SWAAGATH NAMASKAAR

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SWAAGATH NAMASKAAR

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LET US

LEARN TO LIVE

A HEALTHY LIFE

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A Presentation byA Presentation by

Dr. R.V.S.N.SARMADr. R.V.S.N.SARMA, , M.D., M.Sc (Canada)M.D., M.Sc (Canada)

A Presentation byA Presentation by

Dr. R.V.S.N.SARMADr. R.V.S.N.SARMA, , M.D., M.Sc (Canada)M.D., M.Sc (Canada)

Dedicated to HI-TECH Carbon Factory Employees

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PURPOSE OF THIS TALK

• Create awareness of a healthy heart

• Impress on seriousness of the problem

• Provide guidelines for normal values

• Help identify the various risk factors

• Inform the warning symptoms

• Motivate to adopt life style changes

• Give dietary advice for a healthy heart

• Certainly, not to frighten the participants

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I. THE VOLCANO

II. THE TRIANGLE

III. OBESITY and OVER WEIGHT

IV. DIABETES

V. HYPERTENSION

VI. CHOLESTEROL

VII. THE HEART ATTACK (IHD)

VIII. WARNING SIGNS

IX. HOW TO PREVENT ?

X. EATING RIGHT

XI. BE ON THE MOVE

XII. RED ALERT

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I. THE VOLCANO

II. THE TRIANGLE


IV. DIABETES

V. HYPERTENSION

VI. CHOLESTEROL


VIII. WARNING SIGNS

IX. CAN WE PREVENT ?

X. EATING RIGHT

XI. BE ON THE MOVE

XII. RED ALERT

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I. THE VOLCANO

II. THE TRIANGLE


IV. DIABETES

V. HYPERTENSION

VI. CHOLESTEROL


VIII. WARNING SIGNS


X. EATING RIGHT

XI. BE ON THE MOVE

XII. RED ALERT

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THE TRIANGLE

HEART ATTACK

HIG

H B

P

OBESITY

DIA

BETES

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THE QUADRANGLE

HIG

H B

PD

IAB

ET

ES

OBESITY & ↑ CHOLESTEROL

SMOKING & ALCOHOL

HEART ATTACK

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I. THE VOLCANO

II. THE TRIANGLE


IV. DIABETES

V. HYPERTENSION

VI. CHOLESTEROL


VIII. WARNING SIGNS


X. EATING RIGHT

XI. BE ON THE MOVE

XII. RED ALERT

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ABOUT WEIGHT

NORMAL WEIGHT

Simply Height in cms – 100

For a man 165 cm height = 165 -100 = 65 kg

IDEAL WEIGHT

[ HEIGHT (in meters) x HEIGHT (in meters) ] x 25

[ 1.65 m x 1.65 m ] x 25 = 2.7225 x 25 = 68 kg

EXCESS WEIGHT = [OUR WEIGHT – IDEAL WEIGHT]

75 kg man – 68 kg ideal weight = 7 kg excess

GOAL WEIGHT

Always try to have realistic goals (Ads, Crash diets)

Only 10% of weight reduction in 6 months

For 75 kg man - 10% = 7.5 kg reduction in 6 months

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OVER WEIGHT - OBESITY

EXCESS WEIGHT = [OUR WEIGHT – IDEAL WEIGHT]

75 kg man if 68 kg is ideal weight = 7 kg excess

OVER WEIGHT

If the excess weight is with in 10% of ideal weight

If for a man, the ideal weight is 68 kg (10% = 6.8)

Any weight from 68.1 to 74.8 kg is over weight

OBESITY

If the excess weight is more than 10% of ideal Wt

For him weight more than 74.8 is Obesity

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OBESITY

BODY WEIGHT IS ONE PARAMETER

CENTRAL OBESITY – even if the weight is normal

TUMMY – WAIST CIRCUMFERENCE

Normal for men < 38 inches,

Normal for women < 32 inches

Waist – HIP RATIO

( Waist measurement ÷ Hip measurement ) x 100

Normal for men < 90 %,

Normal for women < 80 %

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Obesity Trends* Among U.S. AdultsBRFSS, 1985

Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.

