Obesity and Non-communicable Diseases

Summary

In this discussion, Dr. Dave Pagsy Cian from the Philippine College of Endocrinology, Diabetes, and Metabolism addresses the rising concern of obesity among Filipinos. He explains that a BMI over 23 is considered overweight and over 25 is obese for Filipinos. Despite misconceptions, BMI calculation is the practical method to assess obesity. Dr. Cian highlights the correlation between obesity and non-communicable diseases like diabetes and hypertension, emphasizing the importance of lifestyle changes, including diet and exercise. He also touches on the role of community, government, and social media in promoting healthy living and the potential legislative actions to curb the obesity epidemic.

Takeaways

• 📊 In the Philippines, a BMI over 23 is considered overweight, and a BMI over 25 is considered obese.
• 🌐 BMI calculators online can easily determine if one is overweight or obese by inputting weight in kilograms and height in centimeters.
• 🚫 Despite visual assessments, body mass index (BMI) computation is the most accurate method to measure obesity.
• 💪 More complex tests like body densitometry can accurately diagnose obesity but are expensive and impractical for regular use.
• 🏋️‍♂️ High muscle mass can lead to a high BMI without indicating obesity, as muscle weighs more than fat.
• 📈 Obesity is linked to an increased risk of non-communicable diseases such as diabetes and hypertension.
• 📉 An increase in abdominal girth and easy fatigability are signs that one may be bordering on obesity.
• 🏥 Medically, a rise in blood pressure to prehypertensive levels can indicate the onset of obesity.
• 📊 Recent data suggests around 40.2% of adult Filipinos are overweight or obese, with diabetes affecting approximately 8.2% of the population.
• 🥗 A shift towards a healthier diet and lifestyle is crucial, considering the prevalence of carbohydrate and sugar-heavy diets in the Philippines.
• 🌱 Legislative actions such as taxing sugary beverages and promoting healthier food options in schools and restaurants are discussed as potential solutions.

Q & A

What is the primary method used to diagnose obesity?

Obesity is primarily diagnosed by computing the body mass index (BMI), which is the relationship of a person's weight to their height.

What are the BMI thresholds for being considered overweight and obese among Filipinos?

For Filipinos, a BMI of more than 23 is considered overweight, and a BMI of more than 25 is considered obese.

How can one calculate their BMI without sophisticated instruments?

One can calculate their BMI using online calculators by inputting their weight in kilograms and height in centimeters.

What are the limitations of using BMI as a measure for obesity?

BMI has limitations because it does not differentiate between muscle and fat mass, so a muscular person might have a high BMI without being obese.

What are the signs that indicate one is bordering on obesity?

Signs of bordering on obesity include easy fatigability, deposition of fats in the forehead and shoulders, increased abdominal girth, and increased blood pressure to prehypertensive levels.

How is obesity related to non-communicable diseases like diabetes?

Obesity is related to the rise in non-communicable diseases as it can lead to conditions like diabetes, heart problems, and hypertension.

What recent statistics were mentioned regarding obesity and non-communicable diseases in the Philippines?

Recent statistics indicate that around 40.2% of adult Filipinos are overweight or obese, with about 8.2% having diabetes and an additional 14.2% having pre-diabetes or borderline diabetes.

What role does diet play in the increase of non-communicable diseases among Filipinos?

The typical Filipino diet, which is high in carbohydrates and sugar, and the use of seasonings like MSG, contribute to the increase in non-communicable diseases.

What measures can the government and lawmakers take to address obesity and related health issues?

Government and lawmakers can regulate the use of sugar in food products, increase taxes on sugary beverages, provide healthier food options in schools, and mandate the display of calorie counts in restaurants and fast food chains.

What is the importance of community and cultural change in combating obesity and non-communicable diseases?

Community and cultural change are important in combating obesity and non-communicable diseases as they involve concerted efforts from various sectors, including schools, workplaces, and the government, to promote a healthy environment and lifestyle.

What are the potential consequences if Filipinos do not change their dietary habits and lifestyle?

If dietary habits and lifestyle do not change, the prevalence of non-communicable diseases will increase, leading to higher healthcare costs for individuals and the government, and an increased risk of complications like strokes and heart attacks.

Outlines

00:00

😷 Understanding Obesity and Its Health Risks

Dr. Dave Pagsy Cian, a trustee of the Philippine College of Endocrinology, discusses the diagnosis of obesity through Body Mass Index (BMI) calculation, with a BMI over 23 considered overweight and over 25 as obese for Filipinos. He clarifies misconceptions about visual assessment and emphasizes the importance of BMI as a practical diagnostic tool. Dr. Cian also addresses the limitations of BMI, such as muscle weight affecting the index. He outlines signs of obesity, including fatigue, fat deposition, and increased abdominal girth, and links obesity to non-communicable diseases like diabetes and hypertension. The conversation highlights the need for lifestyle changes and the role of community, government, and health organizations in promoting health.

05:01

📈 Alarming Statistics and the Impact of Diet on Filipino Health

The discussion presents startling statistics from the Food and Nutrition Research Institute (FNRI), indicating that approximately 27 million adult Filipinos are overweight or obese. The prevalence of non-communicable diseases like diabetes and hypertension is on the rise, with 8.2% of the population affected by diabetes and an additional 14.2% at risk. The conversation emphasizes the role of diet and lifestyle in these health issues, noting the Filipino diet's high carbohydrate and sugar content, and the need for a cultural shift towards healthier eating habits. Dr. Cian suggests community, school, workplace, and government efforts are necessary to create a supportive environment for health and to combat the rise in obesity-related diseases.

