Escolar Documentos
Profissional Documentos
Cultura Documentos
I encounter a rising number of young patients, afficted by high blood pressure (BP), high
cholesterol, diabetes and heart diseases. Conventionally, these are disorders of age, likely to
develop in the fth or si!th decade of one"s life. But inappropriate lifestyle#primarily, poor
eating habits and lack of physical e!ercise#is bringing on an epidemic of these diseases. $nd
the patient prole is getting younger.
%ver the past fe& decades, the diet pattern in the country has drastically changed. 'ietary
choices of an individual in India used to be based on tradition, culture and religious beliefs.
But no& convenience is the rule of thumb. Convenient food is anything that is (uick, tasty
and (very importantly) )fashionable). *ack of time, stress and boredom being the most
common e!cuses that I get to hear from my patients for indulging in such foods.
'ining out is an easier option for over&orked professionals than cooking at home these days.
+hile the fre(uency of eating out at restaurants has ,oomed, so have portion si,es. People
consume more calories no& than ever before.
-kipping breakfast, heavy dinners, long gaps bet&een
meals, lack of bre#rich food is so very evident in the
diets of today. $nd it"s a trend that starts early. Children
are introduced to .unk food at a very young age and very
soon chips, cold drinks, biscuits, pi,,as, burgers, bo!
.uices, chhole bhature, cho&mein and a &hole host of
un&holesome foods become a ma.or part of their
everyday diet.
*et"s not .ust blame time constrained, busy professionals,
double#income families or &orking mothers. /he
prevalence of television commercials promoting
unhealthy food as )healthy) and )nutritious) has
contributed a lot to poor eating habits. Consumption of
cold drinks, especially among children, for instance, has
increased in the last 01 years by 211 per cent. Children
have become more sedentary, outdoor sport has taken a
backseat. *ack of physical activity, increasing affuence
and easy availability of fast and convenient foods lead to
obesity and ultimately risk of heart diseases.
$dd to it our varied food platter. 3oods from different
parts of the &orld are no& .ust a phone call a&ay in any
metro. +e often blame +estern pi,,as and burgers as
).unk food), but the fact is, Indian fast foods#chat, samosa,
namkeen and traditional s&eets#are e(ually loaded &ith
calories and saturated fat. If trans fatty#acids (/3$) in
high fat#baked foods like doughnuts, cookies, cakes, rusks and biscuits clog your arteries, so
do saturated fats in cream, cheese, butter and ghee hidden in Indian snacks.
/he commonly found processed foods#for &hich food
labels say )partially hydrogenated vegetable oils)#should
be avoided. /hey are rich sources of tfa. /hey increase
bad cholesterol (or I'*), bring do&n good cholesterol
(hdl) and are more prone to getting deposited in blood
vessels, leading to heart attacks and stroke.
Click here to Enlarge
Click here to Enlarge
Cardiovascular diseases (C4') are the single#most important cause of deaths &orld&ide.
5igh bp, high cholesterol, diabetes, obesity, sedentary lifestyle, diet rich in saturated fats#
especially, processed and ready#to#eat foods#are the ma.or risk factors that lead to various
heart ailments. $ll of these can be controlled through a healthy diet and lifestyle. +ith some
help from modern medicine, of course.
