Recognising obesity as a disease, a C20 panel discussion

Obesity is recognised as a disease by the World Health Organization as well as a few countries including Japan, Portugal, Italy, and more recently Germany. However, in Ireland and many other countries, we are still behind in recognising obesity as a disease, despite of all the current knowledge around its pathophysiology.

This year, the G20, an international forum from 19 countries and the EU took place in Saudi Arabia. Prohealth365 attended part of the activities, particularly the C20 sessions and witnessed many interesting topics covered by civil society organizations.

Importantly, Prohealth365 was also able to contribute to the C20 sessions via our Nutritionist, Dr Werd Al-Najim. Werd joined a panel of obesity experts consisted of the Chair Dr Ghalia Abdeen, Prof Carel le Roux, and Dr Alex Miras. They discussed the facts behind recognising obesity as a disease and the current treatment options around the world. Moreover, they described the reality of harsh stigmas and unhealthy attitudes in obesity care. Importantly, they also discussed how obesity stigma hindered the appropriate recognition of obesity as a disease.

The consensus amongst participants is that obesity stigma requires attention within the healthcare sectors. A number of strategies can be put in place to combat obesity stigma to facilitate the recognition of obesity as a disease. For example, some of the strategies that were suggested by Dr Werd Al-Najim were as follows:

•Encourage patient-centered communications and empathy.

•Introduction of zero-tolerance policies for comments or humour against people living with obesity. 

•Increase obesity education and awareness campaigns. 

•Provide more welcoming and less threating environment to patients with obesity. 

You can have access to the full recording of the session via this link.

KAYL Association for Combating Obesity was the driver of this important session. KAYL is the first non-profitable organization in the field of obesity and are primary advocates for recognising obesity as a disease in Saudi Arabia and the Middle East.

Authored by Prohealth365

National Physio Fundraising Day

Vhi Women’s Mini Marathon 2020

We are in, are you? We have partnered with the Women’s Mini Marathon for a really special idea. We are offering participants of the event the opportunity to book a physio appointment with us on 17th October on book.askthephysio.ie and instead of paying us you can donate to a charity close to YOUR heart. Win, win!

We look forward to seeing you then so book your free physio appointment asap via book.askthephysio.ie

Incorporating Strength Training with Cardio

strength training combined with running
Fitness and healthy concept. Woman wearing running shoes at gym.

Bored of your usual exercise routine and want to gain the benefits of both endurance and strength training? Why don’t you give this a try:

1km run (at a challenging speed)
8reps weighted squats x3
8reps chest press x3

1km run
8 reps/leg weighted lunges x3
8reps barbell press x3

1km jog
12 reps/leg weighted step-ups x3
45sec plank x3
45 sec/side side plank x3

1km run
12reps weighted SLR
20 reps sit-ups

Finish off with another 1km jog!

Do you need professional advice on your own strength or endurance training programs? then don’t hesitate to contact by filling in this contact form, booking online or by calling us on 01 960 9934.

Rand Al-Najim, Physiotherapist & Personal Trainer

Prohealth365 Physiotherapy & Nutrition Bray

Easy Grains & Chicken Soup

This mouth-watering soup is a super healthy meal that provides you with all the major nutrients your body needs in one meal. It is rich in protein, healthy carbs, good fats, loaded with fibre, and many micronutrients that your immune system will thank you for!

Ingredients:

4 stalks celery, diced

1 medium onion, chopped

2 large carrots, diced

4-6 garlic cloves, minced

700g chicken breast

200g raw soup & broth mix, soaked 8-12 hours in advance and rinsed thoroughly (a mix of pearl barley, yellow split peas, green split peas, marrowfat peas, red split lentils)

50g raw pearl couscous

2 cubes chicken broth

4 stems fresh thyme

2 stem fresh rosemary

1 tsp turmeric

salt (as required)

pepper (as required)

1 tbsp olive oil

lemon juice (optional)

Cooking instructions:

Heat the oil in a large saucepan set over medium heat. Add the onion, garlic, carrot and celery and cook, stirring occasionally for 3-5 mins or until softened and coloured slightly.