10:02

🌟 Legislative and Social Strategies to Combat Obesity and Non-Communicable Diseases

The conversation turns to legislative measures that could help address the obesity and non-communicable disease crisis in the Philippines. Dr. Cian suggests strategies such as taxing sugary beverages, banning high-sugar drinks in schools, and requiring calorie counts on menus to inform consumers about their food choices. He also discusses the importance of providing healthy alternatives and combating misinformation about health and nutrition. The segment underscores the need for a collective effort, including government policies and public health campaigns, to educate the public and encourage healthier lifestyles to mitigate the growing health crisis.

Keywords

💡Obesity

Obesity refers to a medical condition where excess body fat accumulates to the extent that it may have a negative impact on health. In the context of the video, obesity is a significant concern among Filipinos, with a BMI of more than 23 considered overweight and more than 25 considered obese. The discussion highlights obesity as a precursor to non-communicable diseases, emphasizing the importance of understanding this condition to address health issues in the Philippines.

💡Non-communicable diseases (NCDs)

Non-communicable diseases are conditions that are not transmitted by pathogens; they include illnesses like diabetes, heart diseases, and certain types of cancer. The video discusses the correlation between obesity and the rise in NCDs, particularly in the Filipino population, where obesity can lead to conditions like diabetes and hypertension, which are significant health burdens.

💡Body Mass Index (BMI)

BMI is a person's weight in kilograms divided by the square of height in meters. It is a widely used indicator to determine whether a person has a healthy body weight for their height. In the video, BMI is used as a practical tool to identify if individuals are overweight or obese, with specific thresholds for Filipinos mentioned as 23 for overweight and 25 for obesity.

💡Diabetes

Diabetes is a chronic condition characterized by high blood sugar levels over a prolonged period. The video emphasizes the link between obesity and diabetes, noting that obesity can increase the risk of developing this disease. It mentions the prevalence of diabetes among Filipinos and the importance of early detection and lifestyle changes to manage it.

💡Hypertension

Hypertension, or high blood pressure, is discussed in the video as a common health issue that can be exacerbated by obesity. It is noted that an increasing number of Filipinos are becoming hypertensive, which can lead to more severe health complications if not managed properly.

💡Diet and Exercise

Diet and exercise are highlighted as key components in the fight against obesity and related NCDs. The video suggests that a shift towards a healthier diet and increased physical activity can help reduce the prevalence of obesity and its associated health risks in the Filipino population.

💡Cultural Change

Cultural change refers to the modification of societal norms and behaviors over time. In the video, the necessity for a cultural shift towards healthier eating habits and lifestyles is discussed as a means to combat the rise in obesity and NCDs in the Philippines.

💡Legislation

Legislation is the process of making or enacting laws. The video touches on the potential role of government and lawmakers in addressing obesity and NCDs through legislation, such as regulating the use of sugar in food products or imposing taxes on sugary beverages.

💡Health Campaigns

Health campaigns are organized efforts to raise awareness and promote behaviors that improve public health. The video discusses the importance of health campaigns in disseminating information about NCDs and promoting healthier lifestyles among Filipinos.

💡Social Media

Social media is used in the video as an example of a platform where health information can be effectively disseminated. It is noted that various health organizations, including the Philippine College of Endocrinology, use social media to spread awareness about diabetes, obesity, and other health issues.

💡Healthcare Costs

Healthcare costs refer to the expenses associated with the prevention, diagnosis, and treatment of health conditions. The video discusses the potential increase in healthcare costs due to the rise in NCDs, emphasizing the need for preventive measures to reduce the financial burden on individuals and the healthcare system.

Highlights

Obesity in the Philippines is diagnosed using Body Mass Index (BMI), with a BMI over 23 considered overweight and over 25 considered obese.

BMI can be easily calculated using online calculators by inputting one's weight in kilograms and height in centimeters.

There are misconceptions about obesity being visually measurable; BMI computation is a more accurate method.

More complex tests like Dual-energy X-ray absorptiometry (DXA) or body densitometry can diagnose obesity but are expensive and impractical.

BMI has limitations, as muscular individuals can have a high BMI without being obese.

Signs of obesity include easy fatigability, fat deposition in the forehead and shoulders, and increased abdominal girth.

Obese individuals are at a higher risk of developing non-communicable diseases like diabetes and hypertension.

Blood pressure is an easily measured indicator of potential obesity, with prehypertensive levels starting at 130/90.

Recent data estimates around 27 million adult Filipinos are overweight or obese.

The prevalence of diabetes among Filipinos is about 8.2%, with an additional 14.2% having pre-diabetes conditions.

Hypertension affects nearly one in every Filipino adult, although the rate seems to be plateauing.

Diet and exercise are key to fighting obesity and related non-communicable diseases, especially for Filipinos with a carbohydrate and sugar-leaning diet.

Cultural change towards healthier eating habits and increased physical activity is necessary to combat obesity.

Community, schools, workplaces, and government need to collaborate to create a healthy environment and promote physical activity.

Health campaigns require information dissemination, and social media platforms are being used effectively for this purpose.

Legislation can play a role in regulating sugar content in beverages and promoting healthier food choices in schools.

The cost of healthcare for non-communicable diseases is a significant concern, both for individuals and the government.

Focusing on the root causes of non-communicable diseases like obesity, hypertension, and diabetes is crucial for reducing healthcare costs.

Transcripts

and here

to help us understand the relationship between obesity

and non communicable diseases

like diabetes were joined by Doctