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Obesity Clinic in Pune

Can I Eat A Whole Egg?

The Dilemma Faced By Many people!

An egg contains six grams of the best quality proteins with all the essential amino acids.

An egg also contains 6 grams of fat, of which 1.5 grams are saturated fats. It also contains about 210 mg of cholesterol.

The protein content is almost evenly divided between the white and the yellow (yolk) of the egg, just a bit over 3 grams in the white and just under 3 grams in the yolk. The major part of the good nutrition as well as the entire fat and cholesterol are housed in the yolk.

Thus if you eat only the egg white, you get just over 3 grams of excellent proteins with only 12 calories and don’t have to worry about fats or cholesterol. Unfortunately, you miss out on most of the other excellent nutrition housed in the whole egg.

Plus the egg white is rather high in sodium. This could give you elevated blood pressure if you consume too many egg whites.

Eggs are one of the very few foods that contain naturally occurring vitamin D. Thus they help build healthy bones, teeth and help prevent osteoporosis.

Eggs are also beneficial to the health of the eyes. The carotenoid content of the eggs, specifically lutein and zeaxanthin may prevent cataract and macular degeneration, an eye disease that leads to loss of central vision.

Eggs are a good source of choline. Choline is an important nutrient that helps regulate the brain, nervous system, and cardiovascular system.

New research shows that, contrary to previous belief, moderate consumption of eggs does not have a negative impact on cholesterol. Research suggests that it is saturated fat that raises cholesterol rather than dietary cholesterol.

According to a study by the Harvard School of Public Health, there is no significant link between egg consumption and heart disease.

One study suggests that regular consumption of eggs may help prevent blood clots, stroke,and heart attacks. Another study suggests that women who consumed at least 6 eggs per week lowered their risk of breast cancer by 44%.

Eggs also promote healthy hair and nails because of their high sulphur content and wide array of vitamins and minerals.

Thus it is clear that eggs are highly nutritious. But an egg still provides two third of the safe upper limit of the daily recommendation of cholesterol for a healthy person, viz. 300 mg, while a person with high cholesterol or bad lipid profile shouldn’t cross 200 mg.

Dr. Thomas Behrenbeck, a Mayo Clinic cardiologist, advises that a healthy person should not cross 4 whole eggs a week.

A person with high cholesterol or bad lipid profile should follow his doctor’s advice.

Even a healthy person should avoid eating other high cholesterol and high saturated fat food and fatty deserts the same day.

Newer research thus tends to exonerates the egg from the demon of heart disease, but prudence must still be exercised while eating whole eggs.

It would be a good idea to keep an eye on your lipid profile every six months if you eat whole eggs regularly.

For more information about fats and cholesterol, read the article ‘Basics Of Nutrition‘ on this site.

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Health Benefits Of Brown Rice

Why You Must Replace White Rice With Brown Rice

Rice is a cereal and all cereals have more or less similar nutritional composition. But this is true for whole grain rice, not the polished white rice that people generally eat.

A grain of rice that is obtained after removing the husk by minimally processing it is the whole grain rice.

It is brownish in colour and is called the brown rice.

Brown rice is further milled to separate the outer cover called the bran and the germ from the rest of the grain of rice.

This grain is the white rice and it is composed mostly of the endosperm.

Brown rice and white rice have a similar number of calories and carbohydrates. The main differences between the two forms of rice lie in processing and nutritional content.

The bran and the germ house most of the fibre, vitamins, minerals, healthy fats, antioxidants and about twenty five per cent of the proteins from the original whole grain rice.

The white grain of rice left behind houses most of the starch and seventy five per cent of the proteins from the original whole grain rice.

In short, brown rice is the whole grain rice, while white rice has the bran and germ layers removed from the whole grain rice, this process strips away the fiber, vitamins, minerals and healthy fats and the antioxidants from the whole grain rice.

Thus brown rice is superior to white rice when it comes to fibre content, minerals, vitamins, and phytochemicals.

The fibre content of the whole grain rice is 3.5 gm while that of the white rice is 0.5 gm.

The higher fibre content in the brown rice slows down the absorption of carbohydrates in the blood and does not generate as large an increase in blood sugar levels after a meal as white rice, that is the glycemic index of brown rice is lower than that of white rice.

Milling and polishing brown rice removes most vitamins and minerals. In addition, milling strips away most of its fibre, which helps deter diabetes by slowing the rush of sugar (glucose) into the bloodstream.

