Friday, December 8, 2017

Statins for Control of Cholesterol - Information and Research Review

Statins reduce cholesterol biosyntesis (production of cholesterol), mainly in the liver, due to their  effect of inhibition upon HMG-CoA reductase. The antiatherosclerotic effect comes due to decrease in LDL cholesterol. In addition, they can exert antiatherosclerotic effects independently of their hypolipidemic action. HMG-CoA reductase inhibition (reduction) has beneficial pleiotropic effects and reduce tumor cell growth. Consequently, statins reduced the rate of mortality in coronary patients.

Lovastatin was the first effective HMGCR inhibitor commercially made available in 1987 by Merck.

You can think of stopping the medicine or decrease the dose If you reduce risk factors

You have to do it on the advice of the doctor only. It can be thought of only if the level of cholesterol is under control for significant time.

Unless risk factors are significantly modified to reduce weight, increase exercise, control hypertension and diabetes, and stop smoking, cholesterol levels are likely to return to previous values if statin therapy is discontinued.


Statins are safe medicines - They have to be given to people with risk of vascular diseases.
But we are collecting data to investigate the reported problems due to statin use.



July 2017


Statins Benefit many. A meta-analysis of 27 large statin trials shows that statin treatment is clearly beneficial and has to be given for many with a 10% risk of vascular events in next 10 years (Lancet, 2012b). Then we may avoid 10,000 events, including 2,000 deaths every year.

 The meta-analysis, published in 2012 in the Lancet, was conducted by the Cholesterol Treatment Trialists’ (CTT) Collaborators. They analyzed data from 175,000 individuals by grouping them  into five categories based on high to low  cardiovascular risk.  Results of the based on 27 research studies,  showed that statins reduced the risk of serious vascular events by around 21% for each 1-mmol/L reduction in LDL cholesterol in all groups, including  the lowest risk group.

According to  Colin Baigent (Clinical Trial Service Unit, Oxford, UK), the relative reduction in risk of cardiovascular events with a statin is good even in the lowest-risk group and the benefits greatly exceeded the harms due to the drug.

Half of cardiac deaths happen in people the first time an adverse cardiac event occurs, so there is a limit to what can be achieved secondary prevention (which is treatment after the event and knowledge of the disease). Primary prevention, which is giving drugs to prevent the disease is  needed and therefore a threshold is to be set.

At the moment, the public and many doctors think that statins are necessary only if a patient has high cholesterol. The thinking has to be changed and new view that statin is needed if you are at any increased risk of heart disease has to be accepted and promoted.

Press release on research

NHS 'should consider giving statins to healthy people'
By James Gallagher, Health and science reporter, BBC News, 17 May 2012

Colin Baigent - Wider Stating use saves life


2013 OxfordNDM

Tuesday, November 28, 2017

Monday, November 27, 2017

Daily Rounds - Academic Network of Doctors

August 2017

Indian Council of Medical Research- India Diabetes(ICMR-INDIAB) Report 2017
The prevalence of diabetes in the 15 states was 7.3%.
For pre-diabetes, the overall prevalence was 10.3%

Lancet Diabetes Endocrinol. 2017 Aug;5(8):585-596. doi: 10.1016/S2213-8587(17)30174-2. Epub 2017 Jun 7.
Prevalence of diabetes and prediabetes in 15 states of India: results from the ICMR-INDIAB population-based cross-sectional study.

Sunday, November 26, 2017

Weight Loss Story - 20 kg Reduction from 80 kg to 60 kg - Diary

Do you need to reduce weight due to health reasons?

If you are serious about reducing the weight you can do it by appropriate diet and exercise.

Eat at least 500 calories less than your calorie requirement and do walking regularly.

It is the energy deficit that will finally give weight reduction. Exercise improves your aerobic health, maintains metabolism. Exercise may also give you pleasant emotions even though you are starving to some extent due to reduced calorie intake. It gives you a feeling of achievement and command over your body.

My Weight Reduction Project Started on 1 October 2016 

Maximum weight during the September 2016 last week was 80 kg.

Started the weight loss project on 1st October 2016.

First 11 days due to a religious event, only took fruits and some uncooked items during the day. Cooked food was consumed only in the night.  The weight came down to 75 kg by 15th October. From then onwards, 1200 calorie diet was started. The weight came down to 73 kg by 31 October. For the next two weeks. There was no change in the weight. That made me search internet and I came across the concept of weight plateau. The body is compensating for low calorie diet and is resisting the reduction weight.  The advice was to change the diet pattern.

75 kg photo on 18 October 2016

I started 3 days 2000 calories, 2 days 500 calories and 2 days 1200 calories pattern from 1st December. On 14th December, the weight came down to 70 kg. Along with reduction in diet I am also doing 5 km per day walking 5 days in a week.

My target is to reach 64 kg. I think it will take 3 more months to reach that target. But I plan to shift to 1800 calories per day diet from 1st January 2017 and some changes during the week (Probably 3 days 1800,  2 days 1200 and 2 days 2000 calorie diet)

My experience shows that if you are serious about reducing the weight you can do it by appropriate diet and exercise. I did not have any major problems to stick to the diet plan. There was some desire to eat on two or three days. But you can eat some thing more on some days if you have to, without any break in your weight loss program.

