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Showing posts with label heart disease. Show all posts
Showing posts with label heart disease. Show all posts

Friday, June 27, 2025

Go easy on durian, say experts ; Time ripe to grow durian dynasty

 

(From left) Mohammad Taufik Saidon, Muhamad Hafiz Azizan and Mohd Iszuan Ismail from Alor Setar enjoying the King of Fruits at Anjung Indah in Balik Pulau, Penang. — ZHAFARAN NASIB/The Star

IT IS durian season again, but over-indulging in the King of Fruits can pose a serious risk to our health.

Universiti Sains Malaysia (USM) family medicine specialist Dr Mastura Mohd Sopian said those with diabetes, heart disease, kidney problems or high blood pressure should not binge eat.

“To enjoy the nutritional benefits of durian safely, limit intake to no more than two medium-sized pieces per day, or about 80g,” she said.

Eating too much durian could have a negative impact on blood sugar levels, she noted.

“Bingeing on durian may cause discomfort and disrupt normal metabolic functions.

“For those with chronic conditions, durian should only be consumed in small amounts, occasionally or not at all,” she added.

Dr Mastura said certain foods should be avoided when eating durian, which contains carbohydrates, vitamins and minerals.

“These include spicy dishes, caffeine, carbonated drinks, sweet fruits, desserts, soft drinks and sugar-sweetened beverages.

“Consuming these alongside durian can cause digestive discomfort and increase health risks,” she said.

“Durian also has a ‘heaty’ effect, though reactions may vary among individuals,” said Dr Mastura.

Penang Health Department nutritionist Zuhaida Harun said that like any other fruit, durian should be eaten according to the recommended serving size.

“One serving of durian is two to three pieces.

“It is high in calories and natural sugar.

“For people with diabetes, it can cause a dangerous spike in blood sugar,” she said.

Zuhaida said high consumption of durian could significantly increase a person’s overall calorie intake.

“Sometimes, bingeing can also lead to other health issues such as bloating, indigestion or feeling overheated,” she said, adding that moderation applied to all foods.

Penang health committee chairman Daniel Gooi reminded the public to practise moderation when enjoying durian, especially during the current peak season, to avoid potential health risks.

“Overindulgence, particularly in hot weather, can lead to discomfort such as a sore throat, dehydration or digestive problems,” he said.

“Drink plenty of water and exercise self-control to fully appreciate the fruit without experiencing adverse effects,” Gooi advised.

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Time ripe to grow durian dynasty

Smells like success: Durians on display at a stall in SS2, Petaling Jaya. — ART CHEN/The Star

PETALING JAYA: In the world of durians, Malaysia’s Musang King may reign supreme but a new wave of contenders is emerging.

From the creamy Black Thorn and Red Prawn to the sweet Hajah Hasmah, the government is championing lesser-known premium varieties to capture growing international demand.

Other established types like Sultan and Tekka are also seeing interest, offering the fruit at a more accessible price and broadening Malaysia’s footprint in the global durian market.

Agriculture Department director-­general Datuk Nor Sam Alwi said Musang King and Bukit Merah are the main varieties recommended for export due to their rich, creamy texture and strong flavour but efforts are under way to highlight other premium types such as Black Thorn, Red Prawn and Hajah Hasmah.

“These varieties are being evaluated for future certification and export readiness, based on their potential in terms of taste, texture, shelf life and suitability for long-distance shipping,” she told The Star.

Nor Sam said that Chinese nationals, in particular, are willing to pay premium prices for these varieties.

As such, she said the department is working towards registe­ring durian varieties grown in Malaysia, conduct agronomic assessments and ensure compliance with the phytosanitary requirements of importing countri

“This includes pest disinfestation methods such as vapour heat treatment, traceability systems and farm export certification schemes,” she said.

CLICK TO ENLARGECLICK TO ENLARGE

These efforts, she said, were in line with the department’s goal of diversifying Malaysia’s durian varieties in the global market, strengthening the competitiveness of the national durian industry and maximising its export value.

The Malaysian Agricultural Research and Development Institute (Mardi) has found that there is a growing appetite for a wider range of flavours among durian enthusiasts.

