Health Essentials
Basic tips to help you reach your fitness goals
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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
Sleep comes in different shades. There are those who sleep pretty and hardly move an inch in bed. Then we have those who are virtually at war when in bed and may turn a whole 360 degrees several times in the land of the unknown. Woe betide you if you find yourself in the same “sleep ring” with such a fighter. The most “decorated” ones bring music to sleep and the noise that exudes from their throats, nostrils and mouth could compete with any orchestra except that harmony is often thrown to the wind; those of us who belong to this category know ourselves.
Inspite of all the above, when I am hard pressed to pick one thing that has the greatest impact on one’s health, I will say SLEEP reigns. Too many challenges spring up when we fail to get enough sleep and it’s no wonder that at the doctor’s office we hear many complaints of not being able to sleep.
Most of the time the solution is not in popping pills but the Sleep Hygiene Tips below will go a long way to make a difference in your sleep and subsequently your health.
Sleep hygiene tips
- Create darkness in the room
- Sleep is easier when your room is dark. A bright room may be a challenge especially if you already have a bunter with sleep.
- Have a Regular sleep plan
- Keep to the safe time you go to bed and also time you wake up. Regularity is key.
- Ensure room is cool and well ventilated
- An extremely hot or cold room may keep you awake just tossing and turning. A nice breeze makes sleep even better.
- Wind down or unplug about an hour to bedtime
- Rushing throughout the day and then diving into bed may not be the best remedy for sleep. Slow down, start putting off lights, stop working and maybe spend about 5 minutes meditating or speaking to God.
- Avoid phones, laptops, work in bed/bedroom
- These have no business in your sleep area and should not be in your bed for sure. The glare from lights, the vibrations or sounds from messages and even calls may keep you awake and give you a nightmare with your eyes wide open.
- Exercise
- Exercise and laugh and you will be preparing yourself for a sound sleep. You may exercise anytime of the day but when you struggle a lot with sleep the ideal time may be four to six hours before bedtime. Exercising an hour or two before you sleep may rather keep you alert and awake.
- Watch your food intake; don’t overeat, avoid spicy food and lots of oil
- Gluttony is definitely “sinful” and one of the instant punishments is discomfort and difficulty sleeping. A full stomach at bedtime makes one wish for daybreak. The spices can also cause havoc especially when eaten late. That heartburn will wake you up and keep you sitting and cursing all night.
- Watch what you drink; stimulants may affect your sleep e.g. caffeine, fizzy drinks, alcohol and energy drinks
- If you have trouble with sleep or you do not want your sleep to be disturbed in any way, avoid these 4 clear hours or more before sleep time. ACOHOL deceives you into thinking you will sleep only to wake up early, feeling unrested or making dashes to the washroom.
- Discuss with your doctor when to take some of your prescribed medication
- Sometimes some medications we are on may cause us to wake up several times to urinate and should preferably be taken much earlier in the day. Others keep us alert over several hours.
- Writing your TO DO LIST for the next day relaxes the brain
- The brain sometimes will keep “working” in an attempt not to forget what you need to do the following day. Hack your brain by writing down or typing out your To Do List for the following day and you will be blessed with good sleep.
- Get professional care to diagnose and manage medical conditions
- Sometimes it’s a medical condition that is directly or indirectly depriving us of good sleep and our health professional can help us find and treat this so we can once more enjoy the bliss of the Lotus Eaters. Maybe it could be a medication that is just not right for you.
Popping pills to sleep in most cases will not solve the challenge and should never be our first line of correcting our sleep wars. Adopt these hygiene tips today even if you sleep well and your health will be on the right path. Not even the decorated bedroom trumpeter or the sleep fighter can take your sleep away from you.
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
(www.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 – “ A good laugh and a long sleep are the best cures in the doctor’s book.” – Irish Proverb
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These last few months of 2026, I am embarking on a new journey. Over the past several months I have tried out some aspects of my “new way of life” but not in the manner I am doing now and I am sure you are doing same too. Draft your own points based on what is important to you and let us begin the journey together. It is never too late.
Many of the things I am working on now are guided by years of interaction with different people, what may be my purpose in my opinion, great family and friends and the type of wisdom that comes only with years.
- Self-Care
Quite often we try to take care of everything and everyone without ensuring we are appropriately “charged”. There is nothing to give out if you are empty. Self-care is NOT a luxury and it has taken me years to appreciate this;
- I will add a new hobby I have been toying with.
- Surrounding myself with like-minded people who energise me, make me laugh and be the best version of myself. Building Social capital pays.
- I am spending quality time with God daily
- Spending time in nature is key and I ensure that I take much needed breaks
- Spending a few minutes a day to meditate, exercise and spoil myself sometimes
- I will have some hours each day that will be blocked out as “no phone time”
- Keeping a Goal Diary
Many people have described ways of putting down your goals and seeing them happen. My coach taught me the power of VISUALISATION but over the years I went off that golden path. It’s time to get back. This is what I am doing now;
- In a diary I am writing everything I want to be or do as long as I have breath. No pressure.
- I am writing in the present tense; “I am spending an amazing week in a 7-Star resort with the people I love the most”
- I will look at this list everyday
- Start a Gratitude Bank
I listened to this recently and though it was not referred to as a Gratitude Bank, I believe that is exactly what it is
- I picked a diary to write in but others choose a transparent container to drop in written points. Choose what you are comfortable with.
- At the end of each week I will write something(s) I am grateful for and put in the container.
- Whenever I feel “ungrateful” I will read through them to remind myself how blessed I am and surely I will be holding the “evidence”
- On December 31, I will go through the list irrespective of my mood.
- Practice. Practice. Practice
This is exactly as it is – whatever you have written out in your diary to do from self-care through your goals etc. prioritise or focus on a few at a time. As you practice e.g. meditating, exercising, eating right and the many great things you want to do, these will all GROW. Whatever you practice GROWS.
- Make the world a better place
I believe that we can make a difference in our corner no matter the challenges.
- That smile will change someone’s life
- An act of kindness is contagious and the giver, receiver and all those observing benefit immensely. Let us spread kindness.
- The Blood Bank on my mind for this year and beyond.
What are you focusing on, what are you practicing?
Do share your list with me via email.
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 –“Never change your originality for the sake of others because no one can play your role better than you. So be yourself. You are the best.” – Unknown
References:
- Unravelling the Essentials of Health & Wealth; Dr. Kojo Cobba Essel
