Why drastic deficiency of vitamin d is becoming increasingly common among urban Indian youth?

On this women's day, let's understand why young Indians esp. Are women facing this unforeseen deficiency and resultant problems?

Vitamin d is unique because it can be made in the skin from exposure to sunlight. We get a really good amount of sunny days as opposed to many western and northern countries where vitamin d deficiency is ought to be common.

It is surprising that vitamin d deficiency is such a common problem in India nowadays that it finds prevalence among 70-100 percent of the general population in the country. More than 80.63 percent of 73 lakh Indian youth suffer from the deficiency of vitamin d. What's more shocking is that it can lead to a variety of health issues ranging from osteoporosis to diabetes. Without vitamin d, only 10-15% of dietary calcium and about 60% of phosphorus are absorbed - which would certainly lead to weaker bones. Vitamin d sufficiency enhances calcium and phosphorus absorption by 30-40% and 80%, respectively.

Vitamin d exists in two forms - vitamin d2 and d3. Uv rays from the sun hit the skin, and vitamin d3 is naturally synthesized, so it is the most 'natural' form. However, our bodies do not make vitamin d2, and most oil-rich fish such as salmon, mackerel, and herring and eggs contain vitamin d3.

Here are a few reasons why deficiency of vitamin d is becoming increasingly common among urban Indian youth.

1. Being always indoors

Our youth is never out in the sun because they are too occupied with their laptops or video games. Their lifestyle is such that it does not allow them to spend some good time out in the sun, which is a major source of vitamin d for the body. Technological advancement and cut-throat competition have made the youth forget the sun as a source of a healthy dose of vitamin d.

2. No milk, no fish

A lot of Indian youth follow a strictly vegetarian dietary regimen and they avoid milk very commonly. Vitamin d is found in foods like fish, egg yolks, fish liver oils etc. And not consuming them is a major reason why youth face vitamin d deficiency.

In fact certain, distinct symptoms can help you know if you're suffering from vitamin d deficiency or not.

You need to keep an eye out for these:

- excessive sweating without indulging in physical activities or being exposed to high temperatures

- sudden bouts of weakness for no apparent reason

- brittle bones that break easily

- chronic pain in your brains

- feeling of depression

If you would like to consult with me privately, please click on 'consult'.
Related Tip: Do You Need Vitamin Supplements?

Why Drastic Deficiency of Vitamin D is Becoming Increasingly Common Among Urban Indian Youth?

Being overweight or obese leads to many health problems and thus, controlling your diet to reduce fat and weight can help you get your life back. However, one the other side of the spectrum, being too skinny can also be unhealthy. You could also be clinically of proper weight but might want to put on some muscle. Diets for both sides will thus vary greatly.

Diet for weight loss:

Include more of dark leafy vegetables in your diet: These vegetables are storehouses of many important nutrients, such as vitamins, proteins, fibres and antioxidants and also contain no fats.
Cereals and grains: It is important that we replace refined flour and fried food items, such as parathas or poori with whole healthy grains. Some examples of these grains are whole wheat bread, brown rice, rotis and oats.
Lean meats: Certain forms of meat, which have been prepared without too much oil and spice are good as weight loss diet ingredients. Chicken, turkey, sweet-water fish among others are good choices.
Fruits: Fruits are also a good option as they have natural sugar within them and can provide a boost of energy without requiring processed sugars. Melons, Oranges, berries, guavas are all good examples as they also help in regulating body functions.
Diets for weight gain:

Peanuts: This ingredient is a good source of protein and unsaturated fats, which will help you build muscle and put on some extra weight. If you are working out at the gym to gain muscles peanuts can provide you with the required calories and protein to put on weight.
Bananas: This fruit is not only a source of potassium, but also a source of good sugar which can easily be converted into energy within the body and can help build muscles and thus enable you to put on weight the healthy way.
Eggs: Eggs, especially egg yolk is known to be rich in protein and fats and can help you gain weight quickly. However, it is advised not to eat multiple eggs and limit its consumption to three or four eggs weekly as it can contribute to bad cholesterol within the body.
Chocolate: Some amount of chocolate in your food also helps you to put on weight although excessive consumption may lead to elevated blood sugar levels. However, chocolates in moderation and regularity will help you put on weight healthily.

Diet For Weight Loss And Weight Gain!

There is a commonly held view that eating disorders are a lifestyle choice. Eating disorders are actually serious and often fatal illnesses that cause severe disturbances to a person's eating behaviors. Obsessions with food, body weight, and shape may also signal an eating disorder.

Signs and Symptoms of Common Eating Disorders are discussed below...

Anorexia Nervosa-

People with anorexia nervosa may see themselves as overweight, even when they are dangerously underweight. People with anorexia nervosa typically weigh themselves repeatedly, severely restrict the amount of food they eat, and eat very small quantities of only certain foods. Anorexia nervosa has the highest mortality rate of any mental disorder.

