Sub Logo

Dr K K Aggarwal

Childhood obesity increasing at an alarming rate around the world

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , | | Comments Off on Childhood obesity increasing at an alarming rate around the world

The prevalence of obesity among children is increasing at an alarming rate. Overweight four-year-old children have twice the risk of high blood pressure by the age of six years. This heightens the risk of future heart attack and stroke. The World Health Organization (WHO) has listed childhood obesity among the most serious public health challenges of the 21st century.

Obesity is a multifactorial disorder; unhealthy diet – eating foods high in fats, sugar and salt (junk food, processed food) and a sedentary lifestyle (TV, internet, computer and mobile games have taken precedence over outdoor sports) contribute significantly to this escalating epidemic. Women should lose those extra pounds before conceiving, avoid gaining excess weight during pregnancy, and quit smoking, as these are known risk factors for childhood obesity.

Most obese children grow up to have obesity in adulthood. Overweight and obese children are at risk of other lifestyle disorders such as type 2 diabetes, hypertension, dyslipidemia, metabolic syndrome later in life. They are more likely to have joint problems, sleep apnea and social and psychological problems.

Healthy habits in childhood lay a foundation for a healthier adulthood. Here are some tips that parents can follow at home to tackle obesity and unhealthy habits in children:

  • Encourage healthy eating habits right from the begining.
  • Try making the dishes healthier. Few changes can make the snacks healthier.
  • Avoid tempting children with calorie-rich food. Treat them but in moderation and by limiting high-fat and high-sugar or salty snacks.
  • Make kids understand the importance of being physically active.
  • Indulge yourself in at least 60 minutes of moderate to intense physical activity every day and set an example for your kids
  • Reduce sedentary time. While reading is a good option, too much of screen time is not good.
  • Replace screen time with outdoor fun activities to keep children engaged.

Nine modifiable risk factors for heart attack

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , | | Comments Off on Nine modifiable risk factors for heart attack

The majority of known risk factors for heart attack are modifiable by specific preventive measures.

The nine potentially modifiable factors include smoking, dyslipidemia, hypertension, diabetes, abdominal obesity, psychosocial factors, regular alcohol consumption, daily consumption of fruits and vegetables and regular physical activity. These account for over 90% of the population attributable risk of a first heart attack.

In addition, aspirin is recommended for primary prevention of heart disease for men and women whose 10-year risk of a first heart attack event is 6% or greater.

Smoking cessation reduces the risk of both heart attack and stroke. One year after quitting, the risk of heart attack and death from heart disease is reduced by one-half, and after several years, begins to approach that of nonsmokers.

A number of observational studies have shown a strong inverse relationship between leisure time activity and decreased risks of CVD. Walking 80 minutes in a day and whenever possible with a speed of 80 steps per minute are the current recommendations.

Nine modifiable risk factors for heart attack

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , | | Comments Off on Nine modifiable risk factors for heart attack

The majority of known risk factors for heart attack are modifiable by specific preventive measures.

The nine potentially modifiable factors include smoking, dyslipidemia, hypertension, diabetes, abdominal obesity, psychosocial factors, regular alcohol consumption, daily consumption of fruits and vegetables and regular physical activity. These account for over 90% of the population attributable risk of a first heart attack.

In addition, aspirin is recommended for primary prevention of heart disease for men and women whose 10-year risk of a first heart attack event is 6% or greater.

Smoking cessation reduces the risk of both heart attack and stroke. One year after quitting, the risk of heart attack and death from heart disease is reduced by one-half, and after several years, begins to approach that of nonsmokers.

A number of observational studies have shown a strong inverse relationship between leisure time activity and decreased risks of CVD. Walking 80 minutes in a day and whenever possible with a speed of 80 steps per minute are the current recommendations.

Clinicians should aggressively treat unhealthy lifestyles

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , | | Comments Off on Clinicians should aggressively treat unhealthy lifestyles

Unhealthy behaviors should be managed as aggressively as hypertension, high cholesterol, and other heart disease risk factors, according to an American Heart Association policy statement published in the journal Circulation.

Doctors should create “interprofessional practices” to connect patients with behavior-change specialists. They must implement five A’s when caring for patients –

  1. Assess a patient’s risk behaviors for heart disease
  2. Advise change, such as weight loss or exercise
  3. Agree on an action plan
  4. Assist with treatment
  5. Arrange for follow-up care.

