OBESITY is a serious health issue with far-reaching consequences. Recognised by the World Health Organisation (WHO) as a disease, obesity plays a major role in numerous health problems, including diabetes, hypertension, high cholesterol and cardiovascular diseases.
In Malaysia, according to the National Health and Morbidity Survey 2023, the numbers are worrying — 54.4 per cent of adults are overweight and obese, 15.6 per cent have diabetes, 29.2 per cent suffer from hypertension, and 33.3 per cent have high cholesterol.
Moreover, if a child is living with obesity, there is a high likelihood that he or she will carry the risk of obesity into adulthood.
Weight stigma and bias are widespread in society, often rooted in the misconception that obesity stems from a lack of willpower or personal responsibility. This view disregards the growing body of evidence that recognises obesity as a common, complex, progressive, and relapsing chronic disease influenced by behavioural, environmental, genetic and metabolic factors.
The stigma surrounding obesity can contribute to discrimination and limit opportunities in areas such as education and employment, worsening the difficulties faced by those living with the condition.
Rather than focusing on blame, it's crucial to recognise the complexity of these challenges.
As a society, we should strive to pass down healthier practices to future generations — practices that are not only nutritious, but also rich in culture and love. By doing so, we can preserve the warmth and heritage of our communities while promoting well-being and reducing the stigma surrounding obesity.
THE HEART OF THE MATTER: OBESITY AND CARDIOVASCULAR DISEASE
Obesity is not just about excess weight, but it's also a gateway and risk factor to a variety of serious health issues, especially cardiovascular diseases.
In conjunction with the World Heart Day celebration in the month of September, it is important for us to continue our efforts to raise awareness on cardiovascular disease.
This year's theme "Use Heart for Action" calls for supporting individuals to care for their heart and empowering them to urge leaders to take cardiovascular health seriously.
In Malaysia, coronary artery disease, the leading cause of death, is closely linked to obesity. High cholesterol, often found in people living with obesity, results in fat-active hormones disrupting metabolic processes and hormone production, including insulin.
Insufficient insulin levels lead to elevated blood sugar, resulting in diabetes. This trio — diabetes, hypertension, high cholesterol — sets the stage for coronary artery disease.
The link between obesity and heart disease is clear. Obesity leads to high cholesterol, which clogs arteries and disrupts blood flow, raising the risk of heart attacks.
Hypertension, another obesity-related condition, damages blood vessels and can lead to organ failure.
Additionally, obesity's toxicity to organs like the kidneys and eyes causes severe organ damage. The interconnected nature of these health issues underscores the importance of comprehensive obesity management strategies.
Losing the Weight, Gaining Health
Institut Jantung Negara senior consultant cardiologist Datuk Seri Dr Azhari Rosman emphasises the necessity of a multifaceted approach to tackle obesity, which includes seeking reliable information from accredited sources and consulting trained healthcare professionals such as doctors and dietitians.
There are numerous options available to tackle weight issues, ranging from counselling and medication to surgical interventions, depending on the severity of obesity.
According to the National Library of Medicine, even modest weight loss of 5-10 per cent can yield significant improvements in metabolic parameters, such as better HbA1c readings, reduced hypertension, improved cholesterol levels, and enhanced quality of life.
Aside from having a balanced diet and regular exercise, healthcare practitioners play a vital role in supporting individuals living with obesity. They provide personalised guidance, medical interventions, and continuous support, addressing the complex factors that contribute to this condition.
Motivation, education, and support from family and social networks are crucial, particularly for adolescents. Combating obesity is a community effort that demands sustained commitment and does not occur overnight. Combining these professional insights with the basics of diet and exercise can create a more comprehensive approach to tackling obesity and improving health outcomes for Malaysians.
In conclusion, obesity is a critical health issue in Malaysia, with far-reaching consequences for individuals and society.
By understanding the causes, risks and available solutions, we can take proactive steps to combat this epidemic. With collective effort and dedication, there is indeed light at the end of the tunnel, and we can work towards a healthier, productive future in Malaysia.
Don't wait, start now.
THE NCD BURDEN IN MALAYSIA
• One in two adults is living with obesity or being overweight.
• One in two lead sedentary lives.
• One in three are not physically active.
• One in six have diabetes.
• One in two do not know they have high cholesterol.
Source: National Health and Morbidity Survey 2023.
*This disease awareness message is brought to you by Novo Nordisk Malaysia. The content provided in this article is for informational purpose only and does not constitute professional medical advice, diagnosis, or treatment. For any medical inquiries, or emergency, please consult a qualified healthcare professional.
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