Your Health - 10 May 2016

THE STAR, TUESDAY 10 MAY 2016
special
YOUR HEALTH
Wellness at any age
2 your health
In a time when
discussions on
psychiatric health
are becoming more
commonplace, it
is best to delve
deeper into
creating true
awareness about
mental fitness in
the golden years.
By THERESA BELLE
THE blanket term senile is so
widely used in describing older
adults with declining mental
faculties that it may have
obfuscated the understanding of
different mental disorders.
In a time when discussions on
psychiatric health are becoming
more commonplace, perhaps it is
best to delve deeper into creating
true awareness about mental
fitness in the golden years.
Cognitive decline in old age may
stem from a variety of factors,
including physical illness,
prolonged alcohol and drug abuse,
loss of neurons in an ageing brain,
as well as poor habits in a
sedentary lifestyle.
Chronic disorders such as
Alzheimers and vascular dementia
impair memory and can worsen
over the long term, while those
with acute illnesses could display
signs of delirium, which is usually
temporary and does not strictly
indicate an underlying mental
issue.
Depression and anxiety
disorders are common mental
disorders among older adults, and
these are linked to the loss of
independence that accompanies
dwindling mental and physical
capabilities.
This can be incredibly
distressing for adults, especially
when they become dependent on
others to care for them.
According to Assoc Prof Dr Tan
Maw Pin of the Division of
Geriatric Medicine at the Faculty of
Medicine, University of Malaya,
mental illness could occur as the
direct result of underlying medical
conditions and the associated loss
of independence but the loss of
independence in older adults is not
inevitable.
While some can be unlucky and
develop mental illnesses despite
Well-being of the elderly does not only involve physical and financial but also emotional aspects of care.
Spotlight on
mental health
doing everything right, most of the
time, dependence is linked to
potentially avoidable illnesses,
including heart disease, stroke,
osteoarthritis and dementia, she
says.
Besides that, changes in family
dynamics could contribute to
empty nest syndrome or social
isolation in old age.
When the youngest child leaves

home, the parents left behind find
they have lost purpose and
occupation, Dr Tan says.
An ageing nation
The effects of disorders such as
dementia and depression extend
beyond poor quality of life.
Considering the socioeconomic

implications of mental illness
among the elderly is crucial
because Malaysia is expected to
reach ageing population status
soon.
The 2015 National Health and
Morbidity Survey reported that
20% to 26% of adults aged 65 or
older experience mental illness,
compared with 30% among 16- to

20-year-olds.
This is puzzling because mental
illness is widely known, and
proven by western research, to
increase with age.
Dr Tan opines that this could be
because older Asians are less likely
to own up to being depressed, and
often experience comorbidity with
a host of physical illnesses.
It is also possible that our
relatively young country with
extended family systems are
protecting our senior citizens
against mental illness, but more
research needs to be done to tease
out mental illness that occurs as a
primary problem versus that
occuring as the result of other
conditions, she says.
The countrys ageing profile is
set to experience a dramatic
change by 2040, when citizens aged
65 and above will reach 17.6% of
the total population compared with
4.7% in 2010.
In this developing country, can
the healthcare system expand in
time to support this ageing
population?
> SEE NEXT PAGE
Keeping up, keeping fit

MEMORY loss is often made
synonymous with growing old,
but it does not have to be a
normal part of ageing.
Over the years, research has
shown that the brain is similar to
a muscle in that it gets stronger
with practice to not lose it, you
must use it.
For example, mental health
information portal HelpGuide.org
details the six pillars of
Alzheimers prevention that can
be manipulated to optimise brain
health: regular exercise, healthy
diet, mental stimulation, quality
sleep, stress management and an
active social life.
Your Health speaks to two
senior men to find out how they
keep their minds sharp and
bodies fit, and why reaching
retirement age should not mark
the end of physical and mental
growth.
Renewed passion
When Subramaniam
Muthusamys son-in-law
suggested taking up an accounting

course, the retiree was attracted
to the opportunity to challenge
himself within his realm of
passion.
Subramaniam Muthusamy.
I have long had an

involvement in accounting but
never got the chance to pursue a
qualification, says the 72-yearold student at Open University
Malaysia (OUM).
Without the limits of
conventional learning, senior
citizens today have more options
to further their higher education.
Learning is an important
part of keeping mentally active
because it exposes the brain
to new information and
experiences.
Even in the later years
of life, the plasticity of the
brain allows it to adapt to
different environments as neural
connections are strengthened
through practice and repeated
exposure.
Subramaniam recognises the
importance of keeping brain
function up, but he also points out
that regular check-ups should be
a part of disease prevention.
Being active alone is not
enough. Many types of diseases
come up in old age, so it is also
important to keep conditions such
as high blood pressure and
diabetes under control to
maintain an overall healthy
lifestyle, he stresses.
Dancing on
Datuk Dr Mohamed Arif Nun.
Given the inextricable link

between physical fitness and
mental acuity, it comes as no
surprise that older adults
who move more also think
better.
Sixty-eight-year-old Datuk
Dr Mohamed Arif Nun has
been dancing Latin salsa for the

past decade.
He describes the multiple
benefits that one stands to gain
through practising and
competing as crucial to mindbody coordination.
Learning to step the right
way, mastering the art of
listening to and following the
beat, and leading a partner
confidently keep visual, auditory
and physical faculties sharp.
Combined with the
intrapersonal and interpersonal
communication involved,
dancing certainly pushes me
to think outside the box, he
shares.
It also helps to know yourself
and your interests I personally
do not like to exercise alone, so I
got into dancing with a group of
people whose company I enjoy
because there is that social
element involved.
You must have something to
look forward to in order to be
constantly motivated to move,
concludes Dr Arif.
your health 3
> FROM PREVIOUS PAGE

A 2003 Universiti Putra Malaysia
study Prevalence of depression
with chronic illness among the
elderly in a rural community in
Malaysia found that older people
with chronic illnesses, especially
ischemic heart disease (caused by
narrowed heart arteries), were
more likely to suffer comorbidity
with mental illness.
Unfortunately, according to
Dr George Anthony Taye Wei Chun,
resident consultant in geriatrics
and internal medicine at Mahkota
Medical Centre, this aspect of
health is still under-recognised in
the country.
There is a lack of awareness
about mental health when it comes
to the elderly, and I believe this is
the result of cultural influence as
many in this part of the world still
view mental health as a taboo
subject. Conservative patients
rarely volunteer that they are sad,
he says.
Dr Taye adds that combined
efforts from medical professionals
and their patients are needed to
begin shifting this view.
Doctors must elicit information
about patients mental health, and
patients should not be scared to tell
doctors how they feel, he advises.
On a greater scale, the
healthcare system should be
developed to accommodate elderly
patients who are financially
Managing cognitive decline

constrained, have limited access to
quality treatment and care, or are
left without a family or carer.
Special attention must be paid
to the specific presentation,
management and complications of
geriatric diseases.
Multiple medications can be
prescibed for various diseases, so
clear communication between
specialists is necessary to create an
overall treatment plan free from

negative side effects due to the
interaction of different drugs.
On top of more multidisciplinary
geriatric units across the country,
our ageing nation also requires a
more wholesome, psychosocial
approach to treatment instead of
the current model that emphasises
curing the physical disease alone.
The elderly patient often has to
rely on someone to care for

them when they are ill, so the
community loses both the patient
and caregiver. There is no real
placement care, except nursing
homes.
Financial constraints also limit
their access to these services, or
even basic quality healthcare, says
Dr Taye.
Dr Tan stresses the importance
of retirement planning beyond the

Employment Provident Fund (EPF)
as these savings are unlikely to last
for more than 10 years and will
devalue due to increased cost of
living.
She explains the need for this in
view of migration and smaller
family sizes, especially when older
folks are left behind because their
children have to find jobs in
faraway cities or overseas to
support the family.
The older generation can no
longer be totally reliant on their
adult children to provide for their
physical and financial needs it
becomes rather difficult if the
older adult has spent all their
working lives saving up for their
childrens education, only to find
that when they retire, their
childrens income is inadequate to
provide for the extended
household, says Dr Tan.
This has driven many children
overseas to take advantage of the
higher wages. However, being
overseas or having to work long
hours to make ends meet means
that there is little time or energy
devoted to the older persons
emotional and physical needs.
All these can contribute to
increased ageing stress, which
when combined with physical
illness, may lead to the gradual
deterioration of cognitive ability.
> SEE PAGE 4
4 your health
RESEARCHERS have discovered that lifestyle

plays an important part in maintaining brain
health. Our diet, stress levels, quality of rest,
medication and exercise can make a
difference.
Here are some simple strategies to help
keep your mind sharp and agile.
l Cholesterol control Bad cholesterol
that builds up in the blood vessels can cause
bad circulation to the heart and brain.
This deprives the brain of essential
nutrients and thus, could lead to memory
loss. So it is vital to have a healthy
cholesterol level.
l Check your medication Some drugs
tend to linger in our body, causing side
effects such as memory loss. This is fairly
common among individuals taking
antihistamines, painkillers, statins or
sleeping pills, to name a few.
If this happens to you, it is best to consult
your doctor to adjust the dosage or switch
medications.
l Cardio exercise Recently, reports in
the Journal of Gerontology: Medical Sciences
showed that cardio exercises have an impact
in increasing the brains volume, which
contributes to better memory and attention.
Taking brisk walks or doing a high-cardio
activity at least two to three days a week
Boost your memory

may be what you need.
l Check your iron levels Iron
deficiency is the most common nutrient
deficiency that causes memory problems.
Iron helps the neurotransmitter in our body
carry oxygen to the brain and other parts of
the body.
When we are anaemic or have low iron
levels, we tend to be more fatigued and this
affects our recall abilities.
l Relax your mind Stress permeates
our daily life, causing damage to our brain
and body. One of the things you can do to
relax is meditation, which has been revealed
to be mentally restorative as it produces a
relaxed state similar to non-REM (rapid eye
movement) sleep.
l An apple a day Apples are a good
source of antioxidants, which are required to
help increase the levels of neurotransmitter
acetylcholine that helps with memory.
Antioxidants also help protect brain cells
from free radical damage. So, an apple a day
may help keep the forgetfulness away.
Lifestyle
changes are
key to
maintaining a
healthy brain.
Brain gymnastics You can exercise your

brain by doing stimulating activities such as
playing cards, board games and computer
games. Like our muscles and heart, our
brain needs to be challenged to grow and
stay healthy.
Making these lifestyle changes are the first
steps to a healthier brain. If you would like
to find out how healthy your brain actually
is, consult your doctor for more detailed
testing.
Research has shown that feeding the brain
what it needs could help slow down the
decline of the brain.
Based on a 20-year follow-up study of
patients consuming EGb761, cognitive
decline in subjects who consumed EGb761
was significantly slower compared with
non-users.
EGb761 40mg is a highly purified and
standardised ginkgo biloba extract
manufactured in France that guarantees the

quality and concentration of its content.
Among all ginkgo biloba extracts, only
EGb761 40mg fulfils the pharmaceutical
quality in accordance to the German
Commission E and World Health
Organization recommendations.
It is the preferred treatment for memory
deficiency and blood circulatory problems
among health professionals in 52 countries
worldwide.
EGb761 40mg can be consumed long-term
and is suitable for the elderly.
Ask your doctor or pharmacist today
about how EGb761 40mg can help you
improve your memory and mental
performance.
This article is brought to you by EP Plus
Group Sdn Bhd.
n For more information, call 03-6205 2728.
Sound
foundations
matter
> FROM PAGE 3
Although local data cannot yet sufficiently
provide details about preventing mental
illness, both doctors agree that taking care of
yourself through healthy eating and regular
exercise sets you on the right path for
lifelong physical and mental health.
Attending regular health check-ups is
important, but these tests should also be
relevant. Dr Taye believes they can be better
tailored for older patients, using the heart
stress test as an example this test includes
running on a treadmill, which may be
difficult for some elderly.
General health tests should test hearing,
balance and stability, and should have a
memory assessment component for older
people, he says.
Building healthy foundations begins with
individual efforts and habits. Tap into your
innate desire to be well as this is the first
step towards living a happy, healthy life.
Many people feel they are too tired or old
to do certain things and end up sitting at
home, being sedentary, says Dr Taye.
Participating in everyday activities or

