and hamstrings). They are more functional than isolation exercises like leg extensions or leg curls. Barbell Squats Squats are one of the best compound exercises. They work all the major muscles including your butt, thighs, and calves. This compound exercise strengthens your stomach and back muscles.
  • 95. Exercise is one of the best Prescriptiontin not just for your body but for your brain Alzheimer’s Disease
  • 96.
  • 97. How Two Minutes of Walking Per Hour Can Save Your Life Exercise is Medicine
  • 98. Foods to boost your immune system
  • 99. Some Pathways through Which Excess Adiposity Leads to Major Risk Factors and Common Chronic Diseases. Heymsfield SB, Wadden TA. N Engl J Med 2017;376:254-266
  • 100. Other ways to control your portions: Start with a salad: Eating a salad before your meal can decrease your calorie intake by 10 to 12 percent, says Alladi. Salads are high in fiber, which helps you feel full sooner and keeps you satisfied longer. Since you have to spend more time chewing a salad, it also gives your brain a chance to catch up with your stomach. Don’t eat in front of the television: If you eat in front of the TV, you won’t pay as much attention to your food. The distraction—not to mention all the restaurant ads—may easily lead to food choices you’d regret. Step away from your desk: “Don’t eat in a high-stress atmosphere,” recommends Alladi. “It causes your brain to release the stress hormone, corticotropin factor, which can trigger ‘stress eating.’ Increased stress levels lower your motivation to eat nutritious foods.”
  • 101. After age 30 you start losing bone density. In fact, women will lose up to 20 percent of bone mineral density in the five to seven years after menopause. And by age 65 men and women lose bone density at the same rate. Sadly, loss of bone mass often ends up causing life-changing fractures.
  • 102. Estimated glomerular filtration rate (eGFR) may be falsely low after a meal of high meat content, as blood creatinine concentration increases after meat intake, potentially misclassifying patients as having chronic kidney disease Meat & Kidney Dysfunction
  • 103. Simple math equals easy weight loss
  • 104. Walking or jogging uses roughly 100 calories per mile. (Precisely how many calories you'll burn depends on a number of things, including your weight and how fast you walk.) So you'd lose about one kilogram for every extra 75 Km you walk — provided you don't change anything about your current food intake or other activities.
  • 105. Current recommendations The USDA’s current dietary guidelines (called “MyPlate”) urge everyone to choose healthy foods. For example: Half of each meal should consist of whole fruits and vegetables. About a quarter of each meal should be made up of protein, and another quarter grains (especially whole grains). Low-fat dairy products such as low-fat milk and yogurt are preferred over higher fat options. Moderate total calorie intake (depending on your age, gender, size, and physical activity). Reduce the intake of saturated fat, sodium, and added sugar. Read nutrition labels so you know what you’re eating. Preventing Diabetes Exercise & Genetics also Play Important role.
  • 106. If pregnant women can avoid high-fat diets during their pregnancy, they might help reduce the likelihood for obesity in their children Exposure to High-Fat Diet In Utero Linked to Subsequent Obesity in Offspring
  • 107. The health risks of being overweight 80% of people with type  Sleep apnea is higher for 2 diabetes are overweight. people with overweight.  Overweight may increase the  Overweight may cause inflammation of risk of several types the joints, raising the risk for osteoarthritis. of cancer.  Overweight is a major risk factor for  People who are overweight have a heart disease and stroke. higher risk for developing gallbladder disease and gallstones.  Overweight are more  People who have diabetes or pre-diabetes likely to suffer from high blood pressure, are more likely to have fatty liver disease high levels of triglycerides and bad than people without these conditions. cholesterol. (Source: National Institute of Diabetes and Digestive and Kidney Disease, USA)
  • 108. Aerobic Anaerobic 1. Low to moderate intensity activity High intensity activity done for sustained for long duration short duration 2. Oxygen is required to keep muscles Oxygen is deficient during in motion exercise 3. Muscles make use of glycogen from Glycogen is burnt in the absence carbohydrates of Oxygen giving end product of lactic acid, causes muscle fatique 4. Jogging, swimming, cycling Fast running and Weight lifting, pushups, situps 5. Improves fitness, reduce risk of lifestyle Makes muscles stronger and disease, helps in weight management helps to reduce body fat, builts muscle mass and bone density 6. Recommended for youngsters, not for Recommended for elders elders Youngsters should start aerobic exercises for few weeks and then do both types.