Eating white rice daily may help trigger the onset of diabetes in those who are at a higher risk of developing diabetes due to family history or poor lifestyle, poor nutrition, lack of exercise and stress.

Replacing white rice with brown rice in four or five meals a week will substantially lower this risk.

Several vitamins and dietary minerals are lost in this removal and the subsequent polishing process. A part of these missing nutrients, such as vitamin B1, vitamin B3, and iron are sometimes added back into the white rice making it “enriched”, as food suppliers in the US are required to do by the US Food and Drug Administration. We have no information what happens in India.

One mineral that is lost substantially in white rice is magnesium.

When the bran layer is removed to make white rice, the oil in the bran is also removed. Rice bran oil may help lower LDL cholesterol. Rice bran oil contains ‘Oryzanol’ which is considered to be helpful in lowering blood cholesterol levels.

Among other key sources of nutrition lost are small amounts of fatty acids and fiber.

Summary:

Brown rice is more nutrient dense offering more fibre, vitamins, minerals, antioxidants and healthy fats.

White rice is primarily a source of easily digestible carbohydrates and some proteins but significantly less nutrients.

Read the article ‘Basics Of Nutrition‘ on this website for more information

Carbohydrates Don’t Make Us Fat!

The Myth Of Low Carbohydrate Diets!

Carbohydrates are the first source of energy of our body. Amongst the three major components of our food, viz. carbohydrates, proteins and fats, the primary role of carbohydrates is to provide energy that our body needs for all it’s basic needs. We use energy drawn from this source for all our daily activities and for all the processes that go on in our body day and night.

Fats are the reserve source energy of our body and they are drawn upon for energy only when carbohydrate energy is exhausted.

Proteins are the most important constituents of most of the tissues of the body. They are essential for the growth, development and repair of the daily wear and tear of the body. They are responsible for the defence mechanism of the body. They are also essential for the formation of various enzymes and hormones in our body.

Proteins are not meant to be an energy source. Body uses proteins for energy only in survival mode when you are on a ‘very low calorie diet’ (VLCD), or on a diet very low on carbohydrates, our principal fuel energy source.

On such a low fuel energy mode, body cannot burn fats fast enough to meet it’s immediate energy needs and uses up proteins from food for energy, depriving the body of the vital role that proteins perform. Thus you need enough carbohydrates in your food to ‘spare’ proteins from being used for energy. This is the vital ‘protein sparing’ function of carbohydrates.

And as a last resort, the body also raids the proteins in the connective tissue, the muscles and vital organs of the body for energy. This is the reason why people on low calorie – low carbohydrate diets become wrinkled, shrivelled and look older with sagging, unhealthy skin and go on to suffer from multiple dietary deficiencies.

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Carbohydrates are of two types, viz. simple and complex carbohydrates.

Simple carbohydrates are made up of one or two sugar molecules while complex carbohydrates are made up of long chains of glucose molecules.

Sugar, jaggery, honey, arrowroot, sago, rava, maida, refined corn flour are simple carbohydrates.

Starch and fibre are the two main types of complex carbohydrates and cereals and pulses are the main sources of complex carbohydrates.

Simple carbohydrates are digested quickly and cause sharp spikes in blood sugar and lead to hyperinsulinemia, insulin resistance, weight gain and can also lead to diabetes.

In contrast, complex carbohydrates are digested slowly and provide steady supply of glucose and hence energy to the body, preventing spikes in blood insulin levels, hyperinsulinemia and insulin resistance, weight gain and diabetes.

The sugars in fruits are simple carbohydrates, but due to the ample fibre and water in them, these simple sugars are absorbed slowly in the body and do not cause sudden spike in blood sugar. Thus fruits behave more like complex carbohydrates than simple carbohydrates.

So it is consuming too much simple carbohydrates regularly that leads to hyperinsulinemia, insulin resistance, weight gain and diabetes, not complex carbohydrates.

Complex carbohydrates foods like cereals and pulses are also rich in essential nutrients like fiber, vitamins, especially B vitamins and minerals like iron, magnesium and selenium.

Complex carbohydrates are the only source of fibre in our food.

Fibre is of two types, insoluble and soluble.

Insoluble fibre is crucial to digestion, bowel movement and to the maintenance our gut health.

