First Eat Right - Dietitian Nutritionist Dr. Nafeesa's Diet & Nutrition Clinic

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      • Training & Recovery
      • Fuel For Workout
      • Nutrition for Exercise
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      • ADULT NUTRITION >
        • Nutrition for Adults
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        • Infant Nutrition
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          • Hypothyroid
          • Kidney Problems
          • Hypertension
          • Cardiovascular Diseases
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          • Metabolic Disorders
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          • Eating Disorders
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AVOID FRAUD

The Effects of Group Exercise on Seniors Who Mostly Dwell in Isolation

9/13/2021

 
Senior citizens benefit from group-based exercises as it’s a chance to come out of their isolation
The Fun Element in Group-based Exercises is Mostly Missing in Home-based Formats

Irrespective of the type, duration and frequency of an activity performed any physical activity is sure to reap benefits for the person performing it. Each of us are struggling hard to squeeze in some time to fit in physical activity in our daily schedules somehow and the benefits incurred are regardless of whether it occurs as part of work, leisure, transport or housework. Walking was the only means of transport earlier and after the introduction of wheel, mankind progressed towards other means of transportation. Bicycle, an integral innovation has been also used as an excellent means of exercising since ages. But walking and cycling are activities that can be performed individually. Then how did the group fitness classes evolve?

The origin of group fitness can be traced back to 1968 when Kenneth H. Cooper introduced the concept of aerobic exercise. Immediately the following year dance-based fitness classes focusing on cardio, strength and stretch movements were introduced and it was not until early 1970s that Sorensen took a bit of aerobic programs, added some music and made the world become an ardent fan of aerobic dance that now prevails as the basis for group fitness programs these days. Group fitness classes are exercises performed by a group of people in the presence of an instructor attracting people with its different formats available-yoga, aquatic activity, core conditioning, resistance exercise, kickboxing, boot camps and more. There are a number of health centres and fitness clubs that bank on people’s interest to do different activities and their eagerness to have fun that they have reshuffled the entire concept of fitness. Group activities are encouraged these days as they motivate people to be regular for workouts, follow a consistent exercise schedule and reap the benefits of a fun environment. The question now is whether group fitness offers more benefits than individually performed exercises, especially for the elderly.
​
We are witnessing the fastest growth in the ageing population which brings with it a great burden on the society due to increased risk of mental and social health problems that grow alongside physical health problems as well. There is a dire need to promote physical activity among older people as its absence increases the risk of chronic degenerative diseases and disabilities. Ageing is by itself a risk factor for decline in daily functionality and mobility whose effect can be controlled with daily physical activity and exercise schedules. In such cases regular physical activity increases muscle strength, coordination and flexibility but to avail these benefits it must be performed regularly. But one requires knowledge, skills and perseverance for reaping the benefits of exercising. Don’t we see a group of elderly adults, men mostly, in parks going for a walk or a slow jog as well? These people enjoy each other’s company and have fun while exercising too. But the population of older adults is heterogenous as each of them have varying degrees of health, culture, attitudes and practices. Viewing them as one group might hamper us from providing the needed healthcare as it is essential to consider each of the elderly person’s individualized needs. How good can group exercising benefit older adults in such a scenario and what’s the impact of group exercising on the elderly population?
Elderly people have different needs and group-based exercises cannot cater to individual needs to a great extent
Senior Individuals Feel Motivated & Encouraged to Stay Fit when they Have Someone to Laugh & Talk


​Advantages of Regular Group Exercising in Elderly in Japan
​

Japans prevails as the most rapidly aging country in the world where by 2035 one in every three adults will be aged 65 years and above. The study discussed here focuses on the experiences of older adults participating in regular group exercise and the effect of such activity on the person’s physical, mental and social changes. A community-wide intervention program named the ‘Fujisawa +10’ was created to spread the performance of physical activity among citizens based on the national physical activity recommendations made by the National Institute of Health and Nutrition of Japan. The Fujisawa+!0 exercise program was a community-wide intervention with exercise intensity at an extremely low level. Dynamic and static stretching exercises, knee-ups, squatting, knee exercises, arm circle exercises and body balance exercises done in standing or sitting positions are a regular part of the exercise routine programmed. These exercises were introduced to the elderly section of people who were voluntarily exercising together as a group at least once at the park (performed thrice a week) or community centre (performed once a week) in their community. All these adults were given a CD, DVD and manual instructions on how to exercise together as a group without an instructor.

