The Experts Say - Health & Lifestyle

 

A Step Away From Good Health

Article contributed by:

Raffles Medical Group

 

Maintaining good health does take time.  However, it may not take as much time as you think.  Our top experts in various fields share easy and amazingly fast steps you can take to improve your quality of life significantly.
 



 
1. Shaking off lifestyle diseases by omitting salt in your diet

Have you been avoiding foods high in fat and cholesterol?  Are you exercising on a regular basis?  Now you may ask if there is anything else you should do to stay healthy.  The answer is simple – stay away from foods that contain a lot of sodium.
 
Studies have shown that a high sodium intake is associated with higher blood pressures and increased risk of cardiovascular diseases.
 
Avoid adding extra salt to pre-packaged or pre-prepared food as they already contain a lot of sodium.  “If you can taste the salt in your food, then there is too much of it,” says Ms Nehal Kamdar, Senior Dietitian at Raffles Internal Medicine Centre.
 
“Canned foods, snack foods, fast foods, other pre-prepared foods and pre-blended seasonings are loaded with sodium.  If you need to add salt in your cooking, add it at the end of cooking – you will need much less!  You may also consider using condiments, herbs and seasonings to enhance the flavour without increasing the need to add salt!  If you think your meal is high in sodium, balance it by adding high potassium foods like fruits and vegetables.  Try to eat out less often as restaurants, hawker centers and fast food joints add excess salt.  For dishes that are cooked to order, request for less or no salt, MSG and sauces.  Alternatively, sauce or salad dressing could be ordered on the side”, adds Ms Kamdar.
 

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2. Screening and controlling diabetes and high blood pressure to prevent chronic kidney disease and kidney failure

As you age, so do your kidneys.  That is the reason why chronic kidney disease (CKD) and kidney failure is associated with lifestyle and age-related diseases such as hypertension and diabetes.
 
The leading cause of kidney failure in Singapore is diabetes mellitus. Hypertension and glomerulonephritis (inflammation of the kidneys) are the other two common causes.  As diabetes and high blood pressure often lead to CKD, a cheap and effective way to prevent CKD and kidney failure is to screen for diabetes and high blood pressure regularly.  Yes, it can be that simple.
 
Long-standing diabetes and poorly controlled hypertension cause changes in small blood vessels and filtering units in the kidneys which can lead to damage of the kidneys.  This damage can result in CKD and kidney failure.
 
“When a person develops diabetes or hypertension, the kidney tissues become damaged and start to leak proteins into the urine.  These proteins further damage the tubules, the small tubes in the kidney.” says Dr Ekachai Danpanich, Specialist in Renal Medicine at Raffles UroRenal Centre.
 
Because the kidneys have a central role in controlling blood pressure, it is also common for people with diabetic kidney disease to have raised blood pressure.  Diabetic kidney disease and high blood pressure accelerates the decline in kidney function – in other words the two problems multiply each other’s effect.  By controlling diabetes, lowering blood pressure and changing our lifestyle, we can slow down the progression of chronic kidney disease and prevent kidney failure.” adds Dr Danpanich.

 

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3. Brush your teeth to reduce chances of heart disease

Brushing your teeth is not only good for your pearly whites, it also decreases your chances of developing heart disease.
 
Inflammation plays an important role in the pathogenesis of atherosclerosis, and markers of low-grade inflammation have been consistently associated with a higher risk of cardiovascular disease.
 
“Poor oral hygiene is the major cause of periodontal disease, a chronic infection of the tissues surrounding the teeth.  Therefore, gum infections may add to the inflammatory burden on individuals, thereby increasing cardiovascular risk which may eventually lead to a heart attack,” says Dr Wong Wai Yee, Specialist in Oral & Maxillofacial Surgery at Raffles Dental. Keeping your teeth in good health may be well worth your efforts, since it’s good for your heart as well.

