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Thursday, October 13, 2011

Lose Weight and Gain Health


We consume food for energy requirements of our body and burn them through the normal metabolic process in the body.  This process is measured in terms of calories.  On an average, our body requires 1100-2000 calories of food every day, which in turn a healthy body will burn in the normal metabolic process to maintain equilibrium or constant weight.  The problem happens when either of  these two processes is overdone or underperformed.   The funda of weight gain or reduction is straight and simple and can be explained by a simple equation as below:

Weight gain = More calories Consumed + Less Calories burned
Weight loss = Less Calories consumed + More Calories burned.

When we burn energy worth 7000 calories more than what we consume, the body weight is said to get  reduced by about 1 kg.  Certainly, we cannot burn these many accumulated calories overnight or in a short span to dramatically reduce our weight.  This is not desirable too and may lead to medical complications.  It has to be achieved through physical efforts, life style changes and a strong positive attitude and commitment.

Weight Reduction can therefore be targeted through following steps.

1)  Consumption of Balanced Nutrient Food.
2)  Physical Exercises.
3) A positive attitude and commitment.

Let me now explain each one of them in detail.

Balanced Nutrient Diet

The principle of Naturopathy  proclaims that ‘Food is thy medicine and Medicine is thy food’.    We should eat and eat well. We should not starve or deny ourselves the pleasures of eating. It is not important how much alone we eat.  What is also  important is ‘what we eat’ and ‘when we eat’.    It is said that when we eat ‘right food’ in ‘right proportion’ and at ‘right intervals’, there is no cause for any diseases or disorders and hence food itself acts as a preventive or protective medicine to the body.

As said earlier, basically our body requires around 1100  to 2000 calories of food.  We should simply ensure that our food consists of adequate components of  carbohydrates, proteins, fats, fibre,  vitamins and minerals.   A chart consisting of our normal popular foods and the calories provided them is given in Table A. 

Table A: LIST OF POPULAR FOODS ITEM AND CALORIES PROVIDED
Source: ‘From Fat to Fit’ by Dr.D.R.Gala, Dr.Dhiren Gala and Dr.Sanjay Gala
Carbohydrates
Chapati (Wheat)  (20 gms)
  40  Calories
Poori  (Wheat) 16 gms
  68 Calories
Paratha  (Wheat) 55 gms
304  Calories
Bread (2 slices) 45 gms
120  Calories
Wheat Biscuits  20 gms
64  Calories
Kichri (Rice) 140 gms
238 Calories
Idly (1 Piece-Medium)-68 gms
  68 Calories
Sada Dosa (100 gms)
216 Calories
Masala Dosa (100 grams)
210 Calories
Samosa (30 gms)
103 Calories
Potato Chips (20 gms)
108 Calories
Kachori (45 gms)
190 Calories
Potato Bhajia (60 gms)
240 Calories
Onion Bhajia( 60 gms)
197 Calories
Pattis (60 gms)
201 Calories
Potato Wada (45 gms)
118 Calories
Cutlets (60 gms)
126 Calories
Sweets
Boondi Ladu (35 gms)
150 Calories
Carrot Halwa (85 gms)
333 Calories
Sugar (1 tea spoon) 6 gms
25 Calories
Jaggery (1 spoon) 15 gms
56 Calories
Honey (1 Spoon) 21 gms
66 Calories
Cereals- 100 Gms
Wheat
348 Calories
Rice
348 Calories
Barley
335 Calories
Jowar
335  Calories 
Rice Flakes (Phova)
350  Calories
Bajra (Millet)
360   Calories
Maize (Corn) (Makkai)
342  Calories
Maize (Bhutta)
  23 Calories
Pulses (100 Gms)
Black Gram (Urad)
348 Calories
Bengal Gram (Chana)
316  Calories
Green Gram (Moong)
334  Calories
Lentil (Masur)
346  Calories
Peas
315  Calories
Soyabean
432  Calories
Vegetables (100 Gms)
Carrot
 47  Calories
Potatoes
 99  Calories
Onion
 51  Calories
Tomatoes
 20  Calories
Cucumber
14  Calories
Bitter Gourd
25  Calories
Cabbage
30  Calories
Cauliflower
39  Calories
Fruits (100 Gms)
Orange
56  Calories
Apple
49  Calories
Pine Apple
50  Calories
Fig (Anjeer)
75  Calories
Water Melon
17    Calories
Mangoes
50  Calories
Bananas
153  Calories
Guava
66  Calories
Grapes
45  Calories
Pomegranates
65  Calories
Pears
47  Calories
Papaya
40  Calories
Sweet Lime (Mosambi)
59  Calories
Lemon
57  Calories
Jackfruit
65  Calories
Milk Products (100 ml)
Cow’s Milk
  65  Calories
Buffaloes Milk
117  Calories
Curd (Cow Milk)
  51  Calories
Butter Milk
  15  Calories
Paneer
348  Calories
Egg (100 grams)
173  Calories
Fish gms)
100  Calories
Hot and Soft Beverages
Water
 0 Calories
Tea (150 ml)
60  Calories
Coffee ((150 ml)
75  Calories
Lime Juice (200 ml)
75  Calories
Soft Drinks (Aerated)(200 ml)
75  Calories
Beer (Mug) 200 ml
100 Calories
Alcohol (1 peg 45 ml)
110 Calories
As per nutrition plan developed by Spectrum Health Care, Mumbai, a seven day sample diet plan for variety should revolve around 1050-1350 calories consumption of food every day, with a component plan of 200-250 grams of carbohydrates, 25-35 gms of protein and fat within the overall plan.