social gatherings will ensure you remain
active, occupied and fulfilled as you
approach your golden years.
Spending time with your loved ones, even
if for a short time every day, will provide the
comfort, security and emotional fulfillment
for many more years together.
Older adults experiencing loneliness in
the absence of their children can often
overcome this by rekindling relationships
with long lost friends of a similar age and
disposition, or in the case of full-time
mothers, return to the workforce as
childminders or volunteers or in cottage
industries such as baking cookies for
festivities, Dr Tan suggests.
If a long, happy life is what you are after,
caring for your ageing brain is just as
important as keeping physically fit.
There are no shortcuts look after your
mental, emotional and spiritual well-being
by doing good things and having healthy
relationships. To be mentally healthy, the
individual must be in tune with all these
aspects, says Dr Tan.
your health 5
Dr Yeap Chee Loong.
Dr Ong Kheng Wah.
MINIMALLY invasive (keyhole) surgery,

which uses a few small incisions rather than
one large incision, has been associated with
better outcomes than open surgery,
including fewer surgical site infections, less
pain and shorter hospital stays.
Todays advanced procedures can also
provide relief, prolong remission and
postpone relapse, leading to improved
quality of life.
The smaller incisions

are less invasive,
less painful and
result in finer scars.
This operation
is safe, achieves
aesthetically pleasing
scars and requires
less analgesia.
Small incisions,
improved results
Scarless thyroid surgery
Thyroid disorders/goitre are relatively
common in the Malaysian population,
especially among females.
While there are often environmental,
dietary and genetic factors that can
contribute to the development of thyroid
disorders, no actual cause can be found most
of the time.
The thyroid gland usually enlarges over a
period of months to years. Patients would
usually present to the clinic complaining of a
neck swelling, either on one side (unilateral)
or both sides (bilateral).
If surgery is warranted, the commonest
method is through an incision in front of the
neck, leaving a 4cm to 6cm scar.
There will be pain and tightness of the
neck during the recovery period. Some
people develop a thickened and sensitive
keloid over the scar.
However, with the combined use of fibre
optic endoscopic telescopes and modern
surgical instruments, it is now possible to
remove small- and medium-sized thyroid
glands through small incisions, says
Dr Ong Kheng Wah, consultant general
surgeon at Oriental Melaka Straits Medical
Centre.
With these new techniques, certain benign
thyroid swellings up to 4cm can be removed
via the neck.
This is called endoscopic thyroid surgery
there is no scar in the neck, only two small
scars hidden in the axilla and another 5mm
scar at the areola of the breast, explains Dr
Ong.
The smaller incisions are less invasive,
less painful and result in finer scars. This
operation is safe, achieves aesthetically
pleasing scars and requires less analgesia.
With a smaller incision and no wound
across the neck, patients recover more easily
and are able to return home and to work
earlier.
Anti-reflux surgery
GERD (gastroesophageal reflux disease)
develops when acid from the stomach flows
back into the oesophagus due to a
weakening of the lower oesophageal
sphincter that does not function properly
as a one-way valve.
Frequent episodes of GERD can lead to
oesophagitis (inflammation of the
oesophagus) and may even increase the risk
of developing oesophageal cancer, explains
Dr Yeap Chee Loong, consultant general and
upper gastrointestinal surgeon at Oriental
Melaka Straits Medical Centre.
Lifestyle modifications plus medication
are often the first step to recovery.
Maintaining a healthy body weight is
essential. Patients are taught to take small
but frequent meals. They also shouldnt lie
down or sleep within three hours after
meals. Avoiding alcohol, caffeine and
cigarette smoking is also crucial, advises
Dr Yeap.
If these methods do not work, anti-reflux
surgery, called a fundoplication, can be a
valuable option.
The weakened sphincter is repaired and
tightened by the surgeon by wrapping the
upper part of the stomach around the lower
end of the oesophagus.
Considered a small surgery in more
ways than one, this intricate procedure can
be performed laparoscopically.
Using laparoscopic techniques, this
surgery can be done as a day-care
procedure, allowing most patients to be
safely discharged after a one-night stay in
the hospital, says Dr Yeap.
The surgical option is useful for patients
who do not show improvement with
medications, patients who do not wish to be
on long-term medication despite
improvement of symptoms, and patients
with extra-oesophageal symptoms such as
sore throat, frequent asthmatic attacks and
dental damage due to GERD.
Other than the significant improvement
of quality of life and symptoms that can be
achieved, patients will also benefit from
lower costs from needing less medication in
the long term.
6 your health
Better
hearing
HEARING loss is often gradual and subtle,
which makes it commonly ignored. Often, it
can only be detected through carefully
performed hearing tests.
People with hearing difficulties may feel
that other people are mumbling when
speaking, be often told that the television is
turned up too loud, find group conversations
hard to follow and often ask people to repeat
themselves.
Sensorineural damage (nerve deafness) is
the most common form of hearing loss.
However, hearing instruments can improve
hearing difficulties for approximately 95% of
those who are hearing impaired.
The most common hearing loss cases are:
l Otitis Media (ear infection), which is the
most common cause of temporary hearing
loss that affects 70% of infants and young
children.
l Presbyacusis, which is the most
prevalent hearing loss that occurs with old
age that leads to speech discrimination
difficulties.
l Noise induced, which is due to
continuous exposure to loud sounds over a
long period of time that accelerates
permanent hearing loss.
These can be caused by infections of
chronic illnesses, injuries, genetic factors,
New laser
eye surgery
medication that damages hearing, exposure
to ongoing or extreme noise and ageing.
Children should have a hearing
assessment as soon as possible after birth.
Early identification and intervention is
crucial for language development.
Adults who are regularly exposed to high
noise levels should have a hearing test at
least once a year.
Every person who experiences the
slightest difficulty in hearing should undergo
a hearing assessment to detect, intervene
and help preserve communication and
listening skills.
NewSound Hearing recommends an
annual hearing health check for anyone over
the age of 50 and every two years for those
under the age of 50.
You can be confident of receiving firstclass service at any of NewSound Hearings
seven outlets in peninsular Malaysia,
which also offers the latest range of hearing
aids.
When you purchase a hearing aid from
NewSound Hearing, you will receive a
lifetime of aftercare services to ensure you
get the best out of your hearing aids.
n For more information, call 1800 188 882 or

visit www.newsound.com.my.
VISION correction surgery (refractive and

laser eye surgery) is any surgical procedure
used to correct vision problems.
Over the past few decades, refractive
surgery has improved the quality of life in
more than 30 million patients with a more
than 95% patient satisfaction rate.
Extensive research has provided
invaluable refinements and advancements
to laser technology and diagnostic tools.
While laser-assisted in situ keratomileusis
(Lasik) is presently the most performed
elective procedure, a new procedure called
ReLEx Smile is now gaining popularity in
the refractive arena worldwide.
Unlike the conventional Lasik procedure,
the ReLEx Smile procedure does not create a
flap and involves the use of only one laser
(the femtosecond laser).
Instead of vaporising cornea tissue to
correct any underlying short-sightedness
and astigmatism, ReLEx Smile carves out a
small piece of corneal tissue called a
lenticule in the cornea, which is removed
through a small keyhole incision of 2.5mm
to 4mm.
This single-step laser operation takes
about 30 seconds to correct one eye, while
the entire procedure can be completed in
about 15 minutes for both eyes.
The laser is fast and uses very low energy,
and the procedure is odourless and silent,
causing less discomfort for patients.
The ReLEx Smile procedure is a quick, singlestep and minimally invasive operation.
Patients also feel more comfortable

because the suction on the eye during the
treatment is gentler.
ReLEx Smiles minimally invasive surgery
causes only a small wound, resulting in a
much stronger eye and less immediate
postoperative discomfort and tearing.
The eye is less susceptible to trauma,
making ReLEx Smile a good option for those
who are involved in contact sports.
In the ReLEx Smile procedure, the only
variable affecting tissue removal is the
accuracy of the femtosecond lasers
optomechanics, which are unaffected by
environmental conditions.
Choosing laser eye correction to fix your
eyesight problems is not a decision you
should take lightly. Laser vision correction is
a surgical procedure that carries surgical
risk, although the risk involved is very small
and the success rate is very high.
You are advised to have your eyes
properly evaluated and examined by an eye
surgeon prior to surgery and be sure to
discuss all the options and potential risks
involved before making any final choices.
n For more information, call

KPJ Centre For Sight at 03-4022 6222 (KL)
or 03-7804 4051 (PJ).
your health 7
Tai chi for

fitness
AFTER working tirelessly for more than 30
or 40 years, many people look forward to
life after retirement as this could finally be
the opportunity to travel, socialise daily or
sit back, relax and watch the world go by.
It is necessary for retirees to stay mentally
and physically active to stave away or cope
with health problems that are often
correlated with old age such as respiratory
diseases, obesity, arthritis, high blood
pressure and dementia.
The Chinese martial art of taiji quan or
tai chi is a good activity to not only pass the
ptime but it is also recognised for promoting
a wide range of health benefits.
As tai chi is a low-impact and non-contact
sport, less vigorous and puts minimal stress
on muscles and joints, it is suitable for
people of almost any fitness level and age,
particularly for older people.
Attention on
gum health
Tai chi can
be a good
practice
for older
people who
want to
maintain
mobility.
An ancient art form

The exact origin of tai chi is still pretty
much unknown as there are countless
theories and tales on how this martial art
took shape. Some records even suggest tai
chi dates as far back as 3,000 years.
But irrespective of the legends and
history, tai chi has spread around the globe
and it is not uncommon to see a group of
senior citizens going through the slow and
fluid motions of the art form at the nearest
park.
Known to bring about a state of mental
calmness, inner peace, clarity as well as
other benefits that include fitness and
longevity, tai chi is a non-competitive, selfpaced system of gentle physical exercise and
stretching.
The art form requires the individual to go
through a set range of motions, transitioning
constantly from one posture to the next
without hesitation.
People who practise tai chi believe that
these slow movements accompanied by
deep breathing and intense focus allow the
body to regulate both on a physical and
spiritual level.
In addition, as tai chi is often practised in
groups, it is a great way to meet other
people and expand ones social circle.
Key advantages
The handful of scientific studies carried
out on tai chi has yet to support
practitioners belief that the ancient martial
art is able to treat a wide range of ailments
that include heart disease, high blood
pressure, cancer and digestive disorders.
Researchers have, however, documented
a list of other benefits of practising tai chi
regularly.
l General mobility and aerobic
capacity
While our aerobic capacity and walking
speed will decrease as we get older, it does
not mean that we have to live a sedentary
lifestyle. Regular tai chi training has been
found to improve the number of steps we
can take compared to those who do not
practise the art form as well as increase
overall fitness levels. The martial art also
increases an individuals strength and
endurance.
l Balance and fall prevention

Older people are often thought of as being
frail, weak and more susceptible to injuries
such as bone fractures. Many older adults
have also been hospitalised for hip fractures
due to a fall and never regain their former

level of function.
As tai chi movements are slow and trains
a person to shift body weight from one leg
to another in coordination with upper body
movements, the art form helps a persons
body to improve balance and, in the long
run, reduce fall frequency.
In 1996, a study at Emory University
School of Medicine in the United States
concluded that tai chi makes people think
about how they are moving and gives them
better awareness of where they are.
l Relieving joint stiffness

