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In this episode of Health 360, we explore the ideal posture for sitting and standing to support a healthy body. We also delve into the correct way to walk to maintain good posture and overall well-being.
Transcript
00:00you've tuned in to health 360 where we're going to be telling you all about your health fitness
00:14and wellness and much more on the show this week ostensibly harmless practice of holding your
00:22bladder could be costing you your health also on the show we're going to be telling you how to sit
00:27right how to walk right for the sake of your poor spine and all your organs dementia is not just
00:35manifesting itself in the form of memory loss there are a host of other symptoms and signs
00:41that you must not ignore we'll tell you about it it's going to undoubtedly help you navigate better
00:47if your loved one is affected that much more up ahead on the show i'm sneha moldani this is healthy
00:54so
01:02so
01:04so
01:06so
01:10so
01:14so
01:16so
01:18so
01:20your desk job is ruining your health your spine your bladder your digestion your liver there
01:40is no other way to put this it is costing you your health so what should you be doing quit
01:46well of course not what you should do is identify that there is a problem and help yourself we can
01:53handle to you
01:54yes mom
01:55is this how you walk your head reaches your destination before the rest of your body
02:05is this how you sit curved shoulders rounded weak core slouched when seated resembling the letter c
02:16is this how you stand protruding stomach tucked in hips
02:26ouch
02:34well if this is how you get up each time you get up with pain in your back
02:38that remember that your posture and the way you sit is to be blamed in fact bad posture is not just
02:43related to basic discomfort like i showed you it's also associated with a host of other problems like
02:49digestion for example can get affected of course you'll develop perennial backache if you're sitting like that
02:56hey what are you doing what what's with your position your posture it's terrible what sit
03:03properly i'm sitting properly only well it's important you're asking me if it's important or not but it is
03:09very important let me tell you how and why how many hours are you sitting in a day nine hours nine hours is quite a lot
03:15so sit properly this is how you should be sitting with your back against the backrest
03:21this is the reason why there's a backrest and it's called a backrest not to do this
03:26it impacts your digestion as well you should know that
03:29also your arms should be on the armrest you keep your arms parallel
03:34ideally it should be parallel to your spine
03:37you know your arm rest should be lifting your arms it should not be like this
03:42look at you still also when you're sitting you should be sitting with your back pressed
03:47just sit with your back pressed listen to what i'm saying
03:50against the chair like that maintain a comfortable gap listen you have to sit all day
03:55also looking into your phone like this all day what do you mean
03:58what are you even trying to do and certainly the way you're using your phone is absolutely not
04:02everyone uses the phone like that even this is not okay
04:05even this is not okay ideally this certainly not like this at least this distance is fine
04:13this is how you should be looking at your phone make sure you're not slouching it's terrible
04:17so just stop doing that
04:20prolonged sitting and wrong postures are not just wrecking your spine but also your digestion
04:26plus it has an impact on your liver non-alcoholic fatty liver disease is now being seen in young
04:35Indians especially those engaged in sedentary occupations
04:39a study conducted by the University of Hyderabad revealed that over 80% of its IT professionals suffer from
04:49metabolic dysfunction associated tear-tock liver disease or MASLD
04:5671% were classified as obese and 34% diagnosed with metabolic syndrome
05:02these findings are concerning and the impact of sedentary work environment and unhealthy lifestyles on liver health
05:10it also has a deep impact on your urinary health irregular exercise and bad posture
05:18over time can weaken pelvic floor muscles in the long run and further incline towards bladder control problems
05:25and pelvic organ prolapse particularly in women
05:32so what's the solution indulge in frequent movement and posture exercises throughout the day to support pelvic positioning and bladder function
05:41pelvic floor exercises such as kegels are especially beneficial for strengthening muscles that govern urination
05:48experts have noted how prolonged sitting is leading to varicose veins in younger individuals
05:56sitting is truly the new smoking
06:03and joining us right now is Dr. Jitesh Mangwani is robotic spine surgeon in Max hospital
06:11thank you so much for your time
06:13you know I want to ask you desk jobs seem to be wrecking our back
06:18tell us what are the kind of problems that one can expect if they are sitting all day pretty much
06:23doctor
06:24thank you thank you for the invite thank you for this wonderful question
06:26so you know desk jobs have been poorly and steadily damaging our spines
06:30and as we know these days most of the times we have at least 8 to 10 hours of sitting job
06:36and we cannot get away from the sitting job
06:39so this particular sitting basically slowly and steadily damages the spine
06:43it is not something that happens acutely
