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Showing posts with label Health. Show all posts
Showing posts with label Health. Show all posts

Sunday, March 2, 2025

Boosting your metabolic rate


 INCREASING metabolic rates has been a topic of interest to many, especially among weight-conscious individuals. Understanding metabolism is crucial for obtaining an optimal metabolic rate. Metabolism is the conversion of energy intake i.e., food consumption into products, including energy and waste. Increasing the rate of conversion is believed to burn off body fat. But is this true?

MSU Medical Centre (MSUMC) health screening and wellness specialist Dr Faridah Mohd Zin explains, “Our body consumes energy in four pathways: basal metabolism, food thermogenesis, nonexercise activities thermogenesis (NEAT) and exercise activities thermogenesis (EAT). More than half of the body’s metabolism is consumed as basal metabolism, for the function of vital organs such as the heart, kidneys, brain and many others (about 60%).

The thermic effect of food has the lowest contribution which involves the energy needed to change the food we eat into substances that are “edible” by our cells i.e., glucose (about 10%). Increasing the metabolic rate would mean increasing the energy-burning rate of the body, which theoretically could be increased by optimising the NEAT, EAT, thermic effect of food and body metabolism.

NEAT is simply the energy consumed when performing daily activity. Optimising daily activities such as cooking while standing or pacing around the room while on the phone has been shown to increase metabolic rates. Since these activities will naturally be done every day, enhancing the energy burned through this pathway could be regarded as an opportunity that should not be missed. Moreover, NEAT is found to be associated with improvement in overall health and helps with body fat reduction.

EAT is the body’s way of consuming energy through structured exercise which primarily includes cardiovascular, strengthening, flexibility and balance. Furthermore, each type should have specific criteria in terms of frequency, intensity, time and types (FITT approach) for different objectives of exercise. For example, in maintaining fitness, a total of 150 minutes of cardiovascular exercise per week is recommended, while a longer duration is needed for body weight reduction.

Food thermogenesis contributes the least to body energy consumption. High lean protein and whole foods burn more energy during metabolism compared to other types of food. Although eating high lean protein and whole foods induces higher thermogenesis, hence a higher metabolic rate, the contribution made in the increment of daily body metabolism is still the lowest.

The major factors contributing to the basal metabolic rate include sex, height, age, ethnicity, body composition and genetic factors. While the body compositions are mainly composed of the vital organs, bones, body fat and muscle mass, the latter two are the only factors that can be intentionally changed.

Total body fat is composed of essential and storage fat. Storage fat is mainly deposited under the skin as subcutaneous fat, or around the body organs as visceral fat. The latter has been shown to have a strong correlation with the increment in cardiovascular diseases, including heart attack and stroke. Energy consumption of more than required would be stored in the body as fat. Hence, a negative balance between energy intake and consumption is essential to force our body to use up the storage fat as a source of energy, leading to weight reduction. Since storage fat originates from food intake, adjusting one’s diet is essential for achieving the desired body fat level.

Increasing muscle mass would increase the ability of the body to use up energy. The American College of Sports Medicine recommends regular resistance training exercises as the key to building and keeping muscle. Men and women should participate in muscle-strengthening activities that work the major muscle groups (legs, hips, back, chest, abdomen, shoulders and arms) at least two times each week. Examples of musclestrengthening activities include lifting weights, using resistance bands, doing push-ups and some types of yoga. Even everyday activities such as gardening, playing with your kids and carrying groceries can strengthen muscles.

Although resistance training is an important part of a complete exercise regimen, consuming the appropriate amount and type of protein to maintain and build muscles is just as important. On top of that, a healthy balanced diet is crucial to ensure adequate macro- and micro-nutrients needed for a healthy body.

Body metabolism occurs continuously, allowing ongoing opportunities to maximise its effect. Body fat is a way for our body to store unused energy. Hence, optimising the body’s metabolism while eating lower than our body’s daily energy requirement will force our body to burn off energy from the stored body fat. Thus, consistency in maintaining this negative balance in energy will gradually shave off unwanted storage fat.

Boosting your metabolic rate - The Star


Friday, February 21, 2025

INTERACTIVE: Coughs, fevers and a growing concern for influenza in Malaysia

A senior citizen receiving the influenza vaccine administered by staff nurse Azma Suhainiza at the Klinik Kesihatan Kuala Lumpur . —AZHAR MAHFOF/The Star

PETALING JAYA: Influenza happens all year round in Malaysia, but it's likely that more cases occur in January and July compared with other months.

