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Health Essentials

Getting in shape for Christmas

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Christmas decorations are already out and had it not been for the “thrill” of an upcoming election, Christmas carols would have taken over our airwaves. Very soon even the die-hard exercise fanat­ics will be so busy doing NOTHING that time to exercise or stay fit is as close to zero as practically possible. This zero is a figure that the Ghana AIDS Commission would certainly be envious of but we continue to make strides there as well and hopefully in the not too distant future we will achieve that.

We all wish our favourite exercis­es will give us the same benefits as all other exercises but the truth is that some exercises are “more equal than others” just as happens in every aspect of life.

This does not mean if you are unable to perform the most effective exercises, you should exert yourself and cause injury to your body. Re­member, Cobba’s First Law of Exercis­ing is “DO NO HARM”.

These exercises may just help you stay afloat this Christmas:

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• Squats

• Plank

• Push-Ups

• Walking & Dancing

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Don’t short-change yourself on these MUST DOs:

• Smiling; it costs nothing but gives you the world

• Sleep; can’t overemphasize this

• Give your neck a break and stretch it gently everyday

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• Breathe; deep belly breathing is always a blast

Squats

Every single rep (repetition) in this exercise is worth the effort.

Squats target the quadriceps, hamstrings and gluteals, which in simple language refers to the thigh muscles and buttocks.

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It is important to learn the right technique and since it exercises large muscle groups, you are able to burn a lot of calories with squats.

In every exercise session, it is important to work large mus­cles before the smaller ones.

Steps

1. Keep feet, shoulder width apart

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2. Back should be straight (standing posture)

3. Bend knees and lower your rear till your thighs are hori­zontal.

4. Return to the standing position

5. Repeat steps 1-4

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6. Remember to stretch the muscles used after the exercise.

If you have difficulty following the steps above, place a chair be­hind you and with your back straight try to sit on it. Do not let your buttocks touch the seat, then return to the standing position and repeat. As your technique improves, you may remove the chair.

As one gets stronger you may even carry some weights while doing squats but as always start with cau­tion. You may do only 3 reps at a time (properly). Gradually add some more. You can modify the effects of squats by widening the space between your feet or even having your heels on a slightly elevated surface.

When to avoid squats

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• Severe knee pain irrespective of cause

• Knee injury even if no longer painful (you will need professional supervision)

• Acute back pain (you will later do back slides which is similar to squats and helps strengthen back muscles)

This exercise benefits almost everyone with a lifestyle disease. Hypertensives (those with high blood pressure) even get a bonus since it causes peripheral pooling of blood and helps to lower the blood pressure over time.

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Plank

Arguably the safest ex­ercise for strengthening abdominal muscles and also has the added benefit of strengthening lower back muscles. Especially for people who sit for long hours (you shouldn’t anyway) this is great news for helping your back.

1. Start by getting into a push-up position

2. Bend your elbows and rest your weight on your forearms and not on your hands

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3. Support your lower body on your toes

4. Your body should form a straight line from shoulders to ankles just like a plank of wood

5. Engage your core (midsec­tion) by sucking your belly button into your spine

6. Hold this position for the prescribed time. This may vary from 5 seconds to 1 minute. Repeat.

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Push-ups (press-ups)

This is probably the first exercise most people try out; well apart from laughter and walking I presume and everyone is familiar with it.

Go ahead and squeeze a minute a day in there.

Walking & dancing

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Before you set out to exer­cise your muscles remember to walk at least a minute before you start and a minute after you are done.

You may even walk while in one place, what matters is moving your legs and arms and getting your heart to pump.

Use every opportunity during the day to:

• use the stairs instead of the elevator

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• walk while you talk on your cell phone

• Walk to a colleague’s desk at the office instead of using the phone or sending someone else.

• Pick your own stuff for cooking instead of sitting and getting people to assist with even the trivial errands

• Dance with your heart when­ever you have a chance; during your Christmas programmes, while watch­ing TV and even while you take a shower.

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A minute each for Squats, Planks and Push-ups and two minutes of walking, then repeat the whole pro­cess (circuit training) two more times with no rest periods or 30 second rest periods depending on your level of fitness. Start now and make this your routine morning, afternoon or evening and it may just be enough to help you sail through the holiday season and start the New Year in your best shape ever.

