lifestyle modification

1. DR VIKRAM A. RAJADNYA
• MBBS , MD ( PHARMACOLOGY)
• CLININCAL NUTRITION ( NIN , WHO , GOVT OF
INDIA )
• NATIONAL GOLD MEDALIST ATHLETE
• 10 INTERNATIONAL/NATIONAL PUBLICATIONS

2. DR VIKRAM A. RAJADNYA
• Clinical , sports and research advisor ;
apex fitness pvt ltd .
• More than 30 lectures at
akashvani , IMA s , medical colleges

3. PART I : BASIC SCIENCE
OF LIFESTYLE MODIFICATION

4. Lifestyle and related diseases
• Obesity , pediatric obesity , PCOD
• Hypertension , IHD
• Some cancers
• other

5. ONE PICTURE = THOUSAND WORDS

6. LIFE STYLE DISEASES
• STRESS
• PHYSICAL INACTIVITY
• FAULTY NUTRITION
• OTHER FACTORS ( GENETICS , SALT ETC)

7. PHYSICAL FITNESS
• CARDIOPULMONARY
• MUSCULAR
• FLEXIBILITY
• BODY COMPOSITION
• BALANCE AND COORDINATION

8. Cardiopulmonary exercises

9. Sadly the most underestimated

10. Body composition
• Both of them
Are 80 kg
• Story of an American
president

11. MY PYRAMID

12. MOST IMPORTANT EQUIPMENT IN
INDIA

13. PART II :
• CLINICAL DECISION MAKING
IN ,
• NUTRITION , YOGA , EXERCISE PRESCRIPTION

14. EVALUATE EACH PATIENT
FUNDOSCOPY BEFORE EXERCISE IN
DIABETES

15. A 71 YEAR OSTEOPOROTIC LADY
Exercise prescription
Walking / swimming ??
Weight training ??
Yoga ??

16. Sixteen year old , obese PCOD girl
• Mother tells ,
• I get 200 rope jumps done everyday
• What is your opinion ??

17. A diabetic
• Planning to take on a half marathon 21 km
• May need a high protein diet
• What to do ??

18. A hypertensive patient
• A long distance cyclist
• Advised a B blocker
• What is your opinion ??

19. PART III : Universal facts
In ,
Lifestyle modification

20. WHAT WORKS / WHAT DOES NOT ??
• NUTRITION
• EXERCISE
• COUNSELING
• SOME MEDICINES
• BELTS
• VIBRATORS
• MIRACLE MEDICINES
• SOME CREAMS

21. So many diets
• American diet
• High protein and low carbohydrate
• High protein high fat ( eg Atkins)
• Mediterranean diet

22. HOW SHOULD BE THE DIET ??
STAPLE
GEARED TOWARDS
DISEASE CONTROL

23. BIGGEST MISTAKE : AVOIDING THESE

24. Obese diabetic told me
• Caught in yo yo cycles
• Its heaven every time I
lose weight
• But I go to heaven
through hell

25. Eat how many times a day ??
• Our experience ,
people eat two big meals
• How about every one hour ??
• What is the golden mean ??

26. Obese diabetic
Can lifestyle modification help
to ,
STOP INSULIN ??

27. OBESITY OUTCOMES
• Major problem
weight regain
• Majority diets fail at this level

28. PART IV : Random Picks
Myths and truths

29. RUNNING
BAD FOR KNEES ??

30. crunches for abdominal FAT

31. Zero cholesterol butter

32. A convict in jail more than 20 years
suddenly found not guilty

33. MORNING WALKER
• Does it help ??
• How much it burns ??

34. Veg. v/s non veg.
• Eternal controversy
• Interesting to know
Evolution of human food habits

35. FOUR DAYS WEIGHT LOSS CAMPS
ARE THESE USEFUL ??

36. PART V
TO SUMMARISE

37. Avoid Obesity mistakes
• dont try to lose too much too soon
• never try severe calorie deficit
• Always accommodate happy foods
• Always have a long term plan

38. obesity
• From simplest to most sophisticated exercise
programs available
• Individualization is important
• Never torture your body

39. diabetes
• Encourage Lifestyle modification in all types (
even T1)
• Never stop rice , sweets , even fast foods
• Possible to stop insulin in obese T2( we do it )

40. diabetes
• Aerobic with weight training
supra additive effect
• Yoga with stress management
• Lifestyle more profound than medications

41. hypertension
• DASH diet
• Aerobic exercises
• Weight training under strict precautions
• Yoga and stress management

42. PART VI
TO CONCLUDE

43. Obesity not a rocket science
But much more costlier
than rockets and missiles

44. NUTRITION AND EXERCISE
SCIENCES
INFANTILE STAGE IN OUR COUNTRY

45. THE COSTLY DISEASES
• WILL DEMAND
• BEST NUTRITION AND EXERCISE
PRESCRIPTIONS , ONE DAY
• ARE WE PREPARED ??

46. THANK YOU ALL