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Urgent wake-up call for India: Lancet study shows half of Indians physically unfit. Here’s how to begin exercising

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Urgent wake-up call for India: Lancet study shows half of Indians physically unfit. Here’s how to begin exercising

According to a recent study published in The Lancet Global Health journal, 57% of women in India were found to be insufficiently physically active, compared to men (42%), in line with trends across the South Asian region while almost 50% of adults in India engaged in insufficient levels of physical activity in 2022. Additionally, an international team of researchers, including those from the World Health Organization (WHO), claimed that the South Asian region also ranked the second highest in terms of adults being insufficiently physically active after high-income Asia Pacific region.

Urgent wake-up call for India: Lancet study shows half of Indians physically unfit. Here’s how to begin exercising (Image by Freepik)

If the current trends continue, the study projected that by 2030, 60% of the adults could be insufficiently engaging in physical activity as in India, a little over 22% of the adults engaged in insufficient physical activity in the year 2000 while in 2010, close to 34% of the adults were insufficiently physically active. This raises an urgent wake-up call for India as a 2023 Indian Council of Medical Research-India Diabetes (ICMR-INDIAB) study, published in The Lancet Diabetes and Endocrinology journal, estimated that 101 million people in India were diabetic in 2021 and about 315 million had hypertension the same year.

India’s Fitness Challenge:

Given our deteriorating health graph, it is crucial to start our fitness journey now and adopt actionable steps to get active and begin exercising. In an interview with HT Lifestyle, Dr Manish Pendse, Senior Consultant Physician and Diabetologist at Medicover Hospitals in Navi Mumbai, shared, “Poor lifestyles and unhealthy food choices are some of the main reasons behind the major population being unfit. People tend to choose processed, packaged, or junk food instead of eating healthy food. This significantly hampers their health resulting in several health issues like obesity, diabetes, cardiovascular diseases, digestive problems, high cholesterol, high blood pressure, stroke and skin problems.”

What You Can Do Now:

Dr Manish Pendse asserted, “It becomes essential to indulge in physical activities or exercise, to keep your body fit and away from multiple diseases. Your fitness regime could include low-impact exercises like walking, jogging, meditation and Yoga and intense physical activities like running, cardio, weight lifting, and hitting the gym. Being physically active for at least 30 to 40 minutes daily can stimulate metabolism helping in managing weight.”

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The health expert suggested, “Eat well-balanced food that contains equal amounts of essential nutrients like protein, vitamins, minerals, carbohydrates, and omega-3 fatty acids. Make healthy food choices that are low in calories, cholesterol, and saturated fats, and contain sugar, and salt in moderation. Keep a daily track of your body weight to see if you are gaining weight or losing weight. This can help you create a tailored plan to maintain your physical and psychological health.”

He cautioned, “Avoid unhealthy habits like drinking alcohol, chewing tobacco, smoking, sitting in one place for prolonged hours without taking adequate breaks and eating at unusual hours. Consult your doctor for expert guidance and tips to maintain fitness in this fast-paced life. Stress also leads to weight gain and gastric problems, It is imperative to de-stress by doing activities that calm you down.”

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Fitness

Forget about the gym! Chicken-sizing will keep you fit. Bonus: Fresh eggs

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Forget about the gym! Chicken-sizing will keep you fit. Bonus: Fresh eggs

Andy Rementer / for NPR

In my 20s, I loved running. I called it “my Prozac.” Every week, I tried to run 25 miles. It kept my mood up and my heart healthy.

But when I reached my 30s, my relationship with running soured. My back started protesting the long runs. Then it protested the short runs. Eventually, one morning, I couldn’t walk. My back said, “Nope, no more running.”

For months, I felt pretty sad about this huge loss in my life. I tried other types of exercising, but my back protested it all — biking, yoga, pilates, zumba, you name it. Everything that our society calls “exercising” hurt my back for many days afterward. “Sorry. But we’re done with all of that,” my 33 vertebrae said in unison.

A different exercise mind-set

At the same time, I was reporting on global health for NPR, and I started to realize that exercising per se was a strange phenomenon. Around the world, people don’t necessarily go out and move their bodies with the intent to burn calories and tone their thighs (mmmm … chicken thighs). Instead, they embrace a revolutionary idea: They move — and move quite a bit — with a clear purpose in mind beyond the movement. They move to reach a destination. They move to hunt or forage. They move to take care of animals or tend crops. Or build a structure. Or gather firewood.

