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Obesity and Diabetes
The condition most strongly influenced by body weight is type 2 diabetes. In the Nurses’ Health Study, which followed 114,000 middle-age women for 14 years, the risk of developing diabetes was 93 times higher among women who had a body mass index (BMI) of 35 or higher at the start of the study, compared with women with BMIs lower than 22. (2) Weight gain during adulthood also increased diabetes risk, even among women with BMIs in the healthy range. The Health Professionals Follow-Up Study found a similar association in men. (3)

More recently, investigators conducted a systematic review of 89 studies on weight-related diseases and then did a statistical summary, or meta-analysis, of the data. Of the 18 weight-related diseases they studied, diabetes was at the top of the risk list: Compared with men and women in the normal weight range (BMI lower than 25), men with BMIs of 30 or higher had a sevenfold higher risk of developing type 2 diabetes, and women with BMIs of 30 or higher had a 12-fold higher risk. (4)

Fat cells, especially those stored around the waist,secrete hormones and other substances that fire inflammation. Although inflammation is an essential component of the immune system and part of the healing process, inappropriate inflammation causes a variety of health problems. Inflammation can make the body less responsive to insulin and change the way the body metabolizes fats and carbohydrates, leading to higher blood sugar levels and, eventually, to diabetes and its many complications. (5) Several large trials have shown that moderate weight loss can prevent or delay the start of diabetes in people who are at high risk. (6-8)

Malaysia an ‘unhealthy’ nation, says ‘overweight’ Khairy...
KUALA LUMPUR: Malaysia is considered an unhealthy country as the number of people suffering from heart disease and obesity is high, said health minister Khairy Jamaluddin.
He said health awareness among the people is also low.

“If you ask me if Malaysia is a healthy country, my answer is ‘no’. We are among countries that are tops in terms of obesity and heart disease, and among the leading causes of Covid-19 deaths in the country is (that) most of the patients have comorbidities or chronic diseases,” he said on TV1’s Selamat Pagi Malaysia programme today.

“In Malaysia, one in every two people are obese and overweight, including myself, while one in four don’t practise physical activity and only one in 20 maintain healthy eating habits.
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“According to official statistics, half a million adults suffer from depression. I am confident that this is lower than the actual figure.”

Khairy said to realise the objectives of Agenda Nasional Malaysia Sihat (ANMS), Malaysians need to make a behavioural change voluntarily and increase awareness to create a healthy nation without having to rely on the health ministry or the government.

A change in behaviour and awareness to undergo a health check is the core of ANMS, he said.

“If we want to depend on the health ministry alone to monitor SOP compliance and issue compounds, we do not have the manpower. We want the country to succeed in terms of pandemic management,” he said, citing the example of Japan, which had successfully managed the pandemic through behavioural change without having to issue compounds.

The 10-year ANMS was launched by Prime Minister Ismail Sabri Yaakob today to prepare Malaysia to face and cope with the endemic phase of Covid-19.

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