The insoluble fibre helps regulate blood sugar and cholesterol.

Complex carbohydrates contribute to satiety, helping to control appetite and reduce overall calorie intake. Having well balanced food with adequate complex carbohydrates, without of course over eating, helps in controlling weight rather than causing obesity as is often wrongly projected.

Brain function: Glucose is the primary source of energy for the brain. Complex carbohydrates provide steady supply of glucose to the brain cells and this helps in the smooth functioning of the brain and helps support cognitive functions, including memory and concentration.

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Lack of adequate complex carbohydrates in food leads to low energy levels, fatigues and deficiencies of vital nutrients like fiber, vitamins, especially B vitamins and minerals like iron, magnesium and selenium.

Lack of insoluble fibre in low carbohydrate diets leads to constipation, haemorrhoids (piles) and fissures and can also lead to development of conditions like diverticulitis and colon cancer.

High levels of fat and hence calories, in low carbohydrate diets can also cause obesity.

Lack of soluble fibre and presence of high levels of saturated fats in low carbohydrate diets can lead to raised levels of LDL cholesterol and total cholesterol, heart disease and strokes.

Low carbohydrate diets also lead to impairment of cognitive functions including memory, concentration and mental clarity and focus.

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Researchers like Sara Seidelmann, a researcher at Brigham and Women’s Hospital in Boston, a top US hospital, have found that people on animal based low carbohydrate diets are associated with shorter life span and should be discouraged.

According to this study, people who got 50 – 55 % of their calories from carbohydrates, on an average, outlived those on low carb diets by four years and those on high carb diets by one year.

So we can conclude that high animal source, low carb diets are worse than high carb diets and balanced nutrition is the best choice whether you are looking to lose weight or simply live healthy!

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Thus a low carbohydrate diet is bad either for healthy living or for losing or maintaining weight. You must have enough carbohydrates in your food irrespective of whether you are losing weight or maintaining healthy weight.

People losing weight on balanced, healthy nutrition, slim down with glowing, healthy skin and look fresh and young!

You definitely can lose weight and stay slim and healthy on balanced, healthy nutrition, in fact you can’t lose weight healthily without being on healthy nutrition.

Yes, over consumption of simple carbohydrates is bad for your blood sugar and weight, but not complex carbohydrates.

Yes, simple carbohydrates lack any significant nutrition, but complex carbohydrates provide us with sustained energy, ample vitamins, minerals and antioxidants, help regulate blood sugar, cholesterol and also weight.

Complex carbohydrates don’t make us fat, it’s excess calories that make us fat and excess calories come from overall overeating, not just overeating carbohydrates!

Excess proteins, over and above your daily needs and fats also contribute calories that account for your weight gain.

In fact fats provide over twice the number of calories supplied by carbohydrates and proteins, nine per gm as compared to four each per gm supplied by carbohydrates and proteins.

So why single out carbohydrates as the villain?

Low carbohydrate diets are invariably not ‘high protein diets’ as they are projected to be, by their sponsors, but they are more ‘high fat’ than high protein diets. Such diets send your blood triglyceride levels shooting up and eventually your cholesterol levels will also shoot up. This is an invitation to heart disease and strokes.

So low carbohydrate diets are more likely to give you heart disease and strokes than make you slim and safe from hypertension, diabetes, heart disease and strokes!

Read the article ‘Basics Of Nutrition’ and ‘The Good And The Bad Carbohydrates’ on this website for more information.

Obesity Clinic in Pune

Lots Of Nuts And Cheese Won’t Make You Slim!

Snacking On Nuts And Cheese Is Not Going To Make You Slim!

Many people ask me if snacking on ground nuts and other nuts like almonds and walnuts and cheese helps in slimming.

Hardly. In fact, all nuts including groundnuts and dry fruit nuts are very high in fats. They provide between 50 to 60 per cent fat, walnuts providing 60 gm fat by weight, meaning every 100 gm of these nuts provide you with 40, 50 or 60 gm of fat. That is the same as eating 10 to 12 teaspoons of pure fat, like oil or ghee!

A major part of the fat in nuts is the monounsaturated kind, though walnuts also provide the plant source omega-3 fatty acids, which help protect us from coronary artery disease, although not as valuable as the sea source omega 3. Almonds and walnuts are also rich in a wide range of antioxidants. So it makes sense to have a few almonds and walnuts daily, walnuts especially if fish is not a part of your food, especially if you’re slim.

