Thursday, June 21, 2007

HYPERTENSION: Fighting the scourge


Judging from clinical reports emanating from our country, Nigeria, it is common knowledge that incidences of hypertension related problems are very much on the increase as there has been an increase in the number of stroke cases. As most working age Nigerians continue to live a very hectic lifestyle devoid of quality time for good rest and time to "chill out", exercise, and even eat healthy, the doors have been thrown wide open for this unwelcome visitor. The struggle to swim in the midst of the economic, social and infrastructural problems has further compounded the situation.

As an example, the schedule of an average banker living in a place like Lagos kicks off at about 4.30 am (depending on the place of residence) if he intends to beat the gruesome and dreaded early morning traffic. He is lucky to arrive at the office at 7.30 am before the work begins at 8.00 am. The work continues throughout the day with an hour lunch break at 1.00 pm before closing at about 6.00-7.00 pm. Getting home before 8.30 pm for some, is a cause to rejoice. This circle continues throughout the week and sometimes spilling over to the weekend, thus leaving little or no room for quality time of rest, family rendezvous and not to talk of the luxury of exercise. There is little room to release the built up work stress especially as most employers are more interested in high returns and not very much the physical and psychosocial welfare of their employees.

The environment and our upbringing have not helped in enhancing our interest in participation in sports and exercise. It has been seen as cool to be chubby or have a "pot belly"that announces your entrance even before you are seen, as some would say that it is a good sign of a "chopper". The result of this is nothing appealing.

The time to act by the government, employers, private sector and individuals is now. In order to influence attitudes towards bringing about better health habits, all stakeholders need to rise up to their responsibility. Fitness and sports should be made more appealing with local content, the necessary facilities and equipment should be provided to enhance participation. The government need to make the environment condusive for outdoor and indoor sports. The "build all the space" mentality should be changed parks and play grounds should be provided. Population education addressing healthy eating habits and lifestyle should be embarked upon. Primary health care settings should be organised in such a way that it provides possibility for health screening which will help detect and check hypertension and other common health problems in their early stages. Though hypertension do not usually express itself in a glaring manner, the family history and an elevated blood pressure are red flags. Employers should encourage their workers to exercise by providing gyms and allowing time for exercise during office hours. The government should live up to its name in all areas and thus reduce stress on the citizenry.

I believe it is time to change the tide and take responsibility for how we live. The approach should be holistic, let's take time to relax, dump that cigarette and alcoholic drinks, worry less (worrying changes no situation), have a good laugh, take balanced meals with lots of fruits and vegetables, which are ubiquitous all year round. Take at least thirty minutes, three-to-four times a week to move that body. Exercise can be a way for family and friends to have fun together. You don´t really need much to exercise and stay in shape, watch your weight and keep track of your blood pressure. If you already have a high blood pressure problem, it will be wise to religiously follow the simple steps above and abide by your physician's directives. You family needs you around. Live right today and save that heart tomorrow.
(Runners picture credit- Classroomclipart.com)

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