Spirituality, The Key To Health

By Dr K K Aggarwal
Filed Under Spirituality - Science Behind Rituals | Tagged With: , , | | Comments Off on Spirituality, The Key To Health

To stay healthy, one needs to eat right, get plenty of exercise and rest and avoid bad habits such as smoking. But now it is said that “what you believe in” can have a big impact on health and longevity. Many studies show that patients with strong spirituality can improve their health from a variety of chronic conditions, like hypertension, heart disease, recovery from surgery and more.

Research indicates there are real health benefits from spirituality:

  1. People with high levels of religious beliefs or spirituality have lower cortisol responses. Cortisol is a hormone the body releases in response to stress.
  2. Positive thinking produces nearly a 30% drop in perception of pain.
  3. Spirituality and the practice of religion have been associated with a slower progression of Alzheimer’s disease.
  4. Those who regularly attend organized religious activities may live longer than those who don’t. Regular participation lowers mortality rate by about 12% a year.
  5. People undergoing cardiac rehabilitation feel more confident and perceive greater improvements in their physical abilities if they have a strong faith.
  6. Increased levels of spirituality and religious faith may help substance abusers kick their habit.
  7. Spirituality stimulates the relaxation response. When the body is relaxed, your heart rate, blood pressure and breathing rate all go down, which decreases the body’s stress response.
  8. Spirituality can affect immune system function. Spirituality, faith, church attendance improves immune function in ways that can be measured, like an increase in white blood cells.
  9. Prayer heals the heart.
  10. Positive talking and thinking in the ICU produces better results.

Spirituality is what brings you peace and safety. It can be achieved through God or Goddess, nature, a beautiful sunset, a meditation, Pranayama, religious meeting, chanting, mind-body relaxation, etc. Spirituality is something that can help all the way from promoting wellness to helping with recovery.

(Disclaimer: The views expressed in this write up are my own).

Nine modifiable risk factors for heart attack

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , , | | Comments Off on Nine modifiable risk factors for heart attack

The majority of known risk factors for heart attack are modifiable by specific preventive measures.

The nine potentially modifiable factors include smoking, dyslipidemia, hypertension, diabetes, abdominal obesity, psychosocial factors, regular alcohol consumption, daily consumption of fruits and vegetables and regular physical activity. These account for over 90 percent of the population attributable risk of a first heart attack.

In addition, aspirin is recommended for primary prevention of heart disease for men and women whose 10-year risk of a first heart attack event is 6 percent or greater.

Smoking cessation reduces the risk of both heart attack and stroke. One year after quitting, the risk of heart attack and death from heart disease is reduced by one-half, and after several years begins to approach that of nonsmokers.

A number of observational studies have shown a strong inverse relationship between leisure time activity and decreased risks of CVD. Walking 80 minutes in a day and whenever possible with a speed of 80 steps per minute are the current recommendations.

Cycling can cause erectile dysfunction

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , , , , | | Comments Off on Cycling can cause erectile dysfunction

Age, diabetes, hypertension, obesity, high lipids, smoking, drugs, heart disease, upright cycling for more than 3 hours a week can cause erectile dysfunction in males. For those who ride bicycles for more than 3 hours a week should do so in a reclining position and not upright position.

A man is considered to have erectile dysfunction when he cannot acquire or sustain an erection of sufficient rigidity for sexual intercourse. Any man may, at one time or another during his life, experience periodic or isolated sexual failures.

The term “impotent” is reserved for those men who experience erectile failure during attempted intercourse more than 75 percent of the time. Heart disease increases the risk for later erectile dysfunction. Erectile dysfunction may be an early warning sign of future heart disease. Men with erectile dysfunction without an obvious cause (e.g., pelvic trauma), and who have no symptoms of heart disease, should be screened for heart disease prior to treatment since there are potential cardiac risks associated with sexual activity in patients with heart disease.

Eight of the 12 most commonly prescribed medications list impotence as a side effect and it is estimated that 25 percent of cases of erectile dysfunction are due to drugs.

Depression, stress, or the drugs used to treat depression can result in erectile dysfunction.

Neurologic causes of erectile dysfunction include stroke, spinal cord or back injury, multiple sclerosis, or dementia. In addition, pelvic trauma, prostate. Surgery or priapism may cause erectile dysfunction.

Bicycling, less obvious, but of increasing importance, has been the possible association of erectile dysfunction with bicycling. Anything that places prolonged pressure on the pudendal and cavernosal nerves or compromises blood flow to the penile artery can result in penile numbness and impotence.

Cycling-induced impotence is primarily a problem of serious cyclists and has been reported to occur in Norwegian men competing in a 540 km bicycle race.