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OBESITY in ADULTS of 40+

♥ 35% of Indian men and 50 % women

above 40+ are obese or over weight

♥ This is increasing every year and is

estimated to become 65% in 10 yrs.

♥ This figure is more in urban societies

♥ Women are obese - much early in age

♥ Tummy – Abdominal obesity is higher

♥ ↑↑ risk of Diabetes, ↑ BP, Heart Disease.

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OBESITY in YOUTH

♥ Consumption of sugars, fats, junk food

is associated with obesity in children.

♥ Couch potatoes and mouse potatoes

♥ Studies show more than 80% of obese

adolescents remain as obese adults

♥ 15% of youth are overweight now

♥ This is triple the proportion in 1980

♥ ↑↑ risk of Diabetes, ↑BP, Heart Disease

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I. THE VOLCANO

II. THE TRIANGLE


IV. DIABETES (SUGAR COMPLAINT)

V. HYPERTENSION

VI. CHOLESTEROL


VIII. WARNING SIGNS


X. EATING RIGHT

XI. BE ON THE MOVE

XII. RED ALERT

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DIABETES

♥ What is Diabetes ?

A progressive disease in which our body

Does not make enough Insulin and or

We do not respond properly to Insulin - IR

Results in ↑sugar in blood and complications

♥ What is normal blood sugar ?

In fasting state - FBG – Less than 110

After food (2 hrs)- PPBG – Less than 140

♥ Pre DM = FBG >110 or PPBG > 140

♥ Diabetes = FBG > 126 or PPBG of > 200

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MORE ON DIABETES

♥ Genetic factors – Hereditary

♥ Racial factors – Indians are highly prone

♥ Physical inactivity

♥ Bad dietary habits

♥ Over weight and Obesity

1. ↓ pain sensation – painless heart attacks

2. 4 times higher risk for death than normal

3. 3 times higher risk of brain stroke

4. ↓ good cholesterol, ↑bad cholesterol, ↑TG

5. Cause hardening of blood pipes - ↑ BP

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DIABETES TESTING

♥ Can we rely on urine test ? - No

Urine test cannot conclusively decide DM

♥ What blood test is needed

Fasting Blood Sugar – FBG < 110 is N

2 hrs PPBG (after glucose) < 140 is N

♥ Two tests are needed to confirm DM

♥ How often to test ? – If normal - yearly

♥ Does pre Diabetes need treatment – Yes

♥ What are the treatments options ?

Diet, exercise, tablets, Insulin injections

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DIABETES COMPLICATIONS

♥ What is goal blood sugar

FBG < 110, PPBG < 140

Tight control of blood sugar is a must

♥ What if I do not control my Diabetes ?

It leads to variety of complications such as

Heart disease including heart attacks

Kidney disease and failure

Nervous debility in hands and feet

Loss of eye sight, Brain stroke

Frequent infections, TB

Foot ulcers – leading to removal of foot

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DIABETES - ESSENTIALS

♥ Diet restrictions – Keeping sugar normal

♥ Regular physical activity – Keep normal weight

♥ Loose tummy – abdominal fat ↑ diabetes

♥ Medications - if prescribed, not to stop

♥ Tight blood sugar control

♥ Frequent follow up – at least once a month

♥ Home blood glucose monitoring

♥ Keeping BP with in normal range

♥ Periodic eye testing

♥ Extreme care of feet and hands

♥ Prompt treatment of any infections

♥ Stop smoking, alcohol and junk food

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DIABETES - MISCONCEPTIONS

♥ I am young – I will not have Diabetes - No

♥ None in my family has DM – I do not get it - No

♥ My parents are diabetics – I will sure get it - No

♥ I want only tablets, I can not restrict food - No

♥ My legs are painful – I can not exercise – No

♥ I have to stop medicines to test blood sugar - No

♥ I took tablets – now my diabetes is gone - No

♥ Long term use of tablets harms my health – No

♥ Insulin injections are harmful – No

♥ I am diabetic – I can not have good family life - No

♥ Diabetes ‘cures’ in other systems of medicine - ??