Weight Loss Story from 70 kgs to 66 kg

17th December 

On 14th December I first notes that the weight has reached the minimum value of 70 kg.
On 17th December at 8.45 pm the weight has reached again the 70 kg number. The weight keeps fluctuating on a day to day basis especially due to changes in water stored by the body. So 17th is also Saturday. On this day, my plan is to take 500 calories. May be I take 750 calories. The next two days I plan to take 1200 calories and once take reduced calories on Tuesday. I may be able to see weight less than 70 kg on Wednesday.

18th Morning

The minimum weight is once again 70 kg. So a good start for the next 15 days' goal of 69 kg.

19th Morning
Felt weakness. Recovered by afternoon.

Photo on 19th evening (70 kg weight)

29 December 2016

The weight in the morning 9.30 am has gone below 70 kg.

30 December 2016

The first weight measurement in the morning 7.15 am is 70 kg. From now on I want to focus on the first weight measurement in the morning instead of minimum weight. Focusing on minimum weight is resulting in a waste of time and number of measurements in the day. In stead of focusing only on the first measurement of the day will result in savings of time and also no further effort is required in the day expect the planned routine for the day. Now I am confident that weight will come down with planned diet.   Given a deficit of 500 calories per day, one lb weight will come down every week and hence in a full month 2 kg weight reduction can be there.

8 January 2017

Today the weight reached 69 kg. There is an interruption in diet plan because of parties on 31st December and 1st January.  But quickly overcame that by missing three dinners to reach 69 kg and keep the momentum of weight reduction. Now by month end I plan to reach 68 kg. 2 kgs per month is the target from now.

18 February 2017

No, there is no further weight reduction. 69 kg is still the minimum weight. In the first fortnight of February, I caught cold. Therefore no walking and more rest.

But today the good news is that my waist shows a reading of 35 inches. 

The reduction was achieved from 38 inches. So internally the benefits and diet plan and exercise are being realized. So I should still believe in the weight reduction plan and continue it for another two months. I want to do the weight reduction for the benefit of myself as well as for providing the genuine case to others. If your medical condition requires it you can reduce your weight by appropriate diet and exercise plan.

19 February 2017

Morning 6.30 am measurement showed 68 kg. 

In a day two kg difference. What was done?  Two hours of walking in the morning of 18 Feb 2017. A light lunch was taken. Dinner was not taken. A prescribed diuretic was taken in the usual course of things. The result was the reduction of weight to 68 kg which was the target for end January. Today if Sunday and some diet control on the day could help me to maintain weight around 68 kg tomorrow also.  This 68 kg reading is based on special effort.

26 February 2017

Waist  reached 34 inches. 

The morning weight today is less than 69 kg. By tomorrow will it go down below 68 kg?

27 February 2017

Yes, the weight has gone below 68 kg. 

I skipped dinner yesterday. Took only lunch for the entire day. Taking only one meal means, the intake can be restricted to 600 to 700 calories. Add 200 more for morning and evening teas. So a total of 900 calories will go inside for the day. I plan to do it once a week for the next two months.

6 March 2017

The weight is close to 67 kg.

Today morning at 6.30 am the weight reading is close to 67 kg. Felt very weak last week, but still had a light food on Sunday. Today morning I went for a 45 minute walk from 5.30 to 6.15 am. Of course there was some work to do outside. Reaching this minimum weight required special effort.

Decided to raise calorie input to 1800 from today. May be on Saturday and Sunday something less will be the intake.
1800 Calories Andhra Meal Plan for Weight Loss

11 March 2017

Weight Fluctuations

In this week, there is a big weight fluctuation. On Wednesday, I broke my routine and ate evening tiffin. This was because there was good amount of weakness on the day. The weight has gone up to 72 kg maximum. In the downward movement, it became 68.5 kg at 12 noon of today (11 March 2017).

What is the reason for fluctuations? The water decrease and increase. When one walks a kilometer, there can be a decrease in weight by one kg. If one does not drink water for some more time there can be further decrease in water in the body and weight further goes down. But very quickly the water will get replenished and weight comes back. Another issue is at any time, a person who is dieting eats more, the glucose store gets replenished and weight can increase  by 2 kg very quickly. So 3 to 5 kg can be gained very quickly in just days.  This point is important to note because many people give up their weight reduction attempts very quickly as gain weight when the exercise is reduced and food intake is increased even for few days. Same thing will happen when weight reduction attempt is stopped. Four to five kg of weight increase will take place. So weight reduction target or goal is to be set taking into consideration this likely increase.

After dinner weight is slightly lower than 70 kg.

12 March 2017

The early morning weight is 69 kg. 69 kg as a minimum weight was reached on 8th January. I have to now look for keeping 69 kg as the maximum weight in a day. Yesterday the maximum weight was 70 kg. I have to look for the day when 69 kg becomes the maximum. Will it happen this week or next? There can be a gap of 1.5 to 2 kg between minimum and maximum weight in a day.

On 12 March 2017, the maximum weight reached 71 kg. It went up to that number after evening snacks the reading was 70 kg and after dinner it went up to 71 kg. There was no movement during the day as I sat down and did lot of computer related work.

