Name : XYZ
City : Hyderabad
State : Andhra Pradesh

POSITIVE AND TOTAL HEALTH
COMPUTERIZED LIFESTYLE ASSESSMENT PRESCRIPTION SCAN
(PRELIMINARY HEALTH SCAN)

Thank you for utilizing our Computerized Health Scan which evaluates your health and corrects your lifestyle. Currently lifestyle is considered a major cause of morbidity and mortality world wide and our objective in evaluating your present lifestyle is to correlate its probable effect on your health in future years.

Even while the Scan releases for you a Personalized Lifestyle correction prescription based on your medical reports, test results and information provided by you; we recommend that your share this information with your Health Care Professional.For better understanding and further advice,Please Use Our Complementary Health Counselling Service by Calling 040-66871900 (Monday to Saturday Between 10.00 AM -7.00 PM).

1.  Your Preliminary Health Scan follows:

a. you are rated either Very Satisfactory, Satisfactory / Fair or Needs Improvement / Modification Required. Very Satisfactory indicates a perfect score.  Satisfactory / Fair requires that you make minor changes in your Lifestyle.  A needs Improvement / Modification Required rating in any aspect requires early modification and improvement .

b. you have been assessed in (i). Cardiac Risk (ii) Fitness & Body condition (iii) Nutrition (iv) Stress (v) Addictive Dependencies (vi) Cancer Risk (vii) Eye, E.N.T. , Dental status (viii) HIV / AIDS Risk (ix) Safety

2. The Preliminary Health Scan comprises three aspects.

a. The first aspect is your Assessment.

b.  The second aspect is your Health Prescription & Correction with advice on how you could improve your lifestyle to achieve Positive and Total Health.  These prescriptions are attached to this printout.

c.  The third aspect identifies your Physiological and Medical ranges, comparing these to norms that are acceptable for your situation, that you should strive to achieve.

PATH CLAPSCAN is world copyrighted.
Approval required for use in any form.
From Prof.Adrian Kennedy, PhD(CHP)
Apollo Hospitals, Hyderabad.

OVERALL LIFE STYLE ASSESSMENT AND HEALTH STATUS

 

 * See prescription for details. A modification required / Needs Improvement rating in  these  categories  requires  early  change as advised. We recommend that you consult your  Health Care professional for counseling.

POSITIVE AND TOTAL HEALTH
(PRELIMINARY HEALTH SCAN)
Prescription & correction

CARDIAC RISK FACTORS CORRECTION

The heart attack is the single largest cause of death worldwide and there are several factors that contribute to Coronary Heart Disease (CHD) And consequently to Heart Attacks (MI). These are know as Cardiac Risk factors and the existence of these factors also increase, susceptibility to stroke. Most of these lifestyle factors are easily modifiable by you and will greatly reduce your risk of Coronary Heart Disease (CHD), Heart Attack (MI) and Stroke. This risk factor evaluation is a scientific compilation of probable future risk and is NOT a status report of the present Heart condition.

Cardiac risk factors evaluated here include a family history, existing Coronary Heart Disease, High Blood Pressure, Diabetes, High Cholesterol, smoking , a sedentary lifestyle, Obesity, stress, age and menopause.

Your Cardiac Risk Profile is Satisfactory.

Your Modifiable and non-modifiable Cardiac risk factors are mentioned below :

Modifiable Risk Factors

The following factors should be modified to reduce your cardiac Risk :

* Please exercise regularly as advised to keep your heart healthy.

* Being  fat / overweight  causes  a  whole  host  of   ailments including high BP, Diabetes, etc.Maintain the weight recommended  in your  nutrition  prescription.

* Stress  whether  imaginary / real hyper activates the heart and  the body systems. Appropriate stress management  suggestions follow.

* Please reduce your high fat diet by following the advice in your  Nutrition  Prescription.

Non-Modifiable Risk Factors

Congratulations on not having any risk factors in this category.

Based on your present lifestyle factors and international  research studies your multiple Cardiac  Risk appears to be Low.

*The above factors (*) also contribute to putting you at risk and  making you susceptible to  brain  strokes.You appear to have a Low Risk of stroke.You must take positive steps to reduce these risks.