Luckily there is no cholesterol in nuts.

Eating nuts because nuts have fibre, makes no sense for Indians. Pulses, whole grain cereals, vegetables, especially leafy vegetables and fruits provide adequate fibre in Indian diet at the cost of much fewer calories. Our normal Indian food has all four in most meals, so we don’t need high fat nuts for fibre. Plus all four are far cheaper than dry fruit nuts!

For most Indians, the normal diet consists of cereal – pulses – vegetables routine in the majority of meals and meat only a few meals, probably no more than a couple of days a week. So getting enough fibre is not a great problem for us.

Predominantly ‘meat only’ Western diets include little whole grain cereals and vegetables and probably lack adequate monounsaturated fatty acids as well as fibre. Hence some Western experts may advise a handful of nuts as snacks. But for Indians, the advice is totally misplaced.

Nor do we need nuts to give us proteins. Milk and a combination of cereals and pulses and legumes  provide us with adequate proteins. Also the proteins in nuts are not of high quality, not containing all essential amino acids.

So we don’t need to buy a lot of fats to get some incomplete proteins and a little fibre.

A diet high in overall fat, and particularly saturated fats, builds more cholesterol in our blood.

Cheese will be 30 per cent fat, major part of it saturated, and ample cholesterol. Both are bad for your blood cholesterol levels and your heart.

We don’t need cheese to give us proteins and calcium; milk and leafy vegetables can provide them amply.

So snacking on nuts and cheese is bad for your weight as well as the heart. Make no mistake about it.

Eating either, in small quantity, occasionally isn’t exactly akin to committing suicide, but snacking on them every day definitely is!

Read more about the Basics Of Nutrition on our website.

Effects Of Cooking On Omega 3 In Fish

Effects Of Cooking On Omega 3 In Fish!

How To Cook Fish To Retain Omega 3!

Many people know that sea fish are the richest source of the sea source omega 3 fatty acids, the EPA and the DHA, in our food and that they protect us against coronary heart disease.

Many of them eat enough sea fish to get adequate omega 3.

But do they actually get the omega 3 from the fish?

Mostly not, because they don’t prepare their food the right way! Most people fry and eat it.

Let us see the effects of various kinds of cooking on the omega 3 content of fish.

The effects of the various kind of preparations of fish have been studied in two studies in India and Greece. Although more studies are needed, the findings of the two studies make the effect of cooking on omega 3 clear enough for us.

In general, lesser the heat and the duration of cooking, better the cooking process and greater the heat and the duration of cooking, worse the cooking process for retaining the omega 3 in fish.

Frying: Shallow frying of fish in a skillet or a pan, or deep frying exposes the omega 3 to high temperatures, destroying as much as 70 to 85 per cent of omega 3. Frying completely changes the fatty acid profile of the fish, so it doesn’t resemble the original profile at all!

Canning: Canning completely destroys the omega 3 in fish.

Tandoor cooking of fish too exposes it to very high temperatures, destroying much of the omega 3 in fish.

Microwave cooking: Many consider microwave cooking as a bad cooking practice, but it has been found to retain much of the omega 3 as microwave cooking is done at a lower temperature. The lesser the microwave power used and shorter the time of cooking, the better.

Cooking and baking: Cooking fish by boiling like in preparing fish curries or baking at 200°C for 20 minutes retains most of the omega 3, keeping its EPA and DHA content intact.

Steaming of fish in special steaming pots is also a good cooking method that helps retain most of the omega 3 in fish. Patra fish, a Parsee delicacy in which fish is steamed in banana leaves is a healthy preparation.

Smoking: Smoked fish does retain the omega 3 content of fish, but smoking fish is not a common practice in India. We get to eat smoked salmon in five-star hotels only, to the best of knowledge, and it is imported.

The commonest preparations of fish in India are frying and cooking in gravies. So the people who fry and eat fish, get minimum benefits of the fish omega 3 while those who cook it in gravies get the maximum benefits of the fish omega 3.

The key to keeping the healthy omega 3 in your sea fish intact on cooking appears to be cooking it at a lower temperature than about 200 degrees and cooking it quickly in about 20 minutes, may even be at a lower temperature if for a little longer time frame.