Participants selected were older adults who were participating in the ‘regular group exercise’ in community A and B. Only those community-dwelling older adults who were above the age of 60 participating in regular exercise in community A or B and those living independently without any elderly care assistance were included in the study. The research team conducted four focus group interviews including 26 participants (11 males and 15 females) whose mean age was 74.69 years. Community A had 15 older adults (7 males and 8 females) grouped into two focus groups with 7 (3 men and 4 women) and 8 (4 men and 4 women) respectively. Community B had 11 older adults (4 male and 7 females) who were grouped into two focus groups with 5 (2 men and 3 women) and 6 (2 men and 4 women) participants respectively. Each of the interviews lasted for 60-80 min, none of the participants suffered from disabilities or were diagnosed with dementia, no participant received any formal care, five were living alone and one used a stick due to joint pain. Investigators who had expertise in conducting focus group interviews (HK and KY) served as facilitators while two investigators (YO and YS) and two graduate students attended the focus group meetings as observers.

Results

The researchers could clearly confirm that ‘regular group exercise contributes to balanced health in older adults’ which consisted of seven themes (regular group exercise, functional health, active mind, enjoyment, social connectedness, mutual support and expanding communities) under its umbrella. It was observed that group exercise contributed to physical, mental and social well-being helping them improve on their functional health, peer interaction and their degree of enjoyment. People working out in groups cared for each other, felt connected and had a sense of security in the community.

Older adults have aplenty free time after being done with their responsibilities towards their kids and hence, felt that regular exercise was critical in balancing overall health. Such regular exercises helped them lead an active life without succumbing to sedentary lifestyle habits that included getting up, sleeping or eating at haphazard timings. We also know that many elderly people live in isolation having lost their spouse or their kids stay away and they are forced to lead lives of their own. In such cases, gathering at one common place helped these people to interact with each other, prevent isolation and bring in a purpose to their living. When elderly individuals began their day with group exercises, they felt their body to be flexible, energized and fit while off days motivated them to exercise even stronger on other days. Exercises helped these participants to at least stay fit in their current level even if it did not help in improving their fitness quotient. Many participants felt that they were blessed to socialize and exercising individually at home could have never brought them this kind of an enjoyment. Group exercising also helped in expanding social connectedness and mutual support. The study clearly shows that group exercises benefit the overall development of the elderly individuals catering to their physical, social, emotional and mental needs.

Combined Intervention Program
While the advantages of group exercising seems to sound great there are also many downsides to it. It is not always possible for all the elderly individuals to commute as their health must permit and economic background should also support it; there is less attention paid to individual needs despite the fact that every ageing adults would be suffering from a different kind of body pain and finally, renting a place that’s close to many of the individuals participating and hiring an instructor for the same is not an easy job. Hence, merging a home-based intervention program with a group exercise program would be the best approach as it channelizes the individual’s exercising frequency, intensity and duration to the desired levels. A research team analysed the effects of a blended exercise program on adults in Europe.
Participants were selected from a community-based program known as More Exercise for Seniors in which more than 3,00,000 older adults above the age of 55 years participated in a weekly group-based exercise class under the supervision of a trained instructor. The elderly individuals were asked to sign up for the focus group and instructors were contacted revealing the study’s intention. A total of 15 instructors were contacted and 8 focus groups were held (including two pilots) with 48 older adults. The focus-groups happened at locations where the weekly MBvO-class were held with each consisting of an average of 6 participants. All the participants in the group were asked about their opinion on an additional home-based exercise program.