“Consumers are becoming more adventurous. They are seeking out unique taste profiles. We are also seeing renewed interest in older, established clones such as D24 and Tekka, which are more affordable and offer classic durian characteristics,” it said in a statement.

Mardi said regional favourites and specific kampung durians with distinctive traits are gaining popularity, too.

On the export front, Mardi said it is focusing on developing new hybrids for domestic and global markets.

Its MDUR series (a hybrid durian clone developed by Mardi), in particular, has shown promise.

“One of the main highlights is MDUR 88 (D190), a hybrid of D10 and D24.

“It is golden yellow, slightly sticky and creamy with a flavour that many compare favourably to Musang King.”

In view of its quality, Mardi said the Agriculture and Food Security Ministry is promoting MDUR 88 for export.

“MDUR 88 has recently been rebranded as ‘MARDI Super 88’ (MS88),” it said.

Mardi is also working on other hybrids, such as MDUR 78 (D188) and MDUR 79 (D189), which offer improved yields and greater resistance to diseases like root borers and stem canker.

The institute also highlighted its broader breeding initiatives, noting that its second hybridisation programme, launched in the late 1980s, involved crosses between 10 different varieties.

Several promising hybrids from this programme are now in the final stages of assessment and are expected to be introduced under the 13th Malaysia Plan.

Mardi’s third set of hybrids is undergoing evaluation and assessment.

The institute is optimistic about the potential of these new hybrids.

“While Musang King and Black Thorn continue to set the benchmark in terms of market presence and price, we believe that our own developed hybrids, particularly MDUR 88, have the characteristics and quality to compete in the international market,” it said.

Federal Agricultural Marketing Authority (Fama) director-general Abdul Rashid Bahri said that in addition to Musang King, premium varieties including D24, Black Thorn, IOI and D9 have been sent for assessments to ensure they meet phytosanitary and quality compliance for targeted export markets like China.

“Fama is also working to expand market access beyond China and Hong Kong to countries such as the United Kingdom, Canada, the United Arab Emirates, Australia and the Netherlands,” he said.

Abdul Rashid said that strategic initiatives include participation in trade fairs, digital marketplace partnerships, in-store promotions and collaborative awareness programmes with the Malaysian embassies.

“To strengthen Malaysia’s competitive edge and credibility in premium markets, the ministry is also enhancing the national branding of agricultural produce through Malaysia’s Best, a certification that assures quality and safety for both domestic and international standards,” he said.

In 2023, Malaysia exported 54,374 tonnes of durians, valued at RM1.51bil, with China accounting for more than 45.7% of the total export.

Abdul Rashid said the volume is expected to increase following China’s approval for fresh durian imports.

“Fama will continue to work with industry stakeholders to monitor market trends, optimise logistics, and scale up capacity to meet growing international demand,” he said.

Malaysia’s durian cultivation area has been steadily expanding in recent years, with data from the Agriculture Department showing an increase from 70,286ha in 2019 to a projected 92,129ha in 2024.

Durian production followed suit, rising from 390,635 tonnes in 2020 to a projected 568,852 tonnes this year, despite some fluctuations due to weather and cost challenges.

The increase has been driven largely by global demand especially for premium varieties.

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Sunday, June 13, 2021

Death by overwork

 

Working more than 55 hours a week is killing us through ischaemic heart disease and stroke.

THE Japanese call it karoshi or “death by overwork”.

The signs: a sudden stress-induced heart attack, stroke or extreme mental pressure leading to suicide.

After World War II, the Japanese struggled to cope with defeat and an insecure future, so they threw themselves into work, determined to advance economically and fuelled by an ingrained culture where collectivism is valued above individualism.

Annually, thousands of Japanese workers die from karoshi, but in recent years, China has overtaken Japan with an estimated 600,000 deaths from overworking in 2016.

A large number of deaths in China are coming from industries such as media, advertising, medical care and information technology.

With the Covid-19 pandemic, more people are working from home (WFH) and feeling the strain of being forced to take on additional work.

As businesses cut costs and struggle to stay afloat, it translates to more work and longer working hours for employees still on the payroll.

For some, it is either do the job or get the boot.

This certainly doesn’t bode well for our health.