13 March 2017

The morning weight was more than 69 kg. But around 11.15 am, after three cups of liquid and 4 or 5 almonds, the weight is less than 69 kg. So it is a good sign to show that the reading will go to 68 in the future. It should go down to 68 kg without any special effort the previous day or the current day. It has not happened. May be it will take another two weeks. But in the meantime special efforts will be done like walking 10 kilometers etc. to push minimum weight below 67 kg. But I shall take 1800 calories per day every day to avoid unnecessary weakness. Last week I suffered weakness for almost a week.

18 March 2017 - Saturday

Minimum weight reached is 68 kg.

It is good because on 11 March 2017, the minimum weight was 68.5 kg. The special effort was a walk outside for one hour ten minutes from 11.20 am to 12.30 noon. A diuretic in the morning. I could not do evening walk on Friday (17 March 2017). No diet skipping was there. During the last week I was taking around 1800 calories daily. Also skipped evening walk on Thursday.

19 March 2017 - Sunday

Minimum reading today is 69 kg (11 am). It was the measurement in the morning. After one hour walk also, the reading is the same.

28 March 2017 Tuesday

The maximum weight is close to 70 kg these days. I have to wait for the day when it goes below 70 kg. I don't think so far on any day maximum weight was less than 70 kg. If it happens it will be another success in the weight reduction project.

From 6 March onwards, I increase intaked to 1800 calories, may be slightly less on Saturday and Sunday. Still I think weight is showing signs of decrease.

14 April 2017 Friday

Minimum weight is 68 kg. I am trying to maintain maximum weight at 69 kg for the day. What I observed is on a day when morning weight is 68 kg, in the evening, if walking for 5 km is done, the weight still shows 69 kg and by next day morning minimum weight becomes 69 kg and maximum goes above 70 kg. So the water loss that occurs during walking comes out clearly in the weight measurements.

29 April

For the last few days weight is fluctuating between 69 and 68 kgs. So the goal keeping maximum weight to 69 kg was achieved. Intake of 1800 calories may give some weight reduction. But significant weight reduction may not happen in short time with 1800 calories. So I am trying to push calorie intake down to 1400 or 1500 calories. Also I am trying to go a morning walk in addition to evening walk. There two walks of 5 km each may result in expenditure of 500 calories and thus a deficit of 1000 calories per day may be created facilitating weight reduction.

4 June 2017

I took a break from dieting on 16 May 2017. I went on two trips and I did not want to become weak or show tiredness during the trips. So I ate more during the trips without any specific restrictions on the food. I came back from the trips on 3 June 2017. So once again I want to continue weight reduction activity from today. The morning measurement of weight is 70 kg. I shall monitor my weight for the next two months with a diet less than 1400 calories. I think I shall quickly come back to my minimum weight of 68 kg may be in a week. I thought of doing an extra walk of 5 km in the morning. But it is causing severe weakness feeling. So I have to stick to evening walk only.

11 June 2017

10th June is Saturday and night I take light tiffin. The morning weight reading at 6.30 am is 69 kgs. But as I look back, I realize weight is almost constant for the last six months or five months. Can I do good weight reduction in the next two months. I have to follow strict diet control and see.

21 June 2017
Today, I am lucky to see the weight reading at 69 kg. During the last 10 day, the weight fluctuated between 70 and 71 kg. The whole experience shows how frustrating the whole project is. The weight reduction does not happen linearly. The body has various mechanism to fight back and delay weight reduction. We have to be patient and stick to diet and exercise routine for sufficiently longer periods of time. The body creates intense tiredness feeling. So sometimes we are forced to eat more and that may break the momentum of weight reduction and we are back by one two kg.

12 July

From 4 July onwards I started low carbohydrate diet. Started eating idlies, pesarattu (moong dosa), and sprouts. With rice I am taking dal only.

Some benefit is there. Today the weight reading is 68 kg. I want continue with the diet for 3 weeks more. The writers are warning that long periods of dieting can create problems of muscle cramps because of reduced in take of vitamins and excessive loss of water from the body. People doing dieting with the help of nutrition experts may not get into big problems. But persons doing on their own can get into problems.

20 July
Today also weight reading is 68 kg. The body feels light. But the weight reading is still the same.

22 July
The minimum weight reading has gone below 67 kg. After lunch the weight reading was 68 kg. But after evening eating of salad the weight has gone further up.

27 July
The reading is close to 67 kg today. But this is after a bout of diarrhea on 25 July. Still 2 more kg of reduction required to touch 65 kg.

The weight after breakfast is 68 kg and interesting thing is that I drank three glasses of water in the morning and three cups - one cup milk and two cups tea. Good going.

4 August

Weight is less than 68 kg at around 10 am

23 August 2017

At 11.10 am today, the weight is 66.5 kg. I am trying to take 1200 calories more strictly for the last 10 days.

20 September 2017

No entries after 23 August 2017. By the second week of September 2017, I felt weak and not having interest to do normal activities. Hence I increased the food intake for two days and had an attack of indigestion and stomach upset. After the stomach upset day, may be on 13 September 2017, the minimum reading was 66 kg. Due to weakness, I was more liberal with food. On 16 September 2017, I once had a stomach upset and on 17th Sep, the reading at 12 noon with no food intake during the morning except a cup of tea was 69 kg.  It means, some glucose store got built up and store of water also increased due to it.

