Lecture 11 02 12 Diet and Health

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    Diet and Lifestyle for Health in the21st Century

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    Diet and Lifestyle for Health in the 21st

    Century A Self-Empowerment Guide

    By

    Dr. S.G. Kane

    Adjunct Professor of Chemical Engineering& Independent Researcher

    020 2567 2833 or 020 3567 6160

    [email protected]

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    CAVEAT

    The Author is a Chemical Engineer and not aTrained Dietician / Nutritionist or a Physician

    This is a subjective analysis by the author basedon the sources selected and his generalscientific knowledge and personal experience

    The commentary, information, and analysesconveyed in this presentation by the author donot constitute advice and shall not be construed

    as such. The reader takes the full responsibility for the

    use of information in this presentation

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    Diet and Lifestyle Guidelines

    for Health in the 21st Century Lifestyle and Dietary Evolution World Health

    Epidemic

    Fundamentals - Carbohydrates / Fats / Proteins

    What / When / How Much to eat

    Food Intolerance - What to Avoid

    Diet Planning - Calories /Nutrients Balance /

    Glycemic Load Distribution Drug Reactions Be Aware / Minimize

    Health Prescription A Holistic Approach

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    Lifestyle and Diet Evolution

    20th Century 21st Century

    Dincharya Daily Lifestyle and Diet

    Sedentary Lifestyle Low Exercise

    Long Work Hours- High Stress, Smoking, Alcohol

    Irregular Eating Time, Long Gaps between meals

    High Total Calories, Eating Binges, High/Serving

    High Refined Carbohydrates / Low Fiber

    Vegetable Oils Increased Excess w-6, Low w-3

    Hydrogenated Fat , trans Fat High Processed Foods High Food Additives,

    Preservatives, Flavoring Agents

    Low natural anti-oxidants

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    World Health Epidemic

    20th Century 21st Century

    General Immunity and Energy

    - Stomach, Throat, Headache Daily/Seasonal Upsets

    Metabolic Syndrome

    Obesity 100 MM in USA On the increase in Children

    Heart Disease / B.P / Stroke / Paralysis

    Diabetes II Huge Increase Worldwide

    2000 World 171 MM India 31 MM i.e.18.13%

    2030 World 366 MM India 80 MM i.e. 21.86%

    Auto-Immune Inflammatory Diseases Rheumatoid/ Osteo-Arthritis, Lupus, Psoriasis, Eczema,

    Ulcer, Colitis, Piles, Asthma

    Neuro-degenerative Alzheimer / Parkinsons, ALS,Multiple Sclerosis, Muscular Dystrophy

    Cancer

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    Carbohydrates Biochemistry

    A Root Cause of Metabolic Syndrome

    High Intake of Carbs / serving High Glucose HighInsulin Rapid Drop Repeated High Peaks

    Insulin receptor down regulation Insulin resistanceHigher Insulin Peaks Pancreas Cell exhaustion Diabetes II

    High Glucose/Insulin Via HMG CoA LDL Cholesterol+ via Malonyl CoA Triglyceride Obesity / High B.P Cardiovascular Disease

    H

    igh SustainedG

    lucose andG

    lucose Peaks High Glycosylated Hb Neurodegeneration

    High NADH High ROS Damage to vessel linings --Nephropathy / Retinopathy

    Low Circulation in small vessels Neuropathy

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    Carbohydrate Biochemistry

    Effect of Deficiency High Intake of Carbs / serving High Glucose High Insulin Rapid Drop Reactivehypoglycemia Low sustained glucose

    Hunger and weakness

    Weak mentalperformance, Neuro-degeneration

    Low Carbohydrates: Excessive FatBreakdown Keto-acids Toxicity

    Excessive Protein Breakdown / MuscleBreakdown High Urea Load Kidney Toxicity

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    Avoid High Dose/Serving and still

    Provide Adequate Carbohydrates Avoid High Glucose /Fructose Levels

    Reduce Glycemic Index of Food Intake i.e.

    - Avoid sugar and high fructose syrup

    - Idli Polished Long Grained Rice Whole Wheat Oats:80 55

    - General Dal40; Chana Dal12

    - Milk 30; Egg/ Meat/Fish 0

    Reduce Glycemic Load /ServingDistributed Intake

    - i.e [Index] x [Gm Carbohydrate]

    - For Sedentary Lifestyle Target < 35 / Serving

    Provide a minimum 50 gm Carbohydrates / Day

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    Fats Biochemistry

    Essential Fatty Acids W-6 and W-3 - Cell membrane constituents and precursors toeicosanoids a group of key regulatory hormones

    W-6 Sources: Sesame/Rice Bran 43/33%;