Combining slow and circular motions, the
continuous and graceful nature of tai chi
improves a persons mobility and this is
especially important for people with
arthritis.
A study presented at the American
College of Rheumatology in 2001 reported
that older people with arthritis have less
pain and trouble in performing daily
activities when they practise tai chi
regularly.
People with arthritis in the knees tend
not to bend their knees when they walk,
therefore giving them a stiffer gait.
As the basic stance and range of motions
for each tai chi style requires the individual
to have his knees and hip joints slightly
bent, people who practise tai chi will
inadvertently increase their knee flexibility.
Similar findings were also reported in the
Journal of the American Geriatrics Society in
2000, which showed that older people with
arthritis in the legs who practised tai chi for
12 weeks were able to move around better
and had less pain.
l Muscle building
The range of tai chi postures also works
on key muscle groups that include the core,
arms, legs, gluteus (bottom) and back.
In research conducted by Soonchunhyang
University in Korea, people with arthritis
who took a 12-week tai chi course also had
stronger abdominal muscles than those
who led a sedentary lifestyle.
Although tai chi is generally considered
safe, it is important for people with medical
conditions to consult their doctors before
taking up this martial art.
People should also first learn tai chi from
an experienced practitioner instead of
online and from DVD resources to perfect
the basic poses and postures.
IN the 2010 National Oral Health Survey of

Adults conducted by the Oral Health Division
in the Health Ministry, four out of five
showed a high prevalence of periodontal
conditions.
The presence of bleeding gums in the
majority of school-leavers and adults reflects
widespread ineffective personal oral hygiene
practices, which will likely lead to more
severe periodontal problems later in life.
Gum disease is an infection of the tissues
that surround and support the teeth and is
caused by a sticky film that is constantly
forming on the teeth.
If not removed, it matures into a plaque
biofilm that can accumulate and be
contaminated by bacteria, leading to
inflammation of the gums.
Gum disease is a silent disease with little
to no symptoms and will not resolve by
itself. As many people have little or no
knowledge of periodontal or gum disease,
most do not seek the periodontal care they
require.
It is a common misconception that gum
disease is inevitable and a natural part of
ageing. Gum disease is caused by the buildup of dental plaque, which can happen at
any age.
Many people think it is normal for gums
to bleed when brushing teeth. However,
gums should not bleed even when you brush
vigorously or use a dental floss. Bleeding
gums are a sign of gum disease.
Poor personal oral hygiene will lead to gum

disease and cavities.
Many also think it is normal for gums to

recede or pull away from the teeth, causing
them to look longer than before, with
advancing age. In fact, this may indicate the
progression of gum disease that can lead to
loose teeth, bone and tooth loss.
Also, being cavity-free does not guarantee
you are in the clear of gum disease. Though
both gum disease and cavities are caused by
plaque, cavities will cause some amount of
sensitivity or pain when the decay breaches
the dentine, the sensitive part of the teeth.
Gum disease is almost always painless and
you may not know you have it until at an
advanced stage.
Symptoms of gum disease include:
l Red, puffy and swollen gums
l Itchiness, uneasy feeling, tenderness or
pain in the gums
l Bleeding gum while brushing, flossing
or eating hard food
l Receding gums; teeth appearing longer
than before
l Loose teeth and widening gaps between
teeth
l Deep pockets between gums and teeth
l Persistent bad breath
l A change in your bite or the fit of your
partial dentures
This article is brought to you by Cavico
(M) Sdn Bhd.
8 your health
EXERCISE in any form, whether

mild, moderate or intense, is
generally better than doing no
exercise at all.
Physical activity with moderate
intensity is good enough to
improve cardiovascular conditions
and reduce the risk of diseases
such as high blood pressure,
diabetes, obesity, heart diseases
and osteoporosis.
A recommendation of moderate
physical activity is to do a brisk
walk for 30 minutes a day, three
times or more per week.
It is the most popular choice
whether you choose to do it
outdoors or on a treadmill because
anybody can do it on any given
day without requiring special
skills.
The amount of exercise you need
depends on the length of time,
intensity and frequency of your
exercise.
For Parents Day, show your
appreciation with a gift of good
health and keep your parents
happy and healthy for longer with
a wide range of fitness equipment
from Fitness Concept to enjoy at
the convenience of their home.
The NordicTrack C2 treadmill
is suitable for active parents who
enjoy walking or jogging daily.
It has 20 workout programmes
designed by certified personal
trainers, an adjustable running
deck cushioning for soft and hard
terrain training and can be easily
folded up when not in use.
Left: The
NordicTrack C2
features multiple
workout
programmes
developed by
personal trainers.
Right: The
NordicTrack E7+
elliptical offers a
low-impact
exercise option for
those with joint
pains.
Thoughtful gifts for parents

For parents with knee joint pain,
the NordicTrack E7+ elliptical is
the preferred choice as it offers a
low-impact exercise option.
It also moves both the arms and
legs simultaneously, giving a good
cardio exercise in less time.
In addition, the NordicTrack E7+
elliptical is compact and can easily
fit in the space of most homes.
While gifts are not the only way
to show your care on Parents Day,

there is nothing like the sense of
satisfaction that you can gain from
giving a thoughtful item to your
loved ones.
Fitness Concept is Malaysias
Largest Fitness Specialist Chain
as certified by The Malaysia
Book of Records, with 45 outlets
in leading shopping malls
nationwide offering a wide range
of fitness products.
In conjunction with the Parents
Day celebration, Fitness Concept
is offering rebates of up to
RM1,000 for its bestselling fitness
equipment.
There will also be attractive
bundle packages and other great
offers for its equipment, including
treadmills, crosstrainers, exercise
bikes, gym stations and a range of
fitness accessories.
Terms and conditions apply. Visit
one of Fitness Concepts many
stores or roadshows to check out a
range of fitness products that can
help keep you and your family fit
and healthy.
n For more information, e-mail

enquiries@fitnessconcept.com.my
or call 03-8026 2222.
Maintaining
oral hygiene
IN addition to brushing your teeth at least
twice daily, dentists and oral care experts
recommend regular use of mouthwash for
good oral hygiene and keeping dental
problems such as tooth decay and gum
disease at bay.
The Guardian Brightening + Tartar Control
Mouthwash helps to reduce tartar formation
and prevents plaque accumulation.
With special teeth-brightening properties,
the product is also beneficial for people who
intend to prevent their teeth from staining.
Available in 750ml and 100ml sizes, the
mouthwash is sugar-free, halal-certified and
tested to kill 99.9% of bacteria.
Having bad breath can
be very embarrassing,
especially if you are
meeting a person for the
first time.
Not only will bad
breath make the
other person feel
uneasy when
Guardian Brightening + Tartar Control

Mouthwash.
Guardian
Mouth
Spray
Fresh
Mint.
speaking to you but the condition can lead

to other issues such as low self-esteem and
a loss in confidence.
Fortunately, the Guardian Mouth Spray
Fresh Mint can help in alleviating bad
breath. In addition to being an ideal
product for smokers, the spray is halalcertified as well as alcohol- and sugar-free.
To promote oral hygiene and keep your
mouth feeling clean and refreshed
throughout the day, always keep a bottle of
mouth spray close to you as you head out to
business meetings or social events.
Carrying the bottle of mouth spray is
a breeze as the compact 15ml bottle fits
conveniently in your pocket or handbag
and can last more than 100 sprays.
Smile and meet people confidently and
never worry about having bad breath or
stained teeth ever again.
Use Guardians Brightening + Tartar
Control Mouthwash and Mouth Spray Fresh
Mint to maintain oral freshness.
n Brought to you by your partner in health

Guardian Health and Beauty Sdn Bhd.
your health 9
Geriatric medicine and you

of normal ageing.
For example, a persons kidney
function naturally deteriorates
with age. The geriatrician must
distinguish this from kidney failure
caused by disease. We must always
ask ourselves what is normal and
what is not, as an older person is
different from a young one, he
says.
Dr Taye uses the analogy of a car
engine to illustrate ageing: as you
use a car over the years, no matter
how well you take care of it, the
engine eventually gets worn from
use and age. However, the better
you take care of it, the longer you
can use it. The same goes for the
human body.
In geriatric medicine, the aim of
the treatment is often different
from with younger people;
sometimes, seeking a cure is not
possible. Dementia or Parkinsons
disease, for example, is not curable.
What the patient requires is
effective management and control
of all their symptoms to improve
the quality of life, explains
Dr Taye.
The elderly usually have more
complex medical problems due to
their ageing bodies. Comorbidity
Dr George having several conditions or
Anthony
diseases simultaneously means
Taye Wei
that these patients need to take
Chun.
MALAYSIAS population is an
ageing one. Advances in medicine
and better living conditions mean
that people are living longer.
The greying of our society also
means that geriatric medicine
healthcare for the elderly is
increasingly important.
This emphasises the need to
prevent complications as well as
maintain and optimise health in
the older population those above
60 years old in Malaysia. What we
try to do is add life to years, not
just years to life, says Dr George
Anthony Taye Wei Chun, resident
consultant in geriatrics
and internal
medicine at
Mahkota
Medical Centre.
Dr Taye
explains that an
important task
of a geriatrician
is to distinguish
between
actual
diseases
and the
effects
more medications.
For example, a person with
diabetes may also have
hypertension, which then makes
them more prone to heart disease.
As doctors will have to prescribe
medicines to control and manage
these conditions, they must ensure
that the medicines do not interact
with each other or cause adverse
effects to the patient.
Elderly people often suffer from
side effects of drug interactions
and complications arising from
treatments. This phenomenon
is called iatrogenesis. It is
unfortunately a big problem in
geriatric healthcare and is one of
the five geriatric giants major
conditions in elderly people.
Nowadays, as people are able to
see a specialist for each condition
they have, iatrogenesis is becoming
a bigger problem. A person may
see a urologist for urinary
incontinence, a psychiatrist for
dementia, and an orthopaedic
surgeon for arthritis, for example.
The problem arises when the
different doctors prescribe
medicines without taking a
thorough history from the patient
to find out exactly what drugs
he or she is already taking.
Sometimes, the patient also
forgets to tell the doctors about
Healthcare
for the
elderly aims
to distinguish
between
diseases and
the normal
effects of
ageing.
medications they are on, says

