12/05/2025

MONDAY | MAY 12, 2025

HEALTH 26

Minimally invasive weight-loss option

O BESITY has become one of the most formidable health challenges of the 21st century, impacting millions across the globe. Beyond aesthetics, obesity is a major contributor to chronic illnesses, including Type 2 diabetes, cardiovascular diseases and certain cancers. Obesity is not merely a lifestyle issue – it is a medical condition that requires effective and sustainable interventions. The conventional approach of diet and exercise is often inadequate for individuals with severe obesity or metabolic disorders. One such breakthrough procedure is endoscopic sleeve gastroplasty (ESG), a minimally invasive weight-loss treatment that reduces stomach size using an endoscopic suturing device. ESG has gained recognition for its effectiveness in promoting weight loss and improving obesity-related health conditions. Mawar Medical Centre became the first hospital in Negeri Sembilan to offer ESG. Patients benefited from a short one-night stay in the hospital and a fast recovery, with most returning to work just three days post-procedure. Performing five ESG cases in one day showed how efficient the procedure is as a day care treatment, allowing patients to experience a quick recovery. Understanding root causes of obesity Obesity is a complex condition o Endoscopic sleeve gastroplasty offers alternative to treat obesity

influenced by genetics, environment and lifestyle. In Malaysia, several factors contribute to its prevalence. Dietary habits play a significant role, with many Malaysians consuming high-calorie and carb-heavy meals, while often underestimating portion sizes. Additionally, sedentary lifestyles due to long working hours, extensive commutes and limited exercise facilities contribute to weight gain. Cultural norms also play a part, as food is central to social gatherings, which often leads to overeating. Psychological factors, such as emotional eating, stress and poor sleep habits, are significant but frequently overlooked contributors to obesity. By identifying these factors, we can tailor weight-loss strategies to each individual’s needs. Who can benefit from ESG? The ideal candidate is someone with a body mass index of 28 and above who consumes large food portions but does not have binge eating or emotional eating disorders. ESG is suitable for individuals aged 18 to 65 who prefer a non-surgical, scar-free solution with shorter recovery time. Each patient’s medical history, metabolic profile and psychological readiness are assessed to ensure they are suitable candidates. ESG is not just about reducing stomach size – it is about promoting a long-term lifestyle shift. Expected weight loss and health benefits Patients undergoing ESG can expect to lose 15–20% of their total body weight within the first year. If a patient weighs 100kg, they can anticipate a weight loss of 15–20kg within 12 months. More importantly, ESG has been shown to improve metabolic

Obesity is a major contributor to chronic illnesses. – 123RFPIC

ups and surround themselves with the right support tend to succeed not just in losing weight but in improving sleep, energy levels, joint pain and overall well-being. It is believed that ESG will play an increasingly significant role in bridging the gap between traditional weight-loss methods and surgical interventions. ESG provides an effective, reversible and safer option for many individuals struggling with weight-related health issues. This article is contributed by Mawar Medical Centre consultant physician, gastroenterologist & hepatologist Dr Sattian Kollanthavelu.

meals and practising mindful eating to avoid discomfort or overeating. Staying hydrated throughout the day, without over drinking right after meals, also plays a role. Light physical activity, such as walking or yoga, helps maintain weight loss and build stamina, while emotional and behavioural support is equally important. management As the field of endoscopic weight-loss interventions evolves, ESG is gaining traction as a potential alternative to other weight-loss procedures. ESG is a tool, not a cure. Patients who stay committed, attend regular follow Paradigm shift in obesity

conditions like Type 2 diabetes, hypertension, sleep apnoea and fatty liver disease. Beyond physical changes, ESG can lead to psychological benefits. Many patients report improved self esteem, enhanced mobility and a greater sense of control over their health. Post-procedure commitment and lifestyle change ESG marks the beginning, not the end, of a patient’s weight-loss journey. To achieve long-term success, patients must commit to healthier habits, including a gradual transition from liquid to solid foods, prioritising smaller, protein-rich

Preventing dementia with lifestyle, diet changes DEMENTIA is a growing public health concern and in Malaysia, 8.5% of individuals aged 60 and above are living with probable dementia, and cases are expected to triple by 2050, potentially affecting up to 825,000 Malaysians. While there is no cure, research suggests up to 40% of dementia cases may be preventable be consumed in moderation. To adapt the Mind diet locally, nutritionists recommend substituting hard-to-access berries with flavonoid-rich options such as pink guava, roselle, red dragon fruit, raisins and pomegranate. These local fruits provide similar cognitive benefits and are more affordable and widely available. Medical Centre Damansara (SMCD) consultant geriatrician and physician Dr Nordiana Nordin. Cognitive Stimulation Therapy (CST)