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 (HE&W Group)

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(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 – “For heart health you need to relax and have fun as well; schedule time for leisure, laugh often, learn to breathe deeply and maybe get a pet.”

References:

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• The Gym Bible

• www.webmd.com

• 30dayfitnesschal­lenges.com

By Dr. Kojo Cobba Essel

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Health Essentials

Christmas is almost here; avoid these energy sappers

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It feels like Christmas of last year was just a couple of weeks ago. The reality though is that we celebrated what is arguably the most adored season of the year well over 300 days ago.

Many of us put ourselves in tight corners, saddling our families with debt and avoidable hardships in the early weeks of the New Year.

Quite often we discuss what to do to improve our health and this is one of those days when discussing the things to avoid comes to the fore. If we can start these today, we will have a great Christmas season and open doors to a wonderful new year.

What should we avoid so that we will not drain our energy?

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  1. Focusing on the past
  2. Not getting adequate sleep
  3. Not drinking enough water but loading yourself with alcohol, caffeine and energy drinks
  4. Spending all your time working and leaving no time to rest and socialize
  5. Not being physically active
  6. Spending all your time behind screens, TV, phone, computer. Making social media king
  7. Eating junk food most of the time
  8. Being resentful, negative or surrounding yourself with people who see no good in anything
  9. Creating clutter and a mess wherever you are
  10. Trying hard to impress others

The list is endless but if you find a way to avoid the above and tap into the ones below, you will be on a great path to a Merry Christmas and a happy, healthy and successful new year.

Do these for sure:

  1. Listen to great relaxing music; start your Christmas carols early even if no one else is playing them (but any other relaxing music will do. I believe in the power of Music Therapy)
  2. Spend time in nature and get some sunlight if you are lucky to be in a place where it’s in abundance
  3. Make time to rest and meditate (pray and read your Bible after all its Christ’s birthday)
  4. Move as often as possible and make time to do deep belly breathing
  5. Be positive
  6. Surround yourself with people who make you happy
  7. Get adequate sleep
  8. Eat healthy food as often as possible and drink a lot of water
  9. Be grateful for what you have
  10. Make sure you avoid clutter

I hope these tips will help you stay in the best state of your life and remember to continue doing these for the rest of your life. Does that sound too difficult?

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

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(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 – “WHERE YOU LIVE SHOULD NOT DETERMINE IF YOU LIVE.”- WHO

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Doctor,Checking,Girl

Teenage Hypertension: The silent threat to Ghana’s young generation

For many Ghanaian teenagers, high blood pressure may seem like a health problem for their parents and grandparents. But as unhealthy eating habits, excess weight and increasingly sedentary lifestyles become concerns for younger populations, protecting heart health during adolescence deserves greater attention.

The danger is that hypertension can develop without obvious symptoms. A teenager may feel perfectly healthy while elevated blood pressure goes undetected, potentially delaying medical assessment and appropriate care.

Although not every teenager with unhealthy habits will develop hypertension, early awareness, healthy lifestyle choices and appropriate blood pressure checks can help reduce future cardiovascular risks.

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A growing concern

Hypertension, commonly known as high blood pressure, is a major public health concern worldwide. The World Health Organisation identifies it as an important contributor to premature death, largely because it increases the risk of serious cardiovascular complications.

While the condition is often associated with adulthood, the factors that contribute to its development can begin much earlier in life.

Frequent consumption of foods high in salt, poor dietary habits, excess body weight and insufficient physical activity can undermine cardiovascular health. Family history and certain underlying medical conditions may also increase an individual’s risk.

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For teenagers, therefore, the conversation about hypertension should extend beyond hospital visits and include the everyday habits that shape their health.

When lifestyle choices become a concern

Adolescence is a period when young people begin making more independent decisions about what they eat, how they spend their leisure time and how physically active they are.

Convenience foods, processed meals, salty snacks and sugary drinks may become regular features of their diets. At the same time, long hours spent on mobile phones, computers and other digital devices can leave less time for physical activity.

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Academic demands and inadequate sleep may further affect their general well-being.

These habits do not automatically lead to hypertension. However, when unhealthy diets and physical inactivity contribute to excess weight, they can increase the risk of high blood pressure, particularly among people with other predisposing factors.

Recognising these risks early offers families, schools and health professionals an opportunity to encourage healthier choices before unhealthy patterns become established.