You do not have  HBP Diabetes and Hyper lipids. In order to safeguard against these keep the following in mind

- keep up the good habit of not smoking.
* In your case you must exercise as prescribed.
* in your  case you  must  follow  the  advice  in  your  nutrition   prescription.
* in your case you must manage stress as advised.

* You are at risk due to the above factor. Please ensure periodic  medical checks , for early detection and follow the advice given to eliminate risks.
 

ACCELERATED  AGING  SYNDROME

There are several factors that cause the body to age prematurely. There are identified as  age  accelerating  factors. Factors  that  contribute to  improved health  are identified  as age reducing  factors. Chronological age is age  according to date of birth and physiological age is  age  according  to body functional capacity.  In order to improve health, please try to minimize age accelerating factors and consolidate your age reducing factors. Each age accelerating or age reducing factor is expressed as one unit year.

Your  Body  Condition (ACCELERATED  AGING   SYNDROME) is     5     unit year in excess of your Chronological age.To achieve a Chronological and Physiological age status,follow the specific advice given in your P.H.S. Prescription.

Your  age accelerating factors                            Your  age reducing factors

Exercise Impairment                                               Excellent Dependency Status
High Pulse rate                                                                                             
Poor Muscular Capacity                                                                                                      
Poor Spinal Flexibility                                                                                              
High Overall Stress                                                                                                  
Crisis Stress      

 EXERCISE PRESCRIPTION

Physical fitness through various forms of activity and exercise, is perhaps the best way of achieving   optimal health and well being. Keeping in mind your specific medical, health, age & gender needs, a personalized fitness program to created   especially for you is given below.

Any exercise programme should be started gradually such that recommended levels are reached with 3 – 6 weeks.  Please consult a fitness professional for guidance regarding this program, avoid exercising if you are unwell, if the weather is extreme (Hot, Cold Wet); or if you have just eaten a heavy meal,  Discontinue exercising and  consult your Doctor if you feel unusually tired, breathless, Nauseous, Faint, Dizzy, have very rapid heart rate, etc.

Exercise Risk Prescription

Do not proceed with exercises  with out first consulting your doctor  / fitness counselor since

You have musculoskeletal problems.
You are currently under medication / medical treatment
                 You have exercise impairment
                 - Joint Pains
However, an exercise programme is given here for your doctors approval and modification to your needs by the Physiotherapist.

Stamina for Heart / Circulatory / Respiratory Systems

Swimming
Walking

30-45 min 3 days a week for fitness. See annexure for details.

Your Training Heart Zone is 130 - 110  beats per minute.

In order to get a Cardiovascular (Heart/Lung/Circulation) benefit from your exercise - be sure that during exercises your heart beat or pulse rate is with that range. DO NOT exercise over that limit. It could be dangerous and exercising below the range will not be optimally beneficial.

                 Deep  Breathing - 10 repetitions daily.
                 (especially important for respiratory problems.)

Strength for the Muscular System
Callisthenic Exercise details given below to be done 3 days  a week(3 Sets)

                             Pushups                   -    10 repetitions
                             Sit-ups                     -    10 repetitions
                             Back lift                   -    10 repetitions
                             Squat                       -    10 repetitions
                             Calf raise                 -    10 repetitions

Note : Each  exercise in the  sequence  mentioned  above is to be done 10 times and the next exercise is to be done and so on. After all exercises have been done, repeat the exercises (if prescribed). Drawing of the exercises are in the annexure.

* Flexibility for the joints & muscles

Mobility Exercise as per exercise diagrams in annexure and details below.To be performed 3 days a week.(3 Sets)
     1. Neck rotation                 - 10 repetitions (both ways)
     2. Shoulder rotation           - 10 repetitions (both ways)
     3. Elbow bends                  - 10 repetitions
     4. Wrist rotation                 - 10 repetitions (both ways)
     5. Waist rotation                - 10 repetitions (both ways)
     6. Toe touch                      - 10 repetitions
     7. Hip mobility                   - 10 repetitions (each leg)
     8. Thigh stretch                 - 10 repetitions (each leg)
     9. Calf stretch                   - 10 repetitions (each leg)
     10. Ankle rotation             - 10 repetitions (both ways each leg)
     Persons with neck problems avoid exercise 1.
     Since you have  musculoskeletal problems avoid exercise 5 & 6.