06:45so slowly and steadily that this sitting puts an excessive pressure on the ligaments
06:49it puts the pressure on the muscles which weaken over time
06:52and also on the bones and the soft tissue structures around it that is a disc
06:55yes but it's the most underrated problem wouldn't you agree that we kind of take our low back pain
07:00and our back pain in general for granted doctor
07:03yeah I agree with that and the reason for that is also the thought process
07:07because India being the tech giant these days
07:10we have a lot of people who are in the young age now sitting
07:14and the back pain issue that people had beyond 60 years
07:17now these days if you see the literature that is between 20 to 45 years of age group
07:22because this is a population that is sitting the maximum amount of time
07:26and you know we dismiss most of the times okay this pain is just a small fatigue
07:30this pain is just a sprain when it is actually not
07:33you know doctor I want to ask you poor posture is not just affecting our backs
07:37it's also affecting our digestion tell us how
07:40yes in fact madam you would have heard one common phrase that all the doctors in this fraternity are saying
07:45sitting is the new smoking but you know this phase is not just dramatic
07:50this is having a well impact and it is grounded in the medical and our histories
07:56why is it so
07:57that's right
07:58because whenever we sit for a long time the natural curves of the spine
08:01so the spine is in shape it is not straight
08:04so this is lost once that is lost that puts the pressure overall on the abdominal organs also
08:09which slows the digestion constipation causes the acid reflux it causes the impact on our pores and our glutes also
08:17which overall makes the patient a risk factor for the obesity diabetes and heart diseases
08:23I want to ask you nowadays ergonomic chairs are becoming very popular what are they do they really help you
08:28yes ergonomic chairs are scientifically designed to help you because they help you to give a good support they help you to give a good armrest
08:36the backrest is good but one thing is absolutely important the ergonomic chair itself is not going to change
08:42you will have active with some form of general conditioning exercises even during the day time because this in together the better ergonomic chair with a good lifestyle is going to overall help you
08:53so what are these exercises doctor if you could tell us about these exercises since you mentioned what are these exercises that you can do to help ourselves
09:01so there are most there are a lot of different types of exercises but the most convenient type would be the aerobic general conditioning exercise
09:08which would be brisk walking
09:1030 to 40 minutes of brisk walking covering 3 to 4 kilometers is good enough
09:14you can even do freestyle swimming and even aerobic exercises in the gym
09:19but apart from that i would say some micro movements through the day while you're working take a break in every 30 minutes walk around a bit come back and sit
09:27these small changes can also help a lot
09:29so sitting is just like you know sugar a little is okay but too much will start damaging the system
09:34so you can protect only via general conditioning exercises
09:37well you rightly put that
09:39tell us so essentially we can out exercise our desktop isn't it
09:44because uh there needs to be a lot more focus on this right now
09:48it's being called as a silent epidemic as well recently
09:51uh you know a millionaire billionaire gautam adani called it called spine health
09:56and the fact that it is ignored as a silent epidemic a national crisis
10:00your take i was sitting in the audience when he gave this speech and we heard it and we actually
10:04uh celebrated this because this is the way in which the awareness can be made so i would
10:10thank respectable gautam adani ji to bringing light to this because overall the prevalence of this problem is increasing
10:18and also because of that the stress on the people financially to the system also has seen a gradual increase
10:25that's right back pain again like we've been speaking about is a very neglected problem
10:30perhaps it's time now to identify and fix it
10:34thanking you dr jitesh
10:35thank you
10:36well we all know as our report has shown that your desk job essentially is doing you a lot of harm
10:42but one thing that is now being seen in younger people is that they're suddenly developing varicose veins
10:48it's been seen because they're sitting for such a long time
10:51dr vs bd is a vascular surgeon he is now could be telling us doctor about why younger people
10:58all of a sudden are now getting varicose veins and what's this connection with sitting for long sitting doctor
11:05yeah so i think i'll explain it by a simple analogy out here we have a heart basically which beats on its own
11:12at the same time when we talk about the legs basically we have two peripheral hearts which are called the calf muscles of the body
11:20the calf muscles of the body are what we call the peripheral hearts
11:24now unfortunately the peripheral hearts are the ones which basically when you're doing activity moving around
11:29your calf muscles contract and they push the blood back into the heart
11:33okay
11:34now these require so that is why circulation of the calf is very very important that when you contract your leg muscles
11:39the blood is basically going back into the circulation the dirty blood basically goes to the heart gets purified in the lung
