When it comes to the health of an obese person, suddenly everyone becomes a doctor, a health coach and motivational speaker. Most people believe all the person has to do is exercise more and eat less, but that is not the case at all. While you may not believe them, certain details like what you ate before exercising and the time of day you exercise at can affect a person’s health, it certainly plays a role! Fitness is never a linear process for anyone. While some people see a big difference in the first few weeks, other may not see a difference even months later. While these things may be discouraging, you have to remember that your health does not stop getting better every day, even if it is not apparent to the naked eye.
A new research published in Diabetes Care suggests that people with obesity, especially those who also have type 2 diabetes, might get the most health benefits if they exercise between 6 p.m. and midnight. The study found that people who were most active at night had a lower risk of heart problems and dying early compared to those who exercised at other times. This is interesting, but we need more research to be sure about it.
Other studies have suggested that exercising at night is good for people with type 2 diabetes. This new research wanted to learn more about it and see how the time of your workout affects your health in the long run. Researchers looked at almost 30,000 people with obesity, some also had type 2 diabetes. People wore devices that tracked their activity for a week, so the researchers could see when they were most active. After watching these people for almost eight years, they found that the people who did most of their exercise at night had the lowest risk of health problems, like heart disease. While exercising at night seemed best, exercising at any time was better than not exercising at all.
The study suggests that nighttime workouts might be best for people with obesity and type 2 diabetes. But experts say the most important thing is to exercise whenever you can. Nighttime might be better, but it's not always possible for everyone. People are busy with work, family, and other things. So, the main message is: any exercise is good, no matter when you do it. Don't let worrying about the "perfect time" stop you from being active. Adults should try to get about 2 and a half hours of moderate exercise each week, plus some strength training. If someone with obesity or type 2 diabetes can exercise between 6 p.m. and midnight, they might want to try it. But everyone's different. Exercise should be something you can do regularly, not something that's a struggle. If nights don't work, that's okay! Even short bits of activity during the day, like walking at lunch, are helpful. The best workout is the one you'll actually do.
If you're new to exercise or haven't been active for a while, start slowly and gradually do more. It's a good idea to work with a trainer or a friend who can help you and make sure you're being safe. This is especially important for people who are overweight, have obesity, or type 2 diabetes, because they might have other health problems that exercise can affect. Pay attention to your body and stop if you feel dizzy, have chest pain, or just don't feel good. Always talk to your doctor before starting a new workout plan, especially if you have any health problems. They can give you advice that's right for you.
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High-intensity interval training (HIIT) has gained popularity among those who wish to achieve a good workout in a short amount of time. But for those with high blood pressure, the challenge is an important one: Can they attempt HIIT, or is it too much for the heart?
The answer, in short, lies with the individual. Having high blood pressure does not mean that a person has to avoid vigorous exercise, but the intensity has to be suitable considering the blood-pressure control and cardiovascular risk, fitness levels and other medical issues.
In India, where hypertension has become a growing public health concern, an ICMR-INDIAB study which looked at more than 113,000 people across the country, put the overall prevalence of high BP at 35.5 per cent among adults aged 20 years and above. It was higher among men and the urban population.
Blood-pressure control remains a concern in India as the WHO-India estimates that around 220 million people live with hypertension but only about 12 per cent have their BP under control.
HIIT, which involves alternating short periods of high-intensity workout followed by recovery periods, can actually be beneficial. HIIT is not forbidden among those with high blood pressure, but the individual has to take stock of several factors before starting such exercises.
Those who are physically active, have good blood-pressure control, and no other concerns can probably take on HIIT workouts. But those who are sedentary and/or have poor blood-pressure control may have to work their way up. This is an important point to consider as HIIT might offer a good workout, but a hard-hitting workout is not always good for your blood pressure.
Also read: Heart Racing During Garba: Is It Adrenaline Or A Warning Sign?
Among those who are new to exercise and have hypertension, jumping into an intense HIIT workout may not be the best move. A doctor would look at blood pressure, age, exercise history, cardiovascular risk and symptoms before advising on the most appropriate way forward.
A sedentary person should start with brisk walking, for example, before working their way up to cycling or jogging, and then adding higher intensity workouts, or interval training. It is about pace and control, and not going all out right at the start. Not only is that risky for those with hypertension, it could also lead to severe injuries.
Pay attention to exercises that help you warm up and cool down, and avoid stopping abruptly immediately after a vigorous round of exercise. While doing strength-based HIIT, people should avoid holding their breath, as this can cause blood pressure to spike. Make sure you train with a qualified trainer who can guide you through your workouts safely, and with the right advice.
Also read: Melissa McCarthy’s Weight Loss Mindset: Can It Help Break The Cycle Of Yo-Yo Dieting?
This is the point where exercising caution is important. People with high blood pressure who have persistently high or poorly controlled readings should not assume that every form of exercise is a good idea for them just because it is termed healthy.
Unexplained chest pain or discomfort, breathlessness or dizziness, fainting or unusual palpitations during exercise are signs that a person should stop their workout and get to a doctor rather than powering through the routine.
Those on antihypertensive medication will also need to take stock of their medication, how their blood pressure is behaving, and how their body is responding before deciding on the best approach to exercise.