Exercise for the back & spine
     3 days a week along with strength exercise
     1. Modified pushup                - 5 repetitions
     2. Modified sit up                   - 5 repetitions
     3. Leg lifts front                      - 5 repetitions
     4. Alternate leg lifts back        - 5 repetitions
     5. Spine stretch                       - both legs
    
You may if you wish proceed with  yogasanas 3 days a week (in lieu of flexibility exercises). Refer to  your  Annexure and consult a Yoga therapist for this.

Postures
Good Posture while sitting, sleeping, walking, lifting etc. will help you to avoid back and other problems. See annexure for correct posture.

* Your body condition needs improvement in this area and while all aspects of exercise are essential, this aspect will need to be improved to achieve overall fitness.
 

NUTRITION PRESCRIPTION

From your medical reports, health status, food intake and habits, we chart out for you a personalized  nutrition plan that caters not only to your metabolic needs but also to your therapeutic status. In addition through the annexure we offer a wide variety of  foods choices to meet your personal palate & tastes.

Weight:

You should reduce your weight by 5  Kgs in 3 months.

Calories:

1. Your sedentary metabolic rate is 1512
2.  Your daily intake of  food should not  exceed  1312    Calories (along with exercise) to lose between 1 or 2 kgs a month.
3. Calorie value of foods attached in enclosure
4. On achieving your recommended weight your Calorie intake should not to exceed  1692   Calories  per day.

Since you have digestive problems
One  day a week  drink  liquids only i.e. water (not less than  6/8 glasses), butter milk in sufficient  quantities, and also,  vegetable juices may be taken generously.

Avoid over eating, eating hot  spicy  foods, alcohol and other  stimulants including coffee and tea, stress anxiety.

Eat sufficient vegetables, wheat, brown rice, potato,  cucumber,  leafy  vegetables, curd, milk, coconut  water,  apples, bananas,  papaya and drink sufficient water. Eat slowly and comfortably.

Please consult your Doctor regarding your digestive problems (especially ifyou have swallowing difficulties, have lost your appetite, have lostweight, have passed blood in your stools or vomit) etc.

In addition to stress your digestive problem are affected by and will improve if you undertake the following lifestyle changes :
- You should lose weight as advised in your Nurition prescription.
- Follow the advice indicated in your stress prescription to manage stress.
- Please follow the advice indicated in your Exercise  prescription.

Since you have musculoskeletal problems
Besides the exercise recommended avoid alcoholic beverages, tea,  coffee, meat & other non vegetarian foods, eggs, oily foods and  over eating. Consume vegetable foods, especially salads and raw vegetables & fresh fruits. During acute attacks drink sufficient  water, lime juice, fruit juice and eat raw vegetable diet only.

In view of your multi therapeutic diets for

                          - digestive ailments
                          - musculoskeletal ailments

please refer to your nutritionist for  correlation of  diets and for  further advice.

Foods to avoid/eat generally

Foods to avoid
*Sugar: Puddings, cakes, sugar in  beverages, ice  creams,  milk shakes,  etc.
*Fats: Butter, margarine, and other saturated fats, meats (Lamb, beef, pork), eggs, cream etc.
*Drink: Alcohol, aerated drinks.
*Additives : Salt, sauces, pickles, excess (more than 4 cups) tea/coffee, commercially prepared foods.

Recommended foods/ ratio
Grain & Cereal                        -  40% of daily diet (preferably unmilled)
Vegetables & Fruits                  - 35% of daily diet (cooked & uncooked)
Dairy Products                        - 10% of daily diet (skim milk products)
Meat/Pulses/Beans                   - 10% of daily  diet  (lean  meat,  fish, assorted pulses, beans)
Oil (for cooking)                      - 30 ml per day (i.e. 2 table spoons) of  unsaturated  vegetable oils.
Other Foods                              -  mineral/vitamins if prescribed
Water                                        -  6/8 glasses daily (besides other fluids)

* Especially important for you to ensure as per your present intake.

