1. Health Evaluation of Employees @
Nutraceuticals Company, Gurgaon, India
Niti Munjal
Managing Partner, www.RxOcean.com
2. Health Camp
• First Health Camp at XXXX
• BMI
• BCA
Total
Normal
BMI
Healthy
Females 23 8 35%
Males 23 4 17%
• Whopping 72% of XXXX population falls under Overweight / Obese Category
• 35% of Females are Healthy in comparison to 17% of Males
3. Factors leading to Weight Gain
• Genetic Factors
• High Calorie diet
• Junk Food
• Alcohol – Thank God its Friday !!
• Left over of kids
• Low activity
• Sedentary Lifestyle
• No Exercise
• Too much reliance on household helps for daily chores
• Usage of personal vehicles over public transport
• Medical Issues
• Auto immune disorders –e.g. Thyroid, PCOD
• Stress
5. Obesity leads to …
• Body Mass Index of >= 30 Kg/m^2
• Obese People are at increased risk of:
• Diabetes
• Hypertension
• High Cholesterol
• Atherosclerosis
• CA Breast
• Sleep Apnea
• Reflux Disease
• Infertility
• Degenerative Arthritis
6. Weight Loss
• Once realization sets in that “I am not Healthy”….which generally
happens after a blood check suggested by a doctor
• People resort to:
• Fad Dieting
• Slimming centers
• Sauna belts
• Pills
• Protein Shakes
• Slimming Teas
• Regain Weight moment off the hook
• Slower metabolism
• Various Micronutrient deficiencies in body
Don’t go by tall claims of Some slimming centers. Ideal Weight Loss / Healthy
weight loss – shouldn’t be more than ½ to 1 Kg per week
8. Dry Fruits
• Almonds
• Rich in Dietary Fibre
• Health Promoting Phyto-chemicals
• Vitamins & Minerals
• Rich in Mono-Unsaturated Fatty acids
• Excellent Source of Vitamin E
• Gluten Free
• Many B Vitamins
9. Nuts
• Walnuts
• Rich in Mono-Unsaturated Fatty Acids
• Helps Lower LDL
• Excellent Source of Vitamin E
• Fair sources of B Vitamins
• Calcium, Iron & other minerals
10. Flax Seeds
• Rich source of Energy
• Health benefiting Minerals
• Anti-oxidants
• Omega-3 Fatty Acids
11. Sesame Seeds
• Good source of Magnesium, Iron & Calcium
• Helps preventing High Blood Pressure
• Health benefiting antioxidants
• Protects liver against Oxidative Damage
• 100 gms seeds = 18gms of Protein (32% RDA)
• 100 gms seeds = 97 mcg Folic Acid (25% RDA)