On 20th September 2017, I went for weight related analysis session.

The measurements are:

Weight: 70.3 kg (including the normal pant, shirt and undergarments)

Fat 25.7%
Visceral fat 13.5%
Skin Fat 17.9%

RM: 1582
MM: 29.0  ( I do not know what it is?)
Body age (BA) 58

25 October 2017

Came across articles on Aamir Khan's Weight Loss of 25 Kg. - Interesting
Aamir Khan's 25 - 28 Kg Weight Loss Story - 5 Five Month Effort

The question based on this article is how to do exercise to consume 1000 calories a day?

1 November 2017

66 kg reading

Last week, 3 days, I tried to be actively exercising for 4 hours. Took full rest on a day. 2 days, did 2 or 3 hours exercise.

The morning measurement on 1 Nov 2017 showed 66 kg. After taking water, milk and tea, the reading was 67 kg.

27 November 2017

66 Kg seems to be the weight in the morning during the last few days. This has come about due to skipping evening tiffin and dinner on Wednesday (22 November)  and Friday (24 November). The lowest weight had even touched 65 kg. So may some more months to reach 64 kg based on the progress during the last year. But a strong hope is there to reach the target now.

Energy Requirement Calculator

For old people at 60 years of age, it shows the following calorie intakes

Weight                    Activity                 Harris Benedict     Katch-Mcardle
70                           Light                         2003                      2136
70                           Moderate                  2258                      2407

Body Fat Calculator

Weight Loss Stories from the Web

My Weight-Loss From 86 kgs to 70 kgs

November 2013

I lost 18 kilos on this plan, you can too!

By Muhammad Irfan Published: November 20, 2012

How Long Will It Take to Lose the Weight?

by Konstantin Monastyrsky

Weight Loss Diets for Andhra People

1200 Calories Andhra Meal Plan for Weight Loss

1500 Calories Andhra Meal Plan for Weight Loss

1800 Calories Andhra Meal Plan for Weight Loss

2000 Calories Andhra Meal Plan for Weight Loss

Weight Loss Tips

For ladies, if you cannot go out, do spot walking 100 steps at a time many times. Once before tea, once before taking bath, during the time washing machine is working, before prayer and after prayer, before taking lunch, before taking dinner. Create an opportunity to move your body.

Updated 27 November 2017,  1 November 2017,  25 October 2017, 20 September 2017,  23 August 2017,  27 July 2017,  22 July 2017, 20 July 2017, 12 July 2017, 21 June 2017, 11 June 2017, 4 June 2017, 29 April 2017. 14 April 2017,  28 March 2017,  18 March 2017,  11 March 2017, 6 March 2017, 26 February 2017, 19 February 2017,  18 February 2017,  8 January 2017, 30 December 2016, 19 December 2016,  17 December 2016,  14 December 2016

Friday, November 24, 2017

Hair Dyes and Cancer Link - Ongoing Research - Findings, Conclusions and Controversies


Hair Dyes Tied to Higher Breast Cancer Risk
Study findings differ by race, but one expert says they're inconclusive
study lead author Adana Llanos.
an assistant professor of epidemiology with the Rutgers School of Public Health and Rutgers Cancer Institute of New Jersey.

Research suggests link between hair dye and breast cancer
Oct 16, 2017
Professor Kefah Mokbel, surgeon, from London's Princess Grace Hospital,

Research Papers

Does hair dye use really increase the risk of prostate cancer?

Bang-Ping Jiann
Jiann BMC Cancer (2017) 17:724

Personal use of hair dyes and risk of leukemia: a systematic
literature review and meta-analysis
Kevin M. Towle , Matthew E. Grespin & Andrew D. Monnot
Cancer Medicine 2017; 6(10):2471–2486

Phd Thesis
Permanent hair dyes. Exposure, diagnostics, and prevention of contact allergy.
Antelmi, Annarita
Published: 2017-01-01

Thursday, November 16, 2017

Health Benefits of Bitter Gourd - Bitter Melon - Karela

Benefits of Bitter Gourd (Karela) Juice
Posted by Srishti Walia | Nov 15, 2017 | Health and Ayurveda

Control of blood sugar

J Ethnopharmacol. 2011 Mar 24;134(2):422-8. doi: 10.1016/j.jep.2010.12.045. Epub 2011 Jan 4.
Hypoglycemic effect of bitter melon compared with metformin in newly diagnosed type 2 diabetes patients.

Bitter melon had a modest hypoglycemic effect and significantly reduced fructosamine levels from baseline among patients with type 2 diabetes who received 2,000 mg/day. However, the hypoglycemic effect of bitter melon was less than metformin 1,000 mg/day.