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“Every day you’re doing something from dawn to dusk,” says Esther Ngumbi, who grew up in rural Kenya and is now an entomologist at the University of Illinois, Urbana. “In the morning, you have to go to the river to fetch water and come back. Then you go to the farm during the day and go fetch fire wood. Then at dusk, you have to go fetch water again.”

In other words, Ngumbi was weightlifting, not three times a week but at least twice a day. “I had to carry a 25-gallon bucket of water from the river,” she exclaims. “So yeah, I was weightlifting. I was exercising 24-7.”

Tying movement to purpose felt rewarding, Ngumbi says. And yet, here in the U.S. we’ve replaced almost all of this rewarding movement with machines. “The river exists in my home now. The fire stays at my home. And I can turn them both on and off when I need to,” she says laughing. “So now that I don’t have this purpose [to move] and all these things I need to do, I started gaining pounds. I’m just eating more and moving much less.” So Ngumbi started to exercise — at the gym.

But I started to wonder if I could go the opposite direction. If I could take inspiration from people all over the world and add more purpose and meaning to my exercising. “Hmm,” I thought, “maybe this type of movement could be my version of crossfit and barre.”

And so, after a decade of being a couch potato, I launched the most successful exercising program of my life. I bought 15 chicks, two coops and a book about how to raise a backyard flock. And I started chicken-sizing.

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To be honest, chicken-sizing is harder than I thought it would be. Way harder. Taking care of flightless birds does tone your core and thighs. Because it requires bending, squatting and carrying heavy loads around your yard. One weekend, I tracked what chicken-sizing involved, and I counted about 20-30 squats each day, 1,500 extra steps each day (depending on how many chickens I have to chase back into the pen), and lots of lifting poultry water dispensers up, down and around the yard. They’re not 25 pounds but they’re at least 5.

The pluses of chicken-sizing

So I’ve gotten into way better shape than I expected. And I’ve come to realize there are some big advantages to chicken-sizing over regular exercising:

Failure is not an option: You cannot make up an excuse not to work out. You can’t put on your chicken-size clothes, sit around for 30 minutes and decide, “Oh, I’ll just do it tomorrow.” The ladies depend on you and need care every single morning and every single night. And if you don’t do it, they might die. They could be eaten by raccoons or skunks (who eat their heads, drink their blood and discard their bodies). Or they could dehydrate or freeze to death. The stakes are just too high.

And so you do it. Twice a day. Every. Single. Day. And it becomes so routine, so habitual that you don’t even realize you’re exercising. The task is part of your life, similar to going to the bathroom. You don’t put it on your calendar. You just do it. (Yes, some mornings early in this new regimen you curse the fact that you bought 15 chickens, but that sentiment passes after a few months).

You don’t have to change clothes: What a huge time saver! But also, cutting out that simple step makes it so much easier to actually get up and do the task. As all the habit experts say, “Make it easy!”

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You always have a workout partner: In my case, I have 15. Sure, their brains are the size of two peanuts. But they are happy to see me — oh so happy. Every morning and evening, they cheer on my chicken-size routine with gusto! Squawk. Bah-Baaaahk!

And if I need a break, I can pick up a chicken and snuggle her soft feathers. Often it’s a white bird named Marshmallow. Talk about a feel-good, in-the-moment, five-senses experience. Sure, snuggling a hen isn’t quite the same as a dose of Lexapro, but twice a day, it comes pretty close. (

(One of my friends asked me the other day if I do “self-care,” and I said, “No.” And she responded in the funniest way. “Yes, you do. You raise chickens.”}

And there’s an added bonus that no gym workout will provide. Eggs! Holy moly, eggs! The best eggs you’ve ever eaten in your life. Some days I sit at the breakfast table and just marvel at how good these eggs taste. Or I’ll stare at our egg rack on the kitchen counter and appreciate the color of the beautiful shells.

Just this morning, I fried one egg for myself and one for my daughter. As we sliced into the golden-orange yolk, she said, “Whose is this one?”

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“Oh, that’s Marshmallow’s,” I said. “She’s so amazing. Thank you, Marshmallow.” And thank you, chicken-sizing.