Results
The two pilot groups and one focus group where data was lost weren’t included in the study and hence, the data from the other 30 participants were included in the analysis. Average age of the participants were 74 years, the individuals had almost been participating for around 9 years in the community-based program and all of them were female.
Most participants took part in the weekly group exercise classes as they wanted to be physically fit and self-reliant without depending on others for their everyday chores and activities. Besides this, participants enjoyed being in the presence of others, felt motivated by each other, formed close friendship bonds and were delighted to have some quality fun. At the same time participants also revealed that home-based exercise programs brought about several benefits-it helped them fulfil their personal goals, could help them perform exercises that they were comfortable doing on that particular day owing to aggravated pain anywhere in the body and were also positive about the different levels of an exercise program that could be self-paced when performed individually. But many expressed motivation as a main concern while performing home-based exercises as group exercises are sure to be motivating and the presence of peers were a great support for regularity.
Yet another Japanese study that analysed the benefits of exercising alone versus exercising with others found that though both had its own health benefits increased frequency of exercising with others had tremendous health benefits irrespective of the total frequency of exercise.

References
Regular Group Exercise Contributes to Balanced Health in Older Adults in Japan: A Qualitative Study: https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-017-0584-3
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Attitudes of Older Adults in a Group-based Exercise Program Toward a Blended Intervention: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5118593/
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Exercising Alone Versus with Others & Associations with Subjective Health Status in Older Japanese: The JAGES Cohort Study: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5156899/
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The Evolution of Group Fitness: Shaping the History of Fitness: https://journals.lww.com/acsm-healthfitness/Fulltext/2014/11000/The_Evolution_of_Group_Fitness__Shaping_the.4.aspx?WT.mc_id=HPxADx20100319xMP
​

Vitamin B Levels Have a Direct Impact on Cognitive Functioning in Elderly Adults

9/6/2021

 
Vitamin B levels are directly linked to cognitive impairment levels in elderly people
Cognitive Skills Go For a Toss as a Person Grows Old without Proper Nutrition & Lifestyle Interventions

​If you are someone who loves to solve puzzles and can’t settle for anything lesser than solving it 100% good for you! But if you have taken up math or problem solving with the sole intention to escape from the clutches of dementia without a flair for it then you might struggle through the entire solving time trying to have fun but ending without any. Yes, puzzle solving is a tactic way to stay clear of dementia as your mind is being put into good use day in and day out. Dementia-what was considered a rare occurrence some decades back has now started showing its face in all corners of the Earth growing to be a public health concern increasing financial burden and affecting quality of life. Age is one important factor that can speed up the dementia process which is irreversible and so are the genetic causes behind it. So, apart from these the only way in which risk of dementia could be minimized is by figuring out the non-genetic factors that could be modified in order to prevent cognitive decline as there is no cure available for dementia until now.

Ageing has been associated with increased cognitive impairment that can be anything from mild cognitive impairment (MCI) to dementia with MCI having the ability to progress into dementia within 5 years of diagnosis. The world has more than 50 million people who are victims of dementia and the numbers are said to triple by 2050. Hence, it has become absolutely necessary to focus on those factors that can be modified to delay the onset of dementia as much as possible. We have numerous lifestyle and nutritional factors that exist as modifiable risk factors for cognitive decline and one such is the decreased levels of folate, vitamin B6 and vitamin B12 and increased homocysteine levels that contribute to cognitive dysfunction in ageing population. Homocysteine is the result of methylation cycle and cannot be produced from any dietary source. Folate and Vitamin B12 are essential in the methylation of homocysteine to methionine and in the re-methylation and synthesis of S-adenosylmethionine. Hyperhomocysteinemia due to disturbed monocarbon metabolism is a risk factor for cognitive impairment and Alzheimer’s disease. Increased plasma homocysteine (Hcy) levels indicate folate deficiency. Hence, increased plasma homocysteine levels in association with low levels of folate, vitamin B6 and B12 show decreased cognitive performance and supplementing the body with B vitamins helps in reversing or preventing cognitive decline.

