Those Extra Pounds in the Tender Years

Healthy and happy looking little ones are a lovely sight. But obesity in those tender years rings an alarm. Children are the future and we look forward to a healthy future, don’t we?

Childhood Obesity-A Global Epidemic

The world is changing. Children do not think or act like children anymore. They are introduced to the rational world quite early and they learn to think, discern and act like adults. Children are changing physically too. The International Journal of Pediatric Obesity observed that at least 46% of the child population in North and South America are going to be overweight by 2010. It is predicted that 25% of Chinese children will be overweight by 2010 while 38% of all children in the European Union are also feared to join the gang. In India, the prevalence of Childhood Obesity has been marked as 22% in 2002. Dr. Anoop Misra, (Director and Dept Head of Diabetes and Metabolic Diseases, Fortis Hospitals, New Delhi) raises his concerns on the rising number of obese Indians. Among Indians, Obesity is often the predecessor of Diabetes, lipid disorders and Heart Diseases. Further, obese children stand the chance of growing up into obese adults.

What is Obesity?

A “complex condition, one with serious social and psychological dimensions, that affects virtually all age and socioeconomic groups and threatens to overwhelm both developed and developing countries”, is what WHO says about obesity. Obesity is not just having a few extra pounds but having a high proportion of body fat. A person is considered obese when his or her weight is 20% or more than the normal weight.

The Risk Factors

  1. Lipid disorders like Dyslipidemia
  2. Heart diseases
  3. Some Cancers
  4. Stroke
  5. Metabolic syndrome especially Hyperinsulinemia
  6. Lower chances of recovery especially from cancers
  7. Reproductive and gynecological problems in women
  8. Fatty liver disease
  9. Osteoarthritis
  10. Gout
  11. Breathing problems in some cases and
  12. Sleeping disorders

Reasons for Obesity among Children

Childhood obesity is often the result of an imbalance between the calories taken and the calories burnt. It is highly altered because of the modern life style. Children do not eat, play or participate in activities as before.

1. Poor Food Habits:

Children are introduced and encouraged to have food which were not given to kids a decade ago. Many of them do not get the privilege of home-made food as tiffins. They are free to eat food available in the school or outside. These kinds of food habits deprive children of their required nutrition while earning them those extra calories.

Children by themselves are not aware of the health hazards they are exposed to while doing so. The Indian family represented in the Indian (Hindi) Movie Tara Rum Pum serves as a good example to this.

2. Overeating, Of course!

Among the affluent and the elite section of the society , not only children, but the adults also are exposed to abundance. Many of us do hold obesity as a sign of prosperity.

Jokes apart, the western diet is high in fructose and low in fibre. This diet affects the insulin in the body which in turn acts on the brain leading to overeating. Insulin also suppresses leptin, another hormone that increases physical activity and well-being and reduces appetite.

3. Lack of Physical Activities

Children do not have any compulsory physical activity in schools. People with the habit of sitting for hours on demand of school or work without any regular exercise can gain weight. They need not do any overeating. Some people have the habit of eating while watching TV or during work. The practice of eating when not hungry is another cause for Obesity.

4. Family and Genes !

Obesity can be hereditary. The lifestyle and food habits followed by a particular family can be a contributing factor. But it can be kept in check through diet and exercise.

5. Medical Conditions

Illnesses like neurological problems plays a major role in increasing body weight.

6. Medications

Steroids, oral contraceptives, phenothiazines, insulin and certain psychiatric medicines like some antidepressants may cause appetite stimulation and consequent weight gain.

7. E motional Problems and Events Causing Mental Stress

Those with psychological problems like depression or low morale tend to eat more. It is an interesting fact that you tend to eat less or more in response to your emotions. In most of these cases, there are no physiological factors leading to weight loss or weight gain.

Fat people go though a phase of low self-esteem, depression, shame, rejection and isolation. And children facing this kind of social discrimination end up with psychological problems.

Put an End to those Increasing Waistlines

The awareness should be brought on the public level. Children cannot be blamed alone for this as it is the responsibility of the whole society to build up a healthy generation. Parents as well as teachers need to work together for effective remedies. Only a balanced diet with sufficient physical activity can limit obesity among children.

