Hot stuff to help you beat the cold

Hot stuff to help you beat the cold
BY ANGELA KELLY24/11/2006
With winter round the corner, Angela Kelly reports on the best ways to stay fit and healthy
MANY people dread the winter months and worry about the best way
to beat the seasonal curse of colds, flu and chest problems that
can lay us low. But the truth is that we can greatly improve our
chances of keeping well and content when the temperature plummets
by following simple rules.
DIET
Food experts agree that we need a balance of protein, carbohydrate,
fruit, vegetables and fibre, plus a balanced intake of vitamins and
minerals. So, for a healthy diet we should:
Eat five portions of fruit and vegetables a day
Cut down on junk and processed foods
Have fresh foods and wholegrains every day
Limit our intake of tea, caffeine and alcohol
Drink plenty of water
Don't have too much saturated fats (red meat, cheese, cream etc)
but enough essential fatty acids (oily fish, nuts and seeds)
Have only a moderate amount of sugar and use unrefined or fruit
sugar or honey in place of refined sugar
Limit your salt intake and use herbal or low-sodium salts
Avoid preservatives and colourings when you can
Ray Green, Manchester Primary Care Trust community dietician, says:
"Try to include regular meals, even if they are only small snacks.
It's good to get into the habit of eating regularly to make sure
you are getting enough energy.
"Missing meals can leave you feeling lethargic and escalate the
problem."
Cooked meals are not essential, he adds, "but sometimes a hot meal
through the winter months can be a good warmer for the evening
(both for the stomach and the kitchen!). A sandwich, toast or
toasted sandwiches can be healthy.
"Puddings can also be nutritious and filling, using stewed fruit
and custard, yoghurt and milk puddings. Milky drinks are also
useful for providing extra calories."
Nutriton writer Natalie Savona, author of the book Wonderfoods,
says that when it's cold outside, we naturally want to eat more for
warmth. "But, instead of stodgy foods we crave, in fact we need
tasty foods packed with vitamins and minerals that will lift our
mood and support our body without containing a lot of unhealthy
sugar and fat."
For breakfast, she recommends Vitamin C-rich autumn berries eaten
with yoghurt or porridge.
For lunch, try energy-sustaining thick soups such as lentil and
ham, or curried vegetable. And at supper time, go for meals like
sweet potatoes topped with ratatouille, or butternut squash and
chickpea curry. If you're going on festive nights out, don't ruin a
good diet. Restaurant portions are often huge and options
frequently unhealthy. Remember, you don't have to eat everything -
only eat until you're full - and you could always opt for a starter
and share a main course or order two small starters. Be careful
with takeaways and only have them as a rare treat, advises
nutritionist Dr Chris Fenn. "They contribute to health conditions
such as bloating and indigestion in the short term and can lead to
obesity."
Don't go on a night out feeling hungry; have a snack so you're not
starving. And keep a selection of healthy snacks like fruit, nuts
or oat cakes, on your desk at work or handy at home rather than
pick at Christmas treats.
EXERCISE
Getting outdoors is really important at this time of year as being
exposed to natural light can lift your mood, and is essential so we
can absorb vitamin D. Aim for five 30-minute walks a week if you
can. Avoid "al desko" lunches and walk to a café or park. Walk
rather than taking the lift, and instead of emailing office
colleagues walk to see them. Andrew Jeffries, a personal trainer at
the Pro Balance gym in Jacksons Row, Manchester city centre, says
it's easier than you think to make time to get fit - "everyone has
five minutes some time in their day. Get off a bus one stop
earlier, for example. When you're on a night out, get on the dance
floor," he adds. "And swimming is great as well."
Andrew reckons that many people take up running after the Christmas
season is over but it's easy to start now and can be immediately
effective. It is, however, important to check with your doctor
first if you have any medical condition. "Be sensible - don't run
in the cold or in heavy rain as you could injure yourself," says
Andrew.
"Wear layers. Clothing in cold weather should be a synthetic-type
fabric that draws the moisture away from the skin so you stay dry
and warm. Avoid fabrics like cotton or wool."
You need good footwear for outdoor exercise in winter, all-weather
trainers, well-cushioned and with good treads. Cold air may
irritate breathing, especially for asthmatics, so if you start to
be affected by it when you're running, stop immediately.
"Stay hydrated," advises Andrew. "You don't sweat as much in cold
weather but you still perspire. Warm up for roughly 10 minutes to
reduce the chance of pulling muscles."
If you're just starting running, run at intervals - run to a
lamppost then walk to the next. At the end, stretch for 15-25
seconds and cool down in a warm place. To train at home, Andrew
suggests turning your staircase into a "step machine". Without
stopping, use it 20 times to tone legs and bottom, but adapt this
depending on your fitness. Use a chair for dips and squats. For
other home-based exercise try sit-ups, press-ups, running on the
spot, jumping jacks (star jumps), squat thrusts, and bicep curls
with tins from the kitchen.
CLOTHES
Wearing thin layers of clothes rather than one thick layer is best,
advises Age Concern - "Choose clothes made with wool, cotton or
fleecy synthetic materials."