We have numerous studies showing that increased Hcy levels is an independent risk factor for impaired cognitive function or Alzheimer’s disease (AD). We have several studies showing increased deficiency of folate, vitamin B6 and B12 in Western countries. Also, there are evidences of a relationship between levels of B vitamins in blood and cognitive function in these countries and South Korea also shows such relationships. We have an elderly Korean population study that shows that hyperhomocysteinemia might be a risk factor for mild cognitive impairment (MCI) and that plasma folate, vitamin B12 and Hcy are associated with cognitive function in cognitively impaired elderly population. Another study in Australia that looked into the relationship between serum B vitamin levels and cognitive function according to the degree of cognitive damage in AD, MCI and normal individuals did not possess any dietary information. We do know that B vitamin levels, especially folate levels, is affected by dietary intake and that low dietary intake of B vitamins is associated with cognitive decline or an increased risk of AD but there is little information on the relationship between B vitamins and cognitive function among elderly population in Korea-a country where folic acid fortification has not yet been made mandatory.
South Korea is one of the countries that has the highest growing ageing population in the world where almost 10% of the elderly above 65 years of age suffer from dementia and around 28% have MCI. This definitely calls for further research in understanding the relationship between B vitamins intake and cognitive function in normal, MCI and AD groups in Korean elderly over 60 years of age in South Korea.

South Korean Study
The study consisted of a total of 321 subjects of whom 121 were normal participants, 100 were MCI patients and 100 were AD patients. All the participants were given a Korean version of the Consortium to Establish a Registry for Alzheimer’s Disease (CERAD-K) that assessed for both neuropsychological and clinical symptoms. Information on age, gender, marital status, education, smoking, alcohol use; disease existence including diabetes mellitus, hypertension, stroke, dyslipidaemia, cardiovascular disease and thyroid disease and height, weight and BMI measurements were taken.

All the participants went through a 24-hour recall for information on dietary intake, their consumption of dietary supplements and nutrient content available in these supplements.

Results
The average age of the participants was 74.8 ± 7.2 years and patients with AD were older than those without AD, were less educated, less often lived with a spouse and comprised majorly of females. Energy intake of participants was 1490.4 ± 445.5 kcal and this was almost 75% lesser than the estimated energy requirement (EER) for KDRI. Energy, protein and folic acid intake was lower in both MCI and AD group compared to the normal group. Results showed that:
  1. Folate intake was positively associated with total intake of protein, vitamin B2, vitamin B6 and folic acid and vitamin B12 intake was positively associated with total vitamin B2 intake.
  2. Plasma Hcy was negatively correlated with total intake of vitamin B2, vitamin B6, B12 and folic acid
  3. In those with AD, plasma folate was positively associated with total folic acid intake and Hcy was negatively associated with total vitamin B6 intake. No association was found between plasma vitamin B12 and intake of other B vitamins.
  4. In those with MCI, plasma folate was positively associated with total intake of protein, vitamin B2, B6 and folic acid. Plasma vitamin B12 was positively correlated with total folic acid intake and Hcy was negatively corelated with total vitamin B2 intake.
  5. In those individuals belonging to the normal group, plasma folate and vitamin B12 was positively associated with total protein intake, vitamin B2, B6 and folic acid but there was no association between plasma Hcy and B vitamins intake.
  6. There was no association found between cognitive function scores and dietary parameters in AD subjects. In MCI subjects, dietary vitamin B2 intake was associated with World List Memory, World List Recognition and Constructional Recall Test scores. In normal individuals, vitamin B6 intake was positively associated with World List Memory Test scores.
  7. Total vitamin B2 intake was positively linked with MMSE-KC and Boston Naming Test scores and total vitamin B6 intake was linked with Boston Naming Test scores. Folic acid consumption was linked to MMSE-KC, World List Memory Test and Constructional Recall Test scores. Vitamin B6 intake was linked to MMSE-KC, Boston Naming Test, World Fluency, World List Memory, World List Recognition Test, Constructional Recall Test and Constructional Praxis Test score.
The study showed that there was a strong association shown between B vitamins intake and those individuals with AD and MCI compared to normal individuals.