These two months recorded the highest positive rate for influenza samples tested in Malaysia over the past three years, according to data from the World Health Organization (WHO).

However, experts say such peaks are less distinct than those in temperate zones like Europe, Japan and New Zealand.

“Although it is possible for tropical countries like Malaysia to have increased incidence of influenza during certain months, these peaks are less pronounced as there is no distinctly cold season in Malaysia,” said epidemiologist Datuk Dr Awang Bulgiba Awang Mahmud.

He said in temperate countries, influenza tends to occur in the colder months.

“During the colder months, people tend to congregate indoors, the temperatures and humidity are lower and there are likely to have been some changes in the virus itself.

“These factors tend to favour survival and transmission of the virus which leads to peaks in those colder months,” he said.

Virologist Dr Jasmine E. Khairat said influenza cases often peak in January for temperate regions in the northern hemisphere and July for those in the southern hemisphere.

“In tropical climates like Malaysia, while there may be some peaks, influenza can circulate more consistently throughout the year.

“But rainfall patterns and humidity can also influence the timing of peaks,” said Dr Jasmine, who is a senior lecturer at the Institute of Biological Sciences at Universiti Malaya.

Click the arrow buttons below to see the influenza trends in Malaysia from 2022 to January this year:

 

 

 

 

In Malaysia, it was reported that the demand for flu vaccines spiked following news of the death of Taiwanese actress Barbie Hsu, 48, from a flu in Japan recently.

On Feb 10, Health Minister Datuk Seri Dr Dzulkefly Ahmad announced the expansion of the Influenza Immunisation Programme, which was launched in 2006.

As a result, the programme will cover not only frontline healthcare workers but also senior citizens aged 60 and above with at least one chronic illness.

On Feb 18, the voluntary vaccination drive began - a move that would benefit over 170,000 high-risk senior citizens, who can make appointments through the MySejahtera app.

 

Is it A or B?

Currently, there are two types of influenza viruses in Malaysia: Influenza A with its subtypes, and Influenza B.

Both types of influenza took turns to be the most common type in Malaysia at different times, based on data from WHO.

Influenza B was dominant in late 2022 to early 2023, but has since been overtaken by Influenza A until today.

As of Jan 27, Influenza A and its subtypes made up 71.8% of the positive influenza samples in Malaysia.

 

 

 

 

While influenza dominance changes, Dr Jasmine said influenza A was typically more prevalent.

She said past seasons, like 2016 and 2022, have seen influenza B dominate, but this was less common.

“This change among flu strains is a natural part of how these viruses evolve.

“One reason is because influenza A mutates faster, evading immunity from past infections or vaccines.

“This creates competition: the strain best at spreading and finding susceptible people persists,” Dr Jasmine explained.

Another factor was population immunity at a certain time.

“If many are immune to one strain (either by past infections or vaccination), another strain can take over against which the population has less immunity, to become more prevalent,” she said.

Dr Awang Bulgiba said Influenza A and B virus types tend to co-circulate so it is quite possible to see both types at the same time, which is what Malaysia is facing now.

See the graphic below to know more about each influenza type:

 

 

 

 

Annual flu jabs for all?

In future, experts believe that annual flu jabs will likely be a norm for many Malaysians.

Describing it as a good thing, Dr Jasmine said demand will likely rise as public awareness increases and the benefits of vaccination are better understood.

“I hope accessible vaccination programmes will play a vital role in making this a reality,” she said.

Dr Awang Bulgiba said Malaysia’s population was ageing and as a result, disease patterns will change.

“With ageing comes increased risks of chronic diseases like diabetes, which increases the vulnerability of individuals to infections like influenza.

“The provision of free flu jabs for seniors will provide an incentive for seniors to better protect themselves against influenza and therefore reduce the incidence of serious cases of influenza,” he said.

As such, he said annual flu jabs will become more common and hopefully lessen the burden on healthcare services as fewer people will fall ill or have serious illnesses due to influenza.

At present, it is a common practice for many travellers to get influenza shots before going abroad.

Here’s a list of the peak influenza positive rates for tested samples in the top 10 countries visited by Malaysians in 2023.

