Health Essentials
Is there a prescription to reverse aging? -Part 1

The human brain begins to slowly decreasein size at age 25
Your hairline begins to recede, you can no longer keep count of the gray hair, your skin begins to sag, you can no longer fit into your clothes, but you can swear that you weigh the same on the scale.
Things may sometimes get worse; you just cannot remember where you place your keys and your “sweet after meals” is now a tray full of pills and you keep refilling these from your new-found recreational centre, which is your doctor’s office.
You may also belong to the team that wakes up every day with pain in your joints and getting out of bed can set off panic bells.
What if you retired from your job barely a year ago and you are currently in hospital for the second time with a broken arm?
Surely you will never agree with the phrase “age is just a number” because you seem to be “experiencing so many things that never happened to you in the past.”
This morning, I woke up more convinced than ever that we can prevent or reverse many of the changes associated with aging. Certainly, the downward spiral will continue if you do not do something positive to arrest and then reverse it.
These days whenever I spend time together with friends, the conversation will often be interspersed with greying, potbellies and health challenges. Consistently making our health a priority will go a long way to making things much better.
This month of April I have dedicated to discussing aging, its life-changing impact on our lives and what we can do.
I wish I had known these much earlier then I would not have to start a crush programme this week to make up for lost time.
You may be eager to get started too but no matter the state you find yourself in today, do not allow yourself to be sucked in by the “terrible toos” – too much, too hard, too fast, too soon – why?
The answer is simple you may either harm yourself or “burn-out” quickly. Both scenarios mean you will no longer continue with your newfound positive life.
The world is generally living longer but our “health span”, which is the time when we are actually fit and can enjoy life and not just hang onto it, is probably getting shorter.
Is it possible that much of the decline we experience is a result of our mindset and inactions? Maybe “we expect to fall apart so we allow ourselves to fall apart.”
Many of us ignore the “signs of aging” such as easy fatigueability and shortness of breath and instead focus on outward signs such as graying of our hair and a receding hairline; surely these are also important, but I bet it’s what is on the inside that really counts; your heart, your lungs, your brain, your kidneys and all the others that you cannot see.
I wish I could equate this to “don’t mind the body, mind the engine” but that would not be exactly true.
What happens to your brain, heart, lungs, muscle and bones as you keep celebrating birthdays? If you do not know your birthday or you have adopted a “f—ball age” you will still not be able to hide, just get proactive.
The brain
From age 25, the human brain begins to slowly decrease in size and that cannot be good news. Small in this scenario is certainly not better. As the brain shrinks, it becomes less efficient and your ability to reason, comprehend and retain information starts a slow difficult to detect downward ride. Who has seen my car key today, I thought I left it on the table?
What to do
Playing with balls (tennis balls I mean) may help your brain bounce back. Start with juggling three balls at a time. The good news is you don’t even need to get the juggling right; it is the effort at practising a new skill that matters. Remember not to be caught by the terrible toos. I plan to buy three balls today. Solve puzzles, read books and increase your physical activity.
The heart
In your mid-40s, your heart tends to grow smaller (excluding effects of a heart failure or muscle thickening from high blood pressure). This reduction in size means your heart no longer pumps blood as efficiently as it used to. This will force your heart to work harder putting it at risk of injury or disease.
What to do
The more time you spend moving the better. There is no dispute about it though, lace your boots and start moving. Depending on your level of fitness you may need to start slowly and build up momentum.
To be continued…
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
dressel@healthessentialsgh.com
*Dr. Essel is a medical doctor with a keen interest in Lifestyle medicine, he holds an MBA and is 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 sedentary lifestyle – spending a lot of time seated at a desk, in a car, or in front of a television or computer monitor – increases your risk of death from heart disease even if you EXERCISE. Remember to take 2 minute heart health breaks from your desk or chair.”
Reference:
1. Men’s Health Magazine. May 2012
2. Stephen L. Kopecky M.D. – Cardiovascular Disease Specialist at Mayo Clinic
3. Mayo Clinic-Essential Heart Guide. 2012.
The human brain begins to slowly decreasein size at age 25
By Dr. Kojo Cobba Essel
Health Essentials
Do you want to be happy?

Don’t we all dream of a life that is filled with laughter? That may be a reason for chasing big bucks, which like the Golden Fleece eludes the majority of us.
Financial Wellness is extremely important but there are other factors that make us happy and healthy and eventually wealthy.
I will introduce a few everyday activities that are guaranteed to make you happy if you continue practising them.
You definitely do not need to live in Finland to experience happiness even though many people agree that is the “headquarters” of happiness.
1. Wake-Up Ritual
a. Say to yourself that today will be a beautiful day or a great day!
b. Ask God what He has in store for you. Use me Lord (if not a Christian what you believe in will be useful as well.
c. Remind yourself of your purpose in life and get out of bed.
d. Do Not grab your phone as the first thing for the day.
2. Pray
a. Talking to God has a way of calming our nerves. It brings about unexplained peace and when we add praise and worship then the floodgates open. That is how to win battles against unhappiness.
3. Smile
a. Definitely floods your body with feel good hormones and insulates you from stress.
b. Smiling is infectious so the more you smile the better and you set off a smiling OR happiness domino effect.
4. Meditate
a. Extremely good for your brain and an easy way to start is to do deep-breathing and just focus on your “breath” excluding all others. That is what some will prefer to call mindfulness. Being in the moment has immense benefits. Things you never knew existed suddenly spring up.
5. Exercise
a. That wonder drug that trumps virtually all others. Like smiling it does pour out feel good hormones. Strength training even goes an extra mile causing our muscles to act as “pharmacies” that pour out life-changing signals every time they contract.
6. Be kind to yourself & to others
a. We are often too harsh on ourselves. Give yourself a break. Self-care is the real deal!!
b. Being harsh to others has no benefits.
7. Spend some time doing nothing!
a. We need to re-set from time to time. Spend about 10 minutes a day doing absolutely nothing. There is happiness and innovation in “idling”. Do not abuse idling though.
8. Spend time with loved ones.
a. This is another powerful happiness “hack”. You have to make time and be intentional about this; talk on phone, send messages, arrange to meet for a drink or meal. Social Wellness ranks very high on the happiness index and it’s fairly easy to plug into it.
b. While spending time together remember that your choice of food and drinks also impacts on how happy or sad or anxious you may feel.
9. Indulge in a hobby.
a. Our bodies and brain love variety. Do you have a hobby? Get one
10. Write in your gratitude diary.
a. That is all it takes – keep doing it regularly.
11. Get a pet.
This list is not exhaustive but definitely a good start. Share your happiness hacks with me via email and together we can keep the world smiling and happy.
At the end of each day ask yourself if you did better than the previous day. That is all it takes. Doing better than the previous day for 365 days, for 5 years, 10 years… How amazing that will be!!!
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 – “There is no magic formula to being happy but making a conscious effort to be happy goes a long way.” – Dr. Kojo Cobba Essel
By Dr. Kojo Cobba Essel
Health Essentials
Measure your blood pressure accurately, control it, live longer