Weight reduction

J Lipids. 2015; 2015: 496169.
Published online 2015 Jan 12. doi:  10.1155/2015/496169
PMCID: PMC4306384
Beneficial Role of Bitter Melon Supplementation in Obesity and Related Complications in Metabolic Syndrome
Md Ashraful Alam, 1 , * Riaz Uddin, 2 Nusrat Subhan, 3 Md Mahbubur Rahman, 1 Preeti Jain, 1 and Hasan Mahmud Reza 1 , *

Thursday, November 2, 2017

Ideal Body Composition

Human Body Composition: Approaches and Applications
Josef Brožek
Elsevier, 22-Jan-2016 - Medical - 324 pages

Human Body Composition: Approaches and Applications focuses on approaches to the description of human physique; clarification of the role of factors determining and modifying body composition; and assessment of biological and medical significance of individual differences in body composition.
The selection first discusses advances and developments in the methods for the study of body composition and chemical analysis of the body. Discussions focus on direct and roentgenographic studies of bone mineralization; caliper and roentgenogrammetric values of the thickness of subcutaneous adipose tissue; and soft tissue roentgenography. The text also looks at determination of specific gravity of live sheep and its correlation with fat percentage and interpretation of whole body potassium measurements.
The manuscript evaluates research on body composition and its relevance for human biology, including sex, growth, and aging, physical activity, loss and gain of body weight, and body composition in animals. The book also elaborates on sex difference in body composition, physical activity and body composition, hydrometry of growth and aging, and body composition and appraisal of nutriture.
The selection is a reliable reference for readers interested in the composition of the human body.

See Page 181

International Journal of Obesity
July 2002, Volume 26, Number 7, Pages 953-960

"Fat-free mass index and fat mass index percentiles in Caucasians aged 18-98 y"

Y Schutz, U U G Kyle and C Pichard

Sunday, October 29, 2017

High Fiber Foods - You have to eat 30 to 40 grams fiber per day

Apple 2.4 gms per 100 grams

More fiber than apple

1. russell potato

2. Sweet potato

3. chick peas

4. whole grain bread

5. oasts

6. chia seeds

7. Broccoli

8. Pear

9. 5.6 gms in half pomegranate - It also has 20 grams of sugar

10. Pearled barley

11. wheat bran

12. Green peas

13. black berries

14. lentils -

15. raspberries

16. Black beans

17. Acorn squash

18. Navy beans


fiber in:

Cooked white rice 100 gm  - 0.4 gm

Brown rice cooked 100 gm - 1.8 gm

                % of grain
                that is fiber

barley 17.3%
brown rice 3.5%
buckwheat 10.0%
bulgur wheat 18.3%
corn 7.3%
millet 8.5%
oats 10.6%
rye 15.1%
sorghum 6.3%
spelt wheat 10.7%
wheat 12.2%

Healthy ways to get your daily fibre

Fiber requirement

About Dementia



Lewy bodies

Majority of cases are Alzheimers

Vascular 10%

Use left hand to write


Do knitting - use both hands simultaneously.

Friday, October 27, 2017

Weight Reduction - Mantena - అధిక బరువు తగ్గాలంటే - డాక్టర్ మంతెన సత్యనారాయణ రాజు

అధిక బరువు తగ్గాలంటే - డాక్టర్ మంతెన సత్యనారాయణ రాజు

తిన తగినవి -  కూరలు, పళ్ళు, మొలకలు


అధిక బరువు తగ్గాలంటే - మానవలసినవి

పంచదార, దుంప కూరలు, కొన్ని పళ్ళు - అరటి, మామిడి, ఖర్జూరం, సపోటా
తగ్గించండి - అన్నం

శక్తిని ఇచ్చే పదార్ధములను తగ్గించండి. మాంస కృత్తులు, విటమిన్లు, లోహాలు, ఎంజయ్ములు ఇచ్చే పదార్ధములను తగ్గించకండి. రోజుకు 60 నుండి 70 గ్రాముల మాంస కృత్తులు కావాలి. కాబట్టి మొలకలు ప్రత్యేకించి తినండి.



మగవారు బరువు స్థిరముగా ఉండాలంటే తిన తగిన ఆహారం

pulses                    10044002020
Fruits    200100


బరువు తగ్గడం కోసం బియ్యం 25 గ్రాముల, పప్పు 25గ్రాములు, నూనె 10 గ్రాములు తగ్గించండి. 290 కెలోరీలు తగ్గుతాయి. అంటే 1870 కెలోరీలు వస్తాయి. ఒక గంట సేపు నడవండి.  బరువు తగ్గు ముఖం పడుతుంది.  ఇంకో 25 గ్రాములు బియ్యం తగ్గించండి. ఇంకొంచెం సేపు ఏమైనా పని ఎక్కువ చెయ్యండి. రోజు బజారుకు నడిచి వెళ్లి సరుకులు కూరలు తేవడము వంటి పనులు ఎక్కువ చేయండి.   బరువు తగ్గించే ప్రయత్నమూ రోజులలో పంచదార, బెల్లం పూర్తిగా మానివేయ్యేది. కాఫీ, టీ  పంచదార లేకుండా త్రాగండి.

About Visceral Fat, Complications Created by it and Its Reduction

Increased visceral fat is an important measure that increases  risk of heart disease, type 2 diabetes and certain cancers. Visceral fat is increasing  dramatically with age. Increased risk of disease may be largely prevented if the age related increase in visceral fat is prevented. Data shows that visceral fat is increasing over 200% in men and 400% in women between the 3rd and 7th decades.