Cardiovascular and cardiothoracic surgeon, 'r 6aresh /rehan, is the chairman and
managing director of 7edanta#/he 7edicity, 8urgaon
Satisfying0 indulgent, treat, guilty pleasure, 1lling, &arm, fresh, 7avourful, delicious Simple0 authentic, real, traditional, fresh, &holesome, recogni?able ingredients, easy to
prepare
Emotional0 nurturing, tradition, nostalgia, celebration, rela3ation, stress-reduction
Comfort Foo%s
/emales &ho usually prepare meals rather than have meals prepared for them generally
prefer snack-related comfort foods such as chocolate and ice cream 5ounger people prefer
s&eeter or saltier snack foods, &hereas older people prefer meal related foods
*odayMs urban &omen have to deal &ith &ork pressure, home life and other needs A
multitasking &omen needs to be mentally and physically 1t to lead a healthy life +ork-life
balance, domestic pressures and violence, insecurity of &omen even in the streets and
vehicles, harassment and sub"ugation are all having a bearing on their health Student
e3ams, busy &ork environments, and a busy home life can all place stress upon a person
Emotional eaters under stress &ill choose s&eeter, high-fat foods such as chocolate and
cake *heir meals &ill also be higher in energy It has been suggested that emotional
eaters may, in fact, be more susceptible to the e;ects of stress +omen &ho ate more
snack foods &hen stressed sho&ed a greater release of the stress sensitive hormone
cortisol than non-emotional eaters *hese types of foods caused them to feel less healthy
and more guilty
Common comfort foods in the Indian scenario include
Eating &hen hungry is both pleasurable and re&arding, an e;ect in the brain mediated by
neurotransmitters <dopamine, opioids and ben?odia?epine= Copamine a;ects ho& much a
person &ants to eat, &hereas the opioids and ben?odia?epine a;ect ho& much a person
likes &hat is being eaten *he opioid neurotransmitter system is also involved in response
to stress and agitation *he soothing e;ect of s&eet foods depends on the taste rather
than the sugar content Arti1cially s&eetened foods &ill &ork "ust as &ell as high sugar
foods 2o&ever, the more sugary and fatty foods are eaten for comfort, the less they
comfort Eepeatedly eating lots of these foods do&n regulates the neurotransmitter
path&ays <ie more e;ort is needed to achieve the same e;ect= /or this reason, obese
people get less en"oyment out of the same amount of comfort food as non-obese people
/ood a;ects our brain chemistry and in many cases &ith drug-like e;ects Certain foods,
especially carbohydrate-based foods, can help increase serotonin levels in our brain, &hich
in turn, helps us feel happy and comforted Carbs make us feel good, especially &hen &e
are stressed, lonely or depressed Another neurotransmitter, kno&n as galanin, can ramp
up our desire for fats during times of challenge and also helps to set in motion those K
pm cravings 4ther factors that can compound emotional eating issues range from
inade:uate sleep to stress - both cause levels of the stress hormone, cortisol, to rise,
&hich not only triggers cravings for carbs and fats, but also tends to promote fat storage,
especially around that least-desirable location, the mid-section
#= +hat health ha?ards do these comfort-foods bring about in the long run.
Eating comfort food in moderation is not a problem for most people 2o&ever, as &ith
many habits &hen over-indulged, comfort eating can be bad for the health A constant
intake of sugary, fatty foods and lo& physical activity can cause over&eight and obesity,
&hich may lead to further problems such as diabetes and cardiovascular disease
4besity <BMI O P$ kgQm#= is associated &ith restrictiveQovereating, comfort eating,
snacking, and &ith an inability to maintain a healthy eating pattern 4bese &omen comfort
eat more often than non-obese &omen 4bese people may comfort eat because they are
feeling depressed, an3ious or guilty, or have lo& self-esteem *hese feelings are often
high sugary foods like chocolates, bakery products like cakes, pastries, doughnuts,
cupcakes, etcL s&eets like gulab "aamun, "alebi, gaa"ar hal&a, rosgolla, etcL soft drinksL
icecreams
salty foods like savories fatty foods such as fried foods like potato chips, savories, etcL chat items like panipuri,
bhelpuri, vadapav, etcL traditional foods like biryani, cholebhature, etc
