Health Essentials
Is any exercise excuse worth its salt?

If you are like most humans, then you will come up with 1001 reasons you can’t exercise: there is always something that appears more attractive than performing an activity that may make you break into a sweat but I doubt if there is a more effective medicine available.
Even the die-hard anti-exercise activist knows that, there is some benefit to physical activity or exercise. One phrase may capture it all; “no matter your exercise excuse, there is an even more compelling reason to exercise”.
In an era, where everyone appears to be complaining of being under stress even when we do not understand the word, it may be refreshing to know that exercise or physical activity is an excellent stress-buster. Exercise and laughter continue to tango for the number one spot in relieving or preventing stress.
I definitely agree that there may be a handful of conditions that may require us to take a break from actively exercising, but even then, in the right hands, there is something that may just be right for us.
Just like you, I also think about these reasons not to exercise but they surely are not good enough;
1. “I DON’T HAVE TIME”
You definitely are not alone. We all think we are extremely busy, but we do make time for other things, don’t we? It’s all a matter of setting our priorities right. Fortunately for us, we all have exactly 24 hours in a day, and we just have to make do with that. The wise one above knows best and set it that way.
You probably spend hours talking on your cell phone. What about strolling in your room while you chat?
The good news is that exercise gives you energy. It does not take it away, so you will be able to do more in less time. Here’s a great tip: if you have trouble managing your time, you may do well to start exercising – NOW!
2. “I AM TOO TIRED”
We often spread out on our sofa and proclaim to the world and anyone who cares to listen, “I am so tired; I need to get some rest. This relaxation time is all I can squeeze into my hectic day. One day when I get enough rest, I will start exercising”. Does that sound like any of us?
The good news is this: research has shown that aerobic/cardiovascular exercise increases energy and relieves fatigue. So next time you feel so tired it may be a great option to take a brisk walk or hit the gym.
Exercising will definitely give us more energy so we can do more of the things we love – that is good bait, isn’t it?
3. “I HATE EXERCISE”
Most of the time, we just hate what we think exercise has to be. The bottom line is that you need to move a large group of muscles over a period of time, and also get your precious heart to do some extra work. If you do not like the word ‘exercise’, let’s use ‘physical activity’ (exercise is actually a branch or subset of physical activity). That probably makes you more comfortable. Physical activity includes gardening, household chores, dancing, etc. The point here is that we should do more of what we enjoy, and that will help to keep us on track. Put in some variety to prevent a rut.
Always make healthy choices such as using the stairs instead of the elevator; parking your car further away from your destination; walking to the neighbourhood shop; moving around while on the cell phone; walking to a work colleague’s desk instead of emailing or using the phone; and the greatest of all – walking to the TV to use the controls instead of the remote. So after all, exercising is not that bad!
4. “I AM TOO OLD”
No matter your age and physical condition, there is a form of exercise that is appropriate for you. You only need to talk to your healthcare professional, and you will be on your way to discovering the secrets of a healthy old age. Please note: starting to exercise at mid-life lengthens your lifespan and even more importantly your health span.
5. “I AM IN TOO MUCH PAIN”
I can feel your pain too. Many of us have extremely painful body parts, such as the knees, and we find it almost impossible to even walk. The sad part of the equation is that the pain worsens when we avoid all forms of physical activity. Many people will experience extreme pain when we start walking, but it improves over time. You could walk for as little as 30 seconds, take a break and then continue. Some may be better off on a recumbent bike, and others, in a swimming pool. If you do not know the cause of your pain, talk to a healthcare professional, who, together with a fitness therapist, should be able to work out a plan for you.
My dear readers who may be struggling with arthritis, this may be counter-intuitive but you are much better off taking short walks than sitting in a chair or relaxing in bed for a greater part of the day.
6. “I WILL GROW FAT WHEN I STOP”
Of course you will grow fat when you stop exercising consistently yet you make no adjustment to your intake of food or drinks. That is the law of nature; once you put in the same number of calories (energy) yet you burn less than when you were exercising, the excess energy will be converted to fat and stored.
There are two issues to tackle here; the human body was made to move so you have no business avoiding physical activity. You may quit using the gym but you need to take part in other activities such as brisk walking, skipping etc. it is also extremely important to know that exercising goes hand-in-hand with the appropriate nutrition. Once you learn to eat properly, the chances of growing fat will reduce. You should not continue indefinitely with an exercise programme without talking to a dietician who will teach you to eat properly.
So whenever you dream up any other exercise excuse, remember there is definitely a more compelling reason to exercise.
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 – “Exercise is definitely medicine and doctors need to prescribe it!!!”
I look forward to interacting with you at The La Palm Royal Beach Hotel Corporate Healthy Lifestyle Programme on Saturday, 24th June, 2023, at 5.30am.
Let’s walk, exercise in the pool and on land, network and share ideas that will keep us healthy.
By Dr. Kojo Cobba Essel
Health Essentials
Blood pressure; how dangerously low can it go?