Dr Taye.
The doctors certainly have good
intentions but, unfortunately, the
lack of proper communication
between the different doctors and
also between the patient and
doctor exposes them to the
possibility of iatrogenesis from
conflicting treatments.
It is important to tell any doctor
about the health conditions you are
experiencing and the medications
you are taking. Be open and honest
with him or her about your health
so that everyone may work
together to help maintain it better,
he adds.
Dr Taye advises that elderly
people go for regular check-ups

and reviews. However, be sure that
the tests are tailored to your age;
specialised screenings and tests for
older patients are available at
many hospitals and medical
centres that have a geriatric unit.
Also ask your doctor about
vaccinations that are important
for the elderly to help prevent
certain diseases such as the flu or
shingles.
The elderly can live a full life
with proper health management.
Optimising your health is possible
with the right knowledge, he says.
n For more information,

call 06-285 2999.
10 your health
Medical plan
rewards you
IN Malaysia, high cholesterol and obesity
are two of the most commonly diagnosed
preventable diseases that affect the young
and old. It has reached the stage where
approximately one in three Malaysians aged
18 and above are now classified as preobese.
The cost for medical treatment for these
issues has been steadily increasing with an
annual medical inflation rate of 11% since
2014, putting even greater financial
pressure on those who are affected.
Realising the effects that these issues can
pose, many Malaysians are now taking
action to lead healthier lifestyles.
Zurich Insurance Malaysia Berhad (Zimb)
is committed to helping customers lead a
long and fulfilling life by designing
intelligent solutions that fit well with
customers lifestyles.
Recognising the rising health complexities
faced by Malaysians today, Zimb has
introduced Zurich Omni Health, a

comprehensive medical plan that rewards
customers for staying fit and healthy while
covering their medical bills.
Zurich Omni Health is one of Zimbs latest
life insurance offerings that aims to promote
both physical and financial wellness.
It is not just a typical health cover. It not
only safeguards customers health but
motivates and monitors their health changes,
rewarding customers for their efforts in
placing their health first.
This standalone non-participating medical
plan is available to anyone aged between 30
days and 59 years.
It is the first medical plan in the market to
offer 10% cash back on premiums paid
under its no claims bonus benefit (terms and
conditions apply), giving customers more
reasons to stay fit.
With the Z Wellness Care feature, Zimb has
created a motivational platform that guides
customers who have health issues on the
path to recovery.
Customers with health issues during the
time of purchase are offered a place under
the Wellness Reward Programme, where
they will be given professional advice and
guidance on healthy living.
Customers who show significant signs of
recovery will be rewarded with reduced
premiums to be paid in the following policy
years.
The road to a healthier life starts with
making the right choices, so take the first
step today with the right insurance plan that
can help you achieve your physical and
financial wellness goals.

visit www.zurich.com.my.
Older adults should include medical expenses when preparing a retirement budget.
Managing
healthcare
expenses
WITH old age comes retirement, which
many take as an opportunity to slow down
and enjoy the finer things in life. However,
our lifestyles continue to incur expenses
well after retirement in fact, certain
aspects of our lives may demand greater
expenditure.
For many, this may include medical and
healthcare expenses, which, unsurprisingly,
commonly increases in old age.
Can we rely wholly on public healthcare
provisions? Health Ministry statistics display
an increase in non-communicable diseases
in 2012 when compared to a decade before
in 2002.
Non-communicable diseases such as
cardiovascular diseases, cancer and diabetes
are sources of widespread public health
concern not only do they become more
chronic over time, they can also progress
slowly to require increasingly expensive
treatment over the long term.
Combined with the average life
expectancy of 74 years old in the country,
we can surmise that the nation is growing
old but not healthily so.
More people will need to undergo
expensive treatment throughout their lives.
This means that we as individuals must take
charge of and make plans for our own
medical expenses as well as those of our
aged loved ones.
l Insure to ensure protection The
importance of medical insurance is often
overlooked when we are young and healthy.
If you have been diligently making premium
payments for years, though, you should be
covered as per your insurance agreement.
However, it is vital that you know what
you are paying for and what treatments are
not covered by your plan to prevent any
unpleasant surprises. Medical payments can

be multifold and incur many hidden charges
that are not explicitly covered by your
insurance plan, so it is best to arm yourself
with this knowledge especially if you face a
specific condition.
l Know your body It is always better to

be safe than sorry; once you are in your 40s,
it is advisable to attend health check-ups
regularly to be in the know about your
health. Complete annual check-ups will
provide up-to-date reports of your body and
any red flags raised can be addressed by
your doctor immediately. This will help
avoid sudden extra medical expenses later
on.
l Control your finances Budgeting
your medical expenses based on previous
yearly records can help estimate the amount
you should allocate for health needs.
Medical bills can be exorbitant, so do not
pay blindly and always opt for itemised
billing so you know what you are paying for.
It can also be helpful to track and budget
your overall expenditure to keep your
expenses in check and not go overboard
with your spending. Money spent on things
you want today can be put aside for
something you may need in the future.
l Save up for emergencies It is never
too late or early to start saving. Even if you
are covered by a health insurance plan, set
aside a certain amount every month based
on your budget for health expenses. This
emergency fund will come in handy if you
urgently require a medical procedure or
medication that you will have to pay for
yourself.
your health 11
Breaking the habit

ACROSS nations, various national policies
and restrictions are implemented to reduce
the prevalence of smoking.
This is because smoking remains a leading
cause of death worldwide, killing around six
million people a year.
According to the World Health
Organization, the majority of deaths result
from direct tobacco use while more than
600,000 deaths are due to secondhand
smoke.
Smoking is also accountable for 90% of
lung cancer cases in men and 70% of cases
among women. In addition, it is the cause of
22% of all cardiovascular diseases.
As cigarettes and secondhand smoke
contain more than 4,000 different chemical
compounds with 250 of them being
poisonous to the body, it is therefore crucial
for smokers to make a lifestyle change and
cease smoking for various health benefits.
However, many individuals find it difficult
to stop smoking as they are addicted to the
sense of relaxation caused by having
nicotine in their system.
A stressful lifestyle can further induce a
smoker to crave and light a cigarette.
Smokers are often hesitant to quit as doing
so will cause them to experience withdrawal
symptoms such as anxiety, tension,
restlessness, impatience, difficulty
concentrating, increased appetite, weight
gain, irritability and depression.
Healthier body
Besides saving money on cigarettes,
individuals who are successful in giving up

smoking will experience immediate health
benefits.
These include a drop in heart rate in as
little as 20 minutes from the last cigarette.
There will also be a drop in carbon
monoxide to normal levels in the blood
within 12 hours. Within two weeks, heart
attack risks begin to drop while lung
functions begin to improve.
Long-term benefits of quitting smoking
include decreased risk of coronary heart
disease, stroke and lung cancer.
Former smokers will have more stamina
and alertness, better sense of taste and smell,
fresher breath and cleaner teeth.
Make a change
Among the common ways people stop
smoking is by taking the cold turkey
approach completely stopping smoking at
one go and the step-by-step reduction
approach that involves slowly reducing the
daily amount of cigarettes smoked.
Some former smokers have also used
nicotine replacement therapy such as
wearing adhesive patches, chewing gum,
consuming lozenges, using nose sprays or
inhalers, and other pharmacological aids.
To replace the sensation of relaxation
that cigarettes give you, other alternative
treatments include going for acupuncture
sessions, unwinding with aromatherapy and
relaxing in steam rooms.
Quitting smoking is difficult for most
people but not impossible.
Reference:
1. www.cancer.org American Cancer
Society: Guide to Quitting Smoking
Here are some helpful tips to quit the

habit:
l Set a date to quit and be serious about
achieving this goal
l Quit with a friend and encourage each
other during the process
l Treat yourself or your family with
the money you have saved from not
buying cigarettes
l Join a quit clinic or smoking cessation
support group to receive support and
counselling
n This article is brought to you by your

partner in health Guardian Health and
Beauty Sdn Bhd.
12 your health
Maintain healthy bones

CONCERNS about bone health are
often discussed in the media and
osteoporosis is a real threat for
many of us as we age.
At present, many assume the
quality and strength of their bones
significantly deteriorate with age
and become increasingly frail and
prone to bone breakages.
But what if such degeneration was
not a certainty? There is a key
relationship between the levels of
certain vitamins sourced from diet
and bone health that can disrupt this
trend.
Bones are made up of a flexible
collagen framework coated with
strong calcium. They have a solid,
sturdy outer layer and a spongy
middle. This is the living part of the

bones.
Our entire skeleton is replaced
every seven years through a process
called remodelling. This consists of
cells called osteoclasts breaking
down old skeletal material
(resorption), followed by cells called
osteoblasts building new skeletal
material (ossification).
The materials required for
creation of new skeletal material
must be sourced from our diet.
Optimally, the bone-building activity
of osteoblasts will exceed the
breakdown processes of the
osteoclasts to ensure that we are
maintaining our bone mass (which
gives us strength).
If the breakdown activity is

greater than bone creation, the
overall amount of bone tissue will
gradually drop, leading to a loss of
bone density and eventually, a much
weaker skeleton that is fragile and
prone to breakages.
Hence, it is clear that we must do
what we can to ensure the
osteoblasts can work effectively and
are provided all the nutrients they
need to continue making new bone
tissue.
Building blocks of bones

We are aware that calcium and
vitamin D are required in our diet
as the building blocks of bones.
Vitamin K,
particularly K2, is
also vital for
bone-building as
it facilitates the
action of the
osteoblasts.
Osteoblasts
produce a
protein called
osteocalcin,
which binds to
the calcium in
the body systems
and turns it into
bone tissue.
Osteocalcin is
released around
soft, growing
bones where it
binds with
calcium to
add to the
layers of bone
tissue being made.
Osteocalcin only works if it is
activated by vitamin K.
Therefore, to build new bones,
we need sufficient levels of
vitamin K in our bodies, which
comes primarily from our diet.
Role of vitamin K
The importance of vitamin K
has been shown in studies
published in Calcified Tissue
International in 2003 and
Journal of Bone Mineral
Metabolism in 1999 and 2014,
though the idea that it plays a
role in bone strength is not new.
A study published in The
Lancet in 1984 showed that
patients with neck fractures had
extremely low concentrations of
vitamin K in their blood.
A later study published in
Bone in 1991 showed that levels
of vitamin K2 were low in
patients with osteoporotic
fractures.
Scientists have built on these
findings and are now showing
the direct link of vitamin K2
on improving bone health,
as shown in a study published
in Osteoporosis International
in 2007. Vitamin K2, as opposed
to vitamin K1, is emerging as
the more effective component
as it has much higher
bioavailability.
A study published in 2013 in
Osteoporosis International
studied 244 postmenopausal
women over a period of three
years, as they are often subject
to significant bone loss over
time.
Women received either a
placebo or 180 g of vitamin K2
(as MenaQ7) each day. The
health of their spine at the neck
and base of their back was
measured at the start of the
study and each subsequent
year. Postmenopausal women
typically experience a
significant degradation of
bones, resulting in vertebrae
being compacted as they
become less dense.
The group receiving daily
vitamin K2 showed significantly
healthier bones and their
vertebrae had not compacted as
much as the control group.
Vitamin K2 is
particularly
important in
treatment of
unhealthy bones.
There is a key
relationship
between the
levels of certain
vitamins sourced
from diet and
bone health
that can disrupt
degeneration.
It was also found that the
supplementation group had
approximately 50% less markers
of unhealthy bones than the
control group.
These improvements only
became obvious after at least
two years of treatment,
suggesting that supplementation
with vitamin K2 might be most
beneficial as a long-term
therapy.
Vital for all

It is not just the ageing
population that are potentially
in need of vitamin K2
supplementation. Changes in
diets and food-processing
techniques over recent decades
have reduced the levels of
vitamin K that we ingest,
meaning that the majority of the
population is receiving lower
levels of vitamin K, even those
with a balanced, healthy diet.
This is a relatively new area
of research and the mechanisms
involved are not yet fully
known. What is clear is that
calcium and vitamin D are
insufficient to maintain healthy,
strong bones.
Vitamin K, particularly
vitamin K2, is a vital component
in the prevention and treatment
of unhealthy bones and
conditions such as osteoporosis
and osteoarthritis.
This article is brought to
you by Vitamode and Caring
Pharmacy.