The penile numbness is attributed to the pressure on the perineal nerves whereas the erectile dysfunction is thought to be due to a decrease in oxygen pressure in the pudendal arteries.

Recreational cyclists, those who cycle for less than 3 hours per week and men who cycle in a reclining position avoid the sustained intense pressure on the penile nerve and artery and are less likely to experience sexual side effects. Continued cycling in a seated upright position can reduce the penile oxygen levels lasting 10 minutes.

HCFI tips for fasting

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , , | | Comments Off on HCFI tips for fasting

  1. Plan your diet especially if you have medical conditions such as diabetes and hypertension. Do not skip your medication schedule. Keep a healthy snack handy for those cravings.
  2. Keep yourself hydrated by drinking water, coconut water, green tea, buttermilk, and lime juice. Avoid aerated drinks.
  3. Avoid gorging on salty ‘vrat snacks’. Eat something that is boiled or roasted instead.
  4. Use rock salt in your food instead of usual salt as it helps in better mineral absorption. It is also beneficial for those who have high or low blood pressure.
  5. Eat lighter meals as these can aid digestion.
  6. For dessert, you can try eating dates or fruit yogurt. Also, add honey instead of sugar.
  7. Eat lots of fresh fruits and vegetables.

Spirituality, The Key To Health

By Dr K K Aggarwal
Filed Under Spirituality - Science Behind Rituals | Tagged With: , , , , , , | | Comments Off on Spirituality, The Key To Health

To stay healthy, one needs to eat right, get plenty of exercise and rest and avoid bad habits such as smoking. But, now it is said that “what you believe in” can have a big impact on health and longevity. Many studies show that patients with strong spirituality can improve their health from a variety of chronic conditions, like hypertension, heart disease, recovery from surgery and more.

Research indicates there are real health benefits from spirituality:

  1. People with high levels of religious beliefs or spirituality have lower cortisol responses. Cortisol is a hormone the body releases in response to stress.

  2. Positive thinking produces nearly a 30% drop in perception of pain.
  3. Spirituality and the practice of religion have recently been associated with a slower progression of Alzheimer’s disease.

  4. Those who regularly attend organized religious activities may live longer than those who don’t. Regular participation lowers mortality rate by about 12% a year.
  5. People undergoing cardiac rehabilitation feel more confident and perceive greater improvements in their physical abilities if they have a strong faith.

  6. Increased levels of spirituality and religious faith may help substance abusers kick their habit.

  7. Spirituality stimulates the relaxation response. When the body is relaxed, your heart rate, blood pressure and breathing rate all go down, which decreases the body’s stress response.

  8. Spirituality can affect immune-system function. Spirituality, faith, church attendance improves immune function in ways that can be measured, like an increase in white blood cells.

  9. Prayer heals the heart.

  10. Positive talking and thinking in the ICU produces better results.

Spirituality is what brings you peace and safety. It can be achieved through God or Goddess, nature, a beautiful sunset, a meditation, Pranayama, religious meeting, chanting, mind-body relaxation, etc. Spirituality is something that can help all the way from promoting wellness to helping with recovery.

(Disclaimer: The views expressed in this write up are my own).

Sugar, not salt, may be at fault for high BP

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , | | Comments Off on Sugar, not salt, may be at fault for high BP

Sugar, not salt contributes to the majority of the hypertension risk associated with processed food and a reduction in the consumption of added sugars and, in particular, processed foods may translate into decreased rates of hypertension as well as decreased cardiometabolic disease.

James J. DiNicolantanio, PharmD, from Saint Lukes Mid America Heart Institute in Kansas City, Missouri, and Sean C. Lucan, MD, MPH, from Albert Einstein College of Medicine in Bronx, New York, published their review of epidemiological and experimental studies in the journal Open Heart. They concluded that high-sugar diets may make a significant contribution to cardiometabolic risk.

Highly refined processed foods should be replaced by natural whole foods.

