Health Essentials
Basic tips to help you reach your fitness goals
Low-impact exercise
Many nutrition enthusiasts will swear that eating appropriately is the key to great health. Die-hard exercise addicts will tell you to concentrate on exercising and nutrition can take a back seat. My position is clear on these: we need 100 per cent nutrition and exercise. In simple language, do the best you can in both. Don’t try to get smart or creative and cook up figures such as 60 per cent nutrition and 40 per cent exercise; that is simply an academic endeavour not worth your time.
Over the years, I have come to realise that weight or strength training is probably the king of fitness, and interval training (walking, using a treadmill, etc.) will trounce long hours of same-pace cardiovascular exercise using the same equipment or processes. It only goes to confirm that variety is the spice of life.
1. You may need to talk to a doctor before exercising
a. In general, walking, which in my opinion is the greatest medicine, may not require a doctor’s consent for most people, but remember to vary your pace.
b. It is, however, prudent that those greater than 35 years of age on medication or those with a significant medical condition such as high blood pressure, heart disease, arthritis and asthma see a doctor who may recommend some modifications to their exercise programme.
2. Best time to exercise
a. Just like the commercial “Any time is an ideal time”, you may choose to exercise at any time of the day: morning, afternoon or evening. A few 24-hour gyms exist in some countries, and that implies some people may hit the gym at 2am? Your body will adjust to whatever time of day works for you. Pick a suitable time and get going. In some instances, such as an inability to sleep, a fitness therapist or health professional will like to take advantage of the dip in core temperature four to six hours after exercising. This dip in temperature induces sleepiness, so we may recommend exercising late in the afternoon to help your sleep. This dip in temperature is what makes you feel sleepy at work close to noon when you exercise early in the morning.
3. Duration of exercise
a. There is really no hard-and-fast rule here. The aim is to start with less than 20 minutes and then gradually increase the duration as well as the intensity. If we need to lose weight, we may need to work out longer. It is recommended that we accumulate at least 150 minutes of exercise in a week, which works out to about 30 minutes five days a week. This is great for the heart. Over the next few months, we will learn how interval training may help us to gain the same benefits in less time or how increasing the intensity of your workout could mean spending less time exercising. There is great news for the “busy”: you can gain similar benefits to someone who exercises for 30 minutes at a time by doing three sets of 10 minutes each spread over the day. That eliminates one EXERCISE EXCUSE!
4. Place of hydration in exercising
a. NEVER underestimate the power of exercise to dehydrate you. It is essential that you drink water before, during and after exercising. In most cases, plain water may be adequate, but for those who exercise vigorously for over an hour, you may need more than plain water to keep you going. This is not an endorsement to only drink water when we exercise. Water is an ESSENTIAL drink, often even before you feel thirsty.
5. No Pain, No Gain Is Insane
a. We hear it all the time in gyms, under trees and wherever people with bulging biceps exercise – NO PAIN! NO GAIN! Dear friend, you will feel some discomfort, especially when you start exercising, but if the pain is intense, STOP and ask for help. If the pain persists after a few days, please see a doctor.
6. Warm up and Cool down
a. It is crucial that you warm up for 3–10 minutes before you increase the intensity of your exercise. Warming up increases the heart rate to support your exercise and prepares the muscles for more vigorous exercise. Cooling down will also bring the body to a near-normal state.
b. Skipping the warm-up part can sometimes have lethal consequences. Make it a point to include these two in your schedule.
7. A Complete Exercise Programme
a. To have maximum benefit from exercise, you will need to fall into the “TRINITY” –- cardiovascular exercise (cycling, walking, swimming, etc.), strength training (weight lifting, using resistance bands) and flexibility training (stretching, yoga). Years ago, yoga was couched in “mystery” but now its benefits for fitness are undeniable.
b. In recent years, balance training has jumped into the fray of exercises; it aims to strengthen our core to prevent falls as we age. If you have the benefit of corrective exercise, then you are in luck because it can help you overcome physical challenges and optimise your exercise programme.
c. There is really no strict order for exercising. Cardio before weights or the alternative is not necessary. We will reap the benefits regardless of the order. Order becomes important only when we have certain goals. Someone training for endurance may need cardiovascular exercise first, whereas someone focusing on weight loss may need to switch the order.
8. Increasing Weights in Strength training
a. Take it easy in the beginning and gradually increase your weight. For those of you who will not have the services of a professional, ONLY increase your weights if you can do 12 repetitions of an exercise with good form.
b. Remember, exercising with the wrong form or posture may harm you. It is important that YOU DO NO HARM IN YOUR QUEST FOR FITNESS.
9. Vigorous versus Moderate Intensity Exercise
a. Surely we are able to reduce the duration of our exercise by increasing the intensity. You may walk for one hour but only run for 30 minutes to gain the same cardiovascular benefits, but be careful; you may be putting a strain on another part of the body.
b. You may have come across the fact that mild to moderate exercise improves our immunity and can reduce the frequency of illnesses such as the common cold, whereas extreme exercise may actually cause the opposite.
