Akiko Itoh writes:

        I think the basic problem to improve is that Mr Tanaka is very busy with his computer business. And the big problem is his wrong idea and wrong care about health. He is interested in his health and read many magazines about health but he does not always understand and is confused about this.

        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. In diet he has other problem,he hates vegetables and likes meats, which result in his taking a lot of fatty acid, and little vitamins. So he relies on vitamin supplements which he takes with four or five cups of coffee in the morning and colas in the afternoon.

        Mr Tanaka has been feeling lots of pressure at work lately, and most recently he finds it hard to relax even after work. Since Mr Tanaka does not like to exercise and he is so busy, he exercises for only about a half an hour once a week,and yet he feels this is enough to keep him from becoming fat. Furthermore ,his LDL level is measured at 172 (very high).

        In addition to these lifestyle problems, he has possibilities of big diseases. His father and grandfather have diabetes and his mother has heart disease.If he does not change his lifestyle, he will have same diseases.

        Mr Tanaka is "health-conscious" but he had many problems (like hate vegetables, vitamin supplements with four or five cups of coffee and "colas" , high LDL level, risk factors for heart disease and diabetes). So I will give some advice to improve his health.

        At first, I will tell him the difference between carbohydrates and fats. Carbohydrates include all starches and sugars. They are the body's main source of energy. Each gram of carbohydrate provides 4 calories. Starches are a more complex form of carbohydrate. 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.

        Secondly, I recommend he take breakfast. That's because eating only two meals often leads to overeating. In other words, cholesterol rises in body. And he should have a balanced diet. Although he takes fat, carbohydrates and protein, he doesn't take enough vitamins and minerals. 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. Although he relies on vitamin supplements which he takes with four or five cups of coffee in the morning and colas in the afternoon, coffee, tea, cola drinks, chocolate, some pain relievers, and many over-the-counter energy aids all contain caffeine. Caffeine is a drug that stimulates the central nervous system, making you feel more energetic. As a diuretic, it increases the blood flow through your kidneys, which produce more urine. The average cup of coffee offers about 100 milligrams of caffeine. It is said that a good idea is to keep your average intake below three cups of coffee a day.

        Thirdly, his LDL level is measured at 172, (above 160 means high risk). Saturated fat raises your blood cholesterol level more than anything else you eat. Foods high in cholesterol or saturated fat are: egg yolks, sausage, kidney, liver, and whole milk products such as butter, cheese, yogurt and ice cream. Red meats are also higher in cholesterol, but the leaner the meat, the lower the cholesterol. In addition, vegetable oils, such as palm, palm kernel, and coconut oil, contain no cholesterol but are high in saturated fat. 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. 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.

        Finally, I recommend he exercise and get more time to relax. He has been feeling lots of pressure at work lately, and most recently he finds it hard to relax even after work. Stress lead high blood pressure, coagulation and hyper glycemia. To find an interesting sports hobby may help decrease pressure at work, lower his LDL level, and it may help him achieve a healthier life.

         

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