    Sunflower/ Safflower/ Soybean/Corn 69/77/61/60%

    Groundnut 30% W-3 Sources: Fish Oil, Flaxseed, Canola, Hemp Nut

    Desired Ratio of W-6 / W-3 : < 4/1 PromoteImmunity/Blood flow/ Mental Health, Reduce Inflammation,Reduce Asthma

    Excess W-6 [ >> 10 gm/D] High Inflammation Pulmonary, Cardiac [ B.P. / clotting], Renal, Diabeticconditions, Cancer

    W-3 Fats Essential for control of Inflammation, Prevent /Reduce Neurodegenerative diseases

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    Fats - Biochemistry

    Monounsaturated Fats: Olive Oil. Also in many other oils

    Desirable

    LowMW Saturated Fats: MCT from Cow Ghee and

    Coconut Oil Anti-viral/Fungal, Promote absorption of oilsoluble vitamins A,D,E,K Highly Desirable

    Minimize/Avoid Hydrogenated Fats: Bakery Products

    Bread/Biscuits/Cakes, French Fries, Chips

    High MW Fats More Bile needed Agnimandya Amavata Build-up Auto-immune Trigger

    Trans Fats De-stabilize cell membranes Reduce HDL,

    Increase LDL/Blood Sugar, Cancer

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    Proteins

    Essential Ingredients of Structural Elements,

    Transport Systems and Hormones/Enzymes

    0.8 to1 gm/Kg body wt or Min. 50 gm

    Deficiency Loss of Hair, Loss of muscle tissue

    Strength, Hormonal Imbalance

    Essential Amino Acids Biological Value

    - Animal proteins, Milk/Eggs, Cereal/Pulsemixtures

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    Food Intolerance inflammation

    Leaky Gut Auto-immune Diseases

    Pungent Chilly (Red/Green) / Black PepperVata /Pitta

    Sour Tamarind / Vinegar Pitta

    Fermented Dough Bread, Pizza, Cheese, Idli, Dosa,Dhokla, Sour Curds, Stale Fish Histamine Sources

    Protein Allergies Chana /Tur/ Peanuts / Egg / Fish

    - Gluten from Grains, Caesin from Milk

    Solanaceae Plant Proteins Capsicum, Tomato, White

    Potato, Brinjal Tree Nut Proteins Walnuts, Almonds

    Milk Lactose Intolerance Lactase Deficiency

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    More on Food Intolerance

    Deep Fried - Vanaspati containing products Avoid /Eat with Caution

    - Bread, Biscuits, Cakes, French Fries, Chips

    - Needmore bile LiverLoadAgnimandya AmaProduction Auto-immune Attack

    - Contain trans Fatty Acids To be avoided

    Excitotoxins Glutamate, Aspartate, L-Cysteine

    - Useful but when in excess over activate andkill neurons

    - MSG fortified foods Protein/Yeast extracts, Noodles

    - Artificial Sweeteners Nutrasweet, Saccharine

    HeavyDose of preservatives/ pesticides

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    Obesity Control How to set the

    Target?

    Body Mass Index [BMI] = Wt in Kg /(Ht in Mt.)**2

    BMI 22.5 25

    153 cm 52.3 58.5

    168 cm 63.2 70.6

    183 cm 75.3 83.7

    Calories for BMI of 22.5 The Target Value

    For Height from 153 cm to 183 cm 30 yr Sedentary Activity 1800 to 2450

    60 yr Sedentary 1500 to 2150

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    Obesity Control How to proceed?

    Reduce Input Calories 400 calorie /Day

    - reduce free sugar/fructose, Reduce saturated fats,grains while ensuring adequate protein intake

    - One 50 gm besan ladoo or 50 gm serving ofChivda,

    Fried Farsan = 300 calories Exercise

    vigorous walk 30 minutes - 1.5 miles(2.4 km)

    90 to 120 calories for 60kg to 80 kg body weight

    Swimming- 30 minutes 180 to 240 Calories

    Pranayama Anulom/Viloma, Kapalbhati,Ujjayi

    Respiratory Capacity, Circulation -Nutrition ofjoints/muscle, Reduced Stress / Concentration

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    Daily Ration

    A Balanced Sample Diet

    Food Distribution- 3 major (Brk/Lunch/Dinner) + 2minor ( mid-morning fruit+ mid-afternoon nuts) servings

    - Target Carb / Fat / Protein :: 55 /30 /15

    Carbohydrates Minimum 50 gm/D to avoid ketosis

    - Control Glycemic Load / Serving to < 35 Protein approx 50 gm for protein function

    Fat - W-6 10 gm/d 16 gm Sunflower or 25-30 gmSesame/Rice Bran Oil

    - W-3 Fat - min 2 gm/D 1 teaspoon Flaxseed Powder

    - Sesame and Rice Bran most stable for deep frying Fruit 100 to 200 gm/day

    Vegetables/Salad [Fruity/Pods/ Leafy] 400 gm / day

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    Daily Ration A Base Case