10. Spot Reduction; fact or myth?
a. Those of us with “pot bellies” know the drill. You walk into a gym and ask how long it will take to trim the belly you have grown lovingly (that rounded belly is an indicator of impending wahala). Some people swear that they can perform out-of-the box exercises and drink certain concoctions to target fat in specific areas.
b. As far as current knowledge can confidently confirm, “spot reduction” is a myth. You will not be able to target specific parts of your body for fat loss; you will need to exercise and eat appropriately to lose fat in the whole body.
Staying fit has never been easy, but the benefits are so amazing that we should all do everything possible to embrace fitness.
AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)
Dr. Kojo Cobba Essel
Health Essentials Ltd/ Mobissel
(dressel@healthessentialsgh.com)
*Dr. Essel is a medical doctor, holds an MBA and is ISSA certified in exercise therapy, fitness nutrition and corrective exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’
Thought for the week – “Safety like Charity begins at home; make sure you get adequate sleep, exercise, eat right, have your eyesight checked and your numbers in the right place. Ensure your home is also safe, then and only then can you easily translate SAFETY to the workplace and everywhere else.” – Dr. Kojo Cobba Essel
References:
1. webmd.com
2. Cobba’s First Law of Exercising – “Do No Harm”
3. Nutrition: The Complete Guide – Ryan Berardi, PhD, Ryan Andrews, MS/MA, RD
Health Essentials
Stop the silent killer: Breaking myths to prevent sudden deaths from high blood pressure
Every week in Ghana, a life is cut short, sometimes in the middle of traffic, sometimes at a desk, sometimes in the quiet of sleep. A father doesn’t come home. A sister doesn’t wake up.
A colleague slumps at work and never gets back up. Families are left asking why and you will hear statements like what happened? Was he sick? I just saw him, he has not shown signs of ailment, what a shock and so on.
Behind many of these sudden tragedies is a quiet, invisible force: high blood pressure, or hypertension. It doesn’t scream for attention. It doesn’t always show symptoms. But it tightens its grip silently on hearts, on brains, on lives.
This is not just a medical issue. It is a human one, it is about behaviour, it is about ignorance and it is about lifestyle. It is the grandmother who never got her blood pressure checked because she felt “fine.”
It is the taxi driver, the statistician, the nurse who ignored his pounding headaches, thinking it was just stress. It is the young lady who was so vibrant at church and no one suspected she could fall and die. Because it shows no symptoms.
The alarming numbers we cannot ignore
The Ghana’s 2023 STEPS Survey on Non-Communicable Diseases conducted by The World Health Organisation, Ghana Health Service and Ghana Statistical Service has revealed findings that should push for action.
According to the report, 21.7 per cent of adults aged 18 to 69 in Ghana are living with high blood pressure. Even more alarming is that 51.1 per cent of those with hypertension are not aware of their condition.
This means that more than half of the people with dangerously high blood pressure are walking around without knowing it until tragedy strikes. That is the real danger of this silent killer.
Literature has shown that hypertension is preventable and manageable. But only if we treat it like the threat, it is. That means regular checkups; that means understanding the risks and that means talking about it openly, urgently, and with compassion.
The deadly power of myths
Why are so many Ghanaians untested or untreated? Is it out of ignorance, or the pervasive myths about hypertension and its treatment?
• Some believe blood pressure medicine “weakens the body” or “shortens life.”
• Some believe blood pressure medicine “weakens the penis and kills sexual drive”
• Others think once you start taking medication, you are “dependent for life.”
• Many say, “I feel fine, so I must be fine.”
These beliefs are not only false, but they are also deadly. The truth, according to the World Health Organisation, is that effective treatment can reduce the risk of stroke by up to 40 per cent and heart attack by 25 per cent. Avoiding treatment does not prevent dependence rather, it accelerates death.
As Dr Patrick Kuma-Aboagye, former Director-General of the Ghana Health Service, has noted, “Hypertension is preventable and treatable, but our biggest battle is misinformation and late detection.”
A national conversation we must have
This is not just a health issue it is a national emergency. Sudden deaths rob families of breadwinners, communities of leaders, and the country of its productivity. In every obituary notice caused by hypertension, there is a story of loss that could have been prevented with a simple blood pressure check and treatment.
Behind every life saved is a moment of awareness, a decision to act, therefore, the media must rise to the challenge.
Radio and television programmes should dedicate regular airtime to demystify hypertension. Newspapers should carry survivor stories, expert interviews, and practical lifestyle advice.
Social media influencers should spread awareness in local languages, reaching young people who assume they are safe.
Public health experts also have a responsibility. Screening must move beyond hospitals into churches, mosques, markets, schools, and workplaces. People should not have to wait for illness to know their BP status.
What we can do together
To stop the silent killer, we need a collective response:
• Check your blood pressure regularly, even if you feel healthy.
• Follow medical advice faithfully if diagnosed because treatment saves lives.
• For healthy lifestyle, eat less salt, reduce alcohol, reduce starchy, fat and oil intake, avoid smoking, and exercise at least 30 minutes daily.
• Encourage one another talk about blood pressure in families, communities, and workplaces.