The conventional wisdom has always been that we should all strive to keep our blood pressure low. Even though this is true, having really low blood pressure can be dangerous, as it can impair your body’s ability to absorb oxygen, resulting in damage to the heart and brain.
Low blood pressure is when your blood pressure reading is lower than 90 millimeters of mercury (mm Hg) for the top number (systolic) or 60 mm Hg for the bottom number (diastolic).
Low blood pressure (also known as hypotension) can occur in anyone, though it may be more common depending on your age or other risk factors: genetic makeup, taking certain medications, and having certain diseases (diabetes, heart conditions).
The cause of low blood pressure isn’t always clear. However, it may be associated with the following:
- pregnancy
- hormonal problems
- some over-the-counter and prescription medications
- heart failure
- abnormal heart rhythms
- widening or dilation of the blood vessels
- heatstroke
- liver disease
- loss of blood from bleeding
- low or high body temperature
- a severe blood infection
- severe dehydration from vomiting, diarrhea, burns or fever
- a reaction to medication or alcohol
A sudden drop in blood pressure robs the brain of adequate blood supply. This can lead to dizziness or lightheadedness. Other symptoms include fainting, blurred vision, nausea, fatigue, lack of concentration, and in extreme conditions shock.
If you experience any of the above symptoms, seek emergency medical attention as it is important to determine the cause of low blood pressure so appropriate treatment can be given.
Some people are known to take alcohol in an attempt to increase their blood pressure but that is a path I will not recommend. Others opt for caffeinated drinks like coffee and tea. Caffeine can increase blood pressure due to peripheral pooling of blood and may cause complications.
Dr Kojo Essel often recommends that one engages in exercise, which is your best “weapon to normalise blood pressure.”
Quite often when one has low blood pressure, standing still for long periods of time can cause a further drop. In such people, Dr Essel highly recommends taking several steps even if standing in one place to help maintain blood pressure at a safe level.
Other ways of managing low blood pressure are:
- adding a little salt to food (do this with caution to avoid excesses and downsides of increased salt intake)
- increase water (other fluids) intake to increase blood volume
- may need to wear compression stockings in extreme situations
- some may require medication
- pay attention to body positions; do not move quickly from sitting to standing position for instance
- eat small portions of food at a time
- exercise should be a combination of strength training and cardiovascular exercise that increases heart rate
As always: laugh often, ensure hygiene, walk and pray every day, and remember it’s a priceless gift to know your numbers (blood sugar, blood pressure, blood cholesterol, BMI).
Source:
Maureen Masopeh, Content Creator (Health Essentials Ltd)
References:
- Dr Kojo Cobba Essel; Unravelling the Essentials of Health and Wealth
- Mayoclinic; Low Blood Pressure (Hypotension)
- WebMD
By Dr Kojo Cobba Essel
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Health Essentials
Your Chair Could ‘Kill’ You! Really?

IF you truly love yourself, you had better read this piece while standing!
The other “inactivity” that rivals sitting for long periods when it comes to poor health and untimely death is LONLINESS! Sitting and Loneliness are the new Smoking.
It is often common to hear a parent tell a child, “Sit quietly and watch television and I will make a quick dash to town.” Well, this harmless and well-meaning statement is now being vilified. That parent could have said “smoke a few sticks of cigarettes while I dash off to town.” Yes “sitting is the “new” smoking.”
Scientists: they keep coming up with many weird findings and unfortunately, we realise after much ado that they may be right. People with sitting jobs have twice the rate of cardiovascular (heart & blood vessel) diseases as those with standing jobs – the bankers are cringing in their seats I bet.
It appears that compared to sitting,
• Sitting continuously brings similar challenges that smoking poses a gossip team. After an hour of sitting, if you walk for a minute or two.
Standing is hard work. Imagine that you need to engage many muscles to stand upright, and this burns energy. Sitting on the other hand is extremely relaxing.
When we sit, the “physiology of inactivity” kicks in and when we think we are relaxing in a chair made from heaven, our body instead rewards us with many bad things; enzymes that break down fat may drop by about 90 per cent calorie burning drops to frightening low levels and soon good cholesterol that protects us also drops. If you sit long enough even your insulin effectiveness drops and you will be courting diabetes in the long run.
I sincerely believe in getting a workout during the day, but you should not think that it gives you a license to sit at your desk for hours on end. We should ensure that we get up from our desk to walk briefly or even stretch. I am not giving you an excuse for loitering around your office or forming ings. When you have a meeting with a handful of people you could lace your boots and start walking while you talk. Who knows being out of a box (office etc) could help you think “out of the box” or even think like “there is no box”. The best aspect of such a meeting is people are more attentive since they are unable to fidget with their smart phones and other gadgets.
All lectures and classes (children are really suffering in school these days) should have a “Heart Preserving” five-minute break after every hour. Spend that time walking and stretching.
All long movies should have commercial breaks that should be used to at least stand
Whenever in doubt, at least stand for a while.
Well some people are trying innovative ways of even having small treadmills at their desk that keeps them moving, others are adopting a new chair design that essentially makes you stand at your desk, a few others sit on exercise balls that forces them to adjust their positions all the time but for the rest of us simply taking breaks and using every opportunity to move is just what the doctor prescribed.
AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERY DAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)
Dr. Kojo Cobba Essel
Health Essentials/Medics Clinic
(www.healthessentialsgh.com)
Dr. Essel is a medical doctor with a keen interest in Lifestyle Medicine, He 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 – For good heart health; exercise often, eat healthy, do not smoke, minimise alcohol and sit less
By Dr. Kojo Cobba Essel
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