Northern Ireland Study
Another study focused on individuals aged >60 years not suffering from vitamin B12 deficiency. Each of their cognitive skills were assessed with a maximum score of 30 possible, a score <25 indicated possible cognitive impairment and <20 indicated dementia. All the participants reported of their dietary intake using a food frequency questionnaire. The study included a total of 155 participants with a mean age of 70 years, well-educated, most of whom were females with low rates of depression. Results showed that individuals with a lower vitamin B6 biomarker status or lower dietary B6 intake were at a 3.5-4-fold greater risk of cognitive decline. Lower dietary intake and vitamin B6 levels was linked to a greater rate of cognitive decline over a 4-year follow-up period. Participants with lower vitamin B6 status at baseline were at a 3.5 times greater rate of cognitive decline over a 4-year follow-up period and those with a lower dietary intake of vitamin B6 at baseline were 4 times likelier to experience greater cognitive decline over the 4-year period.

References
Association between Intake of B Vitamins and Cognitive Function in Elderly Koreans with Cognitive Impairment: https://nutritionj.biomedcentral.com/articles/10.1186/1475-2891-13-118
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B-vitamin Intake & Biomarker Status in Relation to Cognitive Decline in Healthy Older Adults in a 4-Year Follow-up Study: https://www.mdpi.com/2072-6643/9/1/53/htm
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Vitamin B12 Deficiency & Cognitive Impairment in Elderly Population: https://www.mdpi.com/2072-6643/9/1/53/htm

Please Stay Safe. Take care Please.

7/1/2020

 
Grammatically, Translations in other languages are not 100% correct. We apologize. We are improving our translation.
Reference:  Wall Street Journal. 

Food Influences Brain (Emotions, Thoughts, Decisions, Memory) and ultimately The Behavior of the Entire World.

5/2/2020

 
Pls take this seriously. We Gain Nothing But Brain Drain By Taking Up the Junk Food Lane.

​Ref;  All video credits to DW Documentary https://www.youtube.com/watch?v=TLpbfOJ4bJU

Junk is thrown into the dustbin and cleared out of our homes every single day to keep our heavenly abodes neat and clean. Humanity lives by these principles taking extensive care to keep their homes (even if we don’t care much about our surroundings) clean but fails to keep their own body clean and healthy-our love for junk food shows a steady graphical increase with every passing day! Junk literally means garbage or trash but we shell out money or don’t mind putting on excess weight to indulge in junk foods. Eating yummy pizzas, burgers, crispy French fries, sweetened muffins or spicy hot dogs gratify our taste buds and invoke pleasure. Most humans feel content with such short-term happiness overlooking the long-term painful effects that could be caused due to our ignorance. Yes! High-calorie foods stacked with fats and sugars not only affect our physical health making us fat and prone to diseases but ruin our mental health too-they are hazardous enough to shrink our brain!
 
Shame on Us for Neglecting Our Brains
 
The human brain is an exciting organ that’s been an all-time favorite among researchers. It is full of surprises and information that help understand ourselves better. Even while sleeping our brain never relaxes but functions 24*7 to stay alive-not just to breathe but to lead a meaningful life! Humans need energy and fuel to function which is obtained from none other than the food that we eat. Anything that goes into the mouth does impact the brain in one way or the other-some foods in one way (promoting health)and some other foods in many ways (for instance, the junk or processed foods that ruin cognition, add body weight, etc.). While earlier research showed that certain foods have the ability to improve happiness also termed as mood-enhancing foods, we now have a greater number of research probing into the side effects of consuming junk food as individuals now are more inclined towards eating them.
 
Obesity is ruling the world due to which there are several health issues cropping up but we constantly keep forgetting the fact that health is a combination of both mental and physical health. While we were busy scrutinizing the impact of energy-dense foods on calorie gain the consequences of junk food on mental health remains unpopular among individuals though researchers have done their jobs well. Research and studies are shedding more and more light on this-increased violence, depression, anger, aggression, irritation, dissatisfaction among citizens could be due to increased intake of high-fat/high-sugar foods. Also, these foods act like slow poison subtly affecting our neurons, neurotransmitters, parts of the brain such as the hippocampus, memory capabilities and emotions. Are we inviting self-destruction here? How did it all begin?
 