STRESS PRESCRIPTION

Stress if not managed properly causes mental tension and could result in  or aggravate  Psychosomatic illness. We evaluate your stress profile and identify factors causing you stress. We also offer  suggestions on how to manage stress and make it productive for you.

Your overall Stress is poor i.e. high level of stress.

The following symptom (s) is/are possibly caused/aggravated by stress

Headaches (Tension)
Digestive Ailments  (Irritable bowel)
Musculoskeletal Problems  (Back Pain)
Female Problems  (Menstrual problems)

You have Multi Dimensional Stress 'i.e. a high percentage of stress in the following areas :

You have Stressful Personality. (Type A & Passive )
You have Crisis Stress.

The following aspect (s) appear to be helping you to cope with your existing levels of stress:

     Home life
     Occupation
     Daily routine

The best defense against Psychosomatic Stress ailments are mentioned  here, use these and other appropriate methods to manage Stress.

          - A stable home, family and friends.
          - Financial security & Occupational satisfaction.
          - Realistic ambitions and proper planning.
          - Stress identification and problem solving.
          - Balanced assertive personality.
          - Positive attitude and philosophy, religion and prayer.
          - Good Health and balanced
          - Sufficient sleep, rest, relaxation and meditation.
          - Physical activities, daily exercise, yogasanas, taichi, massage.
          - Hobbies including music and other recreational activities.

To reduce Occupational Stress
Achieve a balance between work, home and recreation and make use of your time by planning, delegation, etc.

For your Aggressive Personality Traits
Compete with yourself, rather  than  with  others to improve  your performance and achievements.

For your Passive Personality Traits
Discuss  differences  and  conflicts  that are  important to you  in an assertive and rational manner.

Be assertive, stand up for your rights and give equal importance  to your needs as well as those of others.

Your crisis / major change will result in the following series of  responses (not necessarily in order mentioned) before  acceptance  of the situation.

                 Denial & shock   - refusal to accept the situation.
                 Anger                 - helplessness & blaming of self and others.
                 Bargaining          - attempting to negotiate a return to normalcy.
                 Depression         - withdrawal, helplessness.
                 Acceptance        - when realization of the irreversibility is faced up to.

This may help you to better understand and cope with your crisis as follows :

- accept your loved ones illness & give of your support & help.
In the following problems try to :
- assess the problem/hassles & achieve solutions by systematic planning.

Headache:

Please consult your Doctor regarding your frequently recurring  headaches  to rule out organic and medical causes. Several Lifestyle factors including  smoking, alcohol, stress,  medication, insomnia, allergies,  foods, bright light, loud noise, strong odours, etc. are  also associated  with   headaches

In your case, in addition to stress, your  lifestyle related factor could be :

Medication
Nutritional
Digestive problem
Musculo skeletal problem
Menstrual problems

In  addition  to  the advice given to you by your doctor;  Please  use  the following lifestyle related measures to minimize your   headaches.

1.  Medication is frequent factor in  headaches. Please consult your doctor and seek advice on your   headaches  and medication co-relation.

2.  Follow the advice given in your exercise   prescription  to  minimize  the effect of your   headaches. During periods of distress, emphasise the neck  and shoulder exercises.

3.  Head, face and neck massage will relax the muscles of these locations and relieve your   headache. Hot/Cold packs are also helpful.

4.  10 Repetitions of deep breathing is a helpful release, do this frequently during the period of your   headaches.

5.  A high  fat diet,  irregular  meals  and  also  frequent  consumption  of  commercial  foods is contra indicated in  headaches.  Chocolates, coffee, eggs, nuts, fish, cheese  are also not advised. Drink sufficient water and eat sufficient raw uncooked vegetables and fruit once or twice daily.

6.  Follow the advice given in your exercise   prescription  to  minimize  the effect of your   headaches. During periods of distress, emphasise the neck  and shoulder exercises.

7.  Head, face and neck massage will relax the muscles of these locations and relieve your   headache. Hot/Cold packs are also helpful.