From the Table A, it can be observed that vegetables and fruits give us fewer calories for more amount of food consumed and hence are highly recommended. 
On the other hand, sweets, cakes, ice-cream, soft drinks, wafers, bhajias, chips, samosas, vada paavs and other  fried and fast foods provide more calories for less amount of food consumed besides burning a big hole into our pockets!!. Hence, it is better to consume them in lesser quantities.  Still better is to avoid them altogether, if not immediately at least over a period of time.    This is what health and wellness experts mean when they recommend life style changes.    

One need not get carried away by the jargon like ‘life style changes’.  We traditionally had a good eating life style.  Over a period of time, our modern life style has evolved around ‘fast, easy and convenient life style’.  And to suit this lifestyle, ‘fast, easy and convenient foods’ have also evolved and become part and parcel of our living styles. Refined, preserved foods stored in a refrigerator may prolong the shelf life of the food, but they rob the vital mineral and nutrients required in the food.

To seek a new eating life style for our future, we have to simply visit our past or eating habits of our elders and ancestors.  Let us check the eating style habits of our ancestors.    Our simple and traditional meal or thali had all the components of balanced nutritious food.   For example: a simple Maharashtrian meal consisted of the following.
Chapati or Bhakri
Amti or Varan
Pulses
Vegetables
Curds
Salad (Pachadi or Koshambir)
Chutney
Lemon Butter Milk

The above menu has all the components of food for healthy living.  Even today, we can see many poor people in villages living a long life span healthily, consuming or surviving on 6 or 7 Jowar Bakris a day with some chutney or chilli powder as a side dish.  Similarly, curd rice is almost mandatory in South Indian home meals.  Naturalists argue that a diet plan revolving around fruits, roots (vegetables) and sprouts is the best diet for our body constitution.

Some Mantras of Good Eating Life Style

1) The principle of food eating is to eat well, to eat regularly at fixed intervals and to eat in smaller and measured proportions.   We can consult a good physician or dietician or nutritionist to understand our body requirements and suggest an appropriate diet plan. 
2.   Generally, our morning breakfasts in the morning could be a little heavier , the afternoon lunch a little lighter and night meals the lightest.   It is advisable to have two hours gap between dinner and bedtime, as generally activity is minimum after dinner.
3)   Before venturing on a diet plan, in practice, it is better to jot down a list of our favourite foods and beverages and share it with our family.  More often than not, it happens so that our list of favourite foods already comprises of healthy foods, and the doctors too will be approving the same for our diet plan.  So a perfect match is established between what the doctor ordered and patient desired.     So let us merrily enjoy eating such foods for which we already have a taste or liking.
4) Some tastes however may have to be cultivated with or without doctors’ recommendations.  For example, with advancing age, it is better to take less of sugar and salt in our food items.  To start with, it may be difficult to adapt, but  over period of time, once we get used to it, we will as well start enjoying them.  We see today many people joyfully taking tea or coffee without adding sugar in them even when they have no sugar related problem, just as a matter of abundant caution or preventive vigilance. 
5) While eating, eat slowly, chew thoroughly, and enjoy relaxedly.   It is important to reduce the foods to small particles in the mouth to prevent indigestion in the stomach.
6)  The most balanced meal for one who exercises regularly is based on four pillars of nutrition- High carbohydrate, moderate protein, high fibre and low-fat one. Carbos such as rice, rotis, and peas are sources of quick energy.   They infuse glucose into our muscles.  Proteins such as pulses, dals,soyabeans and mushrooms nourish and build up muscle tissue.  Low fat vegetables and fruits provide vitamin, minerals and fibre that make our bodies efficient.  And skimmed milk variations, such as curd, strengthen our bones and help digestion. These four pillars of nutrients are needed to stay healthy and fit.  (Source: ‘Fitness First’ Columnist- Bharat Savur)
6) As far as possible, we should cook and eat a meal that is low in glycemic load and glycemic index.  Let me also explain what low and high glycemic index foods are.    When we consume low glycemic Index foods like Chana, Rajma, they are broken down more slowly into simple sugars, keeping food glucose levels more stable.  The absorption of these foods is therefore more gradual and does not contribute to blood sugar highs and lows.  On the other hand, when we eat lot of sugars, chocolates, sweets, potatoes, white bread, white rice, sabudana, maida, rawa or processed foods, they get easily digested and absorbed.  More of insulin has to be secreted by the pancreas to bring this sugar back to normal level.  More the insulin, more fat is laid down in the body and the liver.    A list of High, Moderate and Low Glycemic index foods is given in Table B.