  • 111. I’d have to lose a lot of weight for my diabetes to improve
  • 112. Higher cardio fitness may improve multitasking skills
  • 113. Balance Boosters Stretching promotes flexibility and helps your joints maintain a healthy range of motion, and in doing so, also lowers the chances of joint and muscle strain
  • 114. A workout for your brain Physical Benefits of Yoga Yoga can improve your strength, balance, flexibility, and your health!
  • 115. Know your 10 numbers : 1. BP 2. Pulse 3. Body weight 4. Lipid Profile 5. Bl. Sugar. 6. Haemoglobin 7. TSH 8. B-12 9. Vitamin-D 10. C-reactive protein If you don’t have 30 minutes TIME for exercise then better get prepared for DEATH.
  • 116. NONVEGETERIANS ARE AT HIGH RISK FOR DIABETES Red meat may have DNA-damaging compounds.
  • 118. The latest FoodNet report shows that Campylobac (ter (8547) and Salmonella (8172) were the leading cause of such infections in 2016, followed by Shigella (2913), Shiga toxin-producing Escherichia coli (1845), and Cryptosporidium (1816). Yersinia, Vibrio, Listeria, and Cyclospora were also reported, but with about 300 or fewer cases each. Foodborne Illnesses Hit 24,000 Americans in 2016 (CDC) There were 5512 hospitalizations and 98 deaths attributed to foodborne pathogens. Nonvegiterian Food leads to so many Diseases
  • 119. Cysticerci(A): as seen in infected pork. (B): excised into a Petri dish. The white dot in each cyst corresponds to the scolex NCC-Neurocysticercosis
  • 120. Taenia solium – Pork Related Philips CA, Sahney A. N Engl J Med 2017;376:e4.
  • 121. Figure Animals carrying zoonotic pathogens that may cause bacterial meningitis Anusha van Samkar et al. Neurology 2016;87:1171-1179 © 2016 American Academy of Neurology
  • 122. Meng Q, Liu L. N Engl J Med 2016;375:e52. Cysticercosis of Brain & Muscles – Pork Related
  • 125. You Eat Like You’re in College
  • 126. Item Weight (Grams) Calories 1. Chivada 100 420 2. Chakali 100 798 3. Karanji 100 692 4. Rava Laddu 100 464 5. Boondi Laddu 1 Piece 160 6. Gulab Jamun 100 412 7. Kachori 100 500 8. Samosa 100 417 High Calorie due to high Fat & Sugar
  • 127.
  • 130. Eat negative calorie foods Negative calorie foods are foods that burn more calories in the process of chewing and digestion when compared to the number of calories it provides the body. Eating such foods creates a calorie-deficit in the system, which can aid weight loss. The term ‘negative calories’, however, can be misleading as it might suggest that such foods have no calories at all, which is not true
  • 131. ICECREAM CONTAIN HIGH CALORIES AVOID MILK AND MILK PRODUCTS
  • 132. Which dish to Choose
  • 133. Worth Your Salt TOI : 14 JUNE 2015
  • 134. TAKE IT WITH A PINCH OF SALT SALTY FOODS ONE MUST AVOID  Cheese  Pickles  Papads  Salted nuts  Wafers, chips and other savoury farsan  Soy sauce  Tomato ketchup, mayonnaise and other readymade sauces  Breads  Ready-to-eat soups, noodles pasta TOI 31 AUG 2014
  • 135. TAKE IT WITH A PINCH OF SALT BALANCE THE SALT INTAKE Focus on potassium Increase in the level of potassium helps lower sodium levels, thus balancing blood pressure positively. Potassium – rich foods include fruits- Banana, orange, spinach, prunes raisins and apricots to name a few. TOI 31 AUG 2014
  • 136. I tell my patients to beware of the three whites – maida, rice and sugar, if one can control the intake of these three, it can help curb a number of lifestyle health problems - Dr. K K Aggarwal, SENIOR VICE-PRESIDENT, INDIAN MEDICAL ASSOCIATION. 