12. Peanuts
• Rich source of Energy
• Fair sources of Vitamins & Minerals
• Mono-saturated Fatty Acids
• Good Source of Vegetarian Dietary Protein
• Good Source of Vitamin E
• Fair sources of B Vitamins
• 100 gms provides 85 % RDI of Niacin contributing to Brain
health & blood flow to brain
13. Recommended Dietary Allowance (Indians)
Group Particulars Body weight
Net Energy kcal
/ day
Protein
Visible Fat /
g/day
Men
Sedentary
60
2320
60
25
Moderate 2730 30
Heavy 3490 40
Women
Sedentary
55
1900
50
20
Moderate 2230 25
Heavy 2850 30
Pregnant
Women
Pregnant + 350 82.2 30
Lactation
0 – 6 Months
+ 600 77.9 30
6 – 12 Months +520 70.2 30
14. What to include in your meal ?
Food Group Category Body Needs fulfilled
Cereals and Millets
Rice,Wheat,Ragi,Bajra,Maize,Jowar,Barley,Rice flakes,Wheat
flour
Energy,Protein,Invisible fat,Vitamin-B1,Vitamin-B2,Folic
acid,Fiber
Pulses and legumes
Bengal gram, Black gram, Green gram, Red gram, Lentil,
Cowpea, Peas, Rajma,
Energy,Protein,Invisible fat,Vitamin-B1,Vitamin-B2,Folic acid,
Calcium, Iron, FiberSoyabean, Beans
Milk and Meat Products
Milk, Curd, Skimmed Milk, Cheese, Chicken, Liver, Fish, Egg,
Meat Protein,Fat,Vitamin-B2,Calcium
Fruits and Vegetables
Mango,Guava,Tomato,Papaya,Orange,Sweet lime,Water melon
Carotenoids,Vitamin-C,Fiber,Invisible fat,Vitamin-B2,Folic
acid,Iron, Calcium, Vitamin - B2, Fiber
Amaranth,Spinach,Gogu,Drumstick Leaves,Coriander Leaves,
Fenugreek Leaves
Other Vegetables: Carrots,Brinjal,Ladies finger,Beans
caspsicum,onion, Drum Stick, Cauliflower
Fats and Sugar
Butter,Ghee,Hydrogerated fat,Cooking,oils like
groundnut,Mustard,Coconut
Energy, Fat,Essential Fatty acids.Jaggery and Sugar
15. Quality & Quantity of food intake
Males Females
Food Group Sub Group Serving Size
(gms / ml)
Number of
Servings
Cereals & Millets Cereals &
Millets
30 12.5
Pulses & Legumes Pulses 30 2.5
Milk and Meat
Products
Milk 100 3
Fruits & Vegetables
Roots &
Tubers
100 2
Green Leafy
Vegetables
100 1
Other
Vegetables
100 2
Fruits 100 1
Fats & Sugars Sugars 5 4
Fat 5 5
• RDA - 2320 kcal
• Protein - 60 gms
• Visible Fat - 25
Food Group Sub Group Serving Size
(gms / ml)
Number of
Servings
Cereals &
Millets
Cereals & Millets 30 9
Pulses &
Legumes
Pulses 30 2
Milk and Meat
Products
Milk 100 3
Fruits &
Vegetables
Roots & Tubers 100 2
Green Leafy
Vegetables
100 1
Other Vegetables 100 2
Fruits 100 1
Fats & Sugars Sugars 5 4
Fat 5 4
• RDA - 1900 kcal
• Protein - 50 gms
• Visible Fat - 20
19. What are Vitamins ?
• Vitamins are organic substances needed by our body in very small
amounts.
• Vitamins cannot be synthesized in the body (except Vitamin D)
and therefore must be supplied in the diet
• Vitamins are involved in the metabolism of the major substrates i.e.
fats, proteins and carbohydrates
Although required in very small quantities, vitamins are
essential to maintain good health
20. Supplements are useful for
Supplements
impaired
absorption due to
illness
increased needs
due to illness or
surgery
Pregnant Women
with poor
nutritional status
women who have had
a child with neural
tube defect require
folate supplement
22. Food Sources of Vitamin A
• Some losses in cooking & during long storage of Vitamin A
preparations is seen.
• Major Sources :
• Carrots
• Papaya
• Milk
• Margarine
• Butter
• Liver of Sheep & Fish
• Eggs contain vitamin A & Beta Carotene
28. Food Sources of Folic Acid
• Folic Acid is lost in cooking water & destroyed by heat
• Major Sources:
• Liver Goat
• Liver Sheep
• Ladies Finger
• Black Gram Dal
• Bengal Gram Whole
• Mint
• Spinach
29. Iron
• Major food sources :
• Cauliflower Leaves
• Rice Flakes
• Crab
• Mint
• Radish Leaves
• Bengal Gram Roasted
• Bajra
• Plantain Green
• Liver Sheep
30. Calcium
• Functions:
• Formation of bone & teeth
• Clotting of blood
• Contraction of heart and muscle
• Regulation of excitability of nerves fibre and nerve centers
• Regulation of permeability of capillary walls
• Deficiency :
• Decrease rate of growth
• Negative Calcium balance
• Loss of Calcium from bone
• Hyperirritability and tetany
Subsequently leading to Rickets in Children & Osteomalacia in Adults
36. Diet myths
• Banana is Fattening
• Bananas are low in fat and are packed with potassium; A banana has 0.5g fat and 95 calories
• Vegetarians cant build muscle
• Body can get the required protein to build muscle mass from vegetable sources such as cheese,
nuts, pulses and grains
• Cholesterol is Bad for you
• Cholesterol can be bad because it forms deposits that line and clog arteries. Clogged arteries
contribute to heart disease. But we all need some blood cholesterol because it's used to build
cells and make vital hormones.