HOME
Ensure your home, including your bedroom is warm enough. Investing
in a room thermometer is a good idea. Seal gaps around windows and
doors and insulate the loft to reduce heat loss. Check your heating
system is working and get it serviced once a year. If you're using
an electric blanket, make sure to have it checked by an expert at
least every three years.
FLU JABS
Flu - or influenza, to give its proper name - is a highly
contagious virus infection affecting the respiratory system.
Symptoms begin after an incubation period of one to four days and
include a high temperature up to 39 deg C (103 deg F), headache,
loss of appetite, muscular aches and pains, weakness and
prostration. It's transmitted by coughing and sneezing.
Flu can also be passed on by skin contact, like shaking hands, so
washing of hands is an important preventive measure.
Flu can be serious for around 13 million people in the UK at
increased risk of complications like bronchitis and pneumonia. And
the peaks of winter mortality are closely linked to the pattern of
flu activity, resulting in an estimated 12,000 deaths each year.
Most at risk are the elderly, those with chronic respiratory
diseases, like asthma and chronic bronchitis, chronic heart
disease, chronic renal disease and diabetes mellitus. Also people
with immuno-suppression due to disease or treatment and people in
long-stay residential and nursing homes. Everyone aged 65 and over
is being offered free vaccination this year, as will everyone in
the at-risk categories.
For flu symptoms, the sufferer should rest in bed in a warm,
well-ventilated room. Painkillers like paracetamol or aspirin can
relieve aches and pains and reduce fever.
Take plenty of fluids to prevent dehydration, and steam inhalations
can have a soothing effect on the lungs.
SADS
Seasonal Affective Disorder is a type of winter depression which
affects around half a million people each year.
It hits between September and April - particularly during December,
January and February - and is caused by a biochemical imbalance in
the hypothalamus duct due to the shortening of daylight hours and
the lack of sunlight.
For some people, SADS can be a seriously disabling illness which
stops them functioning without continuous medical treatment. For
others, it is a mild but debilitating condition. Medics call this
subsyndromal SAD or Winter Blues.
A general diagnosis is usually made after three or more consecutive
winters of symptoms, which may include:
Sleep problems - usually wanting to oversleep and difficulty in
staying awake. But, in some cases, there is disturbed sleep and
early morning wakening.
Lethargy - a feeling of fatigue and inability to carry out normal
routine.
Overeating - a craving for carbohydrates and sweet foods, usually
resulting in weight gain.
Depression - feelings of misery, guilt and loss of self-esteem,
sometimes hopelessness and despair, sometimes apathy and loss of
feelings.
Social problems - irritability and desire to avoid social
contact.
Anxiety - tension and inability to tolerate stress.
Loss of libido - decreased interest in sex and physical
contact.
Mood changes - in some sufferers, extremes of mood and short
periods of overactivity in spring and autumn.
Light therapy has proved effective in up to 85 per cent of
diagnosed cases. This involves exposure for up to four hours a day
(average one to two hours) to very bright light which is at least
10 times the intensity of ordinary domestic lighting.
Light treatment should be used daily in winter (and dull periods in
summer) starting when the first symptoms appear.
It consists of sitting 2ft to 3ft away from a specially designed
light box, usually on a table, and allowing the light to shine
directly through the eyes. Light boxes are not available on the NHS
and start at less than £100.
Psychotherapy, counselling or any complementary therapy which helps
the sufferer to relax, accept their illness and cope with its
limitations are extremely useful.
For more details, contact the Seasonal Affective Disorder
Association, PO Box 989, Steyning BN44 3HG.
DURING winter in Britain in 2006 eight older people will die every
hour.
More than 150,000 over-65s have died during the winters of the past
six years, which is more than any other age group.
Older people are particularly at risk of dying in winter because
they are often less resilient to cold-related illnesses, especially
people with existing health problems.
Age Concern experts suggest dressing warmly and staying active.
"Don't stay sitting for long periods, and spread chores through the
day to alternate between rest and activity."
Exercise without taking risks in wet or icy weather. Climbing
stairs, dancing or hoovering can all be done in the comfort of your
own home.
Eat well - at least one hot meal a day. Sip hot drinks regularly
throughout the day and before bedtime and keep a flask of hot drink
by your bed in case you wake up feeling cold.
The charity has plenty of useful information available via their
website www.ageconcern.org.uk and an information line on 0800 009
966 which is free from 8am to 7pm.
ANYONE caring for someone else needs to take particular care of
themselves in the winter.
And, with this in mind, Manchesters Carers' Forum and Manchester
Primary Care Trust are running free health checks beginning this
month.
These include blood pressure checks and flu jabs and take place at
the Wythenshawe Walk-In Centre (Peel Hall Health Centre) on
Saturdays and Withington Community Hospital on Sundays (both 10am
to 4pm).
Appointments in half-hour slots can be booked by contacting the
Carers Forum on 0161 629 9859 or email
rick@manchestercarersforum.org.uk
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