Cycling can cause erectile dysfunction

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , , , , , | | Comments Off on Cycling can cause erectile dysfunction

Age, diabetes, hypertension, obesity, high lipids, smoking, drugs, heart disease, upright cycling for more than 3 hours a week can cause erectile dysfunction (ED) in males. Those who ride bicycles for more than 3 hours a week should do so in a reclining position and not upright position. A man is considered to have ED when he cannot acquire or sustain an erection of sufficient rigidity for sexual intercourse. Any man may, at one time or another during his life, experience periodic or isolated sexual failures. The term “impotent” is reserved for those men who experience erectile failure during attempted intercourse more than 75% of the time. Heart disease increases the risk for later ED; ED also may be an early warning sign of future heart disease. Men with erectile dysfunction without an obvious cause (e.g., pelvic trauma), and who have no symptoms of heart disease, should be screened for heart disease prior to treatment since there are potential cardiac risks associated with sexual activity in patients with heart disease. Eight of the 12 most commonly prescribed medications list impotence as a side effect and it is estimated that 25% of cases of ED are due to drugs. Depression, stress, or the drugs used to treat depression can result in ED. Neurologic causes include stroke, spinal cord or back injury, multiple sclerosis, or dementia. In addition, pelvic trauma, prostate. Surgery or priapism may cause ED. A less obvious, but of increasing importance, has been the possible association of ED with bicycling. Anything that places prolonged pressure on the pudendal and cavernosal nerves or compromises blood flow to the penile artery can result in penile numbness and impotence. Cycling-induced impotence, is primarily a problem of serious cyclists and has been reported to occur in Norwegian men competing in a 540 km bicycle race. The penile numbness is attributed to the pressure on the perineal nerves whereas the erectile dysfunction is thought to be due to a decrease in oxygen pressure in the pudendal arteries. Recreational cyclists, those who cycle for less than 3 hours per week and men who cycle in a reclining position avoid the sustained intense pressure on the penile nerve and artery and are less likely to experience sexual side effects. Continued cycling in a seated upright position can reduce the penile oxygen levels lasting 10 minutes.

Diagnosis of hypertension in childhood requires repeated BP measurements

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , | | Comments Off on Diagnosis of hypertension in childhood requires repeated BP measurements

The diagnosis of hypertension in children should be based on three blood pressure measurements at separate clinical visits. Normative BP percentiles are based upon data on gender age height and blood pressure measurements from the National Health and Nutrition Examination Survey and other population based studies. In a study initial BP measurement was normal below the 90th percentile pre hypertensive systolic or diastolic BP between the 90th or 95th percentile and hypertensive systolic or diastolic BP 8805 95th percentile in 82 13 and 5 percent of children. At follow up subsequent hypertensive measurements were observed in only 4 percent of the 10 848 children who had initial hypertensive values. In the cohort the overall prevalence of hypertension was 0.3 percent. Source Lo JC Sinaiko A Chandra M et al. Prehypertension and hypertension in community based pediatric practice. Pediatrics 2013 131 e415.

A slight move is all that matters

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , , | | Comments Off on A slight move is all that matters

Middle-aged women who move around more in their daily life have lower levels of intra-abdominal fat, a risk factor for heart disease.
A minor modification in daily routine: Reducing the time watching TV or increasing the walk time to work can make a difference in the long-term health.
Visceral fat is a hot topic because of metabolic syndrome, which predisposes people to diseases.
Intra-abdominal fat, or the fat that wraps around the organs in the abdomen and chest, tends to accumulate at midlife and can contribute to developing diabetes, hypertension and heart disease. The fat around the organs is known to be more related to heart disease and diabetes. A woman does not need to appear outwardly heavy to have a potentially troublesome extra “tire” around her organs.
Exercise for long has been known to reduce the amount of intra-abdominal fat.

Clinicians should aggressively treat unhealthy lifestyles

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , , , | | Comments Off on Clinicians should aggressively treat unhealthy lifestyles

Unhealthy behaviors should be managed as aggressively as hypertension, high cholesterol, and other heart disease risk factors, according to an American Heart Association policy statement published in the journal Circulation. Doctors should create “interprofessional practices” to connect patients with behavior-change specialists. They must implement five A’s when caring for patients 1. Assess a patient’s risk behaviors for heart disease 2. Advise change, such as weight loss or exercise 3. Agree on an action plan 4. Assist with treatment 5. Arrange for follow–up care.

Sugar, not salt, may be at fault for hypertension

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on Sugar, not salt, may be at fault for hypertension

Sugar, not salt contributes to the majority of the hypertension risk associated with processed food and a reduction in the consumption of added sugars and, in particular, processed foods may translate into decreased rates of hypertension as well as decreased cardiometabolic disease. James J. DiNicolantanio, PharmD, from Saint Luke’s Mid America Heart Institute in Kansas City, Missouri, and Sean C. Lucan, MD, MPH, from Albert Einstein College of Medicine in Bronx, New York, published their review of epidemiological and experimental studies in Open Heart. The authors conclude that high-sugar diets may make a significant contribution to cardiometabolic risk. Highly refined processed foods should be replaced by natural whole foods.