In fact, even before the pandemic, a 2019 AIA Vitality survey revealed that workers in Malaysia are often overworked and sleep deprived, with 51% suffering from at least one dimension of work-related stress and 53% getting less than seven hours of sleep in a 24-hour period.

It was also reported that Malaysia had experienced a three-fold increase in mental health problems over the past two decades.

According to the latest estimates by the World Health Organization (WHO) and the International Labour Organization (ILO) published in the journal Environment International last month, long working hours led to 398,000 deaths from stroke and 347,000 deaths from ischaemic heart disease in 2016 – a 29% increase since 2000.

Most of the deaths recorded were among people living in the Western Pacific and South-East Asia regions, who had worked for 55 hours or more per week, when they were between the ages of 45 and 74 years.

Young and otherwise healthy people can be struck by a stroke due to long-term unbalanced lifestyles and stress. — 123rf.com Just because bosses send messages throughout the night doesn’t mean they expect you to respond or react immediately, says Dr Yong. — AFP

The heart has its limits

James (not his real name), a marketing director of a multinational company, had been WFH and logging in at least 60 hours of work weekly, including on weekends, ever since the pandemic began.

At 51, the father of two teenagers eats healthy, rarely gets sick, enjoys the occasional drink and lets off steam by waking up at 4.30am to cycle or run for an hour every day.

Two months ago, he was in a virtual meeting when he started sweating profusely and felt pain radiating down his left arm.

As it was an important meeting, he ignored the symptoms, which eventually disappeared.

He continued cycling the next morning without any problem.

“But the pain returned a week later, and this time, it was accompanied by chest discomfort and dizziness.

“My wife drove me to the hospital, and after doing some scans, I was told I had a heart attack, with three blocked arteries,” he recalls, still in disbelief.

James’ wife broke down. She had been telling him to slow down, but he wouldn’t listen, continuing to work and exercise hard.

He had to have two stents inserted to open up his arteries.

“Prior to that, I hadn’t taken leave in a year. These days, I’ve learnt to switch off and no longer answer calls after 6pm.

“The cycling has been replaced with meditation and long walks,” he shares.

It’s quite an adjustment to make, but work is no longer his number one priority.

Says consultant cardiologist Dr Kannan Pasamanickam: “All of us are guilty of overworking – yours truly included!

“We have to remind ourselves that we cannot take health for granted; if you become ill, you may never be able to work again.”

Many patients shun hospitals during this pandemic as they fear running an increased risk of contracting Covid-19.

However, this might result in them delaying getting much-needed treatment – James was lucky that his first episode was not fatal.

Signs of a unhealthy heart include increased breathlessness; getting tired more quickly during physical exertion; chest/jaw/upper abdominal/arm pains brought on by exertion and relieved by rest; leg swelling (although this can be due to several other causes as well); breathlessness when lying flat in bed; and unusual palpitations, among others.

“Do annual medical exams, especially when you cross the golden age of 40, or start younger if you have a family history of vascular disease,”advises Dr Kannan.

If you’re living alone and experience a heart attack, he suggests that after calling for help immediately, take one tablet of aspirin straight away (barring an aspirin allergy), keep calm, remain seated (preferably on a sofa) and wait for help.

“If you feel like fainting, start coughing.

“If the heart stops because of sudden, irregular beating of the heart called ventricular fibrillation or tachycardia, which can occur soon after a heart attack, or the blood pressure becomes very low, coughing can maintain an adequate blood pressure until help arrives,” he says.

A stroke in time

We often think that stroke only strikes old people and those with uncontrolled high blood pressure,but these are myths.

Stress has been identified as the most important causative factor for a stroke or so-called “brain attack”.

The warning sign of an imminent stroke is a transient ischaemic attack (TIA), also known as a mini stroke.

This can happen up to seven days before the actual stroke and last up to five minutes or so. Consultant neurosurgeon Datuk Dr Kantha Rasalingam explains: “There could be sudden numbness or weakness in the face, arm or leg, especially on one side of the body.

“Individuals may also experience sudden double vision, confusion, inability to talk or understand things, instability when walking, and problems with balance or coordination.

“The key term here is ‘sudden onset of any neurological deficit’. “If you recover within a few minutes, it is a warning sign of TIA. If it persists, then it is a stroke.”