Symptoms:

Extremely restricted eating
Extreme thinness (emaciation)
A relentless pursuit of thinness and unwillingness to maintain a normal or healthy weight
Intense fear of gaining weight
Distorted body image, a self-esteem that is heavily influenced by perceptions of body weight and shape, or a denial of the seriousness of low body weight
Other symptoms may develop over time, including:

Thinning of the bones (osteopenia or osteoporosis)
Mild anemia and muscle wasting and weakness
Brittle hair and nails
Dry and yellowish skin
Growth of fine hair all over the body (lanugo)
Severe constipation
Low blood pressure, slowed breathing and pulse
Damage to the structure and function of the heart
Brain damage
Multiorgan failure
Drop in internal body temperature, causing a person to feel cold all the time
Lethargy, sluggishness, or feeling tired all the time
Infertility
Bulimia Nervosa-

People with bulimia nervosa have recurrent and frequent episodes of eating unusually large amounts of food and feeling a lack of control over these episodes. This binge-eating is followed by behavior that compensates for the overeating such as forced vomiting, excessive use of laxatives or diuretics, fasting, excessive exercise, or a combination of these behaviors. People with bulimia nervosa usually maintain what is considered a healthy or relatively normal weight.

Symptoms:

Chronically inflamed and sore throat
Swollen salivary glands in the neck and jaw area
Worn tooth enamel and increasingly sensitive and decaying teeth as a result of exposure to stomach acid
Acid reflux disorder and other gastrointestinal problems
Intestinal distress and irritation from laxative abuse
Severe dehydration from purging of fluids
Electrolyte imbalance (too low or too high levels of sodium, calcium, potassium and other minerals) which can lead to stroke or heart attack
Binge-eating Disorder-

People with binge-eating disorder lose control over his or her eating. Unlike bulimia nervosa, periods of binge-eating are not followed by purging, excessive exercise, or fasting. As a result, people with binge-eating disorder often are overweight or obese. Binge-eating disorder is the most common eating disorder.

Symptoms:

Eating unusually large amounts of food in a specific amount of time
Eating even when you're full or not hungry
Eating fast during binge episodes
Eating until you're uncomfortably full
Eating alone or in secret to avoid embarrassment
Feeling distressed, ashamed, or guilty about your eating
Frequently dieting, possibly without weight loss
Unspecified Eating Disorder-

This happens when the behavior do not meet the criteria for any food or eating problems but still pose significant threat and problems.
This also happens the clinician is not able to assess whether an individual is affected by a certain disorder.
Treatment-

Treatment is available. Recovery is possible...

Eating disorders are serious health conditions that can be both physically and emotionally destructive. People with eating disorders need to seek professional help. Early diagnosis and intervention may enhance recovery. Eating disorders can become chronic, debilitating, and even life-threatening conditions.

When you begin to notice that disordered eating habits are affecting your life, your happiness, and your ability to concentrate, it is important that you talk to somebody about what you are going through.

The most effective and long-lasting treatment for an eating disorder is some form of psychotherapy or psychological counseling, coupled with careful attention to medical and nutritional needs. Ideally, this treatment should be tailored to the individual and will vary according to both the severities of the disorder and the patient's particular problems, needs, and strengths.

Eating Disorders

One's child birth is a joyous and emotional time. After nine long months of pregnancy, one greets the arrival of baby with great anticipation. It is absolutely normal that the time post delivery marks a drastic change in sexual desire. While both women and menexpect changes in their sex life immediately after the birth of a child, but as time passes by, it is normal for both partners to wonder when things will ever return to normal. It is a fairly common condition to have a decreased sex drive after giving birth and this feeling can last for months which can be attributed to many factors. Refer to the following tips to get your drive back.

 Consult your gynaecologist: one should take gynaecologist into confidence to discuss how one's libido has changed after child birth, who will in turn help to rule out any physical issues if any. 
 Emotional &amp; physical fatigue: nursing a new born is no joke and it drains you physically. In a post delivery scenario, ones libido has to fight with overwhelming emotional as well as physical fatigue that results from nursing of a new born. One can share the night-time feeding with one's partner and try to catch up on the sleep with day time nap. One simply cannot look forward to sex if one is deprived of sleep.
 Release the pressure and guilt: the body is still recovering and one may get a feel that one is not attractive as before, which makes a dramatic impact on body image. Communicate honestly with your partner about the lack of drive. It is likely that he will also be experiencing similar issues and conflicting emotions. Giving reassurance that one is working on increasing the libido can help ease the pressure on both the individuals.
 Prepare for sex: do anything to relax and get into the mood before hitting the bed. It can be as simple as a hot shower or a refreshing drink, but it is important to help your body transition from mother to lover.
 Use a lubricant: it is hard to look forward to something that is painful. Breastfeeding plays a significant role in the decrease in libido. Oestrogen is an important hormone that decreases with breastfeeding which affects vaginal tissues. The most common vaginal side effects of decreased oestrogen are dryness hence it's important to use lubricants to minimize the discomfort of vaginal dryness and make sex more enjoyable.