 

 

 

 

On the current initiative by Malaysia to vaccinate senior citizens, Dr Jasmine said it should be expanded to other age groups.

“This is especially for those with underlying health conditions like chronic respiratory issues.

“A broader vaccination strategy can help reduce overall influenza transmission and protect vulnerable populations,” she said.

Aside from senior citizens, Dr Awang Bulgiba said young children were also vulnerable to influenza as they might not have been exposed to the virus.

“As such, their immune system might not be primed for the influenza virus.

“Eventually, when financial conditions allow, I believe that free flu jabs could be extended to young children,” he said.

Dr Jasmine hoped that the government would improve community surveillance to track influenza activity and identify circulating strains, including conduct more accessible testing and reporting.

“Equally important is to ensure adequate vaccine supply and promote vaccination campaigns.

“This ensures that everyone who needs a flu shot can get one, and that people understand why it's so important,” she said.

Dr Jasmine urged everyone to get an annual flu shot as vaccination, describing it as the people’s most powerful tool for protection.

“It's not just about protecting ourselves. It's about protecting our family, friends and community. 

“And finally, don't underestimate the impact of simple hygiene practices – handwashing, covering coughs and sneezes – these actions can significantly limit the spread of the virus,” she said.

As Malaysia takes steps to tackle influenza, here’s a list of the peak positive rates for tested influenza samples in other countries around the world.

 

 

Thursday, February 20, 2025

Free influenza programme for seniors has slots filled at over 100 govt clinics nationwide

 

Extra protection: Senior citizens registering to receive the vaccine at a government health clinic in Kuala Lumpur. — AZHAR MAHFOF /The Star

PETALING JAYA: The first day of the influenza vaccination drive for senior citizens was off to a good start, with slots at over 100 government health clinics across the country all taken up.

A check on MySejahtera showed that 146 health clinics were fully booked while some were running out of slots.

Almost all government clinics in the Klang Valley, Selangor, Penang, Negri Sembilan and Johor were fully booked.

Terengganu and Perlis were among the states with the lowest uptake. 

A retiree, who only wanted to be known as Lee, said he registered for the flu jab as soon as the Health Ministry announced the vaccination drive.

He signed up on Feb 14 and got a slot yesterday.

“I have been following the news on the influenza outbreak abroad. Then there were also reports about the death of a celebrity (who died on Feb 2 of a flu-related illness at age 48). So, I wanted to get the jab as we have a trip to Japan soon,” he said.

Lee hoped the government would continue to provide annual flu vaccinations for senior citizens and other high-risk groups.

“Otherwise, the people may have to get it done at private clinics for a fee.

“This may discourage some senior citizens from getting the jab; RM90 is not affordable for many,” said the former teacher, who received his flu shot at a health clinic in Kuala Lumpur.

Last week, the Health Ministry said that Malaysians aged 60 and above suffering from at least one chronic condition – such as diabetes, respiratory diseases, heart disease, hypertension and kidney illness – could get the vaccine for free starting yesterday.

The initiative is expected to benefit about 170,000 senior citizens.

K. Ramani, 67, said her son helped her register for the flu jab on the MySejahtera app.

“My son advised me to get the jab although the cases are not that high in Malaysia.

“I have diabetes and heart disease. So it is better to take the necessary precautions,” said the grandmother of four, who got her jab at a health clinic in Gombak.

“The process was smooth and it did not take long,” she added.

Senior citizens are not only turning to government health clinics for the flu jab. Some of them opted to do so at private clinics.

Lecturer Dr Norain Othman, 65, said she took the flu jab earlier in preparation for an umrah trip last month.

“It is a requirement that we fill in a medical book and provide proof of vaccination. So, I went to a clinic that offered the vaccine.”

She received her jab at a private clinic in Shah Alam, paying RM120 for it.

As for side effects, Norain said she only experienced mild body aches for a day or two.

She said the flu vaccination gave her an added sense of security, especially when she was in a crowded environment during the umrah.

“At my age, I can be more vulnerable to diseases carried by people from all over the world because of my weaker immune system.

“I am not in the best of health, as I have diabetes and high blood pressure,” she said.

Norain also said her niece, who had travelled to Japan, caught the flu when she returned and was later diagnosed with influenza.

Encouraging response for free flu jabs in Penang as ...




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Get vaccinated, seniors urged; Free flu shots a relief for senior citizens but uptake uncertain