Putrajaya the obese-city! Address obesity urgently

 

Two men cycling in front of the Palace of justice in Putrajaya

Malaysia has the highest percentage of overweight people in South-East Asia and the bulk of them are in Putrajaya. A survey has found that two out of five Malaysian civil servants are obese. The news is not good for the country’s health.

KUALA LUMPUR: It has been long known that Malaysia is the fattest country in South-East Asia. Now, it has been proven that the administrative capital of Putrajaya has the highest rate of overweight and obese people in the country.

Findings from the 2015 National Health and Morbidity Survey (NHMS) placed Putrajaya as the city with the highest percentage of overweight, obese and abdominally obese people in the country.

The study also suggests that the administrative capital’s population has a 37% chance of being overweight, while the obesity rate stood at 43%.

Even more startling, the NHMS said government and semi-government employees took the cake as those struggling most with obesity, with a 40.3% rate.

This could mean two out of every five of Malaysia’s civil servants may be obese.

Malaysia’s civil service has 1.4 million employees, according to the Prime Minister’s Office, and is the largest civil service in South-East Asia.

Other obesity demographics pointed out in the survey were Indians (43.5%), married adults (33.8%) and those who only studied up to secondary school (32.1%).

The findings put the Government in a rather red-faced situation, as it works on reversing the climbing number of obese and overweight Malaysians.

“As the number of people with obesity increases, the nation now is facing an upward surge of non-communicable diseases such as diabetes and cardiovascular diseases,” the survey concluded, describing the Malaysian obesity epidemic as alarming.

Although a review of public health policy was not necessary now, it opined, the Government was asked to provide more supportive environments for Malaysians to lead healthier lifestyles.

Malaysian Medical Association (MMA) president Dr Ashok Zachariah Phillip agreed, saying that the life of a typical government servant did not afford them much time or money to stay healthy.

“If you look at the strata, it’s usually the lower grade workers who are overweight because it takes money to keep fit. Government workers go to work at 7am, come back at 7pm and have no time between work and family to even think of exercising,” he said.

It doesn’t help either that basic essentials like white rice, sugar and oil are staple Malaysian diets and are unhealthy, he said.

“For us doctors, this could be a real headache 20 years down the road. We are going to have a growing population with stroke and heart disease, and kidney failures that will increase the health budget at an unsustainable level,” he added.

The Government needs to look into setting up more gyms in agencies and dish out incentives for employees to fight the bulge.

Health Minister Datuk Seri Dr S. Subramaniam said the figures were worrying.

“I don’t think the people are in the best state of health,” he said.

He said general sedentary work has a correlation to obesity, a trend which government agencies, namely the police, were trying to counter.

“The police recognised this recently and have taken some effort to make sure they have lean policemen. They will try to take action to meet this target,” Dr Subramaniam said yesterday.

Malacca and Perlis are the states with second and third highest obesity rates. Sabah and the Federal Territory of Labuan were the slimmest states.

By Micholas Cheng The Star

Address obesity urgently

AMID the current heat wave, not only are we blue over the greens (The Star, April 4) with highland vegetables wilting and Ipoh’s famous pomelos shrinking in size, schoolchildren are also getting more obese with the sound advice from the authorities to stay indoors.

Presumably, many children will go in droves to air-conditioned malls and fast food restaurants for meals, which naturally will add to the problem of obesity.

Doctors say obesity is defined as the condition of being very overweight and having a body mass index, or BMI, of 30 or higher. The BMI is a measure of the weight relative to the height.

Evidently, obesity is manifested in the abdominal fat around the waist of children and adults as well.

But we should not get unduly worried with the adults because they are mature and knowledgeable enough to take responsibility for their health.

However, the innocent children’s health is undeniably our responsibility. Like it or not, we are accountable and answerable for the obesity problem in their adult life.

Today we can see the startling increase in the number of obese children across the country. Yet many parents unfortunately are seemingly too busy to check their children’s diet, let alone their daily exercise like the recommended walk of up to 10,000 steps a day.

Perhaps schools should voluntarily take up the task of creating awareness about the high risks and health hazards of obesity.

One practical way is to do routine short workouts: get students to burn calories by doing some exercises in the school assembly or in class every day – even some stretching exercises will suffice.

Certainly, this will increase their metabolic rate, thus strengthening their mental ability to learn; reducing levels of stress and depression; and suppressing the appetite.

When the heat wave is over, I would say it is the ethical and moral responsibility of the school authorities to bring back the Physical Standard Tests for all students like the good old days and mobilise all the staff to run selected athletic events such as the 100m, 200m, long jump, high jump and shot putt. Set certain standards for the events.