    Calories Protein, gm

    Milk-Cow 300 ml 240 12

    Egg 1 80 6

    Breakfast Oats 40 gm 160 5

    Grain Wheat- 60gm 240 6 Pulses 30 gm 90 6.5

    Oil /Ghee 30 gm 270 0

    Nuts 20 gm 120 4.5

    Veg /Salad 300 gm 150 3

    Fruit - 150 gm 100 1

    Sugar -4 teaspoon - 20 gm 100 0

    Sweet/Farsan 40 gm 240 3

    TOTAL 1790 48

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    Daily Ration Glycemic Load

    Brkf/ Mid-Morn/Lunch/Tea/Dinner::20/10/35/10/35

    G. index G. Load

    Milk-Cow 300 ml 30 4.5

    Egg 1 0

    Breakfast Oats 40 gm 55 14

    Grain Wheat- 60gm 70 27

    Pulses 30 gm 40 7.2

    Oil /Ghee 30 gm 0

    Nuts 20 gm 20 6

    Veg /Salad 300 gm 70 21 Fruit - 150 gm 50 10

    Sugar -4 teaspoon - 20 gm 65 13

    Milk/Fat Sweet 40 gm 60 7

    TOTAL 110

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    Drugs Be Aware and Minimize

    Undesirable Side Effects

    Nutrient Depletion To be supplemented

    - B Complex, Q10, Glutathione, Minerals

    Adverse Toxic Reactions Contra-indications

    - G.I. Distress. Ulcer/Bleeding, Liver, Kidney,Clots, Neurological Damage, Muscle Weakness

    Drug Interactions Multiple Drugs Given

    Drug Diet Interactions e.g.

    - Statins Inhibit HMG Reductase ExcessCarbohydrate Malonyl CoA Increase Body Fat

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    Daily Health Guidelines- Dincharya

    A Holistic Approach+ Documentation

    Stop Smoking / Control Alcohol / Exercise / Pranayama

    Maintain A Personal Health Notebook /File

    - Bi-Monthly Weight Records

    - Records of periodic Laboratory Tests- Specific health episode + previous 24 hour history

    Plan your Daily Ration Calories, Macro/Micro Nutrients

    Glycemic Load Distribution Avoid Diabetes/CVD

    Avoid Gut Inflammation - Food Intolerance/ MinimizeExcitotoxins /Be Aware of Drugs Interactions /Toxicity

    Maintain A Reference Library Use MIMS DrugHandbook /Google to check on any Drug Prescription

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    Seasonal Health Guidelines

    Rutucharya - I Winter ( Jan/Feb) Appetite/Digestive Power Energy

    rich food Kapha increases

    Cold/WindyVatavardhakAvoidPungent/Bitter/Astringent

    Spring (March/April) Kapha Released Chronic Cold

    Reduce Kapha Light food / Reduce Oil/Heavy Food

    Increase Pungent, Bitter, Astringent

    Nasal drops + vamana

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    Seasonal Health Guidelines

    Rutucharya - II

    Summer (May/June) Vata /Pitta increase

    Avoid Salt, Sour, Pungent

    Water balance drink enough water

    - Still Vata increases by end of summer

    Monsoon (July /August) Sudden lowering of

    temperature Vata increases

    Increase in Humidity low digestive powerAma increase InflammatoryDiseases

    Pitta increases by end of Monsoon

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    Seasonal Health Guidelines

    Rutucharya - II

    Autumn (Sept/Oct) Sharp temperature rise Need to

    control Pitta

    Moderation in intake avoid heavy food

    Avoid Pro-inflammatory Sour Curds etc.

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    Seasonal Health Guidelines

    Summary

    Each seasonal change leads to changes

    in the dominance ofKapha /Vata / Pitta

    Each season change will trigger someailment

    Continuous adjustment of dietary practice

    is necessary

    Other preventive measures desirable

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    - Super Active Oil Extracts

    A Preventive and Restorative Option

    General Immunity, energy, stress, digestivehealth, respiratory health

    Quick restoration of colds/cough, stomach

    upsets, Cuts/ Pain/Allergic reactions Chronic Conditions Control Diabetes/Lipids

    Chronic Conditions Control Leaky Gut andhence auto-immune diseases

    Chronic Conditions - Neurodegeneration Restoration post major illness and drugs

    intake

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    21st Century Professional

    Start Today

    Do a complete medical check-up Hematology,Liver/Kidney function, Lipids, Glycosylated Hb, +Routine Urine

    Daily exercise walking, resistance,pranayama

    Avoid / Eliminate Stress on your systems smoking, binge eating/drinking

    Dinacharya - Daily 3+2 Diet Plan

    Observe Enter Health Notebook Take

    corrective steps Rutucharya Seasonal Adjustments

    Live happily thereafter