What Ghana’s cardiovascular health figures reveal

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A cardiologist and Senior Lecturer at the University of Ghana Medical School, Professor Alfred Doku, in an interview highlighted the seriousness of cardiovascular disease in Ghana, citing figures indicating that it accounted for approximately 43 to 50 per cent of deaths in the country.

He also stated that about 30 per cent of Ghanaian adults had hypertension, with approximately 70 per cent of those affected unaware of their condition.

Although these figures concern adults and the wider population rather than teenagers specifically, they point to the importance of improving awareness, screening and early detection of high blood pressure.

Professor Doku urged people to know their blood pressure readings and monitor other important health indicators, including blood sugar, cholesterol levels and body weight.

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His advice underscores the importance of understanding personal health risks rather than waiting for illness to become apparent before seeking medical attention.

For adolescents, any blood pressure reading that raises concern should be assessed by a qualified health professional. Because blood pressure varies with age, growth and other factors, its interpretation in children and teenagers requires appropriate clinical assessment.

The danger of a condition without obvious symptoms

The Head of the National Cardiothoracic Centre, Dr Kow Entsua-Mensah, also stressed the importance of awareness and early detection in addressing cardiovascular disease.

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He explained that hypertension could remain undetected for years because affected individuals might not experience noticeable symptoms.

Dr Entsua-Mensah noted that several factors, including diabetes, high cholesterol, obesity, physical inactivity, unhealthy diets, tobacco use and harmful alcohol consumption, could contribute to cardiovascular damage over time.

He called for greater public awareness of the importance of checking blood pressure and other health indicators before complications develop.

The challenge with hypertension is that the absence of symptoms can create a false sense of security. People may assume they are healthy simply because they feel well, overlooking the need for preventive health checks.

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Dr Entsua-Mensah emphasised that addressing cardiovascular disease required cooperation among healthcare professionals, government institutions, schools, businesses, community organisations and the media.

Such collaboration is particularly important for young people, whose health habits are influenced by their homes, schools, peer groups and the wider environment.

Small habits, lasting benefits

Professor Doku said many cases of heart disease and stroke could be prevented or their risks reduced through appropriate lifestyle changes and effective management of contributing factors.

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He encouraged young people to reduce their salt intake, eat balanced meals, exercise regularly and avoid smoking.

Describing hypertension as a silent threat, he warned that people should not wait for symptoms before taking their blood pressure seriously.

Hypertension, he stressed, could have serious consequences, including heart failure and stroke, when left undetected or inadequately managed.

For teenagers, protecting heart health does not necessarily require complicated routines. It begins with practical, everyday decisions: eating a balanced diet, choosing foods with less salt, participating in regular physical activity and getting adequate sleep.

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Avoiding tobacco products and maintaining a healthy weight are also important steps towards reducing cardiovascular risks.

Young people who are diagnosed with hypertension should follow the advice of their healthcare providers and take prescribed medication as directed. Lifestyle changes can support treatment, but they should not replace medication when it is medically necessary.

Parents have an important role to play by encouraging healthy eating and physical activity at home. Schools can contribute by providing opportunities for exercise, promoting health education and making nutritious food choices more accessible to students.

Healthcare professionals, meanwhile, can help identify young people who may be at risk, assess abnormal readings and guide families on appropriate follow-up care.

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Protecting the next generation

Addressing hypertension among young people requires more than individual effort. It calls for a coordinated response involving families, schools, healthcare providers, policymakers and the media.

Public education should challenge the perception that high blood pressure is exclusively an older person’s condition. Teenagers need accurate information about cardiovascular health, the factors that increase their risk and the importance of seeking professional advice when necessary.

Appropriate screening and follow-up care can also help identify elevated blood pressure and ensure that young people who need medical attention receive it.

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However, the extent of hypertension among Ghanaian teenagers should not be inferred from statistics relating to adults. Reliable, age-specific national data are needed to establish the scale of the problem and guide targeted interventions.

That evidence gap makes it important to approach the subject with both urgency and accuracy: raising awareness of the risks without exaggerating what is known about their prevalence among adolescents.

For Ghana’s young generation, the message is clear. Feeling healthy does not always mean that blood pressure is normal, and good cardiovascular health should not be left until adulthood.

By encouraging healthier habits, improving access to appropriate health checks and making reliable information available to young people, Ghana can take meaningful steps towards protecting the heart health of its next generation.

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By Esinam Jemima Kuatsinu

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