Given all these wonderful aspects of chicken-sizing, I wondered if Esther Ngumbi missed raising chickens or fetching water at the river.

“I do miss it,” she says with a sigh. “But some of it, I don’t miss,” she counters. “For example, sometimes I had to wake up early in the morning, and it was so cold.”

So maybe chicken-sizing is so great because it gives me purpose but I don’t actually have to do it. My family would still eat if I forget to close their cage one night and a skunk comes to decapitate them.

In other words, maybe chicken-sizing is a sweet spot between moving all day because your livelihood depends on it and moving only because your body sits down all day.

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Ngumbi agrees. “Yes, maybe there is a sweet spot to exercising,” she says. “I actually really enjoyed going to fetch water at dusk. It was so refreshing with the cool evening breeze. It just all of a sudden relaxed you. So I felt like I was meditating while walking” — meditating, weightlifting and accomplishing a necessary task of life.

Science journalist MIchaeleen Doucleff is the author of Hunt, Gather, Parent: What Ancient Cultures Can Teach Us About the Lost Art of Raising Happy, Helpful Little Humans.

Copyright 2024 NPR

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Why The Bulgarian Split Squat Is A Must-Add To Your Workout Routine? Expert Answers

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Why The Bulgarian Split Squat Is A Must-Add To Your Workout Routine? Expert Answers

Why The Bulgarian Split Squat Is A Must-Add To Your Workout Routine? Expert Answers (Image Credits: iStock)

The Bulgarian split squat has garnered significant attention in the fitness regime of many fitness enthusiasts for its effectiveness in building strength, stability, and muscle definition. This single-leg exercise, which involves elevating the rear foot on a bench while performing a squat with the other leg, offers a unique challenge and numerous benefits that make it a must in many workout routines. But what is it? A Bulgarian Split Squat (BSS) is a variation of the traditional squat exercise that targets the legs, glutes, and core muscles. It is a unilateral exercise, meaning it works one leg at a time and is known for its ability to improve strength, balance, and flexibility.

We got in touch with Dr Seema Grover, Head of Department, Physiotherapy and Rehabilitation, Indraprastha Apollo Hospitals who shares types of Bulgarian Split Squats, benefits of it and the right way to do it.

Types Of Bulgarian Split Squats:

Dr Seema Grover shares that there are three types of Bulgarian Split Squats:

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1. Bodyweight BSS: Performed without any additional weight, this version is great for beginners or those focusing on technique.

2. Weighted BSS: Uses dumbbells, kettlebells, or a barbell to increase the intensity and challenge.

3. Pistol BSS: A more advanced version where the back leg is lifted off the ground, requiring more balance and control.

Benefits of Bulgarian Split Squats:

Dr Seema Grover shares the health benefits of Bulgarian Split Squats includes:

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1. Improved leg strength: Targets quadriceps, hamstrings, glutes, and calves.

2. Enhanced balance and coordination: Requires engagement of core muscles and balance control.

3. Increased flexibility: Stretches the hip flexors and quadriceps.

4. Functional strength: Mimics movements used in everyday life, like getting up from a chair or climbing stairs.

The Right Way to Do a Bulgarian Split Squat:

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1. Start with proper stance: Stand with feet shoulder-width apart, facing away from a bench or step.

2. Place back leg: Rest the back leg on the bench, keeping the knee bent at a 90-degree angle.

3. Lower body: Slowly lower the front leg, keeping the back leg straight, until the back knee almost touches the ground.

4. Push back: Drive through the front heel to return to standing.

5. Alternate legs: Complete reps on both legs.

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Mistakes to Avoid:

To make the most of this exercise, Dr Seema Grover shares some tips to keep in mind to avoid any mistakes:

1. Letting the back leg touch the ground: Keep it lifted to maintain proper form.

2. Not lowering far enough: Aim for a depth where the back knee almost touches the ground.

3. Using momentum: Control the movement with your leg muscles, not by swinging your body.

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4. Not engaging core: Keep your core muscles activated to maintain balance and stability.

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Fitness

Exercise is good for your mind and body. Here are 5 ways it can boost happiness | CNN

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Exercise is good for your mind and body. Here are 5 ways it can boost happiness | CNN

Editor’s note: Season 10 of the podcast Chasing Life With Dr. Sanjay Gupta explores the science of happiness. You can listen to episodes here.