 

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4. Lose weight for healthier knees

The health problems associated with obesity are numerous.  While many fret over it for cosmetic reasons, most do not realise that it’s not only bad for your health; it’s also bad for your bones.
 
“Carrying excess weight is one of the strongest risk factors for osteoarthritis of the knees,” says Dr Sittampalam Krishnamoorthy, Specialist in Orthopaedic Surgery at Raffles Orthopaedic Centre.

If you are overweight, take proactive steps to reduce your weight by not over-eating and exercising regularly.

 

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5. Stay positive to strengthen your immunity

Our state of mind affect our health, and extreme emotional stress may damage immunity and bring on illness.

 
“Research into the link between mind and immunity is ongoing with evidence of correlation. What is more compelling is evidence of increased illness and even death among the recently bereaved.” Says Dr Lim Yun Chin, Specialist in Psychiatry at Raffles Counselling Centre.
 
Good social support is also thought to improve immunity in people under stress.  Therefore, building strong and lasting relationships is not only good for your emotional well being, it is good for your health.

 

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6. Keep your emotions in check for healthy organs

Similarly, Traditional Chinese Medicine (TCM) theories contain a lot of insights about the human emotions.
 
“In TCM, each organ is said to be associated with a particular emotion and excesses of emotion can impair the functioning of the related organ.  Very severe negative emotional reaction can impact the liver in particular – and impaired functioning of the liver can lead to many problems such as clinical depression,” says Mr Wu Yue, Consultant TCM Physician at Raffles Chinese Medicine.
 
Try to keep your temper even, and your attitude upbeat at all times.  Your organs will thank you for your efforts.

 

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7. Walk towards good health

The health benefits of exercise need no further elaboration.  Regular aerobic exercise is good for the heart.  Weight bearing exercise builds bone and muscle.
 
Walking is a safe and easily accessible way to keep fit, brisk walking over a sufficient duration burns calories and does so with low impact to the weight bearing joints of our body.  If one decides to walk for fitness, wearing good walking shoes, walking for at least 30 minutes at a pace of between 3 to 6 km/h, and doing this at least three times a week are some tips from the experts.
 
“Choosing the right shoes is important.  Shoes made for walking have flexible soles and stiff heel counters to prevent side-to-side motion. For normal terrain, any comfortable, cushioned, lightweight, low-heeled shoes will be appropriate.  Just remember to avoid stiff-soled shoes that don't bend,” says Dr Lim Lian Arn, Specialist in Orthopaedic Surgery at Raffles Orthopaedic Centre.

 

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8. Keep dementia at bay by keeping the mind active

A study published online in 2007 in Neurology, the medical journal of the American Academy of Neurology, found that an elderly person who was cognitively active was 2.6 times less likely to get dementia and Alzheimer's disease, as compared to his cognitively inactive counterparts.  This reduced risk was after factors such as past cognitive activity, current social activity and socioeconomic status had been accounted for.
 
The brain, like our physical muscles, also needs exercise.  “In our Asian context, doing tai chi, qigong exercises, playing mahjong, having a circle of extended family/friends are all ways to preserve cognitive functioning and delay deterioration.  Engage in activities such as a game of chess, solving puzzles, reading a book or the newspapers and watching a play.  These would not only help keep Alzheimer's disease away, they also keep us mentally active and stimulated.  Most importantly, they add color, meaning and fulfillment to our lives,” says Dr Alvin Seah, Specialist in Neurology at Raffles Internal Medicine Centre.
 

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Article contributed by:
Raffles Medical Group

Dated: December 2011

 

Raffles Medical Group is a leading medical group and the largest private group practice in Singapore.  As a fully integrated healthcare organisation, the Group owns and operates a network of family medicine clinics, a tertiary care private hospital, insurance services and a consumer healthcare division.  Patients of the Group enjoy a continuum of care, from having their most basic healthcare needs met through the Group’s islandwide network of Raffles Medical clinics, to specialist and tertiary care at Raffles Hospital.

 

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