More information

Int J Body Compos Res. Author manuscript; available in PMC 2014 May 13.
Published in final edited form as:
Int J Body Compos Res. 2010 Sep 1; 8(3): 103–108.

Age Related Shift in Visceral Fat
Gary R. Hunter, Barbara A. Gower, and Brandon L. Kane

Wednesday, October 25, 2017

Aamir Khan's 25 - 28 Kg Weight Loss Story - 5 Five Month Effort

Aamir Khan gained weight first for his role of an overweight old wrestler (Film Dangal) and lost the extra weight subsequently in 5 months. He had lost weight in the old fashioned way only. Losing one kg per week which requires a deficit of 1100 calories for a day. For that he has taken 1500 calories per day. He consumed 2600 calories per day. But initially, he went to a ranch in Arizona and was active for 8 hours a day to lose 2 kgs per week for 3 weeks. This only gave him a leg up on his weight reduction project and probably gave him the confidence and strong motivation to complete weight reduction in a planned time to be ready for shooting for the same film.

Aamir Khan Reveals his Weight Loss Secret in Dangal Movie


Upendra Ahire - Upload

Articles on Aamir Khan's Weight Loss of 25 to 28 Kg

Amir Khan's Dangal Diet Plan

Year : 2014  |  Volume : 1  |  Issue : 1  |  Page : 58-61
A thought that turned into reality -an interview with Dr. Vinod Dhurandhar, founder president AIAARO (All India Association for Advancing Research in Obesity);year=2014;volume=1;issue=1;spage=58;epage=61;aulast=Patankar



Tuesday, October 24, 2017

Planking - Exercise





The American Council on Exercise

There is standing plank also



Testosterone - Problem and Treatment

Control Waist to Height Ratio - Prevent High BP, Diabetes and Cholesterol Problems - W/Ht < 0.5

Waist has to be less than half of your height

You waist in inches (cm) has to be less than half of your height in inches (cm).

For example if your are 5 feet 6 inches (66 inches), your waist has to be less than 33 inches.

The risk of developing high blood pressure (blood circulation problem), diabetes (excess glucose in blood), high cholestorol (excess fat in blood) increases as the waist measurement goes about half of height.

There are large number of research studies which are confirming this relation.

When you go to a tailor or to a shop to buy a trouser. don't rejoice if your size has gone up. Immediately take action to reduce it. Do some diet control and increase your exercise to bring the size back to healthy limit.

Salman Khan maintains his waist well within the ratio



Add to 20 Years to Your Expected Life



Cass Business School

Some research papers are shown in this video


Research Studies






Popular Articles


How can you reduce waist.

1. Reduce weight.

2. To reduce weight, find out your calories requirement and eat 500 calorie less.

3. Do exercise as you specified in your calorie requirement.

4. Try to walk and do movements for one hour.

5. Do planking exercise.

Indian films starts are maintaining the recommended ratio

Figures collected from various websites in 2017

Akshay kumar

Height 180 cm  5' 11” (71")
Weight 80 kg, 176 lbs
Body Measurements - Chest: 42 Inches - Waist: 34 Inches - Biceps: 16 Inches

Ranbir Kapoor
Height 183 cm,  6' 0”
Weight  78 kg, 172 lbs
Body Measurements - Chest: 42 Inches - Waist: 32 Inches - Biceps: 15 Inches

Varun Dhawan

Height 175 cm, 5' 9”
Weight 78 kg,  172 lbs
Body Measurements - Chest: 40 Inches - Waist: 32 Inches - Biceps: 15 Inches

Sonakshi Sinha

Height 169 cm, 5' 6½”
Weight 70 kg, 154 lbs
Waist 27 inches

More actors' information to be added

Sunday, October 22, 2017

Health News and Information Updates


Protein at every meal may help preserve muscle strength as you age

A new concern about blood pressure and your brain health

Not so fast: Pros and cons of the newest diet trend

Intermittent fasting promises better health and longer life, but does it work?

Are there any benefits to exercising on an empty stomach?
July, 2017
There may be some benefit. Morning walk on empty stomach may be beneficial for fat consumption.

Staying Healthy Section - Harvard Health

Thursday, September 28, 2017

Benefits Standing for some time over Sitting for Prolonged Periods of Time

Standing versus Sitting: kilocalories expended per minute (1.36 ± 0.20 kcal/min, P ≤ .0001 vs. 1.02 ± 0.22 kcal/min, P ≤ .0001).

Tuesday, September 26, 2017

7-Day GM Diet for Weight Reduction

Many persons are vouchsafing for the GM diet weight loss. Especially, when weight reduction is not taking place in any plan, alternatives are to be looked for. GM diet is one alternative people are recommending. I think GM diet uses Atkins diet philosophy on day 5 and day 6 when protein and fat are the main inputs.

Interesting Web Sites  (Simple video included)    (Good simple explanation with pictures)

GM Diet  - Day 1  -  Day 2  -  Day 3 - Day 4 - Day 5 - Day 6 - Day 7

Day 1  - Only fruits - All except banana

Day 2 - Only vegetables - cooked or raw - Only one potato per day.