caused by social stigmatisation, dissatisfaction &ith their bodies, and physical discomfort
due to their obesity Physical discomfort may discourage them from e3ercising *his
combination of increased energy intake <from comfort foods= and reduced energy output
<from lack of e3ercise= causes them to gain more &eight
4besity puts stress on every part of your body and increases the risk of developing ma"or
health problems, including heart disease, *ype # diabetes, high blood pressure, stroke,
liver disease, infertility and sleep apnea
4besity is one cause of *ype # diabetes, but another is unstable blood sugar levels +hen
a lot of re1ned grains and sugar-rich foods are consumed, glucose levels spike and drop
repeatedly 4ver time, these dramatic changes in blood sugar levels can lead to insulin
resistance, &hich is characteri?ed by a decreased sensitivity to insulin If this condition is
not corrected, it can advance to *ype # diabetes
2eart Cisease is a possibility since unhealthy comfort foods are often high in sodium, fat,
cholesterol and sugar Eating these unhealthy foods on a regular basis can increase blood
pressure as &ell as cholesterol and triglyceride levels 4ver time, high blood pressure and
high lipid levels can put a great deal of stress on the heart, increasing the risk for heart
attack, stroke and coronary artery disease
*he high levels of trans fatty acids found in many can lead to fatty liver deposits, &hich,
over time, can cause liver dysfunction and disease
In relation to comfort eating, many people could bene1t from making healthier comfort
eating choices, &ith less emphasis on the taste of the food and more emphasis on its
nutritional content*he good ne&s is there are lots of healthy substitutes that can still
taste fantastic
Eesearch suggests that the re&ard gained from comfort foods seems to be based on taste
rather than nutritional content, and that individuals can obtain the same McomfortM by
eating a healthy nutritious snack as they do eating an unhealthy snackIn the long run,
choosing nutritious comfort foods &ill be healthier
P= A table on 2ealthy /ood S&aps, &herein &e need inputs on &hat healthy snack options
can the &omen s&ap their unhealthy choices for. It &ould be great if you could
supplement this info &ith nutritional details as &ell
Some 2ealthy Comfort /oods D But :uantity to be not too much since they also contain
calories
*he follo&ing is a list of healthy foods that can be s&apped for the unhealthy foods
F''( I)E*S
+U,-)I)
.
C,/'RIE
S
F,)S0g
1
Cu$umber Sli$es 232$up 4&5 0&2
Carrot Sti$ks 232 $up 26& 0&2
7rapes 232 $up 4&5 0&
(rie% ,pri$ots 234 $up 66&4 0&2
,pple Sli$es 2 me% 52&4 0&
Cark Chocolate0 Cark chocolate can not only satisfy taste buds, but it can also help relieve
stress at the molecular level Additionally, cocoa can also improve cognitive function and
mood Eesearchers also found that daily dark chocolate consumption can be bene1cial for
individuals su;ering from high levels of an3iety
4atmeal0 Certain comfort foods, such as oatmeal, can reduce levels of stress hormones
and also result in a boost in serotonin, &hich stimulates a feeling of calmness
5ogurt0 It is a healthier alternative to almost any dairy product found in the market
because of its lo& caloric but high nutritional value
S&eet potatoes0 4pt for s&eet potatoes instead of the regular ones *hese potatoes have
higher 1ber content and are rich sources of comple3 carbohydrates
6reen leafy vegetables0 are rich sources of minerals such as calcium, iron, magnesium
and calcium along &ith other vitamins and phytochemicals Cieters even consider veggies
as freebies because of their very lo& caloric value
/ruits0 6rab a fruit instead of a candy bar - fruits are rich sources of vitamins and
minerals /ruits &ill not give a sugar rush because they donMt have simple sugars like &hat
is usually found in candies
!assi0 !assi, a refreshing Indian drink similar to a smoothie, contains dairy products like
yogurt and buttermilk, thinned &ith &ater 9se lo&- or non-fat buttermilk and yogurt and
less sugar to keep lassi lo&-calorie
Aegetables0 Most vegetables are lo& in calories, so they are a natural choice for a savory,
healthy snack Eoasted vegetables, such as carrots or cauli7o&er, get an e3otic kick from
cumin and other Indian spices Eaita, a cucumber and yogurt condiment traditionally