• Low-fat foods help lose weight
• 'Low-fat' or 'fat-free' doesn't necessarily mean low calorie or calorie-free
• Fattening foods equal rapid weight gain
• True weight gain is a slow process. 3500 calories are required to gain one pound of body fat
• Crash dieting or fasting makes you lose weight
• Losing weight over the long term burns off fat. Crash dieting or fasting not only removes fat but
also lean muscle and tissue. The loss of lean muscle causes a fall in your basal metabolic rate -
the amount of calories your body needs on a daily basis.
• Low-fat or no-fat diets are good for you.
• A third of calories should come from fat. Body needs fat for energy, tissue repair and to
transport vitamins A, D, E and K around the body
37. Osteomalacia
• Softening of Bones
• Pains in Leg and lower part of back
• General weakness, difficulty in walking, especially
climbing stairs
• Repeated fractures since bones would have become
weak
38. General Tips to Lose weight
• Eat 5 meals a day
• Drink lots of water to cleanse your system of toxins
• Increase intake of Fruits & Vegetables rich in antioxidants
• Drink water before meal to give a feeling of satiety
• Exercise – increase metabolism, burn extra calories
• Negative calorie intake
• Limit intake of high calorie/high fat foods
• Limit your drinks and portions of junk food
• Avoid having chicken and other sources of protein
together – refer food groups table
Remember Economics – There is NO FREE LUNCH
39. Osteoporosis
• Bones become lighter and less dense
• Bone salts are unchanged but there is less of them
• Fractures are more likely to occur
• Intensity and severity are reduced if the maximum peak
bone mass is achieved in youth
• Osteoporosis is not caused directly by diet.
• For most menopausal women, due to low levels of female
hormones calcium absorption is affected
• Life style factors
• Physical inactivity
• Stress
• Hypothyroidism
Notas do Editor
if we are obese today then our coming generation is equally on a risk . Within families the chances is 80% if both parents are obese and 50% if one parent is obese.
Now that we understand how much should we consume or eat that our body requires for normal daily activities, we should also look at how can we burn excess fat that our body has stored over the last so many years. I don’t mean to scare you but we can see what obesity leads to …..
What happens when people realize that they are fat or when their body signals then we want to lose weight as soon as possible and as easily as possible … and resort to means which are unhealthy ….
Now that we have seen what are the major reasons of weight gain and what things are we doing wrong lets try to understand how can we maintain or achieve appropriate body weight. Energy that we get from food we eat is either burnt in various activities during the day or the excess gets stored in our body in the form of fat. So we should ensure that we eat right amount of food to avoid weight gain.
Now we can look at what and how much awe actually require.
The recommended dietary allowances (RDAs) are estimates of nutrients to be consumed daily to ensure the requirements
of all individuals in a given population.
How to make it practically possible
If water‑soluble vitamins are eaten in amounts greater than are needed and body stores are high, the surplus is excreted in the urine. Low body stores are replenished when diet improves. Fat‑soluble vitamins cannot be lost through the kidneys and a very high intake of vitamins A, D and K is toxic.
Low body stores are replenished when diet improves. Fat‑soluble vitamins cannot be lost through the kidneys and a very high intake of vitamins A, D and K is toxic.
In a well‑nourished person it is not essential that the daily requirements for vitamins are met every day. It is the average intake that is important. If body stores are high, a low intake would not lead to adverse effects for some time, depending on the particular vitamin. For vitamin C it might be weeks, for the fat‑soluble vitamins, months and for B12, years.
Prevention is better than Cure
Remember Supplements are not required by an healthy individual it is just ppl who re at risk or who are suffering from vitamin deficiency should take these under the guidance of their doctor..
If I were to show you RDA requirements then you would realize how small amounts are required which we cant through our diet. There are a number of reasons for the same which we will discuss later on.
Also to be noted is that excess or deficiency of vitamins both is bad. Now who is at RISK
Vitamin D is relatively stable while cooking
It has been reported that only 50 % of vitamin D consumed is absorbed.
Considerable percent of Vitamin D is produced by daily exposure to sunlight.
Osteomalaica is characterized by demineralization of previously formed bones leading to softness and susceptibility to fractures.
Very easily destroyed in storage, bruising & chopping
Cooking water especially if bicarbonate is added
Collagen Synthesis
(wound healing)
Increases iron bioavailability
Bodily deficiency or excess occurs due to too less or excess of Vitmain D
Absorbability depends on the need