For Indians looking to get into intense workouts, HIIT can be a part of a physically active lifestyle, but the aim should be cardiovascular fitness, not necessarily high-intensity workouts. Physical activity continues to be an important pillar in the management of blood pressure, alongside a balanced diet, weight control, adequate sleep, reduced salt intake, medication when needed and regular health check-ups.
So the right question for a person with hypertension is not: ‘Can I push myself as hard as possible’, but ‘What intensity is appropriate for my heart and blood pressure?’
By Dr. Debdatta Majumdar, Senior Consultant - Interventional Cardiology, Narayana RN Tagore Hospital, Mukundapur, Kolkata
Credit: iStock
Garba season is back, bringing hours of energetic dancing. While this aerobic activity naturally raises your heart rate, prolonged, high-intensity sessions can strain the cardiovascular system. In 2023, 10 people died within 24 hours while performing Garba.
So, how do you distinguish a normal exercise response from a warning sign?
Dr. Anesh Jain, Cardiologist, Ruby Hall Clinic, Pune, told HealthandMe that two factors drive a faster heartbeat during Garba:
Also read: Weekend Workouts: Why Sudden Intense Exercise May Put Stress on Your Heart
Dr. Nimit Shah, Consultant Interventional Cardiologist, Saifee Hospital, Mumbai, told HealthandMe that the heart beats faster during Garba to supply oxygen-rich blood to working muscles.
A normal exercise response typically involves:
However, a sudden or irregular heartbeat, or one that remains unusually fast despite rest, should not be ignored.
Dr. Anesh advised stopping immediately if you experience:
Chest pain, severe breathlessness or fainting requires emergency medical attention.
Read More: Strong Enough for HYROX, But Is Your Heart Fit Enough?
Several factors can increase the risk of complications:
“Prolonged dancing, dehydration, excessive sweating and inadequate food intake can put stress on the body,” Dr. Nimit said.
People with heart conditions, high blood pressure, diabetes or a history of abnormal heart rhythms should take extra precautions.
Dr. Nimit recommended warming up, gradually increasing dance intensity, taking regular breaks and staying hydrated. Avoid prolonged dancing in hot, crowded venues.
Other precautions include:
If your heartbeat feels unusually fast or irregular:
Do not push through symptoms or rely on hydration and breathing exercises to manage possible cardiac warning signs.
The experts advised that Garba should be a celebration, not a test of endurance. Recognizing warning signs, taking breaks and respecting your limits can help you dance safely.
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If you are trying to lose weight loss for a long time, it can become a cycle of strict diets, missed targets and constant frustration. Actor Melissa McCarthy says changing her relationship with weight, rather than constantly trying to control it, helped her approach the weight loss process differently.
In a recent interview with CBS Mornings, the Bridesmaids star reflected on how she stopped fixating on her weight. “I finally said [to myself], 'Oh, for God's sake, stop worrying about it,' and it may be the best thing I've ever done,” she said.
“I truly stopped worrying about [my weight]. I stopped over-analyzing, over-thinking, over-doing anything.” McCarthy added, “I just stopped constantly being worried about it, and I think there's something to kinda loosening up and not being so nervous and rigid about it that, bizarrely, has worked.”
McCarthy's weight loss mindset sheds light on a less restrictive, more sustainable approach can help people break the cycle of repeated dieting and weight regain, also known as yo-yo dieting.
Also read: Strong Enough for HYROX, But Is Your Heart Fit Enough?
Yo-yo dieting, also known as weight cycling, refers to a constant process of repeatedly losing weight and regaining it. People may turn to restrictive diets for quick results, only to find that it is difficult to maintain over time and end up regaining all the lost weight.
Weight loss triggers certain changes in appetite and energy expenditure that can make maintaining the new weight challenging. Hunger may shoot up, while the body may expend less energy than expected, making regaining lost weight more likely.
Extremely restrictive eating plans can also be difficult to sustain alongside work, family responsibilities and social life. When a diet becomes too demanding, people may give up and return to previous eating patterns, sometimes interpreting weight regain as a personal failure rather than a sign that the approach was unsuitable for them.
McCarthy has previously spoken about moving away from extreme approaches. In a 2018 interview with The Breakfast Club, she said, “If I can de-stress and just do it slower and stop constantly trying to be on something.” She added that this approach “actually worked better instead of being like, ‘I'm gonna not do this and do this and only drink this.’”
She also said, “I'm just gonna mellow out, give myself a break.”
According to a few studies, yo-yo dieting has also been associated with health problems like changes in blood pressure and cholesterol. However, a 2024 review of 23 studies found that most available evidence did not show consistent adverse effects of weight cycling itself on body composition or resting metabolic rate.
A 2026 review published in The Lancet Diabetes & Endocrinology similarly concluded that current evidence does not strongly support a link between weight cycling itself and adverse changes in body weight, body composition or metabolic function.
This does not mean repeated weight loss and regain is irrelevant to health and overall fitness. It means the effects should not automatically be attributed to weight fluctuations alone, and people should not be discouraged from making another attempt at improving their health.
A less rigid approach may make weight management more manageable by reducing the constant pressure. Setting realistic goals, maintaining eating patterns that can be maintained over time and allowing flexibility may help avoid the all-or-nothing thinking that often comes with extremely restrictive dieting.
However, McCarthy's personal experience does not prove that changing one's mindset alone causes weight loss or prevents weight regain. Weight management is influenced by genetics, hormones, medications, sleep, stress, environment and other factors.
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