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I. THE VOLCANO

II. THE TRIANGLE


IV. DIABETES

V. HYPERTENSION (HIGH BP)

VI. CHOLESTEROL


VIII. WARNING SIGNS


X. EATING RIGHT

XI. BE ON THE MOVE

XII. RED ALERT

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BLOOD PRESSURE

♥ In B.P reading there are two numbers

♥ The TOP number is called Systolic B.P

♥ It measures the pressure in the blood pipes

when heart pumps – It is normally 120 mm

♥ The LOWER number is called the Diastolic B.P

♥ It measures the pressure in the blood pipes

when heart rests – It is normally 80 mm

♥ It is written as 120/80, 134/ 86 like that..

♥ Top number should not exceed 140

♥ Lower number should not exceed 90

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BLOOD PRESSURE TESTING

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HIGH BLOOD PRESSURE

♥ It is called the ‘silent killer’ – No symptoms

♥ 1 out of every 4 adults 40+ suffer from high B.P

♥ In 60+ age group > 90% are having High SBP

♥ Blood pressure changes with emotional or

physical stress – this may be temporary or persistent

♥ If the blood pipes harden due to age, due to

cholesterol deposits, or due to diseases – then

B.P. is persistently elevated beyond 140/90

♥ Diabetes, smoking, certain medications ↑B.P

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BLOOD CIRCULATION

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What If I have High B.P.

♥ Over time High B.P. causes heart to enlarge

♥ Heart’s pumping power becomes less and less

♥ This causes dysfunction and failure of heart pump

♥ Blood vessels harden and get narrowed - leads

to ↓blood flow to organs like heart, kidney -

♥ Results in heart attacks and kidney failure

♥ Blood clots and bleeding from brain blood pipes

leads to paralytic stroke etc.,

♥ If eye blood vessels are affected – loss of vision

♥ Diabetes + High B.P = Fire + Wind - ↑damage

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BLOOD PIPES

NORMAL NARROWED

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BLOOD PIPES

Beating Heart

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ENLARGED HEART

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Normal weight 350 to 450 g

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Grossly enlarged heart

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B.P. CONTROL

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How to control my B.P. ?

♥ High B.P. has no cure – but good control is possible

♥ It means lifelong commitment for life style change

♥ Salt restriction and fat restriction is a must

♥ Regular physical activity lowers B.P.

♥ Diabetes control is must for all High B.P. cases

♥ Keeping healthy body weight reduces B.P.

♥ Keeping cholesterol at normal level lessens damage

♥ Early detection and control helps a long way

♥ Because there are no symptoms – motivation is a must

♥ Stop smoking and alcohol - also contraceptive pills

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Common Misconceptions

♥ High BP is usually symptomatic. - No

♥ I have white coat Hypertension. – Better check again

♥ High Cholesterol means high BP. – Not always

♥ ↑ BP is a fact of life. I don’t need to worry. - No

♥ My BP is cured, so I stopped treatment. - Never

♥ I’m a woman. High BP is a man’s problem. - No

♥ I can take any OTC medicines. - No

♥ No BP check is needed until 50 years. - No

♥ If I take B.P. medicines my potency will be ↓- False

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I. THE VOLCANO

II. THE TRIANGLE


IV. DIABETES


VI. CHOLESTEROL


VIII. WARNING SIGNS


X. EATING RIGHT

XI. BE ON THE MOVE

XII. RED ALERT

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What Is Cholesterol?