  • 137. MORE KIDS SUFFER FROM HIGH BP 10% of kids in Delhi suffer from high BP 5 % kids of Maharashtra 35-40% patients of high BP patients develop Heart Disease 75% patients of high BP patients suffer Brain Attack Regular BP check up is advised from 4 year onwards annually
  • 138. Reduce Salt consumption 2.5 million people die annually (high salt consumption). 5 Gm/Day, (Less than 2.5 GmSodium)
  • 139. TOI : 25 JUNE 2015 OCCUPATION HAZARD THOSE WITH DESK-BOUND OCCUPATIONS ARE MORE PRONE TO A HOST OF LIFESTYLE DISEASE. THIS IS WHAT HAPPENS TO YOUR BODY WHEN YOU SIT FOR TOO LONG. STAND UP FOR YOUR HEALTH Or turn into sitting duck for diabetes
  • 140. You’re a Couch Potato
  • 141. STAND UP FOR YOUR HEALTH Or turn into sitting duck for diabetes TOI : 25 JUNE 2015
  • 142. STAND UP FOR YOUR HEALTH Or turn into sitting duck for diabetes TOI : 25 JUNE 2015 BEWARE OF THE CHAIR  Set a goal of walking 7,000 to 10,000 steps a day Walk across the hall to talk to a co-worker instead of sending an email  Take stairs instead of elevator  Park your car farther away from your office.  Take a longer, roundabout way to your desk  Set a timer to remind your to stand up and move fro at least 10 minutes each hour  Visit gym or badminton court on your office premises during free time.
  • 144. Thinner the waist : Smarter the Brain
  • 145. Look Smart by Weight Loss
  • 146. Diet to regulate your Cholesterol
  • 148. Alcohol increases risk of breast, colon, lung, kidney, and liver cancers.
  • 149. 40 Lakhs of People in the World & 8 Lakhs in India Die due to Tobacco yearly. 16 Crores of MEN & 9 Crores of Wemen are Tobacco Addict. 25% People in Maharashtra are Tobacco Addict 22% of School Children consume Gutaka. 1 packet of Gutaka reduces Life by 20 minutes. Infertility, Impotency, Young age Death , Stroke , Heart Attack, Cancer and Fetal malformations occure due to Tobacco TOBACCO IS SELF KILLING
  • 150. Why Exercise? Petrol is essential for CAR, Air is also important, Oil, Shock Absorbers needed Without all these CAR is Paralysed. So Body need both Nutrition and Exercise Do’not DIET, EAT what is needed for your BODY, Dieting makes You Tired and WEAK. WE WANT STRONG INDIA, NOT MALNOURISHED INDIA EAT SMARTLY AND EXERCISE SMARTLY YOU LIKE OR DO’NT LIKE, IF YOU WANT BODY MACHINE TO FUNCTION NORMALLY, EXERCISE DAILY!
  • 151. The #1 WORST Food that HARMS Your Brain (avoid!) Pissa, Pasta,Burger, Hot Dog, Meat, Egg Yellow, Ketchups, Sodas and Cold Drinks Ghee, Butter, Cheese, Fried Foods, Sweets, Breads, Biscuits, Cakes, Icecreams, Sweet Fruits, Sugar, Honey, High Fat Milk and Tea Fried Foods Vegeterian and Nonvegeterian High salt, Pickles, Papads
  • 152. No Click , only Enlarge for motion picture
  • 153. BRAIN E-TIPS 1) No alcohol, smoking or any other form of Tobacco 2) Regular Physical Activity for 30-40 minutes everyday 3) Vegeterian food with low dairy fat and 3-4 fruits everyday 4) Set and stick to routine sleep shedule 5) Meditate daily change from Anger to Love Healthy Brain, Healthy Lives 6) Filter out Digital distractions and concentrate on Goals Make a Habit to do Tomorrow’s Work Today, and Today’s Work Just Now
  • 154. Change of Fashion From Nonvegeterian to Vegeterian From terroerism to philontrophy From Violence to peace From Indiscipline to Discipline From Restlessness to Compassion From Ignorance to Knowledge From Cruelity to Humanity From Alcoholic to Nonalcoholic
  • 155. -1980