HOW TO PREVENT HEART

AILMENTS

ByPROF. S.H. SHAFQAT

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IN THE OPINION OF THE HOUSE ?

HEART DISEASES WERE VERY RARE BEFEORE THE CREATION OF PAKISTAN BECAUSE:

A. THE FOOD WAS GOOD AND IN PLENTYB. THE WATER WAS CLEANC. THE HOUSING WAS BETTER D. THERE WAS NO POLLUTION 22

THREE MODES OF LEARNING

OBSERVATION – NEWTON – BEST – DIFFICULT

IMMITATION – BOOKS, LECTURES, ADVISE – EASY.

MISTAKE – A CHILD BURNING HIS HAND – TOUGH , BUT VERY EFFECTIVE 33

LETS IMITATE !

WE CAN ONLY IMITATE IF WE HAVE TRUE KNOWLEDGE OF WHAT WE WANT TO IMITATE. THE DISEASE PATTERN AND THE RESPONSE OF THE POPULATION IN 1954.

P.I.B. COLONY HAD ITS OWN HOME GROWN FIRST DOCTOR

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COMMUNICABLE DISEASES WERE RAMPANT LIKE TYPHOID, DYSENTRY, CHOLERA, TUBERCULOSIS ETC.

DYSENTRY: ALMOST PERMANENT TYPHOID: 9 OUT 10 WOULD DIE TUBERCULKOSIS: 2 TO 3 PATIENTS IN EVERY

FAMILY ONLY ONE PATIENT OF HEART ATTACK IN

ONE YEAR IN MED. UNIT I C.H.K.

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RESPONSE

TYPHOID (ROYAL DISEASE) TREATMENT BEFORE ANTIBIOTICS:

WATER FROM BOILED GRAM OR WATER CURDLED MILK.

21 DAYS WAS THE PERIOD OF FEVER SURVIVING PATIENT REDUCED TO

SKELETON66

ADVICE AFTER RECOVERY

NUTRITIOUS DIET MILK AND BUTTER FRUITS WELL SOFTENED BEEF ANSWER: ‘GUNJAISH NAHIN HAI’

(WE CANNOT AFFORD IT)

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MIDDLE CLASS LIFE STYLE IN THE 1950’S

WALKS TO WORK NO STABLE JOB MAXIMUM LUXURY: BICYCLE TWO MEALS A DAY VEGETABLE AND DAL: STAPLE MEAT: WEEKLY 250 GM PER FAMILY Yourself for ill or the chicken

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LOWER CLASS LIFE STYLE IN THE 1950’S

GETTING WORK FOR 15 DAYS IN A MONTH – ‘KARAM’

ONE MEAL ON A LUCKY DAY ‘BEJAR’ OR BOILED DAL AND NON-WHEAT

BREAD BRINGS WATER FROM MUNICIPAL TAP CUTS FIRE WOOD FOR THE WIFE MEAT ONLY ON ‘BAQRA EID’ IF LUCKY

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UPPER CLASS LIFE STYLE IN THE 1950’S

BREAKFAST – LUNCH – DINNER EGGS, BUTTER TWO TO THREE DISHES MEAT ALMOST DAILY PRIVATE TONGA A COUPLE OF MUSLIMS HAD SECOND

HAND CARS – CHILDREN NOT ALLOWED TO RIDE THE CAR

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WHO COULD AFFORD THIS LIFE STYLE ?

COLLECTOR SAHIB, COMMISSIONER SAHIB,NAWAB SAHIB, RAI SAHIB, KHAN BAHADURSAHIBTHEY WERE THE ONES WHO HAD: HIGH BLOOD PRESSURE DIABETES HEART ATTACK

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THE DIET AND LIFE STYLE PREVENTED THESE DISEASES IN MIDDLE AND LOWER CLASSES

GOD CREATED MAN

TO WALK TO HIS WORK STOP WORK, HAVING EARNED JUST ENOUGH TO SURVIVE REST AFTER WORK ADEQUATE SLEEP

WE DRIVE TO WORK KEEP ON WORKING EVEN AFTER EARNING TO SURVIVE TEN LIVES. DO NOT TAKE EVEN MINIMUM REST DO NOT HAVE ENOUGH SLEEP - ELECTRICITY 1212

RISK FACTORS1. SMOKING2. LACK OF SLEEP3. MENTAL STRESS4. OVER WEIGHT 5. SEDENTARY LIFE STYLE6. HIGH BLOOD PRESSURE7. DIABETES8. RAISED LIPIDS – ESPECIALLY BAD CHOLESTROL9. FAMILY HISTORY10. HIGH URIC ACID (MEAT)

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WHAT TO DO LIVE THE LIFE OF PRE-PAKISTAN MIDDLE CLASS –

TALL ORDER GOD CREATED TWO CATEGORIES OF FOODS STATIONARY: PLANTS-EASY TO COLLECT MOBILE: ANIMALS – DIFFICULT TO CATCH

THE WISDOM: STAPLE FOOD: EASY TO COLLECT OCCASIONAL FOOD: DIFFICULT TO CATCH

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NUTRITIONAL ADVICE - I

LIVE ON VEGETABLES AND DAL WHITE OF EGG – GOOD SOURCE OF PURE PROTIENS TWO OUNCES OF ANIMAL FOOD DAILY i.e. 14 TIMES

OF PRE-PAKISTAN MIDDLE CLASS CONSUMPTION BREAD: CHOLESTROL FREEE BUT PUTS ON WEIGHT (IF

WEIGHT IS A PROBLEM 3 oz/day) SUGAR: NO WHOLE MILK AND BUTTER: NO FOR CALCIUM SUPPLEMENT TAKE CALCIUM TABLETS

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NUTRITIONAL ADVICE - II

FRUITS EXCESS FRUITS WILL INCREASE

WEIGHT AND RAISE TRIGLYCERIDES 4 OZ/DAY IF NO TRIGLYCERIDE

PROBLEM FOR DIABETES BANANA AND MANGO ½ PER DAY

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EXERCISE AND RELAXATION ! WALK AT LEAST HALF AN HOUR WHILE

EMPTY STOMACH EVERY DAY SLEEP 8 HOURS IN 24 HOURS SPEND TIME WITH FAMILY HAVE A RELAXING HOBBY DON’T SMOKE AVOID STRESS: THE NATURE OF STRESS ?