Conclusion: Silence is killing us
What kills is not just the disease, but the silence, fear, and myths that surround it. The STEPS 2023 report has sounded the alarm: nearly one in five Ghanaian adults has high blood pressure, and more than half don’t even know it.
This is the time for bold conversation, public education, and decisive action. The media, health professionals, policymakers, and ordinary citizens must join forces to expose the myths, spread the facts, and save lives. Let us not wait for another headline.
Let us make blood pressure a national conversation before it becomes a personal tragedy. With awareness, treatment, and collective will, Ghana can stop the silence and stop the sudden deaths from the silent killer.
Written by: Ansah Moses Teye-Akam – Senior Statistician, Sociologist/Scientific Research Organisational Expert.
Email: moses.ansah@ statsghana.gov.gh/ansahmosesteyeakam@ gmail.com.gh Contact: 0244539034 / 0204359034
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On September 29 of each year since 2000, we mark World Heart Day without fail but it appears we find a comfortable place to doze off after that, leaving the world’s number one killer to continue its havoc.
This year, the theme “Don’t Miss a Beat” focuses on “the importance of heart and blood vessel (cardiovascular) health by emphasizing how losing someone to heart disease also means losing irreplaceable moments in life. It encourages individuals to prioritise heart health, not to miss important life events, and supports building a world with fewer deaths and more healthy hearts.”
Together with its members, the World Heart Federation spreads the news that at least 80 per cent of premature deaths from heart disease and stroke could be avoided if the main risk factors, tobacco, unhealthy diet and physical inactivity, are controlled.
Stop smoking and prevent others from smoking
a. Once upon a time, puffing the smoke of death was fashionable (maybe from a lack of adequate knowledge?) but certainly in 2025, a healthy lifestyle is in vogue. If you do not smoke, why should you inhale smoke from others (passive smoking)?
Eat more fresh fruits and vegetables
a. In Ghana and other developing countries, we often want something that will fill our stomach and stay there for as long as possible. Why do you think “concrete” is so revered in this great land of ours? Start the day with a hefty dose and top it up with frequent gulps of water. We always come up with 1001 reasons why eating fruits could lead to instant “pocketitis” and may signal the beginning of a third world war in many homes. We love to get into unnecessary arguments about whether fruits should be eaten before or after meals etc., just eat them!
b. We probably should consider buying fruits when they are in season since they are much cheaper at the time
c. Kontomire, cassava leaves and garden eggs, are great vegetables that will not cost you an arm and a leg. You also have the option of cabbage, lettuce etc.
d. The option of having a small garden is great but many of us do not have the luxury of space to do that.
Eat a healthy diet
a. LOW in saturated fats
i. Saturated fats can be found in animal products such as meat, milk, cheese and butter but be careful about plant products such as palm oil. Moderation is ALWAYS key.
b. LOW in refined carbohydrates
i. Our tongues have the power to make or unmake us – talking and eating are two examples of paths that can spell doom. We love sugar, perfumed rice (white), white flour, pasta (macaroni) and white bread and will make excuses to skip brown rice for instance.
c. LOW in salt
i.This is as simple as it is stated. Reduce the salt you put in food. Avoid adding salt to already cooked food. Flee from salted snacks and watch artificial flavouring.
Increase levels of physical activity
a. This is no drill on exercising but sitting on the sofa all evening or sitting at your desk for hours on end has not yet produced a healthy being. Household chores, gardening, walking even if it means while on the phone, using the stairs instead of the elevator all add up. The more you move the better for you. Dear friend, moving the TV remote does not account for much but maybe if you could walk to the TV to change channels or make other modifications then you would be on the right path.
Regular medical examinations to assess heart health
a. Beware of the modifiable risk factors for heart and blood vessels and check them often
i. Uncontrolled hypertension, uncontrolled diabetes, abnormal cholesterol, obesity, physical inactivity and smoking
ii. Get evaluated for sleep apnoea especially if your snore could bring the walls down
Manage Stress
• Check the quality and quantity (duration) of your sleep and rest
• Be happy
• Spend time with people who make you laugh and those who have positive vibes. The pessimists will drain your energy.
Changing these habits and behaviours is possible but we need to be committed. Whatever we are today is by the grace of God and the choices we made before today. Make healthy choices that will protect your heart, and it will continue to perform well for many years to come.
Today many people have died from a heart disease, and others have gained HEART HEALTH, which group would you rather join? Wouldn’t you spend quality time with family and friends for many years rather than being bedridden or spend precious endless hours in hospitals trying to fix our heart and blood vessels.
We have the power to make the right choice and stick to it.
AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)
Dr. Kojo Cobba Essel
Health Essentials Ltd/Medics Clinic
(dressel@healthessentialsgh.com)
Dr. Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist in Exercise Therapy, Fitness Nutrition and Corrective Exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.
Thought for the week – “You have the opportunity to have a Heart Health Assessment at The Medics Clinic, Tse Addo from now through Saturday 4th October. Call 055-341- 1221 to set up an appointment or simply walk-in.”
References:
1. World Heart Federation Website
2. The Ten Commandments for A Healthy & Enjoyable Life: Dr Kojo Essel
By Dr Kojo Essel
