Yumi Tomura writes:

        Behavior problems about diet and exercise cause risk factors for heart disease and diabetes. So, it's important to have a balanced diet and do exercise. Let's look at Mr. Tanaka's problems and advise him from various angles.

        First, although he pays much attention to his health by reading many different magazines and Internet sites to stay current with the latest information about staying trim, energetic and healthy, he is very confused about different kinds of information. In the first place, he doesn't understand carbohydrates, fats, and proteins correctly. Carbohydrates are the body's main source of energy. Carbohydrates include all starches and sugars. And foods containing starches include beans, breads, cereals, pasta, and potatoes. Fat is a valuable energy source and carries fat-soluble vitamins needed for proper growth and development. It also contributes important taste and textural qualities that are part of enjoying food. Proteins are more important as the body's building materials. Muscle, skin, bone, and hair are made up largely of proteins. In addition, every cell contains proteins and the body uses proteins to make antibodies, or disease-fighting chemicals, and certain hormones. Food provides our body with these nutrients it needs for energy, growth, repair, and reproduction. So we have to eat a variety of nutrient-rich foods. We need more than 40 different nutrients for good health, and no single food supplies them all.

        In the second place, he is very confused about what would be the recommended daily amounts (RDA) of vitamins and minerals for a man his age. I will teach him RDA of main vitamins and minerals. For example, RDA of Calcium is 600--700mg, and RDA of iron is 10mg for a man his age. As to vitamin, RDA of vitamin A is 2000IU, and RDA of vitamin C is 50mg. We have to know RDA of vitamins and minerals for our sex and age and try to take nutrients based on RDA in order to prevent deficiency. Since he is busy six and sometimes seven days a week, he doesn't have time to eat breakfast most mornings, and he also finds he needs to intake fast food like hamburgers, cheeseburgers or udon at lunch and dinner. He should eat three meals a day. That's because eating only two meals often leads to overeating. In other words, cholesterol rises in body. He should also have a balanced diet. Although he takes fat, carbohydrates and protein, he doesn't take vitamin and mineral. Vitamins help the body turn food into energy and tissues. Minerals are needed for growth and maintenance of body structures. Some vitamins are antioxidants chemicals that prevent damaging changes in cells and may help protect against cancer, heart disease, and aging.

        In order to get vitamins and minerals, he had better to have diet rich in fruits, vegetables, and whole grains. And, he gets his fiber from eating udon and rice. But, a number of foods are good sources of fiber, including fruits, vegetables, legumes, nuts, and whole grains. So he had better take vegetable and grains. He relies on vitamin supplements which he takes with four or five cups of coffee in the morning and colas in the afternoon. Coffee and cola drinks contain caffeine. Caffeine is a drug that stimulates the central nervous system, making he feels more energetic. There is not a lot of evidence that caffeine causes any major long-term health effects. But he had better take fewer than three cups of coffee a day.

        Third, Mr Tanaka's LDL level is measured at 172. Butter, bacon, and cheese for example, are animal products high in saturated fats. There are also some saturated vegetable fats that tend to raise the cholesterol level in the blood. These can be found in solid shortenings, coconut oil, and palm oil. A high blood cholesterol level is a risk factor for heart disease. Cholesterol is required for the formation of bile acids which are needed for fat digestion. Especially Vitamin E prevents LDL from oxidizing. So he should try to eat green and yellow vegetables like spinach and carrots.Vegetables like spinach and carrots also prevent LDL from oxidizing as they contain Vitamin E and carotene. LDLs, are often referred to as "bad cholesterol" because these lipoproteins carry most of the cholesterol in the blood. Eating foods that are high in fiber can help relieve some problems with constipation, hemorrhoids, diverticulosis and irritable bowel syndrome. Dietary fiber may help lower his cholesterol. It may also help prevent heart disease, diabetes and certain types of cancer. Dietary fiber is found in soybean, adzuki. Fat of fish eaten did not increase a blood cholesterol but keep blood clean.

        In addition, it is important for Tanaka to exercise like walking, jogging, swimming, because using oxygen exercise stimulates blood circulation. It activates enzymes that dissolve triglycerides cause heart disease and arteriosclerosis. Besides, exercise like jogging rises HDL cholesterol levels. HDLs are believed to remove excess "bad" cholesterol from the body; therefore higher levels of HDLs are also believed to be associated with lower rates of heart disease.

        Fourth, both his grandfather and father have diabetes. His mother is currently ill with a critical heart condition. His gene is similar to his family's gene, and his lifestyle, especially diet, is also similar to his family's. So he has to pay more attention to his lifestyle. Finally, Mr. Tanaka has been feeling lots of pressure at work lately, and most recently he finds it hard to relax even after work. Stress leads to high blood pressure, coagulation and hyperglycemia. These high blood pressure and hyper glycemia cause diabetes, hyper tension and myocardial infarction. Therefore he had better reduce his work, do more exercise and enjoy his hobby in order to relax more.

         

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