Health Essentials
Timeless advice on nutrition
Hopefully over the next few minutes we can learn basic steps to prevent being victims of what we eat. Disclaimer: I am not a dietician, and for detailed information do consult a registered dietician.
Did it ever occur to you that you have been spending good money to buy food that may actually be killing you? Years ago, I read a book titled “The Seven Deadly Sins” and the author listed gluttony as one of them.
My conclusion from that book is that food will not only destroy your body, but it may also cause you to do other things that may even affect your salvation.
Many people have their own views on what goes into their mouth; some think starvation is the answer to all their woes while others feel excluding “evil” foods such as fats and carbohydrates will bring the glory they have been praying for.
If you imagine that there are as many super diet plans as there are eligible voters in Sikaman, then that summarises the whole story – all of them have shortfalls. Are you aware that just as there is interval training for exercising, there is also Intermittent fasting (interval fasting I guess)?
Yes, our guts need some rest to perform optimally. Could the ever-elusive ideal diet simply be the good old balanced diet? That may actually hold the key to our health. We probably need to make modifications in other areas to achieve our goal.
I like the DASH (Dietary Approaches to Stop Hypertension) diet; not only can it help you to control your blood pressure, but it can also help you maintain a good weight and generally keep you healthy.
It does not exclude any food group. The Mediterranean Diet is also a masterpiece that has proven itself over the years. We are what we eat and its not surprising as memory related challenges see a surge,
The Mind Diet (a cross of DASH and Mediterranean diets) has evolved to help us maintain the best brain health possible.
Consider these steps to a healthier you:
1. Do Not skip breakfast
a. Most overweight people skip breakfast in an attempt to cut down on calories but eventually end up eating more in the course of the day because they feel hungrier. Avoiding this all-important meal also means you have less energy to perform your activities for the day.
b. If your breakfast contains protein and fibre, then it is likely to last you till lunch time.
c. This is no call to avoid lunch and supper, you need these too and if you require a snack in between some fruit, is an ideal choice.
d. I do know proponents of skipping breakfast make some interesting points but get your body and brain working even if it means something really small. Hungry children in school? Imagine the outcome.
2. All food groups are important
a. No food group is outright evil. It is the type and quantity that causes havoc. Just as you need proteins so do you need good fats and safe carbohydrates. A professional may guide you to omit one food group briefly but do not do this on your own.
3. Watch your portion sizes-small plates may be useful
a. Do not heap your plate with food; this is not your last meal and hopefully there will be other times to eat again. If you can simply not trust yourself with small portion sizes, then kindly use smaller plates. Your brain could be tricked into believing once it is heaped, then it must be a lot.
4. Eating is no sprint
a. There is a little disconnect between your brain and stomach. It takes 15 to 20 minutes for your brain to recognize that you are full so to avoid overeating take it easy and chew your food properly.
5. Hunger or thirst?
a. Sometimes we confuse thirst with hunger. Whenever you feel hungry, drink a glass of cool clean water before you tackle the food. Do not hesitate to drink some water during your meal as well as after. Digestion is great in a medium of water and you invariably eat less when you have water in your stomach taking up some of the priceless space.
b. Water is no weight loss pill, but it keeps you healthy and may help you to eat less.
6. All or none
a. This is my favourite, and I believe you may also find it useful. Eating appropriately does not mean avoiding everything you like (except your doctor and registered dietitian advice), you could have a little of your favourite meal occasionally (even if it is outright unhealthy). This ensures that you do not develop “withdrawal symptoms” and rather end up throwing caution to the wind and binging on this meal.
You may have guessed that I am a big proponent of the DASH diet, so I will share a few tips with you. It is not much different from what my health-conscious readers have been eating.
1. Cut the SALT
a. Most of us are aware that we need to reduce salt to the barest minimum. Certainly, you do not add salt to cooked food but what about “hidden” salt in smoked, cured or pickled food. What about salted snacks. Start reading food labels and in the absence of one let your tongue be the judge.
2. Get your GRAINS
a. Brown rice, whole wheat bread and unsalted popcorn belong to this group.
3. FRUITS are a must
a. Fruits are packed with potassium and magnesium, which help to lower blood pressure. They are also loaded with vitamins that are essential to our wellbeing. Spice up your breakfast, add some fruit.
4. Make VEGETABLES your delight
a. These low-calorie products packed with goodness should always find their way onto your plate. They contain no fat but have a lot of fibre, vitamins and minerals. The more varied your vegetables are the better. Try out different coloured vegetables.
5. FISH and LEAN MEAT are allowed
a. Skinless chicken is great and so is fish. You must have heard about Omega-3 in fish. You had better take off the skin of the chicken before you cook it.
6. Do NOT gloss over NUTS & LEGUMES
a. Dried beans and peas belong to this group. These are also rich in proteins, magnesium and fibre.
7. Minimise FATS & OILS
a. Use oil sparingly even if it’s healthy such as Olive Oil. Heating oil as we cook denatures the product making all oils similar after their interaction with fire.
b. Sprinkle olive oil on salads. Its in its raw form and great
c. Avocado has great fat too
8. SWEETS are NOT a NO go area
a. Yes, you may even have an occasional sweet, but it should be only a small piece, and the watch word here is OCCASSIONAL.
Congratulations! You have completed your course in dietetics, and I wish you all the best as you embark on a lifestyle modification to improve your health and that of your family.
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)
(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 – “The most EFFICIENT way to reach your REALISTIC health GOALS is to make SMALL HEALTHY choices DAILY.”
By Dr. Kojo Cobba Essel
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?
- Focusing on the past
- Not getting adequate sleep
- Not drinking enough water but loading yourself with alcohol, caffeine and energy drinks
- Spending all your time working and leaving no time to rest and socialize
- Not being physically active
- Spending all your time behind screens, TV, phone, computer. Making social media king
- Eating junk food most of the time
- Being resentful, negative or surrounding yourself with people who see no good in anything
- Creating clutter and a mess wherever you are
- 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:
- 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)
- Spend time in nature and get some sunlight if you are lucky to be in a place where it’s in abundance
- Make time to rest and meditate (pray and read your Bible after all its Christ’s birthday)
- Move as often as possible and make time to do deep belly breathing
- Be positive
- Surround yourself with people who make you happy
- Get adequate sleep
- Eat healthy food as often as possible and drink a lot of water
- Be grateful for what you have
- 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
(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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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.
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.
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.
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
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.
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.
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.
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.
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.
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.
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.
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.
By Esinam Jemima Kuatsinu
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