11:45now if you do not perform this particular activity you keep on sitting on your desk with a laptop and all for a very very long time
11:52what happens is these calf muscles which are there the blood which is carrying in there which is sitting in them
11:57over a period of time this blood keeps on getting collected so the legs become heavier
12:02and after some time in fact you know something in the later part of the day you suddenly find that you develop some edema or swelling in the legs and all
12:09that is basically because the peripheral hearts we are not utilizing them which we are supposed to use
12:14all right dr. Bedi I'm going to thank you for telling us about why just so many people are then ending up with
12:20varicose veins it's not good we all know that sitting for prolonged hours is something that has to has to be avoided
12:27time now to talk to our experts on very commonly asked questions around your health and wellness let's take a look
12:34well you've heard of a heart attack who hasn't but what about a leg attack now leg pain is a symptom that is often
12:41dismissed as a normal part of aging or attributed to muscle strain however recent research has shed light
12:48on a concerning connection between leg pain and life-threatening cardiovascular events
12:54this alarming correlation is known as the leg attack
12:58Dr. V. S. Vedi Vascular Surgeon from Delhi's Gangaram Hospital is now joining us
13:03thank you so much for your time we've come across this term called the leg attack
13:08you know explain to us what is this leg attack and why is it connected to our heart
13:15yeah so I think a lot of people or most of the people I guess they know what are the situation about the heart attack
13:23which is basically when the blood vessels to your coronaries the heart vessels and all get blocked
13:28so similar kind of problem that we face in the legs is that if the blood supply to the legs goes off suddenly
13:34because of some blockages or some clots going down to the legs and all the patient can get severe pain
13:39and probably if untreated and all within a few hours and all that sort of thing the legs can become gangrenous
13:45the patient can lose a leg also if they don't reach the hospital in time
13:49you know what's the connection really with you know cardiac events how does a symptom involving your legs
13:55in leg pain have a cardiac health connection now what we say is that basically a leg is basically a mirror of the heart
14:02so condition of the leg vessels is a mirror of the heart any patient who's got some blockages in the legs
14:08the possibility of that patient having a cardiac condition is almost 25% to 40%
14:14Dr. Vedi my last question to you has got to do with the symptoms around the peripheral heart disease
14:20what are the symptoms that one should be watching out for like I've turned 40 should I be cautious
14:25so no you know at the age of 40 and all generally we don't expect this disease
14:30like I said that you have a condition of the heart or where you know you have a lot of calcium in the blood vessels
14:37when we do our cholesterol and all we are on the obese side you're putting on too much weight and your activity is limited
14:43you're not doing too much of activity then in that case there is a possibility that you could have these kind of situations
14:50and that is why then you will manifest with certain symptoms which I can elaborate once you are
14:55Okay, alright, we have that out for our viewers as well as far as the symptoms of peripheral heart disease
15:00Peripheral heart disease, artery disease, I beg your pardon, this is called PAD and we call it the leg attack
15:07of course Dr. Vedi has put the spotlight on what exactly is leg attack
15:11I'm going to thank you Dr. Vedi for joining in
15:13Thank you, thank you very much
15:15This is something that none of us can deny, can we?
15:18All of us have held our bladder, well ostensibly this is harmless
15:23but if you are doing it once in a while it is okay
15:27but if you are not doing it once in a while and you become habituated to holding your bladder
15:32then you know that this is wrong
15:35You are asking for serious trouble
15:38We are examining how
15:40Dr. Ashwin Malia, urologist from Delhi's Ganga Ram hospital is now joining us
15:44Thank you for your time
15:45Dr. Ashwin, holding your urine looks like something which is not problematic
15:51harmless but it can lead to something as severe as kidney damage, isn't it?
15:56Yeah, absolutely
15:58See, holding your urine occasionally is okay
16:01You know, you don't have a proper bathroom nearby, that is okay
16:05but making it a routine, making it a habit
16:08especially we see this in shift workers like nurses, you know, factory workers
16:12so they will think that they will finish their shift and pee later
16:16but that's a big problem because it can lead to problems with the urinary bladder per se
16:21the muscles can become weak
16:23so the idea is to go and empty your bladder regularly
16:27without any, you know, avoiding too much of delay
16:31otherwise you are going to land up in a soup
16:33because of urinary tract infections, bladder stone formations
16:36so all these problems can occur
16:38Alright, I want to thank you Dr. Malia for joining us
16:41if you are holding your bladder for whatever reasons
16:43avoid doing it, is what the experts are saying
16:45How many of us have picked up vaping as a habit to do away with the habit of smoking?
16:52How many kids, young folks are starting to vape, use vape?