Higher temperatures and longer cooking time completely alters the chemical structure of the fatty acids in the fish so it doesn’t resemble the original chemical structure of the fish lipids. High heat also helps develop the very harmful trans fatty acids and some other toxic substances in fish.

So eating fish prepared by boiling, steaming or cooking it in gravies or baking or microwave cooking it, at low temperature and shorter time, is the better way of eating fish than frying or cooking it in tandoor or eating canned fish.

Also, read the articles Basics Of Nutrition, The Good And The Bad Fats and ‘Omega 3 Fatty Acids‘ on this website.

 

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Preventing Osteoporosis!

Keeping Our Bones Healthy For A Life Time!

Osteoporosis is a disease in which bones lose calcium, mineral mass and density, become fragile and fracture easily. Even sneezing or coughing can cause fractures.

It is a highly crippling disease whose threat is not perceived seriously enough by people.

Fractured hip bone or femur (the thigh bone) in old age can be life threatening.

Osteoporosis is a lifestyle disease common amongst older men and women, more so amongst post-menopausal women.

The wrists, the hip bone, and the vertebrae are the common sites of fractures caused due to osteoporosis. Many old people fracture their hip bones and femur and have to undergo extensive orthopedic surgeries, and many of them become bedridden and never recover.

Lack of adequate calcium and vitamin D in the diet, minimum exposure to sunlight, lack of exercise and sedentary lifestyle are the major factors leading to osteoporosis.

There is the danger of developing osteoporosis during breast feeding, if the mother’s food doesn’t supply enough calcium and she doesn’t get enough Vitamin D.

Prolonged breast feeding is beneficial to both the baby and the mother in the long term.

But it puts strain on the mother’s body.

Breast milk draws vital nutrients from the mother’s body and provides it to the baby.

If the mothers food doesn’t supply it, the breast milk draws it from her body, e.g., if adequate calcium is not present in the mother’s food, the calcium is drawn from the mother’s bones, which ultimately may lead to osteopenia and eventually osteoporosis.

So multiparous women who breast feed many children for years, could suffer from osteoporosis most often.

All commercial slimming programs inevitably force you to take up very low calorie diets (VLCD). Such diets invariably lead to calcium loss from bones, amongst multiple other nutritional deficiencies. If you are prone to take up starvation based low calorie diets off and on in a desperate attempt to lose weight, you are a prime candidate for osteoporosis. So stop such yo-yo dieting if you want to have healthy bones for a lifetime.

A high protein diet, excessive consumption of coffee and alcohol, smoking, stress, and depression also enhance calcium loss and slow down fresh rebuilding of bones, thus helping the development of osteoporosis. Caffeine in coffee and raised levels of the hormone cortisol in stress enhances calcium loss from bones.

People who have taken steroids for long periods for diseases like asthma or other allergies, also develop osteoporosis as steroids cause the body to lose calcium through the urine.

The threat of osteoporosis has increased multi fold during the Corona pandemic as we are home locked and get even less exposure to sunlight and may not get enough vegetables or drink enough milk to get sufficient calcium from our food.

Osteoporosis is undoubtedly a very grave disease that can be prevented simply by leading a healthy lifestyle from childhood. Which means that parents must have adequate knowledge about the dangerous disease which can be prevented or arrested but not completely reversed once it sets in.

So you must learn all about this illness and teach your children to eat healthy, play physical sports involving activities like running and climbing, get into the habit of exercising regularly and being happy and peaceful.

You must include ample skim milk, lots of green leafy vegetables, nachani (a cereal, also called ragi) and soya in your diet to ensure getting adequate calcium.

You can consult your doctor and discuss with him or her about whether you need calcium and vitamin D supplements. If you don’t get sufficient calcium in your food, you may be benefited by taking them.

Our body synthesizes vitamin D from sunlight. We also get it from food.

Our body builds a precursor of vitamin D under the skin with the help of cholesterol when exposed to the sunlight. Eventually the liver and the kidneys also play a role in the synthesis of vitamin D.

So ensure that you get adequate early morning sunlight to allow your body to build vitamin D without suffering from the damaging effects of strong sunlight. Five-minute exposure of your arms, legs and face to the morning sun, three to five days a week is adequate for most people to synthesize sufficient vitamin D.

The food sources of vitamin D are limited. Fatty fish oils, fatty fish, liver, eggs, and milk are the major sources of vitamin D. So you could consume milk every day, a couple of whole eggs a week (unless your doctor recommends not eating them to limit dietary sources of cholesterol) and fish to improve your supply of dietary vitamin D.