Table B: Foods with Low, Moderate and High  Glycemic index foods.
Source: Dr.Sujatha Udhesi’s ‘Food for thought’ column in DNA Daily.
Low Glycemic Index Foods
(Highly Recommended)
Moderate Glycemic Index Foods
(Moderately Recommended)
High Glycemic Index Foods
(Avoidable)
Whole Pulses like Chana,Rajma,
Whole Wheat Bread
White Bread
Green Leafy vegetables like
Spinach (Palak), Methi
Whole Wheat Atta Items
Maida Biscuits
Apples
Bajra, Jowar Atta
Maida Nan,Roti
Pears
Besan Atta
White Rice
Unripe Guava
Dals
Sabudana
Peanuts

Chocolates
Walnut

Cakes
Cashewnuts

Sugar
Almonds

Jaggery
Gavar

Rice Crispies
Karela

Corn Flakes


Mashed Potato


Noodles,


Pasta made of Maida


Rawa


Candy Bars



7)  Try using brown rice or boiled rice, instead of white rice. 
8)   Bhakris of Jowar, bajra, nachni or Rajgeera are always a good option.
9)   Try using various types of pulses and dals.  Have at least four pulses a week. 
       Do not overcook them and do not add soda.
10) Try using green leafy vegetables like Palak, Methi for dishes.  Similarly,
      cabbage, cauliflower, brinjal can also be explored.
11) Take a good helping of raw vegetables like Cucumber, Carrots, Tomatoes,
      Onions whenever and wherever possible (one can take it always in a pack to  
      office or on mobile duty and consume them instead of creamy biscuits,
       namkeens or chaats.).
12)  Variety of Chutneys like that of Coriander, Garlic as side dishes  also serves
        as  healthy options.
13)   If we have craving for eating sweets, it is better to choose fruits.  Fruits have
   natural sugar in them.  All other sweets are made of refined sugar.      
   It is better to avoid them altogether or consume them in moderation.
14)  We should eat whole fruits with their skin.  Substituting fruit juices to whole
       fruits are not a good option.  Peeling of skin from fruits and vegetables will
       deprive us of vital minerals and nutrients.  Whole fruits and vegetables are
       packed with fibre and nutrients essential for optimum health, especially
       antioxidants (Vitamin A and C) and phytonutrients (plant chemicals), which
      have protective effect on the body, reducing the risk of some cancers, heart
      disease, premature ageing etc.  They also help our immune systems to fight
       infections.
15) Avoid food with transfats, ghee or oil.  Animal and dairy products have trans
       fats.  
16) Avoid cream biscuits, namkeens served in meetings and at get togethers
      Instead one can have whole wheat biscuits, cream Cracker biscuits or ragi
      (Millet) Biscuits with no Maida in them.
17)  Curds prepared of low fat or skimmed milk should be used.  
18) Cow Milk is good.  All other dairy products like ghee, butter should be
       reduced to the barest minimum.
19) Make the habit of drinking pure water at regular intervals. Many experts
      recommend  drinking water on an empty stomach every morning.  Later,  
      during the day it is  recommended that one should drink at least 8 to 12
      glasses of water.  Even at workplace, one can store water in a crystal clear
      container (not in plastic bottles) close to our desktop and liberally consume
      them at regular intervals. It is always advisable to sip water gently or softly
      from a glass or mug.  This also gives a fullness to our stomach and staves off
      hunger. One should avoid dropping water forcibly into our mouths from the
       plastic bottles.   One should also avoid drinking  water while eating food and
      during the interval  of 30 minutes before having food and 60 minutes after
      having food. 