♥ Cholesterol is a fat like substance made

primarily in the liver

♥ The body needs cholesterol to work normally

♥ The body makes all the cholesterol it needs

♥ It is present in excess in saturated fats like

ghee, dalda, palm oil, coconut oil, coconut

kernel, fat rich milk and ice creams, egg yolk

(yellow), meat, chocolates, cashew nuts etc.,

♥ Fruits and vegetables contain none of it

♥ TG is excess sugar converted into fat by body

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Why is Cholesterol important ?

♥ Too much cholesterol in the blood increases

the risk of fatty deposits in blood vessels

♥ Blood clots can form on these deposits and

block the blood flow causing heart attack or

stroke

♥ Thus high blood cholesterol raises our risk

of heart attack and stroke

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“Good” and “Bad” Cholesterol

♥ HDL cholesterol is the “good” kind

♥ High HDL lowers our heart disease & stroke

♥ LDL cholesterol is the “bad” kind

♥ LDL cholesterol is deposited in blood pipes

♥ High LDL raises our heart disease & stroke

♥ Another fat called Triglyceride (TG) is also

“bad” fat – it also ↑Heart disease & Stroke

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Cholesterol Numbers

Normal Values for blood fats (lipids)

1. Total Cholesterol (TC) 200mg/dl

2. Triglycerides (TG) 150 mg/dl

3. Low density cholesterol (LDL) 100 mg/dl

4. High density cholesterol (HDL) 50 mg/dl

5. TC ÷ HDL ratio = 200 ÷ 50 = 4

LIPID PROFILE TEST is to be done after 10 hr fast

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CHOLESTEROL CONTROL

♥ Test your blood cholesterol (s) values

♥ Know your Cholesterol and TG goal

♥ Discuss with your Doc – How to reduce

♥ Enroll in Low Cholesterol program

♥ Eat right to lower cholesterol

♥ Marriages and parties – be careful

♥ Junk food is dangerous

♥ Low fat cooking books

♥ Do not let a slip – If fallen arise

♥ Say ‘Yes for Me’ and reward yourself

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I. THE VOLCANO

II. THE TRIANGLE


IV. DIABETES


VI. CHOLESTEROL and TRIGLYCERIDE


VIII. WARNING SIGNS


X. EATING RIGHT

XI. BE ON THE MOVE

XII. RED ALERT

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Blood pipes of Heart

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All of us need to be Alert

♥ Heart attack kills 10,000,000 persons a year –

about 10 deaths every minute

♥ Indian population has high rates of high blood

pressure, Diabetes, high cholesterol, high TG

overweight /obesity and sedentary life style

♥ Heart attack is the number one killer for adults

♥ It may strike very silently without any warning

♥ In the past 20 years heart attacks have become

4 times more common – 2 in 4 die, 1 immediately.

♥ Once it strikes the treatment is costly and not

that effective in reducing death rates

♥ Prevention is the best approach

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A Patient of Heart Attack

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Narrowed Heart Blood Pipe

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How the occlusion develops

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How to Detect Heart Attack

ECG GRAPH

If ECG is inconclusive

TREAD MILL TEST (TMT)

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A B C D E of Treatment

♥ A - Aspirin, Anti anginals (Sorbitrate)

♥ B - Blood pressure control

♥ C - Cholesterol control and

Cigarette Smoking Quitting

♥ D - Diabetes control and

Diet modifications – low fat, low salt

♥ E – Exercise and

Education about life style changes

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CONSULTATION

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TREATMENT

CONTROLMED

ICIN

ES

EATING RIGHT

PHY

SICA

L AC

TIVITY

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TREATMENT

♥ Medical treatment with tablets, injections

♥ Dissolving the clot – 6 hrs golden period

♥ Cleaning the choked pipes – PTCA

♥ Placing springs to keep pipes open - Stenting

♥ Grafting new pipes in place of chocked pipes

By Pass Graft - CABG

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BY PASS GRAFT

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I. THE VOLCANO

II. THE TRIANGLE


IV. DIABETES




VIII. WARNING SIGNS


X. EATING RIGHT

XI. BE ON THE MOVE

XII. RED ALERT

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WARNING SIGNS – HEART ATTACK