Day 3 - Fruits and vegetables combination - No potatoes.

Day 4 - 6 to 8 bananas and 3 to 4 glasses of milk.

Day 5 - 400 gms of lean beef, 6 to 8 tomatos. - Use paneer in place of meat.

Day 6 - 400 gms of lean beef and vegetables - Use paneer in place of meat.

Day 7 - Brown rice for Lunch and vegetables

Vegetarians can take Paneer in place of Lean Beef.  Compare the nutrients.

Lean Beef

Lean Beef contains per 100 gms (when it is 5% fat type)

                   100g raw as sold contains
Energy              520kJ (124kcal)
Fat                       4.5g
Saturates               2.0g
Carbohydrate        0g - No carbohydrates
Sugars                0g
Fibre                0g
Protein             20.8g
Salt                        0.3g


100 gms of paneer made from cow milk provides

18.3 gms of protein,
20.8 gms of fat,
2.6 gms of minerals,
1.2 gms of carbohydrates, - Very small amount of carbohydrates
265 kcal of energy,
208 mgs of calcium,
138 mg of phosphorous.

In paneer fat is more. In lean meats also there are different types. 20% fat lean meats are there. So one should not worry about. 

Monday, September 25, 2017

Recommended Nutrition Value of Typical Indian Diet - Old People Balanced Diet

                    Indian vegetarian Low Cost and  High Protein Diets

 Low cost Indian vegetarian diet                           High Protein vegetarian diet

Food Groups     Amount   Protein                          Amount   Protein
                           (g/d)       content                             (g/d)       content
                                          (g)                                                   (g)

Cereals & Millets   375           38                                   375             38
Pulses (legumes)      32             8                                     75             18  (Extra 40 g/d)
Green leafy
vegetables                 40             3.3                                  40              3.3
Other vegetables       50                                                    50            
Roots & tubers          40                                                    40
Fruits                         25                                                    25
Milk, milk based
products                  120             4.6                                500              19 (Extra 380 g/d)
Visible fats & oils     32                                                    30
Sugar & Jagg            25                                                    20
Calories (kcal)          2223                                            2578
Proteins (g)                               54                                                      78
PE Ratio (%)                              9.7                                                    12.1

Table Annexure 5.2 of   (Nutrient Requirements and Recommended Dietary Allowances for Indians  334 page report of ICMR, India)

Balanced diet for an elderly person for a day

Food Stuff                Quantity ( raw ) g
                                 Males              Females

Cereals                       350                  225
Pulses                           50                    40
Vegetables                  200                  150
Green Leafy
vegetables                     50                   50
Roots-Tuber                100                 100
Fruits                           200                 200
Milk and Milk
Products                      300                  300
Sugar                             20                    20
Fats - oils                      25                    20
(Source : “Dietary tips for elderly”, NIN, ICMR Hyderabad 2000)

                                      per 100 gms
                       Water     Protein Fat     Carbohydrate    Fiber (g) Energy (kcal)      
Brown rice 14.0       7.3         2.2 71.1                  4.0 384
Wheat             14.0     10.6         1.9 61.6                10.5 375
Maize             14.0       9.8          4.9 60.9                 9.0 396
Millet             14.0     11.5          4.7         64.6               37.0            395
Sorghum        14.0       8.3         3.9 57.4               13.8 384
Rye                 14.0       8.7         1.5 60.9               13.1 375
Oats                14.0      9.3          5.9 63.0                 5.5 392
Potato             77.8      2.0          0.1 15.4                 2.5 70
Cassava          63.1      1.0          0.2 31.9                 2.9 133
Yam                71.2      2.0          0.1 22.4                 3.3 98

Updated 26 September 2017, 21 Juy 2017,  22 November 2016, 3 February 2015

Wednesday, September 20, 2017

Thyroid Problem and Nutrition

Avoid overconsuming foods that can potentially interfere with thyroid function or interfere with its use of  medicines. Such foods include broccoli, cabbage, brussels sprouts, cauliflower, kale, spinach, turnips, soybeans, peanuts, linseed, pine nuts, millet, cassava, and mustard greens. But these foods are healthy  in general, so one should not avoid them completely. But use them in moderation.

Nut Consumption - Health Benefits

Health Benefits of Nut Consumption

Emilio Ros
Article published in Nutrients. 2010 Jul; 2(7): 652–682.

Nuts (tree nuts and groundnuts are nutrient dense foods rich in unsaturated fatty and other bioactive compounds: high-quality vegetable protein, fiber, minerals, tocopherols, phytosterols, and phenolic compounds.  Epidemiologic studies have associated nut consumption with a reduced incidence of coronary heart disease and gallstones in both genders and diabetes in women.