It would be much better if the Education Ministry’s Sports Department sets the national standards for all these events, which was done in the 60s till the 80s by using the co-curriculum 001 and 002 cards.

Next, it is also incumbent upon the Education Ministry to make it mandatory for school canteens to display the calorie counts for all the food so that the children will learn how to make healthy food choices and to calculate the total calorie intake they require for a day (about 1,600 and 2,500 calories per day depending on their age, gender and activity level).Eventually, they will “graduate” to become smart healthy consumers.

Let’s take these critical measures seriously to save our children from potential health risks like diabetes, high blood pressure, high cholesterol, heart disease and also some cancers.

This will invariably reduce the national health bill as well.

It was reported in “Putrajaya tops obese list” (see above) that we already have the highest percentage of overweight people in South-East Asia, and two out of five civil servants are obese.

Hence, invariably, the Government has to increase the health budget to cater for our increasingly ailing population if the obesity problem is not urgently addressed.

THOMAS KOK Ipoh

Related story: Healthy when young, healthy when old



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Scientists Finally Discover How the Obesity Gene Works

Scientists have finally figured out how the key gene tied to obesity makes people fat, a major discovery that could open the door to an entirely new approach to the problem beyond diet and exercise.

The work solves a big mystery: Since 2007, researchers have known that a gene called FTO was related to obesity, but they didn’t know how, and could not tie it to appetite or other known factors.

Now experiments reveal that a faulty version of the gene causes energy from food to be stored as fat rather than burned. Genetic tinkering in mice and on human cells in the lab suggests this can be reversed, giving hope that a drug or other treatment might be developed to do the same in people.

The work was led by scientists at MIT and Harvard University and published online Wednesday by the New England Journal of Medicine.

The discovery challenges the notion that “when people get obese it was basically their own choice because they choose to eat too much or not exercise,” said study leader Melina Claussnitzer, a genetics specialist at Harvard-affiliated Beth Israel Deaconess Medical Center. “For the first time, genetics has revealed a mechanism in obesity that was not really suspected before” and gives a third explanation or factor that’s involved.

Independent experts praised the discovery.

“It’s a big deal,” said Dr. Clifford Rosen, a scientist at Maine Medical Center Research Institute and an associate editor at the medical journal.

“A lot of people think the obesity epidemic is all about eating too much,” but our fat cells play a role in how food gets used, he said. With this discovery, “you now have a pathway for drugs that can make those fat cells work differently.”

Several obesity drugs are already on the market, but they are generally used for short-term weight loss and are aimed at the brain and appetite; they don’t directly target metabolism.

Researchers can’t guess how long it might take before a drug based on the new findings becomes available. But it’s unlikely it would be a magic pill that would enable people to eat anything they want without packing on the pounds. And targeting this fat pathway could affect other things, so a treatment would need rigorous testing to prove safe and effective.

The gene glitch doesn’t explain all obesity. It was found in 44 percent of Europeans but only 5 percent of blacks, so other genes clearly are at work, and food and exercise still matter.

Having the glitch doesn’t destine you to become obese but may predispose you to it. People with two faulty copies of the gene (one from Mom and one from Dad) weighed an average of 7 pounds more than those without them. But some were obviously a lot heavier than that, and even 7 pounds can be the difference between a healthy and an unhealthy weight, said Manolis Kellis, a professor at MIT.

Related: More U.S. Adults Are Now Obese than Overweight

He and Claussnitzer are seeking a patent related to the work. It was done on people in Europe, Sweden and Norway, and funded by the German Research Center for Environmental Health and others, including the U.S. National Institutes of Health.

Researchers can’t guess how long it might take before a drug based on the new findings becomes available. But it’s unlikely it would be a magic pill that would enable people to eat anything they want without packing on the pounds. And targeting this fat pathway could affect other things, so a treatment would need rigorous testing to prove safe and effective.

The gene glitch doesn’t explain all obesity. It was found in 44 percent of Europeans but only 5 percent of blacks, so other genes clearly are at work, and food and exercise still matter.

Having the glitch doesn’t destine you to become obese but may predispose you to it. People with two faulty copies of the gene (one from Mom and one from Dad) weighed an average of 7 pounds more than those without them. But some were obviously a lot heavier than that, and even 7 pounds can be the difference between a healthy and an unhealthy weight, said Manolis Kellis, a professor at MIT.