20) Avoid consuming hot beverages like tea, coffee at regular intervals.
      Alternatives like lemon tea, black tea, green tea can be explored. These
      days, jaljeera sachets are available in easy-to-use packs like Ghutka sachets.
      One can easily mix them with water and drink it in office instead of regular
      bouts of cutting chais or or one-by-two coffees
21) Avoid  soft drinks, soda, carbonated or aerated drinks.  Instead drink pure
      water,  butter milk. (Chaas),  coconut water, limewater without salt and
      sugar. 
22) Habits like smoking, consuming alcohol, chewing paans are always bad and
      if one is addicted to them, it should be got ridden off completely.  In case it is
      difficult  to withdraw, consume them in extreme  moderation.
23) On Sundays or late night sittings at home, it is always advisable to  keep a
      ready-to-eat pack of snack in our refrigerator like sprouts of whole moong,
      green and black channas.   We can consume them mixing with salt, minced
      onions, chopped tomatoes, cucumbers, carrots etc.  Sprinkle them with
      coriander powder or chaat powder to add that extra fizz. Use them with curds
      made of skimmed milk,  if it serves us right. 
24) When we attend parties, generally we go on an eating binge partly not to
      antagonise the host and partly because we fall into the temptation for food
       items which are neatly and elegantly displayed, and which are freely and
       handily  available.  During such parties, it is better to start with  items like
       light soups, raw green salads, fruits  or items rich in fibre like green leafy
       vegetables,  bhindi, cucumber, carrots etc.   A few extra calorie conscious
       people, even take regular diet meals at home before starting for the parties!!!
25)  Similarly, when we visit restaurants, we should prefer to consume  items
      like steamed food, roasted food, as far as possible,  instead of fried foods.
     Opt for phulkas, dry rotis instead of stuffed parothas or butter naans.   Opt for
     lime juice or Jaljeera for quenching the thirst instead of aerated drinks.  Have
      fruit salad instead of ice-cream for desserts.
26) While travelling on long distance trains, one can go for options like cucumber,
      Fruits,  Sukha bhel, tomato soup etc.
27) While organic food and stores have not deeply penetrated in our country, if
      there is a choice, we may purchase food items from these stores, even        
       though they are a bit expensive.  With more and more usage, the prices are
        likely to fall down.  Anyway, it is better to pay a premium for such food,
        strengthen your immunity and prevent diseases and hefty payments to
        doctors.
28) While buying food items we also should not get carried away by mischievous
 labels  ‘like less fat’ or ‘less cholesterol’.  Many times they conceal more than what they reveal.   What we should look forward in such labels is the fine print as indicated by nutrition facts, where component-wise details are given.

Physical Exercises

It should be  understood  that physical exercises are needed not to just burn the calories of food consumed by us.  Our body is a great gift given to us by God or nature.  We have to maintain, preserve and take good care of it.  Physical exercise is a part of this goal.  As it is, most of us are leading a sedentary life style. Physical exercises  energise our mind and body and keep us fresh and active through out the remaining part of the day.

Table C provides the various simple  activities that can be performed and energies that can be burnt every one hour by pursuing the same.