A whole egg four days a week would serve you nicely if your cholesterol is excellent, providing wide health benefits other than vitamin D. But you must avoid other sources of cholesterol, viz. non-vegetarian source foods, ghee, butter, and cheese on these days.

You may not get enough vitamin D if you do not have much exposure to sunlight. Barring milk, the food sources of the vitamin are not common foods. In such a case, it may be necessary for you to take vitamin D supplements. Ask your doctor about this issue.

Take up regular weight-bearing exercises. They help stop further bone loss and may help to build bone as you age. By improving your posture, balance, and flexibility, they also reduce your risk of falls that can break fragile bones. Exercise for at least 30 minutes three times a week. Take up antigravity exercises like walking, running, jogging, aerobics, hill climbing, stair climbing, tennis, football, basketball or volleyball and moderate weight training. Swimming doesn’t help in building healthy bones as your bones and muscles must work against gravity to do so.

A word of caution will not be out of place here. While taking up these exercises, don’t get carried away and damage your knees! Taking up knee strengthening exercises simultaneously is equally vital. We want strong bones as well as healthy knees.

So consult your doctor before taking up these exercises.

Read the articles ‘Can I Eat A Whole Egg?‘ and ‘Save Your Knees‘ on this site for more information.

Dangers Of Obesity

The Dangers Of Obesity!

The Diseases Associated With Obesity!

When I started my Slimming Centre in Pune, over three decades ago, the goal was not only to help people lose weight and stay slim and healthy for lifetime, but also to help them prevent putting on weight unnecessarily, during different stages of their lives and help them prevent or overcome all the diseases those are caused by obesity.

After all, staying slim is so much easier than losing weight, even if it has to be done in an excellent slimming centre.

Obese people are never fully healthy. Obesity and the faulty lifestyle associated with it, lead to a very wide range of diseases, some of them fatal.

The obese tend to be irritable, stressed out, depressed and may have poor self-esteem. Their energy levels are low and they tire quickly. There are pains and aches everywhere. A backache and joint pains are common. Spondylosis, prolapsed discs, osteoarthritis, osteoporosis, varicose veins, cholecystitis (inflammation of the gall bladder), and some hernias are prevalent in the obese.

High blood pressure, diabetes, coronary heart disease and cerebral strokes (paralysis) are frequently associated with obesity.

Amongst obese ladies PCOD, infertility, difficult pregnancies and labour, repeated abortions and complications during a caesarean section are common.

The obese are more prone to certain cancers.

They also are at a greater risk of complications during surgeries.

Abdominal obesity can lead to the dangerous triad of hypertension (high blood pressure), dyslipidemia (high levels of cholesterol and blood fats) and type-2 diabetes. These three together can lead to coronary heart disease, myocardial infarctions and also death.

So if you are obese, wake up and lose weight, or it’s going to destroy your health sooner than later!

Healthy weight loss can help prevent or reverse all the above grave diseases. And healthy weight loss is possible only if you slim down on normal, everyday food and exercises you can take up long term. That is the only way to lose weight and stay slim and healthy for a lifetime!

Hence the importance of choosing the right slimming centre!

Also read the article, Simple Steps To Slimming on this website.

 

Staying Slim And Healthy Through Lactation!

Staying Slim And Healthy Through Lactation!

Staying Slim And Healthy Through Lactation!

When I started my Slimming Centre in Pune, over three decades ago, the goal was not only to help people lose weight and stay slim and healthy for the lifetime but also to help people stay slim, during different stages of their lives.

After all, staying slim is so much easier than losing weight, even if it has to be done in an excellent slimming centre.

The commonest period when most ladies gain weight unnecessarily is around motherhood. We have already discussed how an expectant mother can stay slim and healthy through pregnancy in the article ‘Staying Slim And Healthy Through Pregnancy!’

Let us see now how a nursing mother can lose the few kgs of the extra weight that she still has, post pregnancy.

We have already seen in the above article that if a young lady goes through pregnancy properly, all the extra weight she needs to lose is 4 or 5 kg. Of these, one kg each is the extra blood volume that she needs during pregnancy, which the body will automatically correct soon, on its own and one kg is that of extra breast volume which is needed to support lactation, which the body will lose automatically once breastfeeding stops.

