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    3 Silent Killers

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    ashrafarish
    The document discusses several health issues prevalent in Malaysia including cardiovascular diseases, cancer, stroke, diabetes mellitus, hypertension, and heart disease. It notes that diabetes, hypertension, and cardiovascular diseases are among the main causes of death in Malaysia. The document provides details on diabetes prevalence and complications. It also discusses hypertension categories and risk factors. Finally, it outlines natural supplements and lifestyle recommendations to prevent and manage cardiovascular diseases, diabetes, and hypertension.

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    3 Silent Killers

    Uploaded by

    ashrafarish
    42 views45 pages
    The document discusses several health issues prevalent in Malaysia including cardiovascular diseases, cancer, stroke, diabetes mellitus, hypertension, and heart disease. It notes that diabetes, hypertension, and cardiovascular diseases are among the main causes of death in Malaysia. The document provides details on diabetes prevalence and complications. It also discusses hypertension categories and risk factors. Finally, it outlines natural supplements and lifestyle recommendations to prevent and manage cardiovascular diseases, diabetes, and hypertension.

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    The document discusses several health issues prevalent in Malaysia including cardiovascular diseases, cancer, stroke, diabetes mellitus, hypertension, and heart disease. It notes that diabetes, hypertension, and cardiovascular diseases are among the main causes of death in Malaysia. The document provides details on diabetes prevalence and complications. It also discusses hypertension categories and risk factors. Finally, it outlines natural supplements and lifestyle recommendations to prevent and manage cardiovascular diseases, diabetes, and hypertension.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    42 views45 pages

    3 Silent Killers

    Uploaded by

    ashrafarish
    The document discusses several health issues prevalent in Malaysia including cardiovascular diseases, cancer, stroke, diabetes mellitus, hypertension, and heart disease. It notes that diabetes, hypertension, and cardiovascular diseases are among the main causes of death in Malaysia. The document provides details on diabetes prevalence and complications. It also discusses hypertension categories and risk factors. Finally, it outlines natural supplements and lifestyle recommendations to prevent and manage cardiovascular diseases, diabetes, and hypertension.

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    By Dr Chua KF

    Hypertension

    Diabetes Mellitus

    Heart Disease

    Main causes of death in Malaysia:

    Cardiovascular diseases (15.8%)


    Cancer (9.34%)
    Stroke (9.27%)

    Diabetes Mellitus

    Malaysia: 700,000 diagnosed with Type II Diabetes


    1996: 18,000 diabetics aged between 30-34
    From birth to 70 years old, 1 out of 5 will be diabetic
    Ministry of Health predicts:
    in 2025, 1.4 million Malays, 0.3 million Chinese, &
    0.3 million Indians will become diabetics
    In China, WHO 2002 survey: Diabetic patients
    increased by 40% (1991-2001), total of 200 million

    What is Diabetes Mellitus?

    What is Diabetes Mellitus?

    What is Diabetes Mellitus?


    Pre-Diabetes

    Complications of Diabetes Mellitus

    Diabetic ulcer

    Complications of Diabetes Mellitus

    Diabetic retinopathy

    Complications of Diabetes Mellitus

    Kidney failure

    Complications of Diabetes Mellitus

    Stroke

    Complications of Diabetes Mellitus

    Other complications
    Hypertension
    Ischaemic heart disease
    Diabetic neuropathy (impotence)
    Hypoglycaemic attack
    Infection

    Hypertension
    Category

    Normal
    High Normal

    Systolic/Diastolic

    Recommendation

    < 130/85
    130-139/85-89

    Begin lifestyle modifications

    Stage 1

    140-149/90-99

    Confirm in 2 months.
    Begin lifestyle modifications

    Stage 2

    160-179/100-109

    Medical evaluation

    Stage 3

    180-209/110-119

    Medical evaluation

    Stage 4

    > 210/120

    Hypertension

    Immediate medical evaluation &


    treatment

    1996 Malaysian National Health & Morbidity Survey


    33% of adults (30 years & above), or 2.6 million,
    have hypertension. (And 56% of them didnt know
    they have hypertension.

    2002 WHO Survey: In China, HPT patients (18


    years & above) increased by 31% (1991-2001) with
    total of 160 million.

    GOOD NEWS: Nearly 90% of HPT can be


    controlled with diet, food supplements and other
    lifestyle modifications.

    Risk Factors of Hypertension

    Family History
    Smoking
    Stress
    Alcohol
    Obesity

    Complications of Hypertension

    Heart Disease
    Stroke
    Hypertensive retinopathy
    Kidney impairment

    Understanding Your Heart

    Cardiovascular
    System

    Risk Factors

    Hypertension
    High cholesterol
    Smokers
    Diabetics
    Obesity
    Lack of exercise
    Stress
    Family history

    Other Risk Factors

    High homocysteine
    Low fibre diet
    High saturated fat diet
    High calorie diet

    Medications
    If you are already a Diabetic / Hypertensive / Heart
    patient, these are medicines you may need to take:
    Sugar lowering drugs
    Anti-hypertensive drugs
    Cholesterol lowering drugs
    Anti-anginal drugs
    Blood thinning drugs
    Drungs for kidney impairment
    Anxiolytics / anti-depressants
    Others

    These are the health care professionals you may


    need to see:
    Physician
    Endocrinologist
    Cardiologist
    Dietitian
    Nephrologist
    Ophthalmologist
    Orthopaedic surgeon
    Dermatologist
    Psychologist
    Cardio-thoracic surgeon
    Physiotherapist

    If you are not one of them, or you are only borderline,

    Health Need To Be E.A.R.N.ed:


    Balanced

    Nutrition

    Regular

    Exercise

    Positive

    Attitude

    Adequate Rest

    Fruit & Vegetable Fibres

    Tulane University: eating 7g to 19g of fiber a day


    led to a reduction in both systolic & diastolic
    blood pressure
    2 types of dietary fibres:
    Soluble:
    helps lower blood LDL level
    lower blood sugar level
    Insoluble:
    found in the skin of fruits & vegetables
    Helps in proper functioning of intestine
    25gm to 35g of fibres daily is recommended

    Natural B Complex

    This group of vitamins


    Help convert CHO to energy
    Promote RBC production
    B12 helps reduce risk of heart disease
    Folic acid (a B vitamin) helps reduce
    homocysteine level in the blood. Homocysteine:
    an amino acid that can cause heart disease &
    blood clots in blood stream
    B Complex supplement reduce plasma
    homocysteine by 14%, as compared to foliate rich
    food (-1%)

    BP Complex

    Katsuobushi oligopeptide (protein


    peptides from Bonito fish) has been
    traditionally used as a health food in
    Japan, to support circulatory health.
    help support and maintain optimal
    circulatory functions
    Interferes with ACEs action
    Relaxes arteries
    Improves blood circulation
    Does not lower blood pressure in
    hypo-tensive people

    Effects Of CoQ10 & L-Carnitine

    Hearts function deteriorates when


    CoQ10 level is low, and ceases totally
    when it falls by 75%
    CoQ10 is helpful where heart muscles
    are weakened, eg: congestive heart
    disease (CHD), cardiomyopathy, etc
    CoQ10 supplement takes months to
    show effects

    Salmon Omega-3

    Cannot be produced by our body


    2 types of Omega-3:
    EPA (good for CVS)
    DHA (good for nervous system)
    Salmon Omega-3 (EPA):
    Regulate irregular heart beats
    Lower blood cholesterol
    Prevent blood clot, blood flow
    Increase elasticity of blood vessels, help BP
    Help bond O2 to hemoglobin
    risk of CVD by 80%

    Garlic-Licorice
    Helpful in:
    Stimulating circulation
    Lowering BP by production of
    hormone that increase BP
    Lowering blood cholesterol level
    by stimulating production of bile
    by production of cholesterol by liver
    Contains anti-oxidants that inhibit
    oxidation of cholesterol
    also lowers triglycerides level

    Lecithin-E
    Vitamin E
    Fat-soluble anti-oxidant
    Helps remove free radicals from body
    Prolong vitality of red blood cells
    Work together with Vitamin C
    Help prevent oxidation of Vitamin A
    Protect good fatty acids
    Binds with LDL, prevent it from oxidation, thus
    prevent inflammatory reaction of arteries

    Lecithin
    1850, Maurice Gobley discovered a substance in
    the egg yolk that enable oil/fat to mix with water:
    Lecithin (phospholipid)
    Emulsifier of fats Helps fats & cholesterol mix
    together with water in blood, allows smooth flow
    of blood & prevent fat deposit
    Required in the transport of fat-soluble vitamins
    (A & E)

    CB Plus
    Control further calories intake by using
    CB Plus when taking meals containing carbohydrate.

    Protein Powder

    Benefit of soy protein on CVS was


    first explained by Ignatowski (1908)
    October 1999, FDA confirms that
    25gm of soy protein/day significantly
    risk of CVD
    Soy protein blood LDL (Anderson
    et al, 1995), due to the isoflavones in
    soy protein
    No evidence of side effect

    Multi-carotene

    anti-oxidants: deactivate free radicals, protect cells


    from damage and the body from diseases

    Bio-C Plus

    Ascorbic acid
    Water soluble anti-oxidants
    Easily lost through perspiration
    Helps remove free radicals from body
    Activates Vitamin E
    Increase absorption of iron
    Helps prevents CVD

    Double X

    Contains Vitamin B1, Selenium, Calcium &


    Magnesium that are important for the health of
    heart muscles.
    Contains B12, B6, B2, Folic Acid, Zn & Mg:
    metabolism of homocysteine
    Plant concentrates: Anti-oxidants that deactivate
    free radicals, protect cells from damage and the
    body from diseases

    To Prevent CVD
    Supplement

    Morning

    Double-X

    1 set

    Multi Carotene

    1 sg

    Afternoon

    Night
    1 set

    Lecithin-E

    2 tabs

    2 tabs

    2 tabs

    Bio-C Plus

    2 tabs

    2 tabs

    2 tabs

    Natural B Complex

    2 tabs

    2 tabs

    2 tabs

    Iron Folic

    1 tab

    Calcium Magnesium

    1 tab

    1 tab

    1 tab

    CoEnzyme Q10

    1 sg

    1 sg

    1 sg

    Salmon Omega 3*

    1 sg

    1 sg

    1 sg

    1 tab

    1 tab

    1 tab

    4 tabs

    4 tabs

    4 tabs

    1 scp

    1 scp

    1 scp

    Garlic Licorice*
    Fruit & Veg Fibers**
    Protein Powder

    **: Before meal


    * : With precaution

    To Control Blood Pressure


    Supplement

    Morning

    Afternoon

    Night

    Double X

    1 set

    1 set

    1 set

    BP complex

    1 sg

    1 sg

    1 sg

    Calcium-Magnesium

    1 tab

    1 tab

    1 tab

    Fruit & Veg Fibers**

    4 tabs

    4 tabs

    4 tabs

    Garlic-Licorice*

    1 tabs

    1 tabs

    1 tabs

    1 sg

    1 sg

    1 sg

    Salmon Omega 3*

    **: Before meal


    * : With precaution

    9 + 6 Programme

    Preparatory Period (2 weeks):


    Detox
    Effective Period (9 weeks)
    Maintenance Period (6 months)

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