Related: ‘Healthy Obesity’ Turns Unhealthy Over Time

He and Claussnitzer are seeking a patent related to the work. It was done on people in Europe, Sweden and Norway, and funded by the German Research Center for Environmental Health and others, including the U.S. National Institutes of Health.

“It’s a potential target” for drug development, said Dr. Sam Klein, an obesity researcher at Washington University in St. Louis. He called the work “an amazing study” and “a scientific tour de force.”

Dr. Rudolph Leibel, an obesity expert at Columbia University in New York, used the same term — “tour de force.” Still, some earlier research suggests the FTO gene may influence other aspects of obesity such as behavior and appetite.

“It’s possible there are several mechanisms being affected,” and that fat-burning is not the whole story, he said.

Read This Next: There Are 6 Types Of Obesity — And Each Should Be Treated Differently

- Associated Press

Beijing wins to host Winter Olympics 2022

http://english.cntv.cn/2015/08/01/VIDE1438381810003714.shtml

Chinese captital celebrates victory

The National Stadium, or Bird Nest, is seen with giant illumination showing a message celebrating Beijing and Zhangjiakou's winning of the right to host the 2022 Winter Olympic Games.

http://english.cntv.cn/2015/08/01/VIDE1438395244275676.shtml

Beijingers celebrate Olympic victory

Beijing last night was the scene of jubilation and cheering. People celebrated the news from Kuala Lumpur.

Games offers new drive to opening-up

Beijing and Zhangjiakou have won the bid to host the 2022 Winter Olympics. It's great.

Seven years after Beijing hosted the 2008 Summer Games, Chinese people get to embrace the Olympics again. Many still remember the passion and joy after winning the 2008 Games. Our optimism and happiness has come alive again. Chinese society is still actively seeking to host major international sports events. Such sentiment fits the country's rising momentum.

Countries in the developed world are no longer enthusiastic about holding the Olympics like they once were. They have their own calculations. But over 90 percent of people in Beijing and Zhangjiakou support their cities' hosting of the Winter Games. Such high rates of support is generally true in other parts of the country in hosting major international sports events.

Chinese people long for progress and more contact with the outside world. Many people consider the hosting of major sports events an opportunity to enhance a city's development level and help it become more international.

But there are also many who oppose hosting the Winter Games. Some of them are just following the voices of popular Western-style opponents. Others have their marginal reasons. But these opinions are not mainstream in China.

It is great that many stadiums and other pieces of infrastructure built for the 2008 Beijing Olympics can still be of use for the 2022 Games.

The 2008 Summer Games can be seen as a coming-out party for China. China has made significant progress in the seven years since it hosted the event. China's GDP leapt from the third place globally to second. Chinese people have seen more of the world.

To be frank, when Beijing hosted the 2008 Summer Games, many Chinese people were nervous that they might mess up the event. That is why the 2008 Games emphasized pomp and ceremony in order to demonstrate China's capabilities.

This time when we host the Winter Games, we may be able to be more relaxed, focusing on the beauty of the sports instead of laboring ourselves in ensuring a perfect event. We can try to make the 2022 Games a big party.

The 2022 Winter Games is also likely to bring concrete benefits in the coming seven years. "Olympic blue" may become a new target in dealing with air pollution. A high-speed railway between Beijing and Zhangjiakou is likely. Winter sports may become more popular.

The Winter Games will become a lasting drive for China's further opening-up. Chinese society will seek greater balance between outside criticism and China's own principles and traditions. This project will help China further integrate with the world. - Global Times

Science on high intensity interval training: HIIT, or SHIIT?

Let me pose you a question: would you rather go down to the video store (if it hasn’t yet gone bankrupt) to hire a DVD, or stream it from the comfort of your own home? You’ve probably answered: the comfort of your own home, unless of course you get all nostalgic about walking down the street to hire discs. I know I do!

Okay, okay, now let me pose you a further question: would you rather spend one hour exercising, or 30 minutes? Stop, don’t answer that just yet. What if I were to say that both workouts would give you equivalent results? Unless you’re a time wasting enthusiast, pain junky, or DOMS devotee you’re probably going to answer 30 minutes. Well a new (old) exercise regiment known as high intensity interval training (HIIT) is offering just that.

Yes, if you believe one of the internet’s many great fitness prophets, then you will be aware that HIIT is the shit! Slow endurance training is the DVD for hire and HIIT is Netflix, which is of course, the shit. So is HIIT truly the shit, or should you beware of false fitness prophets?

What is HIIT?