That leaves only 2 or 3 kg of fat which the body will burn off in the 7 or 8 months of breastfeeding as a ready source of energy in an emergency.

So this lady doesn’t really have to do much more than eat as per her needs of lactation and be physically active, to lose the remaining weight.

The extra energy required by a nursing mother would be about 400 to 500 calories, in the first 6 or 7 months of lactation and it would taper off when the demand for breast milk reduces as the baby is weaned off the maternal milk.

That means increasing small portions of cereals (chapati and rice) and pulses and legumes (dals and beans – ‘usal’), fresh vegetables and fruits and extra (3 or 4 cups) milk, in vegetarian ladies and consumption of moderate amounts of egg and fish and meat, in non-vegetarian ladies easily meets the increased calorie, protein and vitamin-mineral needs of the lactating mother.

She doesn’t need to eat too much.

Eating healthy, walking regularly and resting adequately throughout lactation, she will go through the period comfortably and slim down perfectly in the first 3 or 4 months post pregnancy, even without going to a slimming centre!

Also, read ‘Slim Women Are Healthy Women! and ‘Staying Slim And Healthy Through Pregnancy!’ on this website.

Staying Slim And Healthy Through Pregnancy!

Staying Slim And Healthy Through Pregnancy!

Staying Slim And Healthy Through Motherhood!

When I started my Slimming Centre in Pune, over three decades ago, the goal was not only to help people lose weight and stay slim and healthy for the lifetime but also to help people prevent putting on weight unnecessarily, during different stages of their lives.

After all, staying slim is so much easier than losing weight, even if it has to be done in an excellent slimming centre.

The commonest period when most ladies gain weight unnecessarily is around motherhood. If they can be educated about the basic science of how much weight they need to gain during pregnancy, how much extra and what food they need to eat and how they can exercise during this period, most ladies will stay slim and healthy through pregnancy and will not need to lose weight in a slimming centre.

A slim and healthy Indian young woman needs to gain around 9 to 10 kg during pregnancy, or even less if she is a little overweight.

This weight gain includes about 1 kg each of placenta, amniotic fluid, increased blood volume, increased breast volume, a couple of kg of reserve store of fat and between 2.7 to 4 kg being the weight of the baby.

So immediately after the delivery, the new mother has a weight loss of about 5 or 6 kg, as the baby, the placenta and the amniotic fluid exit her body.

So all the extra weight she needs to lose at the end of the pregnancy is only about 4 to 5 kg, which she can lose easily while nursing the baby and stay slim, without going to a slimming centre for any big weight loss!

For a slim and healthy, young Indian lady, the extra energy required during pregnancy are about 150 kcal in the first three months of pregnancy and about 300 kcal in the later period of pregnancy.

That means increasing only a small portions of cereals (chapati and rice) and pulses and legumes (dals and beans – ‘usal’), fresh vegetables and fruits and extra (3 or 4 cups) milk, and consumption of moderate amounts of egg and fish and meat, in non-vegetarian ladies easily meets the increased need of calories, proteins, vitamins and minerals, during pregnancy.

Along with this the young woman must also learn and take up antenatal exercises and walk regularly.

If every expectant mother follows these easy guidelines, she will stay slim and healthy through pregnancy, without having to lose any weight at all, after the delivery!

Also, read the articles ‘Slim Women Are Healthy Women!’ and ‘Staying Slim And Healthy Post Pregnancy!’ on this website.

Weight Loss Program in Pune

How Much Salt Do I Need?

Vital Information About Our Salt Requirement

Sodium is a mineral that is essential to our health. Our body needs it to regulate our body water balance, blood pressure and blood volume and also for proper functioning of our muscles and nerves.

The largest source of sodium in our food is table salt. Almost all components of our food, including milk and water, naturally contain sodium.

All the fried snacks (‘farsan’ or ‘namkin’) are high in sodium.

All fast foods like ‘wadas’, burgers, pizzas are high in sodium.

Indian foods like pickles, chatnis and papad are all high sodium foods.

Dried fish including prawns available in India are very high in salt content.

All sauces like Worcestershire sauce, soya sauce and garlic sauce are high in sodium content.

Processed meats like salami, bacon, sausage and ham, and canned soups and vegetables are high in sodium.