16:57Well, it has become a gateway product
17:00Vapes supposed to be banned in India are still freely available, undeaded
17:06Take a look at how they are being sold easily
17:09It's easily accessible even by school children
17:13We are decoding the habit of vaping right here
17:17Dr. Vineet Banga, a neurologist from Fortis Hospital is now joining us
17:21Thank you so much for your time
17:23I want to ask you here, vaping is not just harming our lungs
17:27it's interfering with cognitive functions in young adults
17:30is what is being seen
17:32Does vape inflame the brain? What's the evidence?
17:36Yes, it does inflame the brain
17:39and it is almost not as harmful as nicotine
17:43but it is not at all free from the side effects
17:46So it causes inflammation and atherosclerotic changes in your brain
17:51mainly the blood vessels
17:53which leads to narrowing of the blood vessels
17:56problem with proper oxygen supply in the brain
17:58which leads to subsequent damage to the brain
18:01and in long term use can lead to side effects
18:04such as stroke, dementia and other issues
18:08Dr. Sharad Joshi, pulmonologist is now joining us
18:11Thank you for your time
18:12I want to ask you, vaping is stressing the heart out as well
18:16you know, talk to us about why it is really as bad as smoking
18:20and it's no better really in that sense
18:24The vaping is more dangerous actually
18:27so what they thought that we will just put nicotine in it
18:31and we will reduce the content of tobacco
18:33but actually what is happening is
18:35they are putting lot of ingredients and fragrances and flavours in vape
18:40so that people are getting addicted to nicotine
18:42as well as that particular fragrance or the flavour
18:46Okay, so nicotine is still there
18:48you know, talk to us about those people
18:50who say that vape is an alternative to smoking then
18:53we don't smoke but we are vaping
18:55what do you have to tell them doctor?
18:57So, it's no better actually speaking
19:02you are still addicted to nicotine
19:04and nicotine is one content
19:06which is actually harming all the arteries and vessels inside your body
19:10and that is how even the younger population is getting heart attack
19:14because of vaping
19:15That's what we are talking about
19:16you know, a 21 year old who very recently died of a heart attack
19:20family said no history of you know, smoking
19:24but it was found that he was vaping from the age of 16
19:28let's tell you about another product that is supposed to be reducing harm
19:33well at least that is how they are being marketed and sold
19:37nicotine pouches are small rectangular pouches
19:40filled with powdered nicotine
19:43preservatives and other fillers for the flavour
19:46well these pouches don't include tobacco leaves
19:49so they aren't considered to be cancer causing
19:52well they are sold in varying strengths
19:55but typically have a higher concentration of nicotine
19:58but should you be going for them?
20:00Doctor I want to ask you about another
20:02you know ostensibly
20:04something that you know ostensibly reduces harm
20:07which is nicotine pouches
20:09you know are these pouches that are becoming very popular safe?
20:13Unfortunately when they say that we have reduced the danger of smoking
20:19we have
20:20so what have
20:21what used to happen was that when a patient
20:23or a person was usually actually smoking a cigarette
20:26he was inhaling 7000 chemicals
20:28because of other content of tobacco
20:30and whatever was being burned or lit
20:34but when you talk about nicotine pouches
20:37or when you talk about vaping
20:39you are still consuming nicotine
20:41and nicotine is one thing
20:43which is not only harming your lungs
20:45or your
20:46when you put the nicotine pouches in your mouth
20:48it is actually damaging your mucus
20:50so risk of oral cancer is still there
20:53alright
20:54so nicotine pouches clearly aren't something that you should be
20:56reaching out for
20:58certainly not vape
20:59not nicotine pouches
21:01well
21:02I think
21:03I think
21:04this is cold turkey
21:05going cold turkey
21:06on smoking is something that maybe
21:08doctors would recommend
21:10clearly
21:11I am going to thank you Dr. Joshi
21:12for joining in
21:13and sharing your thoughts with us
21:15monsoons have become synonymous with eye infections
21:17why is it so common during this season
21:20and what can you do to help yourself
21:22how often should you be getting an eye check up done
21:25expert on the show is answering these questions
21:29and joining us right now is Dr. Purindra Basin
21:33he is an eye surgeon
21:34thank you for your time
21:35I want to ask you
21:36why is this that everyone seems to be developing an eye infection
21:41with the onset of the monsoon season
21:43doctor what is really going on here
21:46thank you
21:48thank you
21:49for inviting me first of all
21:50and monsoon season
21:52always
21:53this invites
21:54variety of infections in the eye
21:56the reason is that
21:58the
21:59and humid
22:00the environment
22:02it is a very good
22:04cultural medium for
22:06all these bacterias
22:07fungi