served &ith spicy Indian foods, makes a refreshing chilled dip
Iuts0 Iuts in small :uantities provide a healthy, high-protein snack +hile nuts are high in
fat and calories, it is recommended to consume them as part of a healthy diet for their
mono and polyunsaturated fats, &hich may help lo&er blood cholesterol levels
,lmon% 238$up 252&9 24
:atermelon 232 $up 24&8 0&8
Strawberry 232$up 24&9 0&8
;ineapple 232$up 85 0&8
'range 232 $up 42&8 0&2
;ear 232 $up 45&6 0&8
*ango 232 $up 8&4 0&2
<iwi 232 $up 4 0&4
Raisins 234 $up 209 0&2
-on=Fat3Skim *ilk 2 $up 5&5 0&4
)omato >ui$e 5o? 42&8 0&2
@egetable >ui$e 5o? 44 0&2
.oghurt 200ml 40 4
Most of the time &e look for crunchy and crispy snacks &hich are fried Instead, &e can
make roasted or baked options &hich &ill still be crunchy /e& e3amples are - roasted dals
instead of fried, Popcorns, Soup sticks and rusks in place of fried murukkus Crinking
vegetable soups &ithout cream and butter &ill not only 1ll the stomach but also increase
the :uantity of vegetable intake
Making a conscious informed choice on the type of comfort food eaten &ill help avoid
future problems It is important to kno& ho& eating healthy and unhealthy foods a;ects
the body as kno&ledge in this area can create an a&areness of the health bene1ts of
consuming foods considered healthy and the conse:uences of eating foods that are
considered unhealthy Information on this topic can help make &ise choices &hen deciding
on &hat foods to eat, resulting in better health
Cr Bhuvanesh&ari Shankar, Ph C, EC,
Aice President <Cietetics= J 6roup Chief Cietitian
2ead - Cepartment of Cietetics,
Apollo 2ospitals 6roup
*eacher, ESPEI Ciploma in Clinical Iutrition
Author can be contacted at R@(-KK-#S#@ %T() Q %%PT
*he risks of poor nutrition
Good nutrition, based on healthy eating is one essential factor that helps us to stay healthy and be active.
+hat causes poor nutrition.
Poor eating habits include under- or over-eating, not having enough of the healthy foods we need each day, or
consuming too many types of food and drink, which are low in fibre or high in fat, salt and/or sugar.
These unhealthy eating habits can affect our nutrient intake, including energy (or kilo"oules protein,
carbohydrates, essential fatty acids, vitamins and minerals as well as fibre and fluid.
2o& does poor nutrition a;ect us.
Poor nutrition can impair our daily health and wellbeing and reduce our ability to lead an en!oyable and active
life.
"n the short term, poor nutrition can contribute to stress, tiredness and our capacity to work, and over time, it
can contribute to the risk of developing some illnesses and other health problems such as#
being over&eight or obese
tooth decay
high blood pressure
high cholesterol
heart disease and stroke
type-# diabetes
osteoporosis
some cancers
depression
eating disorders
Steps to good nutrition - it's easier than you think
$ good place to start is to#
have a good variety of healthy foods from the 1ve food groups each day /or more information
see the 2ealthy eating for di;erent ages and stages and 2ealthy Eating tips sections
aim for t&o serves of fruit and 1ve serves of vegetables each day
only occasionally eat sugary, fatty or salty food, and then only in small amounts
drink fresh, clean tap &ater instead of sugary drinks
s&itch over to healthy recipes that look and taste good
plan your meals ahead and shop for healthy ingredients
en"oy cooking and eating healthy food &ith family or friends and &ithout distractions such as the
television
Is your lifestyle damaging your health?
Hi, Im Mick Adams, public health expert and chair of the National Aboriginal Community Controlled Health
Organisation NACCHO!, the peak body for Aboriginal medical ser"ices#
I"e been $orking in Aboriginal and %orres &trait Islander health for o"er a decade and I"e seen that some of our
biggest health problems are caused by lifestyle factors, including poor eating habits and lack of exercise#
%his means that if $e all make the commitment to start li"ing healthier li"es, $e can make a real difference to the
health and $ell'being of our community ( no$ and in the future#
)hats lifestyle got to do $ith it*
+oor eating habits
O"er$eight and obesity
+hysical acti"ity
Ho$ much physical acti"ity do I need*
%ype , -iabetes
Ho$ much fruit and "egetables do I need*
Mick.s %ips
Whats lifestyle got to do with it?