Table C: Various Activities and Energy Burnt
Activity
Energy Burnt approximately.
Walking for one hour
129 calories
Brisk Walking for one hour
300 to 350 calories
Jogging for one hour
350 to 400 calories
Rope Skipping for One Hour
600 calories
Running for one hour
650 to 800 calories
Bicycling for one hour
590 calories
Swimming for one hour
550 to 700 calories
Light exercises of Yoga for one hour
300 to 350 calories
Walking Upstairs for one hour
472 calories
I chose a personal plan comprising of  following activities..
     Time Spent
Main Activity
Side-Activity
a)    30 minutes
Yoga & stretching exercises
           Nil
b)    20  minutes
 Brisk walk covering  2.25 kms.
Stretching Neck, Shoulders,  Arms,
c)    15 minutes
 Jogging covering 2.75 kms.
Stretching Neck, Shoulder, Arms
d)    25 minutes
 Pedalling on a Stationary Exercise Cycle.
Reading Newspaper
  Total=  90 minutes
A total time of   90 minutes spent in a day of 24 hours for maintaining our body is no big deal.   In the above chart, along with the main activity, a few side activities  have also been suggested.  For example, every day  most of us at least spend 20-30 minutes time reading newspapers   resting on a sofa or a chair.   Why not instead read them pedalling  a stationary cycle at home and save on our valuable time.?    Similarly, one can buy a tread mill and do multiple activities like walking, jogging or running on it, even as we watch the favourite TV news  programme or serial.   This suggestion is given only to save valuable time.   Nature or sunshine walking is always the best.   We can also have a riding bicycle at home,  and use them for small errands like purchasing milk from the dairy or newspaper instead of  riding  on our 2 or 4 wheelers.  This is a safe, greener option besides saving on petrol, and reducing parking and traffic density problems on our roads!!

Yoga practice on an empty stomach is an excellent way to start a day. It is a good habit to get up early in the morning and perform the Yoga exercises after freshening oneself and cleaning the bowels.  While we have a wide array of Yogasanas to chose from, we can select a few of them suiting our body requirements. It is always better to take counselling from a Yoga Teacher or Guru and  practise them properly under their guidance.   Suryanamaskars, Bhujangasanas, Pranayamas,  Shavasanas are some of the easy-to-perform and popular Asanas.   

After Yoga exercise, it is not advisable to immediately perform  body exercises like walking or jogging or aerobics.   We can take rest for a while, reading a paper or a magazine. Side by side, we can have fresh lime juice or light tea with biscuits.   All this can be done to the accompaniment of soft or light music in the background just to pep ourselves!!

After resting, say for 20-30 minutes, we can step outside of our home for an outdoor walk or jog or run.  It is better to choose a neighbourhood park for this purpose as the surroundings over there are generally stimulating and environmental friendly.  Simply strolling or walking  leisurely in a park will not bring any major health benefits.  One should target brisk walking.   We should steadily walk at such a speed so as to cover 2.25 kms distance in 20 minutes.  

After walking, one can jog around.  Jogging is slightly faster than brisk walking but marginally slower than actual running.   One should target to cover a distance of 3.00 kms in 15 minutes.

Even as we are brisk walking and jogging, we can simultaneously perform warm-up actions like light stretching of   arms, hands or neck  These warm-up actions help in loosening the stiff muscles  and removing the flab  accumulated around arms and neck.

We can drink water before, during or after the walking and jogging exercises, to avoid dehydration.

Once we reach home, we can start pedalling a stationary cycle reading newspapers of the day, as suggested earlier.

The above four activities can ensure that we can burn around 500-600 calories every day. 

At office:
At office, don’t get tied on to workplace or sit before computers for a long period of time.  Once in a while move out of the desk.  Stretch necks and arms or rapidly blink eyes after a session with the computers. 

As we sit and work at our workplace for a larger part of the day, it is better to stand relaxedly  and  have lunch in the canteen.  

Time and boss permitting, one can go for a small stroll from our workplace after one hour from having lunch.

Use stairs instead of lifts (elevators) or escalators.   We may park our vehicle  at a distant place in the office garage so that we are forced to walk a distance to reach our work place.

Positive Attitude and Commitment.

It may perplex some of you as to what has positive attitude to do with weight reduction goal.   Many of us have these resolutions of targeting weight reduction at the beginning of every year only to be broken after a few days.  Lack of time and boredom are the chief causes for breaking our  resolution.  While this may not necessarily mean weak will power, what it perhaps means is that ‘health issues can always recede to the background, while other priority items cannot’. Like our career progression, like our children’s education,  we should think that health maintenance is our investment, in terms of time spent, for the long term well being of self and family.  What is the point of accumulating wealth today, if we become physically unfit at the advanced stage of our career or thereafter, and become a burden to our children, family and society?

As discussed earlier, a good health regimen calls for lifestyle changes. The transition at times appears difficult and invites snide or humourous comments from neighbours.  In such circumstances, a positive attitude driven by self-belief, will attune our mind and body to the rigours of changed life style and we will start enjoying life for ourselves  rather than for others!!!   Anything that we enjoy for our self is not  hardwork at all.  In the long run, exercising and eating  becomes  fun and unavoidable integral part of our lives.  Life becomes light, simple and joyful devoid of negative emotions like stress, anger and tiredness