For this, children have to be aware of the health problems they are prone to. Depriving the littles ones from their favorite food stuffs is both insensitive and injudicious. On the other hand, children need to be taught the values of quantity and quality. Parents and teachers share the responsibility of encouraging them for physical activities. Swimming and jogging can be real fun if the whole family gets into it. Parents need to spend some quality time with their children sharing their little joys and worries. A listening parent gives the child the confidence to face the world.

-Aparna K V

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Stress the Stress for a Change!

Stress the Stress for a Change!

Frequently we find ourselves saying that we are tensed or stressed out at this or that. The thought of waking up early is stressful, the prospect of a traffic jam makes us nervous and the idea of writing an exam worries us. On the whole, anything in our daily life can offer a significant amount of stress. So let’s relax and think about Stress itself for a while.

Analysing Stress can be interesting.

Stress comes to the scene only when we fail to accept and adapt to a change in a positive way. When we cannot stand up to some physical or psychological stimuli it can be said that we are under Stress. Stress is the result of various circumstances. It can be born out of daily life emotional upheavals in school, work or family or it can turn up due to an emergency in life. At times, Stress can be the by-product of an illness too. It gnaws a person’s ability to face and solve a problem. Stress is a killer of humanity. Nervous people are prone to an ultimate nervous breakdown when they fail to handle stress. In all, it not only affects the individual but also the environment he is in.

How does stress show itself?

Stress can be emotional, mental or physical. The manifestation of stress can be in the form of headache, gas trouble and stomach upset, muscle tension, fatigue or insomnia. Psychological symptoms include loss of temper, loss of enthusiasm, nervousness, difficulty in concentration, depression, anxiety and mood swings.

Stress is impartial and can attack people of any age, sex, class or creed. But it seems to have a soft corner for teens. In teen-agers, Stress can cause depression and bring the idea of suicide.

Identify the Stressors

Something that blows up stress is called a Trigger or a Stressor. This can be external to the body or from within. Events in the daily life, the environmental conditions like noise or heat, behaviour of the people around are called external stressors.

Internal stressors include attitude and thinking like pessimism or perfectionism, a busy and tight lifestyle, lack of sleep and excess intake of caffeine. People also tend to lose interest in sex life, indulge in addictive habits, feel irritable, lose or gain weight or develop pain in different parts of the body.

Stress has a huge network

Stress does not end its job there. It accelerates the process of aging in some. In most of the cases, Stress links the body to many diseases and disorders. The medical conditions caused by Stress cover anxiety disorders, depression, high blood pressure, cardiovascular diseases, certain gastrointestinal diseases and some cancers. Migraine headaches and asthma are also in the network. As a result of being stressed out, we tend to fall sick more often. Mental Stress is able to set off Irritable Bowel Syndrome (IBS), a chronic functional disorder in most circumstances or even lead to Posttraumatic Stress Disorder (PTSD), a psychiatric illness.

It is also held that the level of snoring is also related to the stress level. The higher the rate of stress level the higher will be the chances of snoring.

Stress it out

It is necessary to hear the Stress alarm at the right time and learn to strain it out. Though Stress is complicated handling it is easy. First deal it at the personal level. Since Stressors are individualized identify them yourself.

· Relax and never fret. Find time for yourself and to please yourself. Keep yourself busy in an unwinding routine including Yoga (Pranayama is great) Meditation and therapies. Listening to music often works. There are music therapies to de-stress the mind and body. Watch TV for sometime, but don’t get addicted!

· Grab some time for yourself in the work place, home or wherever you are in. Find a calm and quiet area and position yourself comfortably. Close your eyes and push away the worries and concentrate on your deep breathing. But do NOT sleep.

· Eat well and sleep tight. Have warm meals at least thrice a day. Include herbs in your diet. Some of the herbs which deal with stress are Ashwagandha , Brahmi and Jatamansi .

· Avoid too much of Caffeine (coffee). It can worsen acidity, gastric problems and sleep disorders.

· Ayurveda recommends at least six hours of sleep every night although the required amount of sleep varies depending on your Dosha . It is said that watching TV just before going to bed interferes with sleep. Use Lavender to aid relaxation and sleep. Add the luxurious lavender oil to a steam or hide a few lavender seeds inside the pillow.

· Learning to adjust, accept and forgive will sooth out anger and ill feelings. Try not to get worked up on arguments. Give in, at times!