♥ Most of the time starts slowly, mild pain

♥ Sometimes sudden severe chest pain

♥ Chest discomfort, squeezing, pressure

♥ Discomfort in other areas of upper body

♥ Shortness of breath, cold body parts

♥ Sudden sweating, nausea, dizziness

♥ Do not wait longer than 5 minutes

♥ Do not neglect it as “Gas Trouble”

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WARNING SIGNS – BRAIN STROKE

♥ Sudden numbness or weakness of the face,

arm or leg, specially on one side of the body

♥ Sudden confusion, trouble in speaking,

writing, or understanding or orientation

♥ Sudden trouble seeing with one or both eyes

♥ Sudden trouble walking, dizziness, loss of

balance or coordination or movements

♥ Sudden severe headache with no known

cause with or without continuous vomiting

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I. THE VOLCANO

II. THE TRIANGLE


IV. DIABETES




VIII. WARNING SIGNS

IX. WHY NOT WE PREVENT ?

X. EATING RIGHT

XI. BE ON THE MOVE

XII. RED ALERT

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To Educate Ourselves !

♥ We are worthy of living healthy !

♥ The information is easy to get

♥ Let us “Learn and Live” a healthy way

♥ Remember that these are preventable

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WHAT TO DO TO PREVENT

The first steps in prevention

♥ Know the risk factors

♥ Identify your risk factors

♥ Control your risk factors

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RISK FACTORS

Non Modifiable Risk Factors

♥ Increasing Age

♥ Heredity

♥ Family history of heart attack

♥ Race, Indians are very prone – we get

10-15 years earlier in life than in the west

♥ Previous heart attack or stroke

♥ Gender (male sex)

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RISK FACTORS

Modifiable Risk Factors

♥ Diabetes

♥ High blood pressure

♥ High blood cholesterol

♥ Overweight and obesity

♥ Tobacco smoke

♥ Physical inactivity

♥ Birth control pills

♥ Drinking too much alcohol

♥ Illegal drugs use

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Healthy Life Style Changes

♥ Control high blood pressure

♥ Don’t smoke. If you smoke, quit

♥ Maintain healthy cholesterol levels

♥ Be more physically active

♥ Control or delay the onset of diabetes

♥ Reduce excess wt. or maintain a healthy wt.