8.  10 Repetitions of deep breathing is a helpful release, do this frequently during the period of your   headaches.

9.  Poor posture, especially of the neck, spine and lower back is a  relevant factor  in  headaches. Please follow the postural advice suggested in your  annexure.

10.  Using the various meditation and relaxation systems in the annexure  will relieve stress and tension,  as a cause of  headaches.

11.  Hormonal changes during menstruation are common  triggers  to   headaches ,   before, during and sometimes even after the monthly period .Your doctor will advise you regarding this. Also, adhere to your exercise, deep breathing,  nutrition, sleep and other lifestyle support systems during these periods.

MEDICATION PRESCRIPTION

Medication in any form to be taken strictly on doctor's advice.

DEPENDENCY PRESCRIPTION

Any indirect, casual or daily association with addictive substances like  alcohol, smoking, narcotics, chewing tobacoo, etc. is covered here.  All these substances have a proven record  of  causing dependency and being detrimental of health.  The Health Scan advises on how to manage, reduce and  quit these dependencies.
Congratulation on
                 - not smoking
                 - not taking alcohol
                 - not Chewing Tobacoo, etc.

CANCER RISK REDUCTION PRESCRIPTION

There are several factors that are known  to  indirectly or directly promote Cancer if exposure to these continues for several years. Such factors include smoking, tobacco, paan  products,  alcohol,  certain chemical  and  fumes, radiation, inappropriate diet, history of cancer, etc. Some cancers are also Genetic.  These factors are identified  as  Cancer  Risk factors.  The Health Scan identifies  these factors  and advises you to avoid exposure to these in order to reduce your susceptibility to Cancer in future years. This  risk factor evaluation is a scientific  compilation  of future risk and  is NOT a status  report of you present  Cancer situation.

Your Cancer Risk Profile is Satisfactory.

To reduce cancer risk
* Avoid eating excessive salty / fried / fat / oily, commercially  prepared sauces, jams, pickles or spicy foods etc. and follow the advice given in your nutrition  prescription.Specifically avoid non-vegetarian  foods  and eat  sufficient  quantity of  fresh fruit and vegetables daily.

Be sure to include a cancer check up in your annual medical check.

Modify your Passive Personality traits and be more assertive as advised and follow the advice in your stress  prescription.

Breast Self Examination :
A breast self examination done each month preferably on the same date could save your life. Most breast lumps are found in self breast examination and are infact harmless. But to be safe and be sure please consult your doctor. Details of how to do a self examination are in the annexure. In addition please have a health professional examine your breasts once every year and follow your Doctors Mammogram schedule

In case any of these symptoms persist see your doctor.
                 Change in bowel or bladder habits.
                 A sore that does not heal.
                 Unusual bleeding or discharge.
                 Thickening or lump in breast, testicles or else where.
                 Indigestion or difficulty in swallowing.
                 Obvious change in wart or mole.
                 Nagging cough or hoarseness.
                 Constant fatigue and unusual loss of weight.
                 Constant headache, dizziness, nausea, disturbed vision.
                 Pain in bones, joints with fever.

EAR, NOSE, THROAT, TEETH, EYE CARE

Please read your Annexure for the Do's and Don'ts, for proper maintenance of these organs.

- Read the chapter on Eyes and do the eye exercises prescribed on alternate days to maintain good vision.

- Pay special attention to the chapter on Throat.

Please ensure that you have a  - E.N.T. check up as soon as possible.

SAFETY RISK PRESCRIPTION

Adhering to the rules of safety at all times in all situations greatly reduces the risk of accident and consequently  hospitalization and fatality.

 Congratulations on your safety consciousness
                 - at Home
                 - in your Occupation
                 - during Travel
                 - during Recreational activities

In order to ensure greater safety, read the chapter on safety  in your Annexure.

A.I.D.S. RISK
(Acquired Immune Deficiency Syndrome)

As yet these is no cure for AIDS.  Prevention is the  only answer to this disease.  The annexure contains vital information regarding this dreaded disease.

Your test results for  HIV  are  negative; that is excellent please  read the annexure for continued HIV / AIDS risk prevention.