May 17 is World Hypertension Day and please do not panic. This is not a stress-filled day that aims at increasing your blood pressure but rather it’s a day set aside to increase awareness of a serial yet silent killer. That is exactly what Hypertension it; its killing the young and old at an alarming rate yet in most instances people with high blood pressure may feel absolutely well.
The theme for this year is “Measure your blood pressure accurately, control it, live longer”
Do these when you take your blood pressure since the accuracy of the reading matters:
• If you have been walking or running rest for at least 5 to 10 minutes
• No caffeinated drinks or alcohol two or three hours before checking blood pressure
• Sit (sometime you may need to stand or lay in bed) comfortably with your back rested/supported and your arm for the cuff resting on a table of firm surface
• Have your feet flat on the floor and not legs crossed
• Ensure the cuff is the right size for your arm
• If using an electronic monitor ensure battery is working well
• If clothing covering arm is thick remove
• Loosen your neck-tie or belt if uncomfortable
• If you are not conversant with checking blood pressure, get the appropriate training
Global statistics show that only 50 per cent of those with hypertension are actually aware and that awareness in some areas may be as low as 10 per cent while awareness may exceed 75 per cent in a few areas.
The bitter truth is some people do not have enough information about the condition, a significant number do not have easy access to measuring their blood pressure and a few stubborn ones think it is better not to know if something is going wrong.
What do we need to understand about our blood pressure numbers? There are ALWAYS two numbers in a blood pressure reading such as 120/80mmHg. The top figure represents the force of the blood against the artery (blood vessel) walls as your heart beats and the lower value represents the force on the walls in between beats or while the heart rests. Both numbers are important.
Essentially when your blood pressure is higher than it should normally be all organs in the body are exposed to elevated pressures since arteries supply blood to every part of the body. These sustained high pressures will be causing harm gradually every minute of the day.
Prevention of high blood pressure is based mainly on adopting the appropriate lifestyle, while having regular medical check-ups to pick up conditions that can may lead to hypertension if not tackled early. Management of hypertension on the other hand requires a three-pronged attack in most situations;
• Lifestyle modifications
• Regular medical checks to pick up other conditions that be worsen our hypertension or general wellbeing
• Use of appropriate physician prescribed medication
Age and our genes may have a way of increasing our blood pressure or predisposing us to hypertension, but since we have no control over the choice of our family and years rolling by, it may be worth focusing on the above three that we can control to a large extent.
Lifestyle Modification
• Exercise adequately
• Do not smoke
• Limit or avoid alcohol
• Aim at fat (weight) loss
• Manage stress appropriately
• If you have sleep apnoea (intermittent snoring during sleep and feeling tired and sleepy on waking up) seek medical intervention
• Adopt the DASH (dietary approaches to stop hypertension) diet; low sodium (salt), increased potassium from fruits and vegetables, low or no saturated fats and increased fibre.
• Control conditions such as diabetes, cholesterol challenges and kidney disease.
Exercise need not be rushing to the gym to sweat out only, but taking walks, gardening, cleaning your home, using the stairs and many others. Exercise increases heart function and lowers blood pressure but there is a little hitch: the benefits of exercise on blood pressure do not last beyond 72 hours.
In short frequency is the watch word. Do not be a once a week or once a month exercise fan. The effect of exercise on the heart does not rely on past glory so if you were an athlete years ago but you have now become one with your sofa, I am sorry to disappoint you but you need to get moving NOW!
All types of exercises will benefit you and lower your blood pressure but a word of caution here;
• When your blood pressure is not controlled DO NOT lift weights above your head
• Do not overdo exercises of the upper body but lower body exercises such s squatting will enhance lowering of your blood pressure.
• Breathe properly especially while you train with weights; breathe out during the exertion phase as you lift a weight and breathe in while you relax.
• Of course brisk walking, swimming, use of the treadmill and other exercises that target heart function are also a must
When all is said and done, you can never know our blood pressure without measuring or checking it. Take a few minutes to check your blood pressure and ensure at least one other person checks their blood pressure before the end of the month.
Associations, companies and all identifiable groups should ensure they check their blood pressure and go an extra mile and as a corporate social responsibility help to check the blood pressure of hundreds or even thousands of people. You will be saving lives.
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)