Add the chicken and the soaked soup & broth mix, cover with water, add all the herbs, salt and pepper, chicken broth cube and leave to cook for about 40-50 minutes on medium heat.

Remove the herb stems and taste for any required additions.

Serve and enjoy!

*A squeeze of lemon can add a nice kick! :)

How Can I Reverse my Type 2 Diabetes?

Author Dr Werd Al-Najim, Nutritionist

Whether you have been diagnosed with high blood sugar (pre-diabetes), type 2 diabetes, or you want to reduce the risk of developing diabetes, this short article will provide you with the key information you need to know.

We understand that it is a scary moment when your GP tells you that your blood sugar is high. However, the good news is that we no longer think that type 2 diabetes is an incurable disease. While many patients may have to live with the disease for the rest of their lives, so many patients can achieve remission. By making good food choices combined with exercise, you can also achieve such results.

I don’t know where to start!
That’s OK. Nutrition and exercise information on the internet can be overwhelming. Aim for small sustainable changes, one change at a time, and obtain your information from qualified healthcare professionals.

Do I need to make drastic changes to my diet?
This depends on your current food choices and pattern of eating. However, as mentioned earlier, make the changes slowly. Firstly, you need to aim for a diet high in colourful vegetables. It is also beneficial for your health to eat 2-3 portions of fruit per day. Additionally, aim to include proteins with every meal, a small amount of healthy fats and no more than 130g of carbohydrates per day. If you are unsure what these macronutrients are or how to calculate your required intake, speak to our qualified Nutritionist for more detailed information and a personalised diet plan.

I do regular walks but I am not a fan of gyms, is that enough?
Well, you are on the right track but not quite there yet. Walking for 30 minutes a day is good for health maintenance but to get your elevated blood sugar under control you need to do more intentional exercise, especially, strength training. Work with our Physiotherapist to create an exercise plan that is right for you!

How soon can I start seeing the changes on my blood sugar?

Research has shown that people with type 2 diabetes can start seeing changes on their blood sugar levels within 3-6 months if the above nutrition and exercise giudlines are followed correctly. As type 2 diabetes is a chronic disease, the changes must be maintained lifelong to keep the disease in remission.

For more information about the current consenus on nutrition therapy for adults with diabetes or prediabetes, please click here.

Click here to read other blogs & recipes by Prohealth365.

Prohealth365 Physiotherapy & Nutrition Bray

The Management and Treatment for Student’s Elbow or ‘Olecranon Bursitis’

What is student’s elbow?

Student’s elbow is the inflammation of a sac in the elbow joint (olecranon bursa). The body contains sacs filled with fluid called (Synovial bursae) where bone or soft tissue are close to the skin. For example, these are found in the elbows, shoulders, knees and heels. The sacs function as pillows to protect these structures from continuous rubbing.

What causes the inflammation?

The bursa in the elbow can get inflamed for various reasons. For instance, falling, rubbing the elbow against hard surfaces during study or work, or even arthritis or infection can increase the risk of developing student’s elbow.

How do I know that I have a student’s elbow?

Symptoms of an inflamed bursa may include:

  • a visibly swollen bursa at the elbow joint
  • reduced ability to move the joint
  • pain
  • redness
  • increase in temperature on the site of injury.

What treatment can I get?

The most common treatments for student’s elbow are:

  1. NSAIDS (ask your doctor or pharmacist whether these are suitable for you)
  2. In case of an infection, your doctor may prescribe antibiotics
  3. Avoid leaning on your elbow. If your work requires sitting behind the computer then consider buying a soft pad to rest your elbow on. This will help reduce repetitive friction and pressure on the bursa.
  4. Avoid repetitive activities during exercise and in your daily life.
  5. Apply ice to the area at least 3 times per day for the duration of 15-20 minutes. However, always ensure that you do not apply ice directly to the skin as this may cause skin burn.  
  6. Wrap your elbow with a compression bandage to reduce swelling.

If the above did not reduce the swelling, then your doctor might decide to inject the bursa with a corticosteroid injection or remove some of the fluid (aspiration). In very rare cases, a surgical intervention may be required to remove the bursa completely.

Rand Al-Najim, Physiotherapist

Prohealth365 Physiotherapy & Nutrition Bray