An unhealthy lifestyle leads to an unhealthy body, and theres a lot more to unhealthy lifestyle habits than /ust
cigarette smoking and drinking too much grog#
Poor eating habits
+oor eating habits, $ith lots of fatty foods, salt and sugar and not many fruit and "egetables, can do a lot of
damage to your health#
0our body needs "itamins, minerals and other nutrients to stay healthy and strong and fight illnesses and disease#
1ating unhealthy food can increase your risk of de"eloping diseases like heart disease, stroke, type , diabetes and
some forms of cancer# +oor eating habits can also cause high blood pressure, high blood cholesterol and $eight
gain#
Overweight and obesity
+oor eating habits can also lead to you becoming o"er$eight or obese# 2eing o"er$eight or obese can increase
your risk of de"eloping diseases such as heart and kidney disease, type , diabetes and some forms of cancer# It
can also make it harder for you to get enough physical acti"ity, as you get out of breath more easily, and find
mo"ing more difficult#
Physical activity
%he food you eat pro"ides your body $ith energy# If you dont burn up enough of this energy, your body $ill store
it as fat#
Not being physically acti"e enough can increase your risk of a $hole bunch of health problems including heart
disease, some forms of cancer as $ell as bone and back problems#
2eing physically inacti"e also makes you feel tired and lethargic#
How much physical activity do I need?
0ou should try to put together at least 34 minutes of moderate physical acti"ity on most, or all days of the $eek#
%ry to be acti"e $hene"er you can and also try to get some regular
"igorous physical acti"ity# %his means something that gets your heart
rate up and gets you puffed# %his $ill help you to get healthy and
strong#
If youre pregnant, ha"e been pre"iously inacti"e, or suffer from any
medical conditions you should check $ith your doctor or health $orker
before doing "igorous physical acti"ity#
5emember to start slo$ly and dont push yourself too hard# 6radually
build up your intensity and duration as your fitness increases#
Type 2 iabetes
Aboriginal and %orres &trait Islander people ha"e among the highest rate of type , diabetes in the $orld# It is
estimated that Aboriginal and %orres &trait Islander Australians ha"e three times the rate of diabetes compared to
non'Indigenous Australians#
Not only is diabetes more common in Aboriginal and %orres &trait Islander people it also begins at an earlier age#
1"en more tragically, the Aboriginal and %orres &trait Islander death rate from diabetes in nine times that of non'
Indigenous people# -iabetes can run in the family but in many cases, if you eat $ell and are physically acti"e, you
can stop yourself getting it#
%ype , diabetes can lead to blindness, amputations, chronic kidney failure and an early death# It is a serious illness
that re7uires treatment, but the best thing you can do for yourself and your family is to take steps no$ to reduce
the risk of getting type , diabetes in the first place ( eat healthy food that is lo$ in fat, salt and sugar and high in
fibre, get plenty of physical acti"ity and maintain a healthy $eight# &peak to your doctor or health $orker about
$hat else you can do to keep yourself and your family safe from diabetes#
How much fruit and vegetables do I need?
0ou and your family need at least t$o ser"es of fruit and fi"e ser"es of "egetables e"ery day# 0oull not only look
and feel healthier, youll also be protected against a number of diseases and it $ill be easier to maintain a healthy
$eight#
What is a serve?
One serve of vegies is:
8 cup of cooked "egies
9 medium potato
9 cup of salad "egies
8 cup of cooked dried beans, peas or lentils#
One serve of fruit is:
9 medium si:ed piece of fruit, such as an apple or orange
, smaller pieces of fruit such as apricots
9 cup of canned or chopped fruit
98 tablespoons of dried fruit, such as sultanas#
0ou should also try to eat cereals and grains, such as $holemeal pastas and breads, as $ell as some lean meats
and some dairy foods# Cut right back on sugary, salty and fatty foods#
Bad eating habits cause disease
%r. $hmet $yd&n e'plains the relationship between foods and disease in his book titled ()*den )+*e Ta,
%evri %iyeti( (-tone $ge %iet from ) to )+. .or e'ample, he says hypertension can be treated with dill,
arugula and spinach instead of drugs.