CNN
 — 

Think back to when you were a kid and movement was instinctive — and often infused with pure joy.

Maybe it was racing your sister and dad to the front door. Or jumping on the bed with friends during a sleepover. Or playing a team sport. Or riding your bike around the park.

For many, the link between movement and joy was severed and forgotten somewhere along the road to adulthood, displaced by the realities and responsibilities of daily life. Movement might have been transformed into something more obligatory — we must do it to optimize our health or get in shape. Or it might have become too time-consuming. For some, it might even have become painful due to injury, disease or the passage of time.

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But we abandon movement at our own peril and at risk of our well-being. Studies have found that movement — and its more challenging and intentional cousin, exercise — is not only beneficial for physical health but is also closely associated with mental status and mood.

“I always say that exercise is like an intravenous dose of hope,” psychologist Kelly McGonigal told CNN Chief Medical Correspondent Dr. Sanjay Gupta on his podcast Chasing Life recently. And it’s any form of movement that you’re willing to do with any part of your body that you can still move.”

McGonigal is the author of “The Joy of Movement: How Exercise Helps Us Find Happiness, Hope, Connection, and Courage. A group fitness instructor and a lecturer at Stanford University, she has used movement and exercise throughout her life to manage her own anxiety and depression.

McGonigal said exercise allows for the creation and release of “hope” molecules, technically called myokines, during muscle contractions — for example, when we work out or even just move around. Some of these myokines can have antidepressant effects.

“Our muscles do more than just move our bones around or stabilize our skeleton,” she said. “Our muscles are almost like endocrine organs. They manufacture these molecules that they can release into the bloodstream that then travel around and affect all of our organs. And some of them can cross the blood-brain barrier and affect your brain, including your mood and your mental health and your brain health.”

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Exercise enables you to see your body as an ally, according to McGonigal.

“I think this is one of the coolest bits of the science of movement and exercise, particularly because of how it allows us to feel like our body is our friend,” she said. “It’s our partner, not something we’re trying to fix or control through movement.”

McGonigal said many other brain chemicals get released during exercise that can affect someone’s state of mind, resulting in, for example, a runner’s high, a flow state and even euphoria.

“There’s actually a lot of different kind of brain states you could experience in movement; it’s not one ‘thing,’” she said. You can listen to the full discussion here.

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What can you do to tap into joy during exercise and movement? McGonigal has these five tips.

Head out into nature.

“We know that mindful forms of movement, as well as moving outdoors in nature, tends to put the brain in a state of this heightened awareness to the present moment that feels like vitality and connection to life,” McGonigal said. “People often feel a relief from inner chatter and stress and worrying. … It’s changing which systems of the brain are most active and putting you in a state that’s like meditation.”

Queue up your favorite playlist and get moving.

“If you’re doing a workout where you’re listening to music you love that’s high energy, you’re moving to the beat, and you’re doing things that really get your heart rate up … it often is more like euphoria,” she said. “You feel incredible, and you’ve got those endorphins, and that brain chemistry also really helps you feel connected to other people.”

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Being social helps you exercise.

“Make movement social. We know that people form friendships and communities of support through movement, whether it’s strength training or running,” McGonigal said.

These days, who couldn’t use another friend or source of support?

Exercise also helps you be more social.

“People who exercise, they report being less lonely, they report having better relationships with others and — for reasons that range from the biochemical and how the brain chemistry of exercise primes you to be more social — to be able to connect with others better,” McGonigal said.

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“If you are socially anxious and you exercise, by the end of that workout, you’re going to be almost like a more extroverted version of yourself.”

Find something you really like doing.

“Think about positive experiences you’ve had with movement in your life,” McGonigal said. “Maybe go back to something that you miss or find a new way to do it.”

While you are moving, find ways to appreciate your body for being able to move, as opposed to monitoring it.

Adopt a “mindset switch of, ‘Wow, body — that was incredible!’ Or ‘Thank you, body, for having the energy to let me do this,’” McGonigal said.

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We hope these five tips help you tap into joy through movement. Listen to the full episode here. And join us next week on the Chasing Life podcast when Dr. Gabor Maté speaks about how past trauma affects present-day health.

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