♥ Eat a healthful diet

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Healthy Life Style Changes

♥ Drink not alcohol or at least minimize it

♥ Don’t smoke or breathe other’s smoke

♥ Learn to relax and deal with your stress

♥ Get friends and family to join in healthy living

♥ Take action in your community & work place

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RELAX WITH FAMILY

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I. THE VOLCANO

II. THE TRIANGLE


IV. DIABETES




VIII. WARNING SIGNS


X. EATING RIGHT

XI. BE ON THE MOVE

XII. RED ALERT

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RIGHT FOOD CHOICE

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EATING RIGHT

♥ Healthy food habits reduce risk of heart

attack and stroke by controlling

♥ High blood cholesterol

♥ High blood pressure

♥ Excess body weight

♥ Diabetes

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I. THE VOLCANO

II. THE TRIANGLE


IV. DIABETES




VIII. WARNING SIGNS


X. EATING RIGHT

XI. BE ON THE MOVE

XII. RED ALERT

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PHYSICAL ACTIVITY

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PHYSICAL ACTIVITY

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PHYSICAL ACTIVITY

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CHOOSE TO MOVE

♥ Exercise regularly – heart needs it more

♥ Eat healthfully for the sake of your heart

♥ Love your heart – no spare part please

♥ Take time for yourself and family

♥ Learn to relax both at work and at home

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Physical Activity Helps

You Help Yourself

♥ About 75% of Indians are not active enough

for good heart health

♥ Physically inactive ones are sure to develop

High BP, Heart disease, Diabetes, Obesity

♥ Regular, moderate-to-vigorous physical

activity improves your heart’s fitness

♥ Helps reduce your risk of heart disease

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Physical Activity Helps

You Help Yourself

♥ Exercise helps you to

- lower blood pressure

- control blood cholesterol levels

- reach and maintain a healthy weight

- manage diabetes

♥ For all people, 45 to 60 minutes of physical

activity on most or all days of the week

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I. THE VOLCANO

II. THE TRIANGLE


IV. DIABETES




VIII. WARNING SIGNS


X. EATING RIGHT

XI. BE ON THE MOVE

XII. RED ALERT

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THE RED ALERT

Go Red for Heart Health Campaign Goals

♥ To raise awareness in one and all

♥ To prevent heart disease and stroke

♥ To save lives and live long in good health

♥ To reduce economic burden of society

♥ This must be our Nation’s top most priority

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GO RED FOR HEART

♥ Make a date and keep it up

♥ Tone up as you tune in, physical activity

♥ Carry water or your baggage yourself

♥ Keep out of sight, out of mouth

♥ Eat right to lower cholesterol & weight

♥ Shake the salty, sugary, fatty habit

♥ Be a good looser, use stairs

♥ Quit smoking in four vital steps

♥ Do not let a slip – If fallen arise

♥ Say ‘Yes for Me’ and reward yourself

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Activity done for 1 hour 45 kg 70 kg 90 kg

Bicycling, 10 kmph 160 240 312

Jogging, 10 kmph 610 920 1,230

Skipping rope 15 per min 500 750 1,000

Running at 8 kmph 440 660 962

Swimming at 25 mts/min 185 275 358

Tennis singles 265 400 535

Walking, 5 kmphWalking, 8 kmph

210295

320440

416572

Calories burnt in Exercise

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Which Physical Activity ?

♥ That is not the relevant question

♥ Any physical activity is OK

♥ We must start doing it and persist with it

♥ Its fruits are bound come soon

♥ Believe that we can bring down our weight

♥ Don’t be a target for the crash weight lowering

advertisements. There are no short cuts !

♥ Only way is give less work to the mouth and

stomach and more work for the limbs & body

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What tests we need ?

For all those 35 years and above as base line

♥ Clinical exam by Doctor including B.P.

♥ Risk assessment as per the questionnaire

♥ Height and weight recording – Ideal weight

♥ Fasting and after glucose blood sugar tests

♥ Fasting test for cholesterols and Triglyceride

♥ ECG, if needed Tread Mill Test (TMT)

♥ Urine for protein, Blood creatinine

Further action depending on the results of these

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Simple eating solution can surprise Us to reduce much weight

• Avoid coffee, tea or any sweetened beverages – Leave sugar to choice

• If you can’t avoid limit to once, or take without sugar and cream

• Don’t offer coffee as courtesy to any visitors – give butter milk

• Lime juice sans sugar, tender coconut, butter milk are healthy drinks

• Be a vegetarian as far as possible. Whole wheat flour better

• Egg white is ok. Discard the yellow. NV treat only on special days

• Celebrate festivals, guest hospitality with non sweet, non fried foods

• Crunchy, munchy fat fried food is very tasty – but our heart hates it

Simple Eating Solutions

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Simple eating solution can surprise Us to reduce much weight

• Boiled, steam cooked, stewed food is very healthy, charred food not.

• Don’t gift sweets or accept sweets – instead give and take fruits

• At parties, don’t be tantalized to sweets or ice creams- eat salads, veg

• Pickles, papads, chips, sea foods, colas, chocolates are junk foods

• Fast foods don’t have fiber. Take foods which require mastication

• Whole fruits are healthy- canned juices or tinned, processed are not.

• Never force food to others nor allow to be forced. Leave it on table.

• Limit the quantity of food – keep some room for tomorrow too !

Simple Eating Solutions…

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Physical Activity in Our Daily Life At Home

• At home it’s convenient, comfortable and safe to work out .

• You, that way, set a good example for children

• Exercise equipment, one-time expense- all can use it.

• It's easy to have short bouts of activity several times a day.