22:08and
22:09all these organisms
22:11to grow
22:12so
22:13how does one really keep it safe
22:14you know
22:15I understand that eyes
22:16perhaps are one of the most important
22:18yet the most neglected organs
22:20you know in our bodies
22:21essentially we only go to an eye doctor
22:23when there is a problem
22:25what's your advice
22:26what's your suggestion
22:27you know
22:28number one
22:29on how to keeping our eyes safe
22:30and then do answer my question on
22:31how important are regular eye checkups doctor
22:34okay
22:35firstly
22:36you should not touch your eye
22:38you should not rub your eye
22:40because when you touch your hand somewhere
22:44anywhere
22:45maybe in the common places
22:47in the buses
22:48in the platforms
22:49in the train
22:50or in the office
22:51so you catch infections in your hands
22:54so in your fingers
22:56when you rub your eye
22:57so you develop an infection in your eye
22:59okay
23:00secondly
23:01if at all you develop these kind of infections
23:05so you should go to the nearby surgeon
23:08eye specialist
23:10and ask for the antibiotic
23:12if you go to the common
23:14the shopkeepers
23:16they will suggest you to start steroids
23:18which should be avoided in all these cases
23:21nowadays there are fairly common you know
23:23eye drops in the market
23:24for these irritations in your eye
23:26are you saying that these medicines are to be avoided doctor
23:29over the counter medicines
23:30and eye drops are to be avoided
23:32that should be avoided
23:34strictly avoided
23:35because they call
23:36they mainly
23:37they commonly
23:38they are having
23:39corticosteroids
23:40which are
23:41which can lead to
23:42variety of
23:43adverse effects
23:44so they should be prescribed
23:45only by the
23:46specialist
23:47specialist
23:48i'm going to thank you Dr. Basin for joining in
23:50and sharing your thoughts with us
23:51thank you
23:52thank you
23:53we often associate dementia with memory loss
23:56but there is more to this disease than just losing your memory
24:01lack of empathy
24:02paranoia
24:03a lot many other symptoms that are being associated with dementia
24:07and now
24:08we'll tell you what you can expect and look out for
24:11you know talking a little about dementia
24:13what are the hidden behavioural signs of this problem
24:17of this disease
24:18how is you know
24:19now there is being seen loss of empathy as sign
24:22there is also a personality shift that
24:25maybe most people don't talk about isn't it
24:28yeah and very important question
24:30because when we think of dementia
24:32we think only about forgetfulness
24:34that you don't remember things
24:35but what we forget that
24:38is the brain also has other functions
24:40which means the brain has functions with regards to emotions
24:42whether you are happy or sad
24:44brain also works with judgement
24:47a lot of judgement is important
24:49so whenever a person has dementia
24:51all the domains of the brain
24:54the function that the brain does get affected
24:56and it is not only the memory
24:58the emotional part of it also gets affected
25:00so if you are
25:01the patient sometimes lose empathy all together
25:05they become emotionally blunt emotionally silent
25:08at times they become aggressive as well
25:10so and this personality change
25:12this empathy loss of empathy
25:15and problem with affect and mood
25:17is many a times overlooked
25:19we just focus on the forgetfulness
25:21while at the same time
25:22we ignore these small subtle changes
25:25which happen in patients behaviour and personality
25:27including paranoia isn't it Dr Banga
25:29mistrust you know there is something that
25:32one is seeing in patients of dementia
25:34repetitive behaviour is also something that is being seen in these patients
25:39why do they experience paranoia
25:42yeah so a part of the brain
25:43which is frontal lobe is important for the judgement
25:46and that is why these patients have repetitive
25:49perseverative behaviour
25:50and they keep repeating the same things
25:52and your behaviour also is controlled by the frontal lobe
25:55so if the patients have problem with frontal temporal lobe
25:58they tend to have more delusions
26:00hallucinations and more paranoia
26:03and their paranoid behaviour
26:05they will keep suspecting something or the other
26:07so this is very common
26:09and one of the dementia is frontal temporal dementia
26:11which especially has these symptoms more than Alzheimer's dementia
26:15which is the most common type of dementia that we come across
26:18all right
26:19I'm going to thank you Dr Vineet Banga
26:21for talking to us and you know putting the light on such an important
26:25topic
26:26dementia and the hidden symptoms of which
26:29which many of us perhaps overlook
26:31thank you again
26:32thank you so much
26:33thank you
26:35brings us to the end of this edition of Health360
26:37we put together all these stories for you
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26:59thank you for watching
27:00take good care of yourself
27:01bye for now
27:05bye

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