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PROPHET’S HADITH

THE PROPHET (PBUH) HAS SAID:-THREE THINGS DESTROY A PERSON A. AVARICE (HIRS)B. JEALOUSY (HASAD)C. EXTRAVAGANCE (ISRAF)

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SOME FADSSOME FADS Gram (Chana) Considered Weight Gram (Chana) Considered Weight

ReducerReducer

Highest Calories content of all cereals Highest Calories content of all cereals 369 per 100g wheat 341369 per 100g wheat 341

JAMUNJAMUN Blood Sugar ReducerBlood Sugar Reducer

Calories content 62-Mango 74Calories content 62-Mango 741919

GRAPE FRUITGRAPE FRUIT Weight ReducerWeight Reducer

44 Calories per 100g 44 Calories per 100g

Kinoo 36 CaloriesKinoo 36 Calories

DOODH PATTIDOODH PATTI Adding Tea Leaf to milk will make it fat Adding Tea Leaf to milk will make it fat

freefree

WATERWATER Water Wisdom behind consuming plenty of Water Wisdom behind consuming plenty of

waterwater

PRE PAKISTAN ERAPRE PAKISTAN ERA No Electric – Sleep on rooftopNo Electric – Sleep on rooftop

First Duty – Cut Fire WoodFirst Duty – Cut Fire Wood

Carried water from municipal tap or wellCarried water from municipal tap or well

Went to office or school on foot in Went to office or school on foot in scorching heat scorching heat

Studied under a lanternStudied under a lantern 2020

WATER (Contd)WATER (Contd)

All this produced profuse sweating All this produced profuse sweating

Water loss about 10 to 20 glasses per day Water loss about 10 to 20 glasses per day in sweatin sweat

Nothing is left for kidneysNothing is left for kidneys

Thus required replacement of water lost in Thus required replacement of water lost in sweatsweat

CONTEMPORARYCONTEMPORARY Affluent ClassAffluent Class

Home Car office A/CHome Car office A/C

For majority the only exercise is roaming in For majority the only exercise is roaming in A/C super marketA/C super market

No loss of waterNo loss of water

Kidneys of warm climate inhabitant Kidneys of warm climate inhabitant programmed to conserve waterprogrammed to conserve water

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CONTEMPORARYCONTEMPORARY

Black population in USA needs diuretic for Black population in USA needs diuretic for B.P controlB.P control

even non affluent class has electric, gas even non affluent class has electric, gas transport.transport.

Does no physical exerciseDoes no physical exercise

Does not sweat profuselyDoes not sweat profusely

RESULTRESULT When we loose little water and take as When we loose little water and take as

much or more water as in Pre – Pakistan much or more water as in Pre – Pakistan Era – Availability of FridgeEra – Availability of Fridge

Kidneys are programmed to conserve Kidneys are programmed to conserve waterwater

Water RetentionWater Retention

Raised B.P.Raised B.P.

Pulmonary Congestion – short of breathPulmonary Congestion – short of breathCIRCULATION 2006.114.1202-1215 LANCET 2005.365.28

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MILKMILK Entire mammal species Entire mammal species

Consumed by young ones from own Consumed by young ones from own speciesspecies

Puppy from Dog foal from marePuppy from Dog foal from mare

Baby from human motherBaby from human mother

man is the only mammal whose adult man is the only mammal whose adult takes milk that tootakes milk that too

From other species like cow buffalo etcFrom other species like cow buffalo etc 2323

MILKMILK Background of adult milk consumption Background of adult milk consumption

Pre Pakistan Infectious Disease LikePre Pakistan Infectious Disease Like

T.B., Typhoid, Pneumonia and Cholera very commonT.B., Typhoid, Pneumonia and Cholera very common

Average nutrition very poorAverage nutrition very poor

Save the bread earner – Husband/Father/BrotherSave the bread earner – Husband/Father/Brother

One glass of milk in those days was an attempt One glass of milk in those days was an attempt

towards better nutrition and consequent protection from towards better nutrition and consequent protection from

infectious diseaseinfectious diseaseU.K. 50’s & 60’s DRINKA PINTA MILKA DAY- TB, RFU.K. 50’s & 60’s DRINKA PINTA MILKA DAY- TB, RF

as Common as Here (Rickets)as Common as Here (Rickets)

NOW DRINK BLACK TEA AND COFEENOW DRINK BLACK TEA AND COFEE

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Presently Infectious disease are not a Problem – Presently Infectious disease are not a Problem –

Obesity very commonObesity very common

Metabolic syndrome 25% in LyariMetabolic syndrome 25% in Lyari

Milk will add to obesity raise cholesterol and Milk will add to obesity raise cholesterol and sugar level sugar level

Calcium supplement Calcium supplement

1600mg – 1.5L of skimmed milk Rs.105/=1600mg – 1.5L of skimmed milk Rs.105/=

Calcium Tablet 1600mg Rs.6/=Calcium Tablet 1600mg Rs.6/=

No justification for milk consumption as calcium No justification for milk consumption as calcium supplementssupplements

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