call 1300 800 228.
your health 13
Keep high cholesterol at bay

HIGH cholesterol has become a
national epidemic in recent
years, ranking high in frequency
alongside childhood and adult
obesity, diabetes and
cardiovascular disease.
While sedentary routines and
lack of proper nutrition are
largely to blame for the rise in
lifestyle-related disorders,
research suggests that consistent
exercise coupled with a diet
high in oat beta-glucan a
soluble fibre with numerous
protective benefits for the heart
and digestive system can
potentially reverse and manage
these complications.
Age is often positively
correlated with an increased
risk of developing cardiac
problems and other metabolic
disorders. Blood cholesterol
levels begin to rise around the
age of 20 and continue to go up
until about age 60.
Before 50, mens total
cholesterol levels tend to be
higher than women of the same
age, but after 50 the opposite
happens. This is because when
women reach menopause, their
LDL (low-density lipoprotein) or
bad cholesterol levels often rise.
Regular physical activity and
a diet rich in oat beta-glucan
can go a long way in staving off
the worst of the ageing process.
Though there are many types
of soluble fibre, beta-glucan
from oats is most studied and
documented in human trials.
Studies by the Malaysian
Health Ministry and other
studies show that consuming at
least 3g of oat beta-glucan daily
significantly reduces total
cholesterol and LDL cholesterol
in the bloodstream, improving
stamina, mental acuity and
physical function dramatically.
However, not all oat betaglucans are produced equally.
According to the European Food
Safety Authority, it is the
increased viscosity produced in
the gut by bioactive oat betaglucan that is able to confer

cholesterol-lowering and blood
glucose-stabilising benefits.
Therefore, it is imperative
that consumers find out if a
food product provides a highquality and clinically tested
form of oat beta-glucan.
For individuals concerned
with living a healthier life
during their golden years,
Biogrow Oat BG22 is available in
premier oat bran powder and
crispy oat cereal forms.
About two scoops of the oat
bran powder or one packet of
the crispy oat cereal supplies
your body with clinically tested
bioactive oat beta-glucan.
Sourced from the finestquality Swedish oat bran,
Biogrow Oat BG22 is subjected
to sophisticated processing
technology that ensures the
integrity of the product while
retaining the beta-glucans
highest molecular weight for
enhanced viscosity and
absorption upon consumption.
Just two scoops (about 18g) of
Biogrow Oat BG22 Oat Bran
Powder or one packet (30g) of
Biogrow Oat BG22 Crispy Cereal
daily provides the requisite 3g
or more of the soluble fibre
beta-glucan needed to maintain
healthy blood cholesterol and
blood glucose levels.
Biogrow Oat BG22 contains
no artificial additives or
preservatives, is free of gums
and thickeners and is very low
in sodium.
Biogrow Oat BG22 provides
an effective and natural way of
maintaining healthy cholesterol
levels in the body, which is key
to a heart-healthy lifestyle.
This article is brought to you
by Legosan (Malaysia) Sdn Bhd.

call 03-7956 2220 or e-mail to
info@biogrow.com.my.
Still going strong

RETIREMENT often plays a
big part in a decline in
physical activity as well as a
corresponding cognitive decline
that can lead to dementia.
Despite the long-held
assumption that we should slow
down and retire after reaching
a certain age, there are
numerous people who defy
this convention.
Here are some people, all
above the age of 80, who
continue to lead with mental
and physical prowess.
Top heads
President of Cuba Raul Castro,
84, was elected president in
2008, taking over the position
from his brother Fidel (who was
82 at the time).
Castro has been instrumental

in building diplomatic relations
with the United States and has
brought about various economic
reforms to his developing
nation.
Across the Atlantic, Queen
Elizabeth II turned 90 on April
21, making her the longestreigning queen in history.
The Queens 90th Birthday
Celebration will be celebrated
in the United Kingdom this
weekend.
Though there are detractors
to the concept of a monarchy,
the queen has a reputation
as a good and wise ruler who
performs her religious and civic
duties loyally and is loved and
respected by her people.
> SEE PAGE 14
Maintain healthy blood

cholesterol and blood
glucose levels with
Biogrow Oat BG22
Crispy Cereal.
14 your health
Good
for joints
OSTEOARTHRITIS (OA) is the most
common form of arthritis normally
associated with ageing and injury.
It is characterised by the
deterioration of cartilage that acts
as a protective cushion between
the joints (a wear and tear
condition).
As the cartilage breaks down, the
bones rub against each other. The
constant rubbing of the joints will
lead to formation of spurs and the
development of painful joints.
The most affected areas are the
hands and weight-bearing joints
such as the knees, hips, fingers and
spine.
Its prevalence after the age of 65
is about 60% in men and 70% in
women. There are many factors
that may cause OA and these may
be inflammatory, metabolic and

mechanical causes.
Other risk factors include
obesity, occupation and trauma,
which may initiate various
pathological pathways that lead to
OA.
OA has been a frustrating
disease for both patients and their
physicians. Its current impact on
society is tremendous and rivals
that of ischaemic heart disease in
many regards.
An important advice for those
suffering from OA is that they
achieve normal body weight. Being
overweight means increased stress
on weight-bearing joints affected
with OA.
Some experts hail glucosamine
as an arthritis
Glucosamine
sulphate can
significantly
reduce
osteoarthritis
symptoms in
the lower
limbs and
spine.
cure. The body manufactures a small

amount of glucosamine, which is a
fairly simple molecule that contains
glucose.
It is found in relatively high
concentration in joints and
connective tissues.
Studies show that
glucosamine is effective in
relieving pain and
inflammation, increasing range
of motion and aiding cartilage
repair and maintenance.
Over the last 10 years, several
studies have investigated the
ability of glucosamine sulphate
in improving the symptoms
(pain and function) and
delaying the structural
progression of OA.
There is now a large body of
evidence suggesting that
glucosamine sulphate, given at a
daily oral dose of 1,500mg, is
able to significantly reduce the
symptoms of OA in the lower
limbs and spine. Improvement
is usually seen after around two
weeks of supplementation.
Nonsteroidal anti-
inflammatory drugs (NSAIDs)

such as ibuprofen and aspirin
are prescribed in the treatment
of OA, but they increase the risk
of serious upper gastrointestinal
adverse events.
Supplements are the best
source of extra glucosamine
because dietary sources of the
nutrients are quite obscure.
Items that are relatively rich
in glucosamine include the shell
of prawns, crabs and oysters.
Glucosamine sulphate is the
preferred form as it is readily
used by the body (90% to 98% is
absorbed through the
intestines).
This article is brought to you
by BiO-LiFE Marketing Sdn Bhd.

call 03-7882 8888.
Elderly
athletes
persevere
> FROM PAGE 13
THOUGH extreme physical
activity at an advanced age
presents a cardiovascular
challenge, proper training keeps
these athletes safe.
Mental resilience to cope with
fatigue and the will to compete
also keep athletes, no matter
what age, going.
Sister Madonna, also known
as the Iron Nun, is 86 and the
current world record holder for
the oldest person to finish an
Ironman Triathlon. She has
competed in more than 360
triathlons and 45 Ironmans (a
three-part race consisting of
swimming, cycling and a full
marathon).
Sister Madonna, a Roman
Catholic nun, started running at
48. As she keeps competing in
Ironmans, she has forced the
organisers to create new
Centenarian marathon runner

Fauja Singh.
categories to accommodate her

age range.
British marathon runner
Fauja Singh, 105, is the world
record holder in his age bracket.
At the age of 100, he achieved
eight world age group records in
one day.
Though he retired from
competitive running after taking
part in the Hong Kong marathon
in 2013, five weeks before his
102nd birthday, he continues to
run for charity and for his own
pleasure and health.
your health 15
Monitor
with
convenience
MEASURING ones blood pressure
at home or any other relaxed environment
can help prevent white-coat hypertension,
which is a sudden and abnormal spike in
the blood pressure readings taken during
visits to the doctors clinic due to anxiety.
According to the American Heart
Association, the best way to predict the risk
of and prevent a stroke or heart attack due
to high blood pressure is through continual
monitoring at home rather than periodic
checks at the clinic.
While most people understand the
importance of monitoring their blood
pressure at home, they have yet to
understand the importance of reliable,
accurate measurements and the correct
fitting of the arm cuff.
Omron Healthcare, the global leading
manufacturer of blood pressure monitors
for home use, is equipped with technologies
that ensure each measurement is reliable
and accurate.
Omron Ultra Premium Blood Pressure
Black seed remedy

The Omron
Blood Pressure
Monitor HEM7320.
Monitor model HEM-7320 is built with easy

positioning wrap for reliable cuff positioning
at a wide angle that allows
first-time users to position the cuff easily.
In addition, the preformed Fit Cuff
provides users with easy cuff application
while giving accurate and anxiety-free blood
pressure measurement.
It is also designed to detect movement
errors and irregular heartbeat to minimise
misreading of measurement values.
This new advanced model provides greater
assurance of accuracy, reliability and comfort
at home.
Omron Blood Pressure Monitor
HEM-7320 gives users more assured home
blood pressure measurements.
Check out how you can win fabulous
prizes when you purchase any Omron Blood
Pressure Monitor in the month of May and
June.
n For more information, visit

www.omronhealthcare.com.my.
FEELING cold especially in the hands and

feet can be a sign of an underlying medical
condition. Each cell requires nutrients and
oxygen to harness energy that the body
needs to perform.
Blood circulation in the body allows these
processes to happen and poor blood
circulation can lead to medical conditions
such as severe chest pain, heart attack and
stroke.
Black seed (habbatus sauda) has been
used to improve blood circulation, treat
colds, infections, respiratory and digestive
problems.
It is also used to relieve inflammationrelated diseases such as high blood
pressure, diabetes, Alzheimers, joint pain
and stomach ulcer.

It was historically believed to be able to
provide a remedy for every disease except
death when used in the long term and be
capable of increasing blood circulation and
the bodys vitality as well as reduce fatigue.
The black seed is considered native to the
Mediterranean region. Today, it is cultivated
in the Middle East, North Africa, India and
southeastern Europe.
The largest producers of black seed are
Egypt, India, Pakistan, Iran, Iraq and Turkey.
Black seed extract contains compounds
such as thymoquinone, nigellone, protein
(branched chain amino acid), essential oils
(omega 3, 6, 7, 9), vitamin E, saponins and
many others.
The synergistic effect of these compounds
gives the black seed extract its highly potent
health benefits.
Black seed extract improves blood
circulation by bringing more nutrients and
oxygen supply to the cells.
It helps relieve cold hands and feet as well
as numbness in certain parts of the body,
particularly the extremities, cramps,
swelling, water retention that occurs mainly
in the feet as well as varicose veins (swollen,
enlarged veins under the skin).
Black seed extract can help prevent pale
skin, brittle nails and hair, while improving
the immune system and reducing fatigue.
Black seed
(habbatus sauda) is
known for improving
blood circulation.
This article is brought to you by Herbs

Of Gold.
n For more information, call 1800 183 288.
16 your health
Overcome
bladder
control
issues
The TENA Cares Team answers users questions and helps them through their incontinence journey.
BLADDER control problem or

weak urine control (urinary
incontinence) is when a person
experiences difficulty in
controlling urine flow, which
causes urine leakage in an
untimely manner and situation.
This is despite no apparent
problem with the vein, nerve or
muscle that controls urine
mechanism.
Urinary incontinence is not
part of the ageing process but old
age does prompt incontinence
disorder among elderly people.
Some of the symptoms of
urinary incontinence are urine
leakage during coughing,
sneezing or laughing (caused by
weakness of ureter muscle) and
if they are unable to reach the
toilet in time, it leads to pants
wetting and trickling urine.
Help and support

