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Health Essentials

IS IT SMART TO EXERCISE WHILE ILL?

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Many of us may find it difficult to believe it, but there are people with flesh and blood who do not make any excuses to avoid exercising. I certainly wish I was in this unique category.

These exercise addicts and some professional athletes who think missing an exercise session will spell doom to their dreams will call you at the first glim of light to find out if it’s okay for them to exercise.

Exercise is “medicine” but do you have to pop this “pill” at all times? Let us explore this together.

My rule of thumb is; exercise should make you better so avoid if it will worsen your state. Also if you have an illness that could be infective such as a common cold kindly do others a favour and exercise outdoors.

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We are aware that moderate intensity exercise increases ones immunity and helps ward off viral illnesses including the common cold but once you have the infection I doubt that spending a lifetime in the gym or outdoors jogging will make a difference. Sometimes what you need is some rest instead of puffing, sneezing, coughing and barely being able to drag oneself through an exercise session.

Dominique Groom in her article does a great job of summarizing instances where one may go ahead and exercise as well as those that are a total no go area and I refer to a number of them here.

SAFE to work out

When symptoms are above the neck such as sneezing, sore throat, runny nose, tearing eyes, itching throat and ears

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NOT safe to work out

Symptoms below the neck such as severe chest pain, chest pain associated with breathing, coughing, body aches, shallow breaths, diarrhoea, vomiting, fever, malaria etc.

DEFINITELY AVOID working out

An acute asthmatic attack is definitely no time to flex your muscles or put your heart and lungs in overdrive.

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Finally DO NOT exercise if your healthcare professional asks you to take time off based on your health condition.

Whenever in doubt ask a professional whether it’s safe to exercise.

ALWAYS REMEMBER that “exercise was made for man and not man for exercise.” You have to stay safe to be able to exercise. Sometimes taking a short break will help you heal faster so that you can return to your “addiction” sooner.

Now to my friends who are always looking for a new innovative Exercise Excuse, let us do ourselves a favour and spend more time exercising instead of being at peace with our beds or couch.

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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)

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*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 – “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:

ISSA Newsletter; “Should your client exercise while sick?” by Dominique Groom. Certified ISSA Trainer.

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* Join me and the La-Palm Royal Beach Hotel Healthy Lifestyle Team on Saturday 29th July 2023 and the last Saturday of every month at 6am prompt to exercise and share ideas on staying healthy.

By Dr. Kojo Cobba Essel

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Health Essentials

Blood pressure; how dangerously low can it go?

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Hypotension (low blood pressure) occurs when the force at which the heart pumps blood through the arteries falls

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:

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  • 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.

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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?

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Sitting continuously brings similar challenges that smoking poses

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.

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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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