Non-Communicable Diseases: A Public Health Crisis in Malaysia
By Alpro Pharmacy
August 26, 2024
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Key Points:
Diabetes, hypertension, hyperlipidemia, and obesity are widespread in Malaysia, leading to heart disease and stroke, with 2.5% of adults living with four NCDs.
Hyperlipidemia affects 33.3% of adults, contributing to heart attacks and strokes, driven by unhealthy diets and sedentary lifestyles.
Regular screenings and healthy lifestyle changes are vital for managing NCDs, with pharmacists and dietitians offering key support.
Malaysians are facing a health crisis of non-communicable diseases (NCDs). The three high plus ones: diabetes, hypertension, hyperlipidemia PLUS obesity are among the most prevalent NCDs among Malaysians. These four NCDs are the major risk factors for heart disease and stroke (the leading causes of death in Malaysia). Recently, the National Health and Morbidity Survey 2023 (NHMS) revealed over half a million or 2.5% of adults in Malaysia live with four NCDs, whereas almost 2.3 million adults in Malaysia live with three NCDs [1].
Why should we worry about it?
Let’s take a closer look at one of the most famous but often unnoticed NCDs, hyperlipidemia. It is known as the “silent killer,” often showing no symptoms but contributing significantly to stroke episodes and heart attacks among Malaysians without warning signs [1]. The prevalence of hyperlipidemia, or commonly known as high cholesterol, is alarmingly high among Malaysian adults. In Malaysia, 33.3% of adults have high cholesterol—that’s 7.6 million adults! [1].
There are a few contributing risk factors to hyperlipidemia, and it is important for us to understand them, so that we could take action to prevent the disease progression.
Unhealthy Diet: Malaysians love food and have interesting menus due to the diversity in cultures and religions. While the food is great to taste, those hidden unhealthy fats, such as those found in fast food, processed food, and fried food, are also readily accessible and have become a major diet among Malaysians. With the faster pace in Malaysia and hectic lifestyle, often, we love dining-out. Without us noticing, we are actually consuming high sodium food and high sugary food, increasing our risks of high blood pressure and diabetes, too! [2].
Sedentary Lifestyle: Well, did you exercise or walk at least 10,000 steps a day? Research shows that Malaysian adults work long hours in front of their computer, with minimal physical activity has actually caused fats to build up in our bodies. This increased the obesity prevalence, further exemplifies our risks of getting the 3-highs [4].
Can we do anything to prevent the silent killer?
Absolutely! The first step towards it is to ensure early detection and take control of it. According to NHMS 2023, 2 in 5 Malaysian adults did not do any health screening in the past 12 months. This leads to late diagnosis and delay in treatment of most treatable diseases, especially NCDs, in Malaysia [1]. For hyperlipidemia specifically, it is always good to check your cholesterol level every 3 months. This screening test is easily available in all the community pharmacies, clinics and hospitals.
On top of that, preventing high cholesterol starts with making healthy lifestyle choices. Incorporate a balanced diet rich in fruits, vegetables, whole grains, and healthy fats, such as those found in olive oil and nuts, while avoiding saturated and trans fats found in processed and fried foods. Regular physical activity, such as walking, swimming, or cycling for at least 30 minutes most days, can help improve cholesterol levels. It’s also important to maintain a healthy weight, avoid smoking, and limit alcohol intake. Managing stress through relaxation techniques like meditation or yoga can also play a role in keeping cholesterol levels in check.
If you are diagnosed with hyperlipidemia and were prescribed with medicine – take them as per instructed, because it is very important to ensure your cholesterol level is well controlled and reduce the risk of stroke and heart attack.
I need more information on the screening and lifestyle intervention, who should I seek help from?
Community Pharmacists : Have you ever wondered why pharmacies today offer free blood pressure tests and low-cost glucose and cholesterol screenings? At Alpro, this is part of our commitment to the health of the community. By offering these services, we help detect conditions like hypertension, diabetes, and high cholesterol early—before they become serious. Our goal is to empower the community to take control of your health through early detection and proactive care. With every screening, we’re not just checking numbers—we’re guiding you toward better health.
Dietitians: Dietitian services have become more accessible at the community level. Many local pharmacies now offer personalised dietitian counselling services, which help patients make healthier food choices, interpret food labels, and control portion sizes. They also play a crucial role in weight management, blood sugar management, and blood cholesterol management counselling—and most of the time, the services are FREE!
Simply reach out to your nearest healthcare facility or talk to the friendly community pharmacists to understand what you can do to adopt a healthy lifestyle. Seeking assistance earlier helps not only in the management of NCDs but may even prevent getting them!
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