Caring for elderly people with
bladder control issues requires
understanding, knowledge and
patience to ensure a wellorganised and physically and
mentally burden-free lifestyle.
Thus, moral support from each
family member is crucial to
ensure the elderly person does
not feel stressed out with his or
her condition.
Leading global brand in
continence care TENA formed
the TENA Cares Team to provide
support for incontinence users
and their caregivers during this
time of hardship.
Users of TENA products can
acquire information and share
their experience and how they
have overcome their problems
with other members who suffer
from the same issue on an
interactive platform on TENAs
Malaysian microsite called Tena
Cares.
The TENA Cares Team will
answer questions from users and

caregivers on incontinence.
Questions related to medical
conditions will be answered by
healthcare professionals
appointed by TENA.
You can also contact the TENA
consumer careline at 1800 889
988 from Monday to Friday from
9am to 5pm.
People who suffer from
bladder control problems need
support and help, especially
from other family members
such as their children and
grandchildren.
Residing with and caring for
them can prevent them from
feeling isolated in dealing with
their bladder control problems.
Meeting needs
Some people who feel
embarrassed of their problem do
not know where to get
information regarding
healthcare and what is the most
suitable product to use, among
other issues.
Meanwhile, some consumers
feel uncomfortable wearing
adult diapers and those with low
absorption can cause the
wearers skin to suffer from
rashes after wearing it for a
prolonged period of time.
TENA has various products
made especially for different
consumers, whether they are
bedridden or mobile.
Its products boast a high level
of absorbency, which ensures no
leakage and minimal skin
complications.
Daily life will be more
comfortable and pleasant when
you choose the right product for
your loved ones who are facing
bladder control problems.

contact TENA.
TENA has a range of products to suit the needs of different users.
your health 17
Pursue a nutrivore lifestyle

A NUTRIVORE is a person who
understands the healthproducing and diseasepreventing power of
micronutrients (vitamins,
minerals, essential fatty acids
and accessory micronutrients)
and strives for micronutrient
sufficiency through their diet
and supplementation
programme.
While nutrivores know that
food is the best source of
essential micronutrients, they
also know that many of todays
food choices have been depleted
of their vital micronutrients
through depleted soil,
transportation and storage time,
and food preparation methods.
They also understand that a
variety of common everyday
factors called everyday
micronutrient depleters (EMDs)
can rob the body of additional
micronutrients. These include:
l Taking prescription or
over-the-counter medications
l Drinking alcohol
l Smoking
l Stress
l Eating foods containing
oxalic acid and phytates
l Strenuous exercise
l Dieting
l Eating energy-dense,
nutrient-poor (EDNP) foods
l Drinking beverages that
contain phosphoric acid,
caffeine, sugar or high-fructose

corn syrup (HFCS)
Because of this, nutrivores
strive to achieve micronutrient
sufficiency by eating a
micronutrient-rich diet,
eliminating as many EMDs from
their life as possible and using a
complementary supplementation
programme such as juicing.
For nutrivores, the main
objective of a healthy diet is not
just obtaining optimal weight,
but achieving optimal health. A
nutrivore lifestyle can be
achieved regardless of the type
of diet an individual follows.
Whether they follow a
vegetarian, vegan, lowcarbohydrate, low-fat,
Mediterranean, raw or other
types of dietary philosophy,
nutrivores choose to eat
micronutrient-rich foods, reduce
their EMDs and fill in their
nutritional gaps by taking proper
supplementation.
Filling the gaps

Juicing offers many lifeenhancing health benefits,
including a faster, more efficient
way of absorbing immuneboosting nutrients naturally
found in fruits and vegetables.
It provides a way to access
digestive enzymes typically
Fast pain
relief
EBENE Healthcare is a series of
garments that helps users
relieve joint discomfort.
Each Ebene product emits a
radiation called bio-ray similar
to far infrared rays of the sun,
which enhance the supply of
oxygen and stimulate the
circulation of blood and oxygen
to relieve any form of joint
discomfort.
Efficacies of Ebene Bio-Ray:
l Improves blood and oxygen

circulation
l Relieves rheumatism,
arthritic pain and reduces water
retention
l Protects joints during
exercise or activities that involve
movement
l Increases energy and supply
of nutrients to the knee bones
and soft tissues
l Strengthen the knee bones
and soft tissues
Ebene Bio-Ray Knee Guard is
available in various sizes and
sells for about RM171 per pair.
The Ebene Bio-Ray Foot
Massage Socks works like a foot
massage, promoting blood and
oxygen circulation and helping
to relieve foot pain besides
preventing foot odour.
In addition, the socks can do
the following:
l Provide 24-hour
Ebene Healthcare
garments help
relieve joint and
foot pain.
acupunctural or massage-like
effect
l Promote better sleep
l Keep feet warm while
sleeping
l Relieve foot cramps,
numbness or fatigue
l Relieve foot discomfort
when standing or walking for
long hours
Ebene Bio-Ray Foot Massage
Socks for men and women are
selling for RM95 per pair.
The Ebene Healthcare series
consists of an ankle guard,
elbow guard, hand gloves,
multipurpose hand gloves, sports
wrist guard and sport knee
guard.
Ebene products are available
in Guardian, Watsons, Caring,
Aeon, Aeon Wellness, Vitacare,
Big Pharmacy, AA Pharmacy and
other major pharmacies as well
as major Chinese medical halls.

call 03-8736 8122.
locked away in the fibre

matrix of whole fruits and
vegetables.
Drinking fresh juice can
help us adopt healthier eating
patterns. For those who do not
traditionally consume many
fruits and vegetables,
incorporating fresh juice can
be a fun approach to
increasing consumption of
these important plant foods
for improved health and
wellness.
Through juicing, a nutrivore
can achieve a healthy weight,
prevent and reverse disease,
and achieve long-term optimal
health.
The award-winning Kuvings
Whole Slow Juicers strong
crushing action is able to
homogenise tough plant cells
into readily absorbed
nutrients. These cells are

absorbed 12 times faster,
which explains the surge of
energy felt after drinking a
freshly made green juice.
Studies conducted at NUC
Electronic BioNutrient Lab in
Daegu, South Korea, found
that juice produced using the
Kuvings Whole Slow Juicer
contained four times more
nutrients than the average
juicer.
With the Kuvings Whole
Slow Juicer, the journey
towards becoming a nutrivore
is made easier as you are able
to turn ordinary fruits and
vegetables into extraordinary
diets for your family.
Preparing nutrient-packed
meals and snacks has never
been easier.
Kuvings offers a Nutrivore
Package with products such as

Kuvings Whole Slow Juicers,
Probiotic Maker and Food
Dehydrator, available at
Harvey Norman, Best Denki,
Isetan, HomePro, Tan Boon
Ming, Cold Storage, Jasons
Food Hall, Mercato, DMarket,
Tesco and Aeon Big.
n For more
information,
call 03-5885 4151.
Kuvings Whole
Slow Juicer.
18 your health
By RESA HYACINTH
IT is not uncommon for older
adults to sustain injuries from falls
in their own homes. While these
can be minimal bruises or cuts that
are quick to heal, the potential
danger increases as we age the
elderly become more susceptible to
serious, long-lasting effects from
unexpected impacts.
Falls from instability are one of
the top five concerns in geriatric
medicine worldwide, with
approximately 28% to 35% of
people aged 65 or older falling
each year.
According to the World Health
Organizations Global Report on
Falls Prevention in Older Age, the
frequency of falls increases with
age and frailty and these cases
account for 40% of all injury
deaths.
Hip fractures, traumatic brain
injuries and upper limb injuries
are just some of the common
emergency room injuries that
afflict the elderly when they fall.
Know the risks

The 2013 study Risk factors of
home injury among elderly people
in Malaysia published in the Asian
Journal of Gerontology & Geriatrics
identifies diminished reflexes and
chronic diseases in old age as the
main causes of falls.
Falls can stem from biological,
environmental, socioeconomic
Preventing falls at home

Feelings linked with loneliness
or isolation, including anxiety, fear,
and nervousness, also heighten this
risk.
Make your home safe
Falling due to instability is one of the five main geriatric concerns.
or behavioural factors, or a
combination of two or more
of these.
Biological factors associated with
ageing include decline of physical,
cognitive and affective capacities,
as well as comorbidity associated
with chronic illness. Hazardous
environmental factors can also
influence cases of falls, as can the
social and economic conditions of
aged individuals in a community.
Behavioural factors cover any

controllable facet of life, including
sedentary habits and excessive
alcohol or drug use. The use of
certain medications such as
sedatives and antidepressants
could cause side effects that may
increase the risk of falling.
Those with a history of recurrent
falling and poor eyesight, especially
those above the age of 85, are more
likely to fall in their own homes.
Keeping you or your senior

loved ones safe from falls requires
awareness of existing physical
conditions as well as the
medications used to treat them.
Consult your doctor if you
constantly feel dizzy as this is a
medical side effect that could cause
imbalance or fainting.
Get your vision checked
regularly and take evening walks
or perform gentle moving activities
such as tai chi to improve strength,
balance, coordination and
flexibility.
As environmental factors are
easily controlled, it is advisable to
take safety precautions around the
home to minimise hazards for the
elderly.
Here are some ways you can
fall-proof your home.
l Stairs Ensure there are
strong handrails to hold onto for
support and a clear path on the
stairs at all times. Get loose
floorboards or carpeting fixed as
soon as possible and steer clear
from the affected area.
l Bathroom Move slowly and

carefully on slippery floors. Use
non-slip bath mats or shower strips
that are taped securely to their
surface, and attach raised toilet
seats and armrests if needed.Instal
grab bars in the shower or tub, and
handheld nozzles or adjustable
showers for seated baths.
l Kitchen Keep crockery, food
and everyday items within reach.
Wipe off any liquids or grease from
the floor immediately. Avoid
reaching too high up or using a
step stool when alone at home.
l Furniture and extensions
Create clear paths in areas you are
commonly walking in by moving
tables, cabinets and racks to the
side.
Remove boxes, bags or stacks of
things lying around and ensure
wires and cords are well hidden
and not out in the open where the
elderly person could trip over
them.
l Lighting Keep your
home brightly lit with a bedside
lamp within arms reach for
middle-of-the-night needs.
YAP Su Lin, a 64-year-old, experienced

intolerable knee pain for a few weeks that
no amount of painkillers, ointments or knee
massages could help cure.
Instead of being able to walk outside,
which was one of her favourite pastimes,
Yap was confined to her home and felt quite
depressed.
Finally, Yaps daughter managed to
persuade her to give Biolane a try.
Why joints break down

Most people believe that ones joints will
automatically start breaking down as we
age. However, this does not explain why
many people in their 60s and 70s are still
active while some 50-year-olds are
experiencing pain and joint stiffness.
Scientists have found that certain groups
of people are more susceptible to joint
problems and genetics is not all that matters.
Now we know that even an active lifestyle,
although good for the heart, can contribute
to joint degradation.
When we use our joints over a long period
of time, the joints will release enzymes to fix
damages. These enzymes are known as
matrix metalloproteinases (MMP enzymes).
In particular, enzymes MMP-1 and MMP13 produced in the cartilage have been
implicated to degrade joint structures
leading to damage, pain, swelling and
chronic inflammation.
Of these two, MMP-13 is the predominant
damaging MMP enzyme released in the early
development of osteoarthritis (OA).
MMP enzymes normally exist in our joints
in a balanced state. However, with the
continual use of our joints, these enzymes
are produced all the time, thereby causing
the joints to break down faster than it can
rebuild.
With recent advancements in
biotechnology, scientists uncovered a natural
substance that actively fights MMP-enzymes.
Biolane, the New Zealand Green Lipped
Mussel extract, was found to be an effective
MMP enzyme with a particular ability to
Joint repair and

regeneration takes
time, but Biolane
will eventually
restore troubled
joints in the
body and revert
them to normal
functionality.
your health 19
Goodbye joint troubles

inhibit MMP-1 and MMP-13.
Targeting the source

The discovery of a natural MMP-13
inhibitor now presents a valuable
opportunity to potentially inhibit the
development of OA to its fulminant,
inflammatory stages.
Osteoarthritis is one of more frequent
causes of physical disability and affects
most people over the age of 65.
Unique difference
While many joint formulae and
supplements support cartilage re-building by
providing nutrients to the joints such as
glucosamine, they are unable to inhibit the
damaging MMP enzymes, which continue
destroying what is being built.
In this case, Biolane can be effective in that
it inhibits the activity of damaging MMP
enzymes, allowing the joints to rebuild
naturally.
Biolane also has anti-inflammatory,
antioxidant and marine mineral healing
actions. Formulated into a capsule dosage
form, Biolane now makes it possible for
people to restore troubled joints of the knees,
shoulders, neck, back and fingers, giving the
joints of the body a newfound capacity to
revert to normal functionality.
Although there are various New Zealand
Green Lipped Mussel supplements in the
market, consumers need to look for the
Biolane logo to be sure that they are getting
the full benefits of the 40 years of research
history backing the product.
Patience is key
Joint repair and restoration will take
time and patients will need to undergo a

treatment course of at least three months at
the right dose before effects are felt.
Biolane is not a painkiller and hence,
patients may need painkillers at the initial
stages before the effects of Biolane kicks in.
Biolane also has stomach-protecting
properties and when taken with painkillers,
can lead to reduction in gastric lesions by
more than 50%. In the long run, patients
may not need to rely on painkillers anymore.
Three months after taking Biolane, Yaps
daughter got a surprise when her mother

managed to walk up the flight of stairs to her
bedroom to wake her up, something that she
had not done for a long time. Yap now enjoys
pain-free joints thanks to Biolane.
This article is brought to you by the
Nuvaceuticals Division of Nuvanta Sdn Bhd.
n For more information, call