Many people imagine that rock salt or ‘saindhav’ is healthy. It isn’t. It contains as much sodium as table salt. So don’t replace table salt with saindhav imagining it to be the healthier option. And since it tastes less salty, most people end up using it more than table salt and in fact get more sodium than when they use table salt.

‘Chat masala’ is also a source of sodium. It is extremely unwise to use it liberally. In fact, best is to avoid it altogether.

The glamorous super chefs on television have popularized sprinkling of ample table salt and also chat masala on their cookery shows with such panache, such flamboyance that you are tempted to imitate them!

So you can see that sodium is easy to get amply and difficult to restrict.

The surest way to go overboard with our capacity to acquire a bad habit like overeating or over-drinking is to recklessly persist with it. Same holds true to eating too much salt. The more we eat it, the more do our taste buds demand it for the same level of the pleasure of eating salty food.

Gradually you can over-consume food, sugar, salt and even alcohol in quantities you couldn’t possibly have consumed previously. Your capacity of consuming food, alcohol or salt keeps going up.

So the same applies in equal measure to eating sweets! The more you eat sweet foods, the more you can eat it!

Give your taste buds a chance to adjust to low sugar, low salt food and in a few weeks you will find that you cannot eat as sweet or as salty food any more!

Too much sodium can lead to water retention and high blood pressure. Your doctor may ask you to cut down on your sodium (salt) intake if your blood pressure is high or you have oedema (swelling) on your body.

Water retention in people with congestive heart failure, liver cirrhosis, or kidney disease can lead to grave consequences. Such people are usually put on strict sodium-restricted diets by their doctors.

A healthy adult should consume less than 2,300 mg of sodium a day while individuals with high blood pressure should consume no more than 1,500 mg a day. Those with congestive heart failure, liver cirrhosis, and kidney disease may need much lower amounts.

One teaspoon of table salt contains 2,300 mg of sodium. Plus every food item that you consume and also the water that you drink contain sodium.

So you can easily see that your food should not contain any more than three fourth of a teaspoon of table salt, perhaps even a little less than that may be better! Most people easily eat much more!

A renowned Pune, India, doctor goes so far as to say that we don’t need to add table salt to our food at all, all our food is naturally endowed with all the salt we need for absolute health! And I couldn’t agree with him more!

But following his advice will take a radical change in our thinking, which can only happen with great difficulty. Also it will present some practical difficulties, like say when you eat out, in a restaurant.

But it is not very difficult to get used to low salt food. Fortunately, our taste buds are not difficult to manipulate. If you start eating low salt food consciously and persist with it for a few weeks, you can train them to get used to low salt food, just as easily as you trained them to enjoy overeating it. And then you would find it tough to get back to eating high salt food again.

Incidentally, the same principle applies to food and sweets. Eat food and sweets sensibly and moderately for a few weeks and you can train your taste buds, brain and tummy to get adjusted to the new levels quickly.

So it is vital that we constantly remain aware that we must consume food, salt, sweets and alcohol with care! Moderation is the key! It will create optimum health, lack of it will destroy it!

It is vital that we cook low salt food at home and ensure that our children learn to eat low salt food from childhood. Once low salt food becomes a culture for them, they won’t have any problem eating salt in moderation later in life.

So the best plan is to set aside just under three fourth of a teaspoon of salt per adult in your family and cook all your family meals from this salt. This, of course, is applicable to otherwise healthy families.

This also requires that your food does not include the above mentioned high sodium foods on daily basis.

If your family members eat all meals at home and eat on par with each other, everyone will get the measured amount of salt.

In contrast to sodium, potassium helps us lower our blood pressure.

Potassium relaxes our muscles, and relaxing the smooth muscles in the arterial walls relaxes the arteries and this helps lower our blood pressure.

We need potassium also for the electrolyte and acid base balance of the body and normal functioning of the muscles and nerves.

We get potassium from fresh vegetables, fruits and pulses.

While it is very easy to get sodium amply from most of your food as well as water, you have to choose right foods consciously to get adequate potassium.

Therefore you have to consciously avoid high sodium food and keep your sodium consumption low and eat more of vegetables, fruits and pulses to get adequate potassium, whether your blood pressure is high or normal, to protect yourself from heart disease and strokes.

If you consciously reduce your sodium consumption and increase your potassium consumption, you will protect yourself from heart disease and strokes.

Also read the article ‘Preventing Hypertension‘ on this website.