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February 2008  
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Healthy Lifestyle Programme at Delhi Heart & Lung Institute


Dr Ganesh Mani

Life style management deals with preventative healthcare programmes, rehabilitation, long-term wellness education, and corporate fitness management. The aim is to provide the clients with safe and effective programming by understanding and working with their current health status and lifestyle needs. Few of our citizens have healthy nutrition and physical activity levels. The impact of this physical inactivity on medical costs is substantial and is likely to grow unless trends in physical activity change among older adults.

Seven out of 10 deaths each year are caused by chronic diseases. The underlying causes of these diseases are often risk factors that can be successfully modified years before they ultimately contribute to illness and death. Three such factors—tobacco use, poor nutrition, and lack of physical activity—are major contributors to the nation's leading killers.

It is predicted that globally, deaths from non communicable diseases (NCD) will increase by 77 per cent between 1990 and 2020 and that most of these deaths will occur in the developing regions of the world. These conditions not only cause enormous human suffering, they threaten the economies of many countries as they impact on the older and experienced members of the workforce.

At the 53rd World Health Assembly in May 2000, the resolution on prevention and control on non communicable diseases (WHA53.17) was adopted that urged WHO Member States:

  • To develop "A national policy framework taking into account healthy public policies creating a conducive environment for healthy lifestyles; fiscal and taxation policies towards healthy and unhealthy goods and services";
  • To establish programmes for the prevention and control of non communicable diseases.
  • To assess and monitor mortality and morbidity attributable to non communicable disease; and nTo promote the effectiveness of secondary and tertiary prevention and support, the development of guidelines of cost-effective screening, diagnosis and treatment for NCDs.

Says Chairman and MD and Head, Cardiac Surgery, Dr Ganesh Mani, “In fact, there is a corresponding overwhelming rise in diabetes that we cannot afford to ignore. Although the increasing burden of diabetes and its complications is alarming, much of this burden could be prevented with early detection, improved delivery of care, and better education on diabetes self-management.”

A modest and attainable improvement in our level of activity and the food we eat will work wonders. It is scientifically proven that moderate physical activity can substantially reduce the risk of developing type 2 diabetes —not to mention heart disease, colon cancer, high blood pressure and obesity. Prevention is the power to protect your health. We need to strike a better balance between preventive care and treatment. Each of us has to take responsibility for making the right choices when it comes to diet and exercise.

“We have started a service to help the patient and their families to answer questions that they put to all their care takers as to what they expect in their recovery after the cardiac operation. . We want people to understand that they do not need to make drastic changes to their lifestyles to be healthier,” adds Dr Mani.

Cardiac rehabilitation at Hospital: Cardiac rehabilitation is an important phase to resume normal functioning and also if followed correctly, it has a long-term role of prevention of reoccurrence. In order to achieve great success rehabilitation program are a must and constitutes a team work involving the patient (who's compliant and motivated), physiotherapist, dietician and social psychologist, surgeon/physician.

Diet Instructions: Two lectures per week on healthy eating habits by a qualified dietician.

Exercise: Exercise protocols are laid down by a competent physiotherapist.

The central message of the 'Rehabilitation Programme' at DHLI is that small steps can make a big difference!

 


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