· At the same time, never hesitate to set boundary to your work and any stressing factor. Be assertive and voice out your opinions. Saying “yes” always may compromise your health.

· Talk it out with a loved one.

· It is seen that people with a healthy social network often cope up well with Stress. Enjoy comradeship.

· And most importantly, see the lighter side of life too.

-Aparna K V

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Alcohol Menace : De-addict yourself

Alcohol addiction is a menace with losses being incurred both at the personal front and also at the societal level. Violence, poor family life, poor personal achievements, risks of diseases like heart attack, blood pressure, stroke, accidents, injuries and poor liver functions are some of the ill effects of alcohol dependence.

The problem in controlling this menace is not communicating the ills of drinking. Developed nations like United States and European countries have aware citizens who very well understand the wrong, alcohol is doing to them, their family and to the society at large. On the other hand, good de-addiction programmes are not made familiar to the patients of addiction and their care givers. Mere doses of medications like disulfiram and valproate may not bring the patient out of the problem on account of temporary de-addiction, tolerance and many other factors specific to the patient and his physiology.

In order to ensure de-addiction much more is required from the patient himself and his care givers than administering a medication. Infact in absence of personal and mental factors discussed below the efficacy of any medication would be minimum. Hence any de addiction plan would stress more on psychological factors than others. These are enumerated below:

1. Caregivers need to be empathetic : The right balance of patience and empathy are a pre requisite so that your near and dear one can come out of the problem of alcohol addiction. This miracle cant happen in a day or a month, it might take anytime from months together to years together to come out of the problem depending upon the extent of addiction. However, being too soft and gentle also would not help as it may cause indiscipline in adhering to the de addiction module. Hence persistence, caring, empathy and patience along with awareness can help you and the patient too.

2. Have a day’s plan for the patient : "Rome was not built in a day". Hence, there is no use of planning and committing to self that he would not drink for the lifetime initially. Hence, it is best to remain practical and ascertain short term goals rather than striving to achieve far fetched long term goals. It is wiser for the patient to believe in himself and develop self confidence slowly rather than expecting him to turn around suddenly thereby causing severe withdrawal symptoms. Also, it would be a lot more easier for the patient to abstain from alcohol for a few hours to maximum of a day initially and this abstinence would boost his self confidence towards de addiction.

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Strengthen your Heart

Cardiovascular diseases in form of arrhythmias, congestive heart failure, atherosclerosis and even hemorrhage are growing at a tremendous rate and are the cause of at least 50% of deaths worldwide.

The cause for concern is that the figure of heart attacks and related deaths is on the rise but the number of people conscious of their health and taking preventive measures is not growing at the same rate. We all are struggling for a better means of living, improving our standards, providing for our necessities and so on. But do we ensure that we would be able to reap the fruits of the seeds sown. This would be done only if we live long enough and are healthy. Hence, at least half an hour should be dedicated daily only to ourselves, for our health and productive mind. Otherwise we would be running in a marathon without an end point. The following are some of the guidelines to maintain a healthy and fit heart.

a) Exercise regularly :- This should be done in such a manner that the heart rate is at a faster pace than normal and this faster pace should be maintained for 20 minutes. Brisk walking and jogging are two good methods of exercising where the body exerts to enhance its stress undertaking capacity. In general forty minutes of exercise for four times a week is a good exercise.

b) Diet :- Avoid refined flour and restrict carbohydrates and fats once you are 30 years. A good intake of fruits, dryfruits and vegetables would do wonders for your body. The minerals and vitamins used by the body are best sourced in nature. The best supplement for cardio-health is Omega 3 Fatty Acids . Another herb which is useful and has been quoted in various Ayurvedic scriptures is Terminalia Arjuna (Arjun Chhal).

c) Meditation : Yoga, prananyamas and meditation calms and focuses the mind and also avoids excitements and stresses. Hence a weekly practice of meditation would only benefit the heart and mind by controlling the volatility and maintaining a steady heart rate.

d) Regular blood tests : These are required to monitor the HDl and LDL levels in the blood. The LDL/HDL ration should be a maximum or 4 and any higher value is an indication of greater risk of heart diseases.

If you are strong at heart would you be able to enjoy all emotions and also face the struggles in life.

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