03-5636 3758 or 1300 881 712 or e-mail
pharmacist@nuvanta.com.
20 your health
By DELIA AHMAD
IN Malaysias tropical climate, the
interminable heat is something
people experience every day. The
country has been experiencing
some extreme weather recently,
with temperatures soaring as high
as 40oC.
For many people, being outside
in this intense heat can cause
headaches and dizziness. In some
cases, overexposure may lead to
heatstroke leading to nausea,
muscle cramps and even
unconsciousness.
Those most at risk are children,
the elderly and those who suffer
from a pre-existing medical
condition such as diabetes, kidney
disease or mental illness.
Older people often lose their
sense of body temperature, which
means that the body could be
heating up to dangerous levels
without them being aware of it.
This is why some seniors feel cold
even on a sweltering day.
It is important to keep the house
reasonably cool as well as monitor
how well you or any elderly person
under your care is taking the heat.
The extreme effects of the heat
can and should be mitigated or
avoided altogether. Here are some
tips on how to stay healthy in the
heat.
Drink plenty of water

Your body loses a lot of water
through sweat, so keeping yourself
hydrated is important. Consuming
water also lowers your body
temperature and helps to keep you
cool. You should drink water or
cool (unsweetened) fruit juices
even if you do not feel thirsty.
Avoid too much tea, coffee,
sugary drinks (including
carbonated drinks) and alcohol, as
these force your body to produce
urine and can lead to dehydration.
If you have no choice but to
carry out physical activities and
thus lose a lot of water through
sweat, an isotonic drink may help
replenish energy in the form of
the inside temperature

remember to open all the windows
to let cool evening breezes in and
allow ventilation.
Consult your doctor
Drink plenty of water to stay cool and hydrated.
Beat the heat

sugar and electrolytes.
However, water is still the best
to cool your body down and
maintain a good fluid balance.
Dress appropriately
Wear loose clothing in light
materials. Clothes that fit close to
the body restrict air flow and make
you feel hotter; loose-fitting clothes
will be cooler. Natural materials
such as cotton are more cooling
than synthetic ones such as nylon.
If you wish to cover up, choose
headscarves that are made of light
and breathable fabrics and avoid
making too many folds and layers.
The same goes for your clothes
avoid layering too much.
Avoid dark-coloured clothes as
these absorb light (and heat); lightcoloured clothing is the way to go.
Wear protection
Always ensure that you and your
children wear sunblock to avoid
sunburn and reduce the risk of
skin cancer.
Sunglasses with lenses that offer
ultraviolet protection should be
worn by both children and adults
when outside as these protect the
eyes from excessive exposure to
light and harmful rays.

Also wear a sunhat to protect
your head and face from the heat.
This is especially important for
children; if outdoor activities
cannot be avoided, you must
ensure that your child is well
protected from the heat.
Stay active but cool

Seniors should not let the heat
keep them at home all the time.
Take part in your regular activities,
but ensure that you are protected
from or avoid the heat as best as
possible.
For example, schedule your

walks in the park during the cooler
early morning or evening hours or
arrange to meet friends and play
chess or mahjong in someones
house or in a community centre
instead of outdoors.
Keep your house cool

Pull down the shades or draw
the curtains over your windows
when the heat is at its worst. If
necessary, shut the windows too.
Later, when it has become cooler
or the sun has set when the
outside temperature is cooler than
If you are on medications that

affect sweating or your bodys
temperature control, talk to your
doctor about how to manage your
condition and medication intake
during the heat wave.
The same goes if your fluid
intake has been restricted check
with your doctor how much water
you can drink during hot weather
and monitor the colour of your
urine (it should be light yellow) to
ensure you do not dehydrate.
Watch and listen

Keep updated on the weather
and temperature through weather
reports on the radio or television,
or follow updates on the Internet.
The Health Ministry and
Education Ministry will also issue
updates and warnings about the
weather and updates about school
closures.
Also keep tabs on children, the
elderly, people who are ill and
others less able to look after
themselves.
You can help your relatives,
friends and neighbours cope with
the heat by sharing
these tips with them.
Heatstroke: what to do
FIRST, you must recognise the
signs of heatstroke:
l Throbbing headache
l Dizziness or lightheadedness
l Red, hot and dry skin
l Lack of sweating despite the
heat
l Muscle weakness or cramps
l Nausea and vomiting
l Rapid, shallow breathing
l Confusion and disorientation

l Seizures
l Unconsciousness
If you suspect someone is
suffering from heatstroke, call an
ambulance (999) immediately.
While waiting for the ambulance,
take these steps:
l Move the person to a cooler
area, such as a shady area or an
air-conditioned room
l Remove any unnecessary
clothing
l Cool the persons body by
fanning air over him or her,
wetting the skin with water or
applying ice packs to the armpits,
groin, neck and back (blood
vessels are closer to the skin in
these areas so cooling them may
reduce body temperature).
your health 21
Unitrons
digital
hearing aids
enable you
to listen to
phone calls
with the
best speech
clarity.
Clear, stereo sound

Vitamode CoQ10 Ubiquinol
provides sustained, healthy
energy.
What is
Ubiquinol?
UBIQUINOL is the converted (reduced),
active form of Coenzyme Q10 (CoQ10),
which is naturally produced by our body.
Ubiquinol is an essential nutrient for
cellular energy production and antioxidant
protection. In a healthy adult, 90% or more
of the total CoQ10 in the body is in the
Ubiquinol form.
bodys energy production

Antioxidant
l It is a lipid-soluble antioxidant
l Protects the bodys cells from damage
caused by oxidative stress and free radicals
l Naturally regenerates other
antioxidants, such as vitamins A and E
What is the difference between How much Vitamode CoQ10

CoQ10 and Ubiquinol?
Ubiquinol should I take?
CoQ10 is sometimes referred to as
Ubiquinone. Ubiquinone and ubiquinol are
both forms of CoQ10, and both are necessary
to produce cellular energy.
In order to generate cellular energy, the
body must convert ubiquinone (inactive)
into ubiquinol (active).
Without this conversion, the bodys
energy production process cannot be
completed and energy levels cannot be
sustained. Thus, both are critical to
sustaining your bodys natural energy.
Ubiquinol is simply the fully reduced state
or the un-oxidised form of CoQ10, which the
human body can immediately and more
easily use for energy. Ubiquinol in its readily
available state also provides greater
antioxidant levels, protecting cells from
free radical damage.
Why Vitamode CoQ10 Ubiquinol?
Our bodys ability to produce CoQ10 and
convert it into Ubiquinol significantly
decreases as we age.
Without proper levels of these vital
substances, the body produces less energy
and lacks a strong defence against oxidative
stress.
Ubiquinol levels have been shown to be
suppressed in older individuals.
Because Ubiquinol is pre-converted, it is
ready for immediate use by the body,
making it ideal for those unable to
efficiently reduce CoQ10 in the body.
What can Vitamode CoQ10

Ubiquinol do for you?
Energy
l Provides sustained, healthy energy
l It is a key component in 95% of the
The recommended daily dose of Ubiquinol

varies based on each individuals specific
needs.
As a general guideline, start
supplementing with 200mg per day for the
first two to three weeks. After that, 100mg
per day is a good amount to maintain an
optimal Ubiquinol level.
This article is brought to you by Vitamode
Healthcare (Australia) Pty Ltd.

e-mail enquiry@medispec.com.my
KKLIU No.1612/2015
About Vitamode CoQ10
Ubiquinol

It is highly absorbable and is

clinically tested to provide
high bio-availability
Formulated using Kaneka QH
Ubiquinol, which is a bioidentical ubiquinol available
as nutritional ingredient
Ubiquinol is made exclusively
in Japan
100% natural CoQ10 made
through yeast fermentation.
Does not contain impurities
Manufactured to stringent
cGMP standards in Japan and
conforms to stringent USP
specifications for purity,
quality and structure
A NEW Unitron digital hearing aid that

allows the user to listen to phone calls
simultaneously with the best speech clarity
and stereo sound in both ears is now
available at 20dB Hearing outlets nationwide
as well as endorsed hearing centres with
audiologists Sunway Medical Centre, Prince
Court Medical Centre and Jensen Hearing.
As one of the worlds leading brands of
hearing healthcare, Unitron was the first
Canadian manufacturer of hearing
instruments and has been in business for
more than 50 years. Today, Unitron offers the
unique Binaural Phone signature feature for
its digital hearing aids.
One of Unitrons best features, Binaural
Phone, which does not need to be paired
with any accessories, helps users hear better
without any acoustic interference.
It streams conversations from one ear to
another, giving users the best speech clarity
and stereo sound in both ears during phone
calls. This applies to both mobile and
landline phones.
The feature is derived from the latest
wireless communication technology,
allowing users to listen to phone calls
simultaneously without any side effects.
If you think you or someone you know
might have hearing loss, visit the nearest
hearing healthcare centre with qualified
audiologists for an accurate diagnosis to
provide you with proper consultation and
recommendations.
Buy one pair of Unitron Stride 600 or
Unitron Moxi Fit 600 and save up to RM1,000
as well as receive a Binaural Phone feature
upgrade and a Unitron UV CleanDry
dehumidifier kit (while stock last).
The offer is valid until May 31. Terms and
conditions apply.
Meanwhile, 20dB Hearing offers a
risk-free and doubt-free hearing aid trial of
up to 20 days in the comfort of your home.
n For more information, call 1800 882 032.
22 your health
Beauty
&Wellness
Where
beautiful
skin begins
DIY care
As your skin gets older, it loses its
suppleness and ability to retain moisture.
This means that older skin develops
wrinkles and becomes dryer.
There are numerous types of treatments
that can slow down this process and help
maintain the health of your skin.
Sometimes, however, quick and easy
home remedies may be just what you need.
Making and using a mask at home not only
means that you can be sure your skin
treatment uses only natural ingredients, it
also enables you to relax and spend some
time on yourself.
Here are two useful and easy recipes
you probably have all the ingredients in
your home already for homemade face
masks.
l Coffee mask for dry skin

Coffee has many antioxidant properties,
which means that drinking it in reasonable
amounts can help fight certain diseases.