T.B. ONE OF TOP FIVE INFECTIOUS DISEASES FOR ELDERLY MEN IN PENANG Tuberculosis (TB) remains among the top five most reported infectious diseases in Penang, with heavy smokers and the elderly, particularly men, identified as high-risk groups. State Health deputy director (public health division) Dr Rozaini Mat Shah said they are more susceptible to the infection due to a weakened immune system and the harmful effects of smoking on the respiratory system. “Based on last year’s observations, most TB cases involved senior citizens (aged 60 and above), primarily men, particularly Malay men,” she told reporters after officiating the state-level World TB Day celebration in Bukit Mertajam last Saturday. – Bernama DELIVERING HEART HEALTH SERVICES IN SELANGOR The partnership between Sunway Medical Centre, Sunway City (SMC) and Selcare, the healthcare arm of Selangor government and appointed programme operator under Skim Rawatan Jantung Negeri Selangor, is set to enhance early diagnosis, screening and treatment for heart disease across the state, particularly for eligible individuals from vulnerable communities. SMC will support accessible and quality healthcare, while Selcare will facilitate access to high-quality care for communities who may face financial or logistical barriers. The initiative provides services delivered at no cost or at highly subsidised rates.

BR I E F S

CST is a non-pharmacological intervention proven to benefit individuals with mild to moderate dementia. Research shows CST improves communication, social interaction, memory and overall quality of life. It helps manage behavioural and psychological symptoms, such as agitation, mood changes, hallucinations, apathy and sleep disturbances. CST differs from pharmacological treatments, which target specific neurotransmitters but may come with side effects like gastrointestinal issues or mood alterations. CST engages patients through structured group sessions, sensory stimulation, and interactive discussions, enhancing both cognition and social wellbeing. The most effective approach involves combining CST with appropriate medication. Recognising the current lack of access to structured CST programmes in Malaysia, SMCD is addressing this gap by launching a 14-session CST programme tailored to local needs. Some studies show that continued CST engagement may sustain improvements in cognitive function and quality of life. Take proactive steps in protecting brain health. Through early screening, evidence based interventions like CST, and informed lifestyle choices, we can work towards reducing dementia risk.

through lifestyle and diet modifications. Prevention through lifestyle and diet Scientific evidence highlights the significant role of a healthy diet, regular physical activity and cognitive engagement in reducing dementia risk. Among the most studied dietary patterns for Alzheimer’s Disease and related dementia are the Mediterranean, Dietary Approaches to Stop Hypertension (Dash), Mediterranean-Dash Intervention for Neurodegenerative Delay (Mind), ketogenic and modified Mediterranean ketogenic diets. Plant-based dietary patterns – particularly the Mediterranean and Mind diets – emphasise vegetables (especially leafy greens), fruit, legumes, whole grains, fish and healthy fats, while limiting red meat, sweets and processed food. These diets have shown promise in lowering beta-amyloid load, a key marker of Alzheimer’s pathology. Malaysia’s traditional diet, influenced by Malay, Chinese, Indian and other cultural cuisines, is centred around rice, noodles and richly flavoured dishes with herbs, spices and coconut milk. While it includes vegetables and whole grains like the Mind diet, it also features fried foods and heavier gravies, which should

Malaysia is also rich in omega-3 fish varieties, such as sardines, mackerel ( kembong ), and threadfins ( senangin ). However, frying is discouraged, as it reduces the beneficial fatty acid content. Soy-based products and legumes are encouraged, offering anti-inflammatory and antioxidant properties that support cognitive health. Beyond diet, research highlights lifestyle factors that help reduce dementia risk. Regular physical activity, such as brisk walking, swimming or cycling, should be maintained at a minimum of 150 minutes per week, adjusted to individual needs. Managing high blood pressure and diabetes is also crucial, as both conditions contribute to cognitive decline. Avoiding smoking and limiting alcohol intake are important, as both increase the risk of vascular damage and neurodegeneration. Additionally, mentally stimulating activities such as reading, solving puzzles or learning new skills help maintain cognitive function, while strong social connections reduce the risk of cognitive decline. “Engaging in stimulating activities and maintaining social bonds plays a significant role in preserving brain function,” said Sunway