Well-being & Health Starts from the Fetus
 
A mother is a child’s first relationship in this world through which the baby gets to know others. The relationship between a mom and a child starts right from fetal stage going strong until death. Women enjoy the best phase of life during pregnancy eating to their heart’s content and being pampered. Many go on an indefinite eating spree laying their hands on everything they could get. This puts the pregnant mother at risk for inappropriate weight gain which could lead to delivery-related problems. Besides, the developing fetus is at a very high risk of obesity and this is evidently clear with research results. But what we don’t know is that the nourishment of the expectant mothers affects the mental health of kids too. It’s only since the last decade that significant research and developments have been done in this field (maternal nutrition affects risk of mental illnesses, depression and anxiety in kids).
 
Food Intake of Expectant Mothers Affects Mental Health of Newborns
There are evidences showing that diet affects the development of neurotransmitter systems in the offspring and immune development too which in turn affects risk of mental health problems later in life. Rodent studies show that a diet rich in fats and sugars increases sympathetic nervous system activity and the creatures become hyperactive. We also know that lack of omega 3 fatty acids during fetal development reduces brain plasticity leading to anxiety-driven behavior in adult mice. A group of researchers studied the relationship between the mom’s nutritional intake during pregnancy and the child’s nutritional intake during the first five years of life and its effect on the child’s emotional health.
 
The study consisting of 23,020 children and women sent across self-reported questionnaires to pregnant women (17 weeks) and later after childbirth at regular intervals. The pregnant women were given a food frequency questionnaire (FFQ) which probed into their intake of more than 200 foods and beverages. The items were divided into two dietary patterns-health and unhealthy. The child’s diet was also analyzed from the baby’s 18th month using a 36 item FFQ which included foods such as cereal porridge, dairy-based products and fruit juices. The food range varied as the child grew old and during every stage the foods included were categorized as healthy (veggies, fruits, milk, etc.) or unhealthy (sweets, soda, chips, cookies, ice creams, etc.).
 
Results showed that kids whose moms ate a greater proportion of junk foods showed increased levels of externalizing behavior (antisocial behavior, hostility and aggression). It was also observed that kids who ate junk during the first five years of their development showed evident traits of aggression, anger and irritation. A study in Germany showed that increased intake of confectionery but not sugar-sweetened drinks/snacks led to increased risk of emotional problems and higher intake of healthy foods led to decreased risk of such problems. Human genome is extremely vulnerable to environmental factors during early developmental years of life and any disturbance to normal development affects the mental health of the developing offspring.
 
Processed Foods Silently Increase Violence Levels in Individuals
 
The more we stuff our brain with junk food the less space it has for chemicals needed for its proper functioning. Most are aware of the popular phrase ‘You are what you eat’-foods intake and dietary patterns shape our behavior and characteristics by affecting structural development of the brain, neurotransmitters and brain functioning. It is already well-established that malnourished kids show high risks of aggression, violence, antisocial behavior, declined cognition and externalizing problems. It is around 7, 12 and 15 years that a child’s brain functional development reaches its peak. Insufficient nutrition (especially proteins and energy insufficiency) affects the development of the brain’s grey matter in the prefrontal cortex that’s involved in judgement, attention, planning and self-control.
 
Omega 3 fatty acids leads to structural changes in the brain. This nutrient is vital for optimal grey matter volume in the brain in areas that are associated with mood and behaviors. The brain’s grey matter consists of 90% fats and sadly, our human body cannot produce it. The only means of obtaining this fat (omega 3’s) is via the diet that we eat. Dietary intake of polyunsaturated fatty acids has varied greatly over the years thereby reducing omega 3 intakes as well. That’s due to the over consumption of processed foods that lack any of the good fats or nutrients. Rather, one is expected to increase the intake of fatty fish such as salmon, tuna and sardines, nuts, flax seed and leafy vegetables.
 
A research study on juvenile jail inmates showed that most boys lacked all important nutrients needed for a healthy life. Once they were given nutrient-rich diets the percentage of violent incidents caused decreased by more than 50%. Though it’s only a hypothesis that nutritional food can decrease aggression and violence rates it is clearly evident from researches that violent prisoners (lacking in essential nutrients) who were supplemented with nutrient-enriched foods full of vitamins, minerals, proteins and fatty acids exhibited reduced levels of disciplinary offences and violence rates drops significantly.
 