Before I answer your previous question. What is HIIT? Simply put, HIIT involves performing intervals of highly intense exercise followed by either complete rest, or low intensity exercise. The high intensity-low intensity combination seems to be the more popular of the two currently.

How about an example? Sure, here’s one. Let’s say running is your game. Your HIIT may involve a ratio of a one minute sprint, to 45 seconds of slow jogging, repeated for a total of 15 minutes. It certainly doesn’t have to follow this exact ratio, or duration and these variables change greatly from protocol to protocol, that was simply an example. I should note, however, that scientific data to date has found minimal difference between different interval ratios thus far (9).




Why HIIT might be the shit?

HIIT is proposed to lead to multiple complex physiological changes to the skeletal muscle system that promote fat burning efficiency and preference, and more efficient oxygen utilisation. In turn, this is proposed to: make you skinnier, fitter and it will likely give you the ability to fly! But probably not the last one.

Science and HIIT (SHIIT):

Of course theory means little unless it translates to real world, real life changes. So, does it? Spoiler, it generally does.

Aerobic health:

A review paper analysing studies on individuals suffering from various different lifestyle diseases found HIIT to be effective. Specifically, cardiovascular fitness, as measured by Vo2 max, was 9% higher when individuals performed HIIT as opposed to moderate intensity continuous exercise (1). Another large scale review paper on scientific studies to date found HIIT to improve: aerobic fitness level more so than normal, moderate intensity exercise in both sedentary and active individuals. But it was only as effective as continuous exercise training in athletic persons (2). If that wasn’t enough science for you, a third study found HIIT to improve aerobic fitness as well as moderate intensity continuous exercise in a relatively fit group of people (3). This basically tells us that the lower your fitness level is, the better you will respond to HIIT and if you only want to do one sort of training, HIIT will be more effective than continuous training for aerobic fitness. Conversely, if you’re really fit and only want to do one form of exercise, then HIIT is as good as continuous moderate intensity exercise for aerobic fitness.

Muscles, muscles, muscles:

What about those muscles? Can you skip the separate weight sessions and do an all in one HIIT session? Well, the scientific data is very limited on this. But the one study that does exist on this topic, found that when having an active rest period was compared to having complete rest, complete rest won. Yes, complete rest led to greater work output, which in turn would likely mean improved: muscle mass, strength, power, looking shredded bro (4)! This makes sense and says that resistance training HIIT will likely provide you with some nice adaptations, but not as good as traditional weight training where proper rest between sets is taken.

Weight loss:

What about weight loss then? The data ain’t crystal clear on this. One study found HIIT boxing was better than continuous brisk walking at improving body fat percentage (5). Another study found participants had a decreased waist circumference following HIIT, but not following moderate intensity continuous exercise (6). Yet, in complete contrast, continuous moderate intensity exercise was found to decrease trunk fat more so than HIIT in another study (7). All in all, the science isn’t certain on whether HIIT or continuous training is best for weight loss. But if you base your workout on the number of calories you’re burning, based on average heart rate or a similar method, then you should be no worse off than performing continuous exercise, as average heart rate tends to be higher for HIIT and stays elevated for longer following exercise.

Adherence:

If HIIT is quicker to do, then you’d think people would do it more and stick to it. And they do! High intensity interval training led to a greater level of adherence (89% vs 71%) than moderate intensity continuous training (8). Grouse!

Is it healthful? 

Ladies and gentlemen, HIIT is the shit! Or at least it is pretty darn good and very relevant to our time-centric society:

• HIIT is likely as good as endurance exercise for aerobic fitness and if you’re of a low fitness level it’s probably better.
  
  
•  Resistance training HIIT won’t get you as ripped as traditional resistance training with structured rest periods. But it’s probably not a great deal worse.
  
  
• HIIT will lead to at least equivalent weight loss to continuous moderate intensity exercise in a shorter period of time, likely due to an elevated average heart rate.
  
  
• HIIT generally leads to higher adherence, so you’re more likely to stick with it.

Our verdict :Highly healthfull. If you’re time poor and unfit, HIIT’s the most effective way to turn things around. Although if time is less of a factor and you really want to optimise your health you should combine HIIT, anaerobic exercise and aerobic exercise as part of a proper periodised program. Especially, if you have sport related goals.

I hope this has been healthful!

Isithealthful

I hold a Doctor of Physiotherapy, Bachelor of Exercise Science and am a qualified personal trainer. I have extensive clinical and research experience and a strong passion for all things health. This has driven me to write the blog: Is it healthful, in order to analyse sound scientific research to determine if a product, service or intervention is healthful, or simply a waste of money or time.

 
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