Miyuki Shimizu writes:

        Mr. Tanaka has many problems of two basic kinds. One problem is clinical. He has many risk factors. He should know about his clinical risk factors immediately. Another problem is about his lifestyle. Even if he changes his lifestyle, his health will not be improved at once, but it is necessary for him to know the right information regarding improving his lifestyle.

        One problem which he has is related to clinical matters. Firstly, in his family there is a history of diabetes and a critical heart condition. Secondly, his LDL level is at 172. LDL delivers cholesterol to the body, and prevents the blood flowing. It is better that LDL level is under 130. So, his 172 level is extremely high. If his LDL level is not be reduced, he may have anterioclerosis. To reduce his LDL level, he needs to do exercise more and lose weight. His problems about his family and high LDL level are very serious and put him in danger of illness or death. He should have the right information and improve his condition.

        First of all, it is good for him to eat good foods and exercise to reduce LDL level. He thinks he needs to intake fast food like hamburgers, cheeseburgers etc, but that is not right. He should reduce the amount of foods that high saturated fats and cholesterol. He should get the vitamins and minerals more. Therefore he had better eat a varied, balanced diet, rich in fruits, vegetables, and whole grains. He doesn't like exercise, but he does sports about a half an hour once a week, because of the only reason that he wants to keep his weight down. We can not help he doesn't like doing sports, but I want him to enjoy sports if possible. Exercise is helpful to reduce his LDL level, so it will keep him from having anterioclerosis. That is the most important point for him. He has been feeling lots of pressure at work lately, and most recently he finds it hard to relax even after work. If he enjoys doing routine physical exercise, his feeling will be better and it may be easy to relax for him. Thus, exercise will have an appropriate effect on both mentally and physically. If he insists on hating exercise, I recommend stretch or yoga.

        Another problems he has are about his lifestyle. Firstly, he doesn't have time to eat breakfast most mornings. Secondly, he relies on vitamin supplements because he hates vegetables. Thirdly, he doesn't understand importance of foods. He gets his nutrition from meat, beef, and pork mostly and gets his fiber from eating udon and rice. To be sure, vitamin is needed for human body, because it helps the body turn food into energy and tissues, so it is important for him to get vitamin supplements. But supplements are supporting things. Basically, he had better get vitamin by eating a varied, balanced diet. Vitamins are contained in fruits, vegetables and whole grains. He should eat these foods especially in the morning. Fiber is contained in oatmeal, bran cereal or whole-grain bread, and plenty of fruits, vegetables and dried beans. He should eat these foods, too, except udon or rice. Next, I want him to know about vitamins and minerals, and the difference between carbohydrates and fats. Vitamins help the body turn food into energy and tissues. There are 13 vitamins in all. On the other hand, minerals are needed for growth and maintenance of body structures. They also help to maintain digestive juices and the fluids found in and around all. Minerals include calcium, chlorine, magnesium, phosphorus, etc. We usually get minerals by eating plants or plant-eating animals. Carbohydrates include all starches and sugars. They are the body's main source of energy. Each gram of carbohydrate provides 4 calories. On the other hand, fats pack a lot of energy. Each gram of fat provide 9 calories. There are three kinds of fat: saturated, monounsaturated, and polyunsaturated. Fats have high calorie and may cause becoming fat. And fats contains saturated lipid which is the source of bad cholesterol or LDL.

        I advise him to enjoy eating and doing exercise. I think it is important for him to enjoy his lifestyle. What is most important is not vitamin supplements and magazines about health, but living with eating a varied, balanced diet and doing comfortable exercise.

         

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