Sugar: Most Potent Drug Used Universally
Increased sugar intake is a sure devil and a study shows that kids aged below 10 who ate sugar-rich foods such as cakes and chocolates regularly are at an increased risk of committing crime during their early adult years.  Food could be a medium for improving well-being and optimizing mental state of individuals.
 
The bite of a chocolate, just a drop of honey on the tongue or some sugar particles makes even babies experience ultimate pleasure and they long for more. Kids become used to regular intakes of sugar-laden foods such as cupcakes, caramel popcorn, cakes and sweets right from their younger age-in the form of reward foods that are regularly given by parents for completing homework, refraining from violent activities and so on. Eating such foods makes kids happy, at least for some time. They are full of joy and excitement until they eat it and even until the taste lingers in their tongue. But after a while, the same tantrums begin and surprisingly, the satisfaction comes only when the quantity given too increases. This is even proved by a research study.
 
Researchers at the University of Oregon probed into the influence of sweet foods on brain. They gave ice creams/milkshakes to two groups of people and recorded their brain activity using MRI. One group was given a daily supply of ice creams while the other group was given the same food only once a week. Results showed that the group that regularly consumed ice creams experienced reduced pleasure and increased dissatisfaction in comparison to the other group. The reward response of the brain decreases and the brain becomes hypersensitive to food images. For instance, the picture of an ice cream or juice activates brain regions and the individual immediately wishes to eat them for satisfying their taste buds and pleasure centers. By treating ourselves or feeding our kids with more and more junk foods that are sugar-dense we are inviting trouble to our lives.
 
Sugar could be considered a potent drug in the same lines of morphine, cocaine and alcohol. The more we consume, the greater we yearn for again and again. It could be called as an intoxicant too! Once we enjoy the taste of it our minds never stop craving for more. Research shows that increased glucose intake has the potential to alter areas of the brain that control emotions. Our satiety levels keep decreasing, pleasure-seeking traits keep increasing and our brain stoops to any low level to gratify our pleasure needs-in terms of any junk food that we could lay our hands on.
 
Invade Your Fading Memory Before You Lose It Altogether
 
Hippocampus, the brain’s CPU or memory center is frightfully affected by the junk that we eat. It is a part of the limbic system that helps in converting essential information from short-term memory to long-term memory and is also integral for spatial memory (help humans find directions or help rats find foods using particular routes). Our brain stores memories which are formed through connections that happen between neurons-this is called as neuroplasticity and it happens throughout our lives. Research shows that an individual whose diet comprises of junk foods mostly reduces the neuroplasticity capabilities of the brain-the process through which we cherish our happy memories forever in our life or learn new things. Its this ability that helps people excel in studies, remember multiple things or possess cognitive abilities.
 
A research team led by Prof. Margaret Morris at the University of Sydney showed how spatial memory damages are extensively observed in rats which were fed with junk foods such as pastries and doughnuts. Rats fed such foods doubled their food intake ratio and were never satisfied with the quantity of food fed to them. These creatures were also put to a test using two tea cups that were placed in two positions between which the rodents kept moving around. After sometime, one of the tea cups was removed but the rats, which are generally highly skilled in spatial memory skills (the ability with which they locate foods in a maze), failed to recognize the moved object. This shows the effect of junk food consumption on poor spatial memory skills in rodents. In humans too we have various studies reporting the effects of energy-dense food consumption on decreased hippocampus performance.
 
The same foods also prevent the formation of new neurons (neurogenesis) that are essential for forming new memories. They even lead to inflammation in the brain that damage these neurons in the process. Researchers in Australia have showed that a diet consisting of cakes, cookies or sugary drinks for 5 continuous days can increase inflammation levels in the hippocampus. Such people also  always feel hungry because its the hippocampus that receives fullness signs from the gut. And, when the hippocampus is damaged this cycle is broken causing people to desire for more and more food as they don’t receive satiety signs anymore.
 