Putting it directly on your face will
help moisturise your skin, unclog pores and
have an overall brightening effect.
The aroma of coffee will also soothe your
senses and help you relax.
Ingredients:
2 tablespoons ground coffee
2 tablespoons yoghurt
2 tablespoons honey
Directions:
Combine all ingredients well
Smooth mixture onto your face
Wait for half an hour
Wash off with warm water
You can apply this mask regularly to boost
your skins moisture.
> SEE NEXT PAGE
QV is a skincare expert dedicated to creating

high-quality products to help families
improve their skin health.
The QV range was created in 1975 for the
Queen Victoria Hospital in Melbourne by
Gerald Oppenheim, a chemist and founder
of Ego Pharmaceuticals, maker of QV.
He was asked to create specialist skincare
products for the hospital patients, and thus,
QV skincare was born.
Today, the trusted QV brand offers more
than 50 products, which are exported
around the world. Till today, the QV range
has delivered high-quality products to
improve skin health, making QV Australias
leading dermatological skincare brand.
QV philosophy
The QV philosophy is to use only gentle
ingredients that have a reduced chance of
irritating delicate and sensitive skin.
As fragrances are the major cause of
irritation and sensitisation from topical
product use, QV products do not contain
soap and are fragrance-free. QV products
are also free of lanolin and colourants.
QV understands that it is vital to include
ingredients that have been proven effective,
such as:
l Glycerin, which works with the skins
natural processes to improve the skins
hydration levels. It is an important part of
many QV formulae, including QV Gentle
Wash, QV Cream and QV Skin Lotion.
l Squalane, a natural component of the
skins sebum. Squalane boosts skin moisture
and hydration. It is non-irritating and assists
with suppleness. QV Cream contains
squalane.
l Light liquid paraffin, an emollient
that promotes rehydration and
suppleness of the skin.
l Soft white paraffin, an
occlusive agent with excellent
emolliency.
The QV range
Every product in the QV
range was developed
specifically for people
with dry or sensitive
skin and tailored to
cleanse and
moisturise different
levels of dry skin.
Some of the products
are:
l QV Gentle
Wash This gentle,
non-drying body
cleanser hydrates
the skin during
cleansing to ensure
the skin feels soft
and clean. Its
unique formulation
is non-comedogenic
so it will not block
pores.
It is suitable for
people with skin
conditions such as
eczema, dermatitis and psoriasis as well as

for acne-prone skin, infants and the elderly.
l QV Cream A highly concentrated

moisturising formula, QV Cream contains
five moisturising ingredients to help soothe
and hydrate dry and sensitive skin. It also
helps seal in the skins natural moisture by
acting as a protective barrier.
QV Cream is excellent for very dry areas
such as the elbows, knees and hands.
l QV Skin Lotion This skin lotion is a
soothing, light everyday skin moisturiser
that helps prevent and relieve dry skin.
With a luxuriously light formulation, it is
easy to apply to all parts of the body and is
suitable for all skin types and ages, from
infants to the elderly.
l QV Lip Balm QV Lip Balm blends
SPF 30+ broad spectrum UVA and UVB
protection with a soft, soothing and
moisturising gel that is gentle enough for
sensitive lips.
It protects while conditioning the lips and
locking in moisture. QV Lip Balm comes in a
15g tube with glide-on applicator.
The QV range of products is available at
all leading pharmacies and clinics.
n For more information, visit

www.egopharm.com or call 03-7956 8868.
QV Gentle
Wash and
QV Cream.
your health 23
Beauty
&Wellness
Fight hair loss

HEAT, dryness and pollution can affect
health and cause the skin and scalp to be
dry. Nexhs Herbal products can encourage
hair growth and provide permanent skin
remedies that resolve hair loss and skin
problems.
Backed by years of experience, research
and development, Nexhs Herbals advanced
Siddha Herbal Formulation has successfully
treated hair fall, dandruff, eczema, patchy
baldness and thinning as well as skin
problems.
For skin problems, Nexhs Herbal uses
hi-tech therapeutic applications that dries
the problem spot and causes scars to
disappear within two to five days.
Risk of hair fall generally increases by
15% in men aged between 18 and 30 and
50% in women aged between 40 and 50.
This is associated with the overproduction
of hormones and can even affect lower age
groups, according to principal consultant at
Nexhs Dr Rajaletchumy R. Muthu, who
has clients between the ages of eight and 15.
She says that this is because young
children nowadays favour eating chicken,
which are often injected with hormones.
Besides this, the body requires essential
amino acids, protein and nutrients to
support natural hair growth. Hence, she
suggests that people switch to eating fish
instead of chicken and include greens and
fruits with high water content.
The Nexhs Herbal Siddha 3G Formulation

can help extend follicle lifespan, speed up
the growth of hair roots, thicken hair
diameter, expand scalp microcirculation for
better blood flow, help fight infective
organisms and treat hair follicle, sores,
spleen inflammation and ringworms.
The herbal amino acids activate hair
follicles to ease nutrient absorption. The
process involves follicles being infused with
Siddha nutrients, which remain in the cells
for two weeks with topical application.
n For more information, call 03-8733 4055

(Kajang), 03-4291 0564 (Ampang),
03-6151 4055 (Kota Damansara) or
06-601 5510 (Seremban).
Make your
green tea mask
> FROM PREVIOUS PAGE
A green tea and honey mask will add
moisture and a glow to your face while
helping to reduce fine lines and dark spots.
It is also great for treating acne and
preventing blackheads.
Green tea contains antioxidants that
guard against free radicals, which is why it
is an active ingredient in many beauty
products nowadays.
The green tea in this mask will draw out
some of the toxins that have settled into the
skin of your face.
Ingredients:
1 teabag of green tea
1 or 2 teaspoons of honey
Directions:
Mix the green tea and honey
together until you get a paste of
uniform consistency
Apply all over the face
Wait for half an hour
Rinse off with warm water
Nexhs Herbal Siddha 3G formulation can

improve follicle lifespan, hair growth and
nutrient absorptorn.
You can adjust the amount of honey you

add according to the amount of green tea,
as sizes of teabags may vary.
Another method to this mask is to brew
a small amount of green tea (so that it is a
strong tea) and then mix one or two

teaspoons of honey into it.
Once it is cooled, soak clean cotton balls in
the solution and apply to your face. Leave it
for 15 minutes and rinse off with cool water.
Apply this mask twice a week for best
results.
24 your health
Beauty
&Wellness
THE Agnes Pauline ACE Vital

Fortifying Treatment diminishes
the appearance of discolouration to
give a more even skin tone while
inhibiting discolouration.
The multi-vitamin combination
comprising vitamins A, C and E
optimises cell turnover for
improved skin clarity and
luminosity, providing essential
hydration for soft and supple skin.
The result is a more translucent,
even complexion and younger
look. It is essential to supply your
skin with antioxidants to protect
your skin, enhance the skin surface
barrier and stimulate pro-collagen
synthesis.
Vitamin C is the major
ingredient, which in combination
with vitamins A and E, can help to
improve your skin texture, tone
and firmness.
Benefits include:
Increased firmness,
suppleness and tone of skin
Brighter and more radiant
skin
Reduced pigmentation marks
Smoother skin
Repair of damage from UV
rays and protection from
future damage
Reduced facial redness
Prevention of fine lines
Refined pores and improved
appearance
Combating free radicals that
cause ageing
Increased moisture and
Fortify and feel renewed
The Agnes Payline ACE Vital Fortifying Treatment has the

required properties for healthy and youthful skin.
enhanced skin barrier

Protection from UV rays, free
radicals
Reduced UV-induced lines and
wrinkles
Carotenoids are naturally

occurring pigments found in plants
responsible for the vibrant colours
of fruits and vegetables.
Once ingested, it is converted
into vitamin A, which acts as an
antioxidant that protects cells from
the damaging effects of harmful

free radicals.
Beta-carotene and other
carotenoids are also known as
pro-vitamin A because they act as
precursors to the production of
vitamin A in the body.
Vitamin C provides potent
antioxidant protection, shielding
skin from damaging free radicals
that promote premature ageing.
The most abundant form of free
radical damage is environmental
factors such as sun damage and

pollution but topical vitamin C
can help prevent this.
When incorporated into your
daily skincare routine, wellformulated products containing
vitamin C can keep your skin
looking younger for longer.
Vitamin E is a well-known
antioxidant that is often present in
skincare products or taken orally.
It is fat-soluble and available in
various forms, with the most
biologically active being alphatocopherol.
Agnes Pauline ACE Vital
Fortifying Treatment is used by
beauticians to provide professional
skin solutions to customers.
The treatment
Add some water and perform a

simple circular massage before
rinsing it off. Continue with facial
extraction to clean blackheads and
whiteheads.
Apply 3ml of ACE Treatment

Serum I evenly on the face and
perform a circular massage. It
helps to restore skin, healthiness
and permeability.
Apply 3ml of ACE Treatment

Serum II evenly. You can use
an ultrasound machine to achieve
better penetration.
Apply 7ml of ACE Circulator

Complex evenly on the face and
neck with manupressure massage
and lymphatic drainage massage.
Agnes Pauline ACE Vital

Fortifying Treatment is used by
beauticians to provide professional
solutions to their customers.
Start with gently removing
make-up, cleansing and toning as
usual. Then follow the process
below:
n Look out for the advertisement in

this StarSpecial.
Apply 5ml of ACE Peel Therapy

for 10 minutes to 20 minutes.
Continue with 25g of ACE

Vitalize Peel-off Mask, mixed
with 90ml water. After 20 minutes,
the mask will lose its shine. Gently
peel it off in one piece.
For the final touch up, apply
serum and sunscreen.

Your Health - 10 May 2016

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Your Health - 10 May 2016

Uploaded by

Copyright:

Available Formats

THE STAR, TUESDAY 10 MAY 2016

Wellness at any age

THE STAR, TUESDAY 10 MAY 2016

When the youngest child leaves

Considering the socioeconomic

compared with 30% among 16- to

> SEE NEXT PAGE

Keeping up, keeping fit

suggested taking up an accounting

I have long had an

Datuk Dr Mohamed Arif Nun.

Given the inextricable link

been dancing Latin salsa for the

THE STAR, TUESDAY 10 MAY 2016

> FROM PREVIOUS PAGE

Managing cognitive decline

overall treatment plan free from

rely on someone to care for

of retirement planning beyond the

> SEE PAGE 4

THE STAR, TUESDAY 10 MAY 2016

RESEARCHERS have discovered that lifestyle

Boost your memory

Brain gymnastics You can exercise your

manufactured in France that guarantees the

n For more information, call 03-6205 2728.

Participating in everyday activities or

THE STAR, TUESDAY 10 MAY 2016

Dr Yeap Chee Loong.

Dr Ong Kheng Wah.

MINIMALLY invasive (keyhole) surgery,

The smaller incisions

n For more information, call 06-315 8888.

THE STAR, TUESDAY 10 MAY 2016

n For more information, call 1800 188 882 or

VISION correction surgery (refractive and

Patients also feel more comfortable

n For more information, call

THE STAR, TUESDAY 10 MAY 2016

Tai chi for

An ancient art form

l Balance and fall prevention

due to a fall and never regain their former

l Relieving joint stiffness

IN the 2010 National Oral Health Survey of

Poor personal oral hygiene will lead to gum

Many also think it is normal for gums to

n For more information, call 03-8068 5166.

THE STAR, TUESDAY 10 MAY 2016

EXERCISE in any form, whether

Thoughtful gifts for parents

to show your care on Parents Day,

n For more information, e-mail

Guardian Brightening + Tartar Control

speaking to you but the condition can lead

n Brought to you by your partner in health

THE STAR, TUESDAY 10 MAY 2016

Geriatric medicine and you

medications they are on, says

people go for regular check-ups

n For more information,

THE STAR, TUESDAY 10 MAY 2016

introduced Zurich Omni Health, a