Half a handful of nuts a day 'reduces early death risk'
June 2015

10 grams of nuts per day is one recommendation

10 grams of peanuts = 12 peanuts
10 grams of almonds = 8–9 almonds
10 grams of cashews = 6 cashews

Peatnut nutrition:

Bioelectric Impedance Analysis - BIA Devices to Measure Body Fat Percentages

Sunday, August 20, 2017

Sugar Problem - Diabetes - Diet Tips - Calorie Intake Guidelines

Diabetes, Type 2 In-Depth Report

Complementary and Alternative Medicine (CAM) Supplement Use in People with Diabetes: A Clinician's Guide

Laura Shane-McWhorter
American Diabetes Association, 11-Jun-2007 - Health & Fitness - 213 pages

People with diabetes are 1.6 times more likely than people without diabetes to use a complementary or alternative medicine supplement. This clinician's guide will give you facts and tips to help your patients successfully consider using a CAM supplement. Includes: in-depth descriptions of botanical and nonbotanical CAM supplements to treat diabetes; tables organizing supplements and therapies for quick reference; and review of clinical studies and chemical constituents for each supplement.

Diabetes Patients - Calorie Intake Guidelines

1,200 to 1,600 Calories

The National Diabetes Information Clearinghouse recommends a 1,200- to 1,600-calorie diet for: small women who exercise,
small women who want to lose weight
medium-sized women who want to lose weight and
medium-sized women who are relatively inactive.

1,600 to 2,000 Calories

The diabetes clearinghouse recommends a 1,600- to 2,000-calorie diet for the following:
medium-sized women who are active
large women who want to lose weight,
small men who don't need to lose weight,
medium-sized men who are relatively inactive and
medium-sized men who want to lose weight and
large men who want to lose weight.

2,000 to 2,400 Calories

The diabetes clearinghouse advises a 2,000- to 2,400-calorie diet for
medium-sized men who are physically active and
large women  who are physically active and
large men who don't need to lose weight.

Diet Tips

Combine carbohydrates, proteins and fats. Use vegetables and fruits.  Take food in six parts at every three hour intervals. 3 main intakes and 3 in between intakes.

Basal Metabolic Rate

The Mifflin–St. Jeor equations for calculating basal metabolic rate (BMR):

For men, BMR = (10 × weight) + (6.25 × height) – (5 × age) + 5
For women, BMR = (10 × weight) + (6.25 × height) – (5 × age) – 161

The weight is to be in kilograms, height in centimeters, and age in years.

For woman with 56 kg weight, 5 ft and 4 inches (163 cm) height and 47 years

10*56 + 6.25*5 feet 4 inches *2.54 - 5*47 - 161

560 + 1018 - 235 - 161

1578 -  396 = 1182

Take for sedentary work 30% more as energy for activities.

Food exchange lists

Indian Diets

Andhra Meal Plan for 1200 calories

Updated  21 August 2016, 4 November 2016

Wednesday, July 26, 2017

Wednesday, July 19, 2017

Sunday, May 28, 2017

Weight Loss Advice, Science, Suggestions and Tips

Weight loss industry is $20 billion

1. Eat a good breakfast - You are likely to eat less in the rest of the day.

2. Eat dessert or sweet at the end of breakfast - You are likely to eat less in the rest of the day as well as during many days.

3. eat more fibre

4. Quit drinking carbonated drinks

5. Buy and store vegetables and eat them.

6. Use more vegetarian protein. Replace meat.

7. Increase dairy items.

8. Have adequate protein intake

9. Coffee drinking may increase your metabolism

10.Be careful with wine intake. One serving may give you 125 calories. 3 servings is almost a meal.

Thursday, March 2, 2017

Calories Expenditure in Activities - Calories in Food Items

Calories Expenditure in Activities

Men   Restin Metabolic Rate Formula (RMR)  = 88.362 + 4.799(cm) + 13.397(kg) - 5.677(age)
          Height = cm (1" = 2.54cm), Weight in kg (2.2# = 1kg), Age in years

Activity                          Energy Expenditure

Sleeping                                       0.02
Sitting Activities (very light)      0.03
Standing (very light)              0.04
Walking (3 mph 20 min/mile)      0.06
Stretching/Yoga                      0.06

McArdle, W., Katch, F., & Katch, V. (2001). Exercise Physiology: Energy, Nutrition, and Human Performance (5th Ed.). Philadelphia: Lippincott Williams & Wilkins

Find calories required by you based on McArdle - Match formula

Calories Expenditure for 71 Kg man

activities                            leeping   Sitting  Standing  Walking
calories/min/kg                      0.02    0.03 0.04        0.06
calories/min                           1.42    2.13 2.84        4.26
Minutes spent in a day           600     600 180         60
Hours Spent in a day               10        10          3            1
Total Calories                         852 1278 511.2 255.6

Grand Total calories spent for a day                             2896.8
Assuming 2500 calories consumption per day is more appropriate

Other Estimates

The researchers found subjects burned about 1 calorie per kilogram of body weight per hour while reclining, 1.08 sitting while reading or watching TV, and 1.11 while typing at a computer.

68 kg  - 68 calories per hour

How Many Calories We Burn When We Sit, Stand or Walk

Sitting 75 calories per hour

Standing instead of sitting may help you burn 20 to 50 more calories per hour. So standing for four hours a day can burn an extra 80 to 200 calories.

Stand Up Challenge  - Stand for 3 Hours every day

Stand for 3 hours a day - It is good for you - BBC

Calories in Foods

Maintaining the Healthy Weight
US Dept. of Health

Updated 5 March 2017,   13 December 2016,  1 December 2016