Gut Microbiota & Food Choices
 
The human gut is indispensable for digesting food and expelling the unwanted ones. But recent research shows that the gut by itself could be a micro brain that rules our appetite and moods. Research even shows that our gut could be the culprit behind cravings for junk foods too. There is a two-way communication between the brain and the gut that happens via the brain-gut axis which is responsible for supervising our eating habits. This is evident from different research results-for instance, those who crave for more sweets have a different microbial breakdown composition in their urine that’s different from those who don’t crave.
 
The food we eat affects the bacterial composition of our gut. Its a conventional concept that our body desires for the nutrients it generally lacks. A study on flies that lacked proteins showed that surprisingly these specimens did not reach out for protein-rich foods placed in front of them even though they lacked this nutrient. The results showed that two specific microbes were responsible for suppressing the appetite for these proteins which made the researchers wonder whether the gut microbiota could affect food choices!
 
If that is true, then its better that we hold control over our gut composition before it starts affecting our food choices. This is possible by consuming enriching meals laden with ample nutrients. For instance, the best choice could be a Mediterranean diet that includes fruits, vegetables, nuts, seeds, legumes, olive oil, fish and whole grain, foods that are rich in all the essential nutrients needed for the healthy functioning of our body. Researches show that the degree of change in diet has a direct impact on the degree of change in emotions. In a study, a group of individuals who were habituated to regular consumption of junk foods switched over to a better diet-the healthy Mediterranean diet. Results showed that after a period of time, the degree of change in the diet had a direct impact on the degree of change in depression. As a welcome relief, the Mediterranean diet led to a decrease in depression levels proving that nutritious food choices go a long way towards better mental and physical health.
 
We have studies that have compared traditional diets such as the Mediterranean diets or the traditional Japanese diet to the Western diets whose results show that the risk of depression is 25-35% lower in those who eat these traditional diets. Such enormous difference is due to the nutritional composition of these diets which include fruits, vegetables, unprocessed grains and fish with optimal quantities of dairy and meat. Above all, these diets contain negligible amounts of sugar and refined foods that are the staple ingredients in junk foods and the Western diets. Unprocessed foods present in traditional diets are fermented and act as natural probiotics improving gut health.
 
Exploring the Flavors of Indian Spices
 
India is a country that’s proud of its cultural heritage, vibrant colors and above all, our healthy food habits and ingredients that promote good health, the most important of which are spices. Spices were an integral part of Indian medicines but now are being studied worldwide for their benefits in improving mental health. We love masala and spicy food. Spices such as turmeric, pepper, ginger and cumin seeds are a regular part of our daily cooking which shows that Indians have always been well-equipped for safeguarding their mental health. Spices have been shown to promote brain health, increase memory and cognition, enhance our focus and concentration and above all, protect brain cells health. Studies show that turmeric helps in repairing brain cells, cinnamon shows promising signs of improved cognition, the flavourful saffron is quoted to decrease depression and black pepper helps in increasing brain function and decreasing depression risks. But recent decades show a greater decline in the usage of such ingredients as many people have adopted the Western dietary routines and are fans of junk foods too. When our motherland is laden with all the wonderful spices and ingredients that promise wellness, health and fitness why are we craving for junk foods that take this all away and ruin our life? Include spices such as nutmeg, cloves, cinnamon, pepper, cumin, ginger and garlic in your daily cooking to reap potential health benefits.
 
It’s never feasible to make a radical change and stick to it. Try to cut down a couple of junk items from your food list every week. Experience the changes in physical and mental health that happen for the better as a result of this. Then, reintroduce the cut down foods once again and see how bad you feel in terms of overall health. First hand experience of both would definitely encourage every one of you to eradicate the presence of junk foods from your life forever. Once you feel the joy of better mental stability, happiness, better mood levels, decreased aggression and irritability why would you feel like going back to your unhealthy junk food life? Eat a variety of food with well-balanced nutrients, relish on your sweets or cookies rarely and exercise regularly for a healthy life. 
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    ​Dietitian & Nutritionist          Dr. Nafeesa Imteyaz.
    Ex HOD  Fortis Hospital (Dept Of Dietetics & Nutrition)
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