$n over-reliance on processed foods with additives has led to a decline in the consumption of fruit and
fresh homemade food. This leads to many diseases such as obesity, diabetes, hypertension, paralysis,
depression, hyperactivity, autism, acid reflu', ulcers, asthma, rheumatism and cancer. These are the
words of %r. $yd&n, who e'amines the relationship between eating habits over the years and chronic
disease. "n his book, published by /ayy 0itap, $yd&n not only e'plains the relationship between the two
but also provides clues on which foods can help prevent disease.
Greasy foods are not the cause of obesity and metabolic syndrome; sugar is.
$yd&n notes that contrary to popular opinion sugar is the cause of e'cessive weight gain, not greasy
foods. This is because insulin is the hormone that stores fat and what increases insulin is sugar, not fat.
-ugar also prevents fat from being burned, which then leads to hypoglycemia, causing chronic
e'haustion, unhappiness, headaches and weakness. .alling blood sugar activates stress-producing
hormones. This triggers panic attack symptoms such as palpitations, shortness of breath, fear and
an'iety, di11iness, nausea, chest pains, and numbness and tingling in the hands and feet.
Hypertension cannot be treated with blood pressure reducing medicines.
The most striking assertion in the book is that hypertension can*t be ade2uately treated with blood
pressure reducing medicines, but that it can easily be controlled with a proper diet and lifestyle.
3inerals like magnesium, calcium and potassium are very important in treating hypertension. People
with hypertension should eat green leafy vegetables like dill, arugula, and spinach. "t is also important
to get plenty of vitamin %. 4ther foods that should be consumed on a regular basis are grape seed,
turmeric, fish oil, pomegranate, garlic, olive oil, pumpkin seeds and mint.
Almost all occurrences of cancer are related to eating habits.
%r. $yd&n e'plains that almost all types of cancer can be linked to eating habits. $voiding consuming too
much flour, sugar and processed meat is important for preventing cancer. 5itamin 6 must be consumed
because it prevents cancer and kills cancerous cells. Packaged foods with additives should not be
consumed. .resh fruits and vegetables should be consumed in abundance. The meat and eggs of free-
range animals, garlic, onion, turmeric powder and green and black tea should be consumed. Good
sleep, avoiding stress and e'ercising regularly are also important. 6ooking pots and containers made of
clay, glass or tin should be preferred instead of Teflon coated and aluminum utensils.
Gastric medications only provide temporary relief, not treatment
The book e'plains that acid reflu' is directly linked to eating habits and that gastric medications are not
a treatment. The cause of this condition is also sugar. $ccording to $yd&n, a low-sugar diet reduces
reflu'. %rinking water a half hour before eating and two hours after eating and then at three-hour
intervals help treat reflu'. 4f course the consumption of flour-based and high sugar foods must be
reduced as well.
Omega-3 deficiency leads to depression
$ccording to the book, omega-7 deficiency reduces serotonin in the brain tissue leading to depression.
5itamin deficiencies are other factors that lead to depression as well. %eficiency of vitamins 89: and
8;, selenium, 1inc, iron and magnesium can lead to depression. People who want to avoid depression
should stay away from flour and sugar and can consume fish oil, and vitamins 8, 6 and %.
orgetfulness caused by vitamin deficiencies
The leading causes of memory loss and forgetfulness are reactive hypoglycemia, thyroid hormone
deficiency, iron deficiency and vitamin 89: and vitamin % deficiencies. <ot consuming enough meat,
eggs and other animal products and taking gastric acid medications can lead to forgetfulness. Those
who want to prevent memory loss should consume plenty of black grapes, green tea and turmeric and
e'ercise regularly. -olving crossword pu11les can help improve memory by increasing the reproduction
of brain cells.
Allergies might be the cause of headaches
$yd&n provides some interesting information about headaches in this book. /e writes about a study in
which people suffering from migraines were assigned a diet consisting of low allergen lamb meat and
water for five days. $fter the fifth day, the migraine pain was gone in a large number of patients. People
who are prone to migraines should avoid foods such as wheat, oranges, eggs, tea, coffee, chocolate,
milk, veal, corn, mushrooms and peas.