Tuesday, September 5, 2000, Chandigarh, India |
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Counselling can help heart patients LUDHIANA,
Sept 4 — Coronary heart disease is emerging as a major health problem in the city. This is mostly because of the lifestyle and food habits of the people here. A study in this regard was conducted by Navdeep Sandhu under the guidance of Dr Inderjeet Singh, Head of the Department of Foods and Nutrition in Punjab Agricultural University. It says that coronary heard disease is mostly caused due to the nature and quantity of the fat consumed. Saturated fatty acids, cholesterol and calorie intake, nature of the carbohydrates consumed, salt and alcohol consumption, stressful lifestyle and lack of phsyical activity cause the disease. Under the study, Businessmen of the town suffering from the CHD were counselled on the aspects of the disease related to diet and lifestyle. The patients were made to attend lectures for four months at two-week intervals. These patients used to visit OPDs in various local hospitals and nursing homes. Counselling made them change their food habits and methods of cooking. Most of these patients showed positive signs of having quit smoking and alcohol consumption. They learnt simple relaxation techniques and walked regularly. They also began to eat little, but at regular intervals. Many of the non-vegetarian patients switched over to eating white meat and egg. They significantly increased their consumption of cereals, green leafy vegetables, fruits and skimmed milk. They also reduced the intake of vanaspati, junk foods and beverages. Percentage of energy contribution by carbohydrates had increased from 60.58 to 70.54 and that by proteins from 12.12 to 13.75. After the counselling, patients showed improvement in weight loss, mid-upper-arm circumference, skin-fold thickness of triceps, waist and hip ration, blood pressure, blood glucose and lipid profile. It has proved that personalised, intensive and long-term interaction with subjects can decrease the risk of the disease. The study has also shown that changes in diet and lifestyle should precede medical treatment. Drugs help in controlling the risk factors, but changes in diet and lifestyle minimise the need for medical intervention. |
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