• Do housework yourself instead of hiring someone else for it.

• Do gardening and watering plants manually

• Go for a short walk before breakfast, after dinner or both!

• Start with 5-10 minutes and work up to 30 minutes.

Simple Exercise Solutions

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Physical Activity in Our Daily Life At Home

• Walk to the corner store, cutting saloon - instead of driving.

• When walking, pick up the pace. Choose a hilly route.

• When watching TV, jog or pedal stationary bicycle for 15 minutes

• Throw away your video / TV remote control. Self iron your dress

• Get up off the couch and get a drink or water for yourself.

• Stand up while talking on the telephone. Walk the dog.

• Park away at the shopping mall and walk the extra distance

• Plan a trip for site seeing at least once a month - walk.

Simple Exercise Solutions…

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At the Office most of us have sedentary jobs. Work takes up a significant part of the day. What can we do to increase our physical activity during the work day?

• Discuss ideas with a co-worker while taking a walk.

• Stand while talking on the telephone.

• Walk down the hall to speak with someone than using phone

• Take the stairs instead of the elevator. Don’t look for a chair always


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How can we increase our physical activity during the work day?

• Walk while waiting for the train at the railway station.

• Participate in or start a recreation league at your company.

• Form a sports team to start table tennis or shuttle play.

• Schedule exercise time on your calendar and treat it as important

• Get off the bus a few blocks early and walk the rest of the way

• Walk around your building for a break during the work day


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Simply Speaking

1. Our habits are too bad – Need drastic change

2. Turn to vegetarian, fiber rich foods, fruits, milk

3. There are three poisons in our homes

• They are S.O.S – Sugar, Oil and Salt –

• the less we consume them the safer is our ♥

4. Drive the devils out – Smoking and Alcohol

5. Determine to move our feet, limbs and bend –

• lest our heart stops moving very soon

6. Only two options – heed to this or else we perish

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Grand Parenthood

A Place Called Love

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The Final Three

Take Home Things

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SAVE THE HEART

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HAVE THE HEART

kim ganga ambudhi binbitae ambara

manou chandaala veedhee payah

poorae vaa antaramasti kaanchana

ghatee mrit kumbhayorva ambarae ?

TEN RUPEE NOTE TEST

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PAVE THE HEART

WITH COMPASSION

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Our Contact Information

Contact for information – free for every one

♥ The Indian Medical Association - Tiruvallur

♥ Call local to 95 4116 – 260 593, 260288

♥ Call on mobile +91 98940 60593, 98941 10450

♥ Visit us at # 3 Jayanagar, Tiruvallur

♥ Call your local Indian Medical Association

♥ Discuss with your company doctor- Dr. Raju

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International Help line

The American Heart Association:

♥ Call 1-800-AHA-USA1 (1-800-242-8721)

♥ Call 1-888-MY-HEART (1-888-694-3278)

for heart disease information

♥ Visit www.americanheart.org

All these services are free for every one

AHA

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I, ___________________ pledge to do at least five of the following actions to help lower my risk for heart disease and stroke; I have no right to burden the society with unhealthy heart and to set a bad example for my children.

1. Know what my BP, Sugar, Ideal weight and cholesterol should be in order to try and keep them at goal level.

2. Have my BP, Weight, Sugar, cholesterols checked every 2 years.3. Reduce the purchase of sugar, salt and oil to half of what I buy now4. Take measures to maintain a healthy ideal weight.5. Do moderately intense physical activity for at least 45 minutes every day

On days when I don’t have time, I’ll do the activity in 3 segments of 15’6. Stay tobacco-free; or, if I smoke, to pick a quit date and achieve to quit7. Limit my alcohol to none or very occasional8. Take my medication as my doctor prescribed.9. Encourage others at risk to join this movement10. Will recruit at least two people to this movement; they are :

Your Signature

THE PLEDGE

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Namskaar

Fir Milaengae

Documents

SWAAGATH NAMASKAAR