Libido is a complicated and there will be times one has to do even if one is not in the mood. Sometimes it takes a little nudge to get the libido back into gear. Once one gets over the hurdle of not being in the mood, one may just realise that one is enjoying the act. The good news is that this decrease in libido is temporary. With time and patience, one can rebuild a satisfying sexual relationship with their partner.

Tips on How to Get Back The Female Sex Drive After Giving Birth

Pregnancy is definitely a new and beautiful phase in a woman s life. During this time, the woman s body goes through multiple changes during the nine months and post-delivery, extra care is needed for the body to get back to its pre-pregnancy state. The following are some tips to care for your post-partum body immediately after delivery and through the first six weeks after childbirth.

Perineal soreness: The area between the vagina and the anus stretches a lot during labour and can be sore for quite a while. In some women, this area may even be cut to enable easy passing of the baby (episiotomy). This would be more painful and can be managed with topical creams, ice packs, Kegel exercises and warm baths.
Uterine shrinkage: The uterus enlarges to accommodate the developing baby shrinks back to its original stage after delivery. This causes severe cramps, especially during the first six weeks and if required, pain medications can be taken for the cramps.
Breast fullness: The breasts fill with milk after birth to enable feeding, and the woman feels engorged. This is relieved with feeding, but if the baby is not on mother s milk, warm soaks on the breasts and a supportive bra can help. It will stop once the breasts stop making milk.
Constipation: This is common post pregnancy, and so foods rich in fibre should be consumed. Lots of vegetables, fruits and whole grains should be included in the diet. If required, stool softeners can be used.
Body swelling: In preparation for the delivery, the hands and feet swell due to fluid accumulation. This naturally subsides over the first week to 10 days. Lying on the left side and keeping the feet elevated can help.
Urination problem: Experiencing a burning sensation or pain while urinating and inability to start or stop a stream of urine are common urination problems, especially immediately after childbirth, which will subside in a couple of weeks. Drinking lots of water, Kegel exercises and warm baths are helpful measures that can be undertaken.
Fatigue: Taking care of the newborn can leave you drained. Get adjusted to the baby s routine and try to sleep with your baby. Get friends and family to help you take care of your child so that you don t feel the entire strain.
Emotional health: Changes in the hormone levels again affects your emotional health, so try and stay positive. Post-partum depression is very common in women, as they feel overwhelmed with caring for the newborn.
It is important to realise that while pregnancy is an important phase, it is a natural process. The body will adapt to these short-lived changes and allow you to bond with your baby by staying close to your child, responding to its needs, spending time together, and taking care of your newborn.

Post-Partum - How To Take Care of Your Body?

If you have been that extremely skinny guy in your high school days, never getting picked for the soccer team, then it is time to fix that stubborn weight issue. Worry not, it s fairly easy, all you have to do is make changes in your diet. Diet is the primary component that can help gain weight.

Some tips you can follow and design your diet plan accordingly are mentioned below: 

Increase your appetite by eating more to gain weight. But do it step-by-step and not by stuffing yourself too much at one go. Add one extra chapatti or more rice than you normally consume, or you even start with fruits by eating an extra one every day. Ghee, oil or butter can not only help increase your weight, but it may increase weight by increasing your fat percentage in your body. Rather you can eat a proper well-nourished diet and increase your muscle mass and not only the fat accumulation in the body.

Carbohydrates are needed to gain weight but include healthier options like banana, potato, mango, whole grain, rice, etc. Instead of sugar-rich food items like chocolates and other junk food items. Carbohydrates are classified into simple and complex carbs. Reduce on your simple carbs like sugar and sweets which later on converts to fats. Complex carbs like whole grains, beans or fibre-rich vegetables and fruits can be consumed for a healthy weight gain.

Consume protein-rich food items after your workout to increase your muscle mass. And eat good fats like nuts and seeds in your diet. Eating a handful of pumpkin or flaxseeds is a good way to give your body the fat intake it needs. Though junk food items like vada pav or burgers are loaded with calories, they only increase body fat and not muscle mass. This is not the right way to go around. Every meal should comprise of carbs and protein. Post-workout nutrients and a well-balanced diet with the proper combination of carbohydrates and protein is the most important to maintain your muscle mass and weight gain process.
Sample Meal Plan -

To give you more opportunities to get the calories to gain weight, aim to eat 3 meals and 2-3 snacks a day. For breakfast, enjoy generous servings of whole grains like whole-wheat bread with beans or egg whites, paneer or Cereals and a glass of milk with nuts will be a good combination.

Mid-morning can be fruit juices, fruit milkshakes, 1-2 serving of fruit or granola bars. Lunch and dinner can be incorporated with 3-4 wholegrain chapattis with a serving of pulses, paneer, chicken or fish and a serving of vegetables with a portion of rice OR 1 bowl of khichdi which serves you with good cereal pulse combination. In between meals if you feel hungry you can have sprouts or roasted channa. Evening you can either grab a whole wheat sandwich, a whole wheat roll or a whole wheat sub.

Bedtime you can either have a glass of milk or either banana /mango/strawberry milkshake.

Right Ways To Gain Weight!

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