Some healthy individuals in the 18-49 age group – males, in particular – are being struck by strokes as a result of unbalanced lifestyles and stress.

“This is quite sad. If you push the boundaries and the body becomes exhausted, there is a possibility of getting a stroke.

“It’s a wake-up call for everybody,” remarks Dr Kantha. He shares the case of a 41-yearold lady who came into his clinic last week as she had experienced sudden right-sided upper and lower limb weakness.

An MRI (magnetic resonance imaging) of the brain showed a left-sided cerebrovascular accident (i.e. stroke).

Her husband was devastated, angry and blamed her employer.

Dr Kantha elaborates: “The husband said his wife was WFH more than normal the last month as her boss was asking her to do more work or else she would be retrenched like her other colleagues.

“Stressed, she tried her best to keep up, and a few days ago, while going out to buy food, she passed out in the car.”

Unfortunately, she sought treatment too late and there wasn’t much the doctor could do as the brain cells controlling her right side were already dead.

“I don’t think she will be able to go back to work unless she drastically improves,” he says.

“But work should be the least of her priorities as she has a six-yearold daughter.

“Often, people just dismiss the weakness and wait till it’s very late to seek treatment.

“Some go to smaller clinics, then smaller hospitals, and by the time they come to a bigger hospital, time has lapsed and we can’t do much. 

“If a patient comes in early (within six hours of the onset of symptoms), we can do interventional therapy, e.g. embolism to break the clot.” He adds that a useful acronym to remember is FAST: if you experience a Facial droop, Arm weakness and Speech difficulty, it’s Time to call for help.

Note these symptoms

If you’re working long hours, it usually also means a more sedentary lifestyle, and reduced physical activity is a risk factor to getting a stroke.

Look out for symptoms such as a lack of concentration at work, lack of energy, irritability, forgetfulness and poor sleep.

Says consultant neurologist Dr Kok Chin Yong: “These symptoms are easily overlooked and frequently attributed to other factors.

“In fact, these symptoms may be correlated with each other to form a vicious cycle and may lead to depression and anxiety.

“Individuals should get medical help when the above symptoms start to disrupt daily activities, such as personal relationships or work.

“If we can prevent these symptoms from getting worse, we can prevent heart attacks and strokes.”

To address being overworked, he recommends following “SEMMS”.

“Sleep is key; Exercise regularly at least 40 minutes three times a week; practise Meditation, which has been proven to reduce the relapse rate in both depression and addiction; adopt a combination of the Mediterranean and DASH diets for neurodegenerative delay, consisting of green, leafy vegetables, whole grains, berries, olive oil, poultry and fish; and be Socially active,” he says.

Dealing with bosses

The Malaysian Employment Act defines the work week as 48 hours, with a maximum of eight working hours per day and six working days per week.

But many employers blatantly disregard these guidelines.

How can we deal with unreasonable employers and maintain sanity while WFH?

Clinical psychologist Dr Lynne Yong says: “Discuss with the human resources (HR) people on what your job scope really encompasses and know your rights.

“There are laws to protect employees against exploitation

“However, the first step would be to ask yourself if you are overthinking your employer’s expectations.”

While some employers might be demanding, they can also be reasonable.

She says: “Just because bosses send messages throughout the night doesn’t mean they expect you to answer immediately.

“Because of these uncertain times, people tend to see things in black and white, but the reality is more nuanced than they think.”

The president of the Malaysian Society of Clinical Psychology suggests these steps to help manage your workload:

> Are you looking at your job situation clearly and objectively? > 

Is it the bosses’ expectations or your own interpretation of your bosses’ expectations?

> If the boss is really unreasonable, can you discuss the issue with HR?

> Turn off notifications at a reasonable hour, perhaps two or three hours before bedtime.

Fellow clinical psychologist Prof Dr Alvin Ng Lai Oon adds that another helpful way is to affirm that you will be willing to do the expected task, but bring up problems at home that would need some mutual problem-solving between the boss and you.

“Say something like ‘Sure, boss, I can do that. But if I do, then there’s this other thing that becomes a problem, which I’m afraid would continue to persist if I do the task you just gave me.

“‘I’m concerned that this problem would affect my productivity in the long run. So, how?’” he suggests

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