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Table of Contents
ABSTRACT
Year : 2018  |  Volume : 4  |  Issue : 4  |  Page : 114-115

Holistic lifestyle management


Nutrition Specialist, Freedom Lifestyle and Wellness, Mumbai, Maharashtra, India

Date of Web Publication19-Sep-2019

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jrnm.jrnm_25_19

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How to cite this article:
Husein N. Holistic lifestyle management. J Renal Nutr Metab 2018;4:114-5

How to cite this URL:
Husein N. Holistic lifestyle management. J Renal Nutr Metab [serial online] 2018 [cited 2019 Oct 21];4:114-5. Available from: http://www.jrnm.in/text.asp?2018/4/4/114/267195



Holistic lifestyle management is a fundamental aspect of diabetes and renal care. We often observe that patient outcomes become move positively with improved self-management, nutrition therapy, increased physical activity, smoking cessation counseling, and psychosocial care. It is extremely vital. Patients and care providers should focus together on how to optimize lifestyle from the time of the initial comprehensive medical evaluation, throughout all subsequent evaluations and follow-up, and during the assessment of complications and management of comorbid conditions to enhance medical care.

We often see in the complex myriad of medical care the patient and the caregiver experiences various stressors from a physical level of the disease to other complexities such as strained interpersonal relations in families, financial burden of the disease, reduced productivity at work, loss of employment because of disease or sickdays, fear of unknown anxiety, and depression which occurs in varying degrees both in patients and caregivers. Such situations further silently add to the burden of diseases. Often, patients complain of a feeling of being mentally and emotionally drained or burnt out in spite of receiving the best medical care.

This often poses a question to a good healthcare team on: is there a missing block to comprehensively complete the puzzle.

Moreover, the answer may rightly be holistic wellness. This feeling of wellness can be achieved by patient through self-work. At this point in time, considering an Indian traditional system like Yoga works wonders as a missing puzzle block. This further reinforces with the belief that in our country where demands far outweigh medical resources, alternate therapies like Yoga (which is self-based) can be used as adjuncts to medical care to improve patient outcomes.

Today, systematic evidence-based medicine has clearly shown that the mind and that of the body are intimately related. If the mind is relaxed, the muscles in the body will also be relaxed. Stress produces a state of physical and mental tension. Yoga, developed thousands of years ago, is recognized as a form of mind–body medicine. In Yoga, physical postures and breathing exercises improve muscle strength, flexibility, blood circulation, and oxygen uptake as well as hormone function. In addition, the relaxation induced by meditation helps to stabilize the autonomic nervous system with a tendency toward parasympathetic dominance. Physiological benefits which follow help Yoga practitioners to become more resilient to stressful conditions and reduce a variety of important risk factors for various diseases.

There is evidence that Yoga has mood-enhancing properties possibly related to its inhibitory effects on physiological stress and inflammation, which are frequently associated with affective disorders. However, the biological mechanisms via which Yoga exerts its therapeutic mood-modulating effects are largely unknown. This systematic review investigates the effects of Yoga on sympathetic nervous system and hypothalamic–pituitary–adrenal axis regulation measures. It focuses on studies collecting physiological parameters such as blood pressure, heart rate, cortisol, peripheral cytokine expression, and/or structural and functional brain measures in regions involved in stress and mood regulation. Overall, the 25 randomized control studies discussed provide preliminary evidence to suggest that Yoga practice leads to better regulation of the sympathetic nervous system and hypothalamic–pituitary–adrenal system, as well as a decrease in depressive and anxious symptoms in a range of populations. Further research is warranted to confirm these preliminary findings and facilitate implementation in clinical settings.

Considerable amount of studies reveals that incompliance in dietary regimen leads to progression of the disease. Traditional concepts of Sattvic Ahar, Achaar, Vichaar, and Vihaar help the patients to become more adherent to the diet as the concept emphasizes that meal is an offering to the divine. A lot of emphases is also laid on unprocessed, simple food and of limitations and moderations.

Concepts such as Vairagya (let go) and Ishwarpranidhan (surrendering to the will of high reality) help better acceptance of the disease.

Yoga concepts such as Tapa (fortitude) and Swaydhaya (study of one's self-introspection) enable individuals to introspect and connect with their own inner strengths, which make disease mentally and emotionally management effective.

Techniques, such as meditation and Pranayam (breath control), bring more calmness and clarity to the individuals. Patients are psychologically enabled to manage their anxiety and depression.

Physical activity through Yoga asanas not only improves flexibility and agility but improves better muscle preservation and prevents sarcopenia. Each Yoga asana is also done with Bhavas (feeling) which enhances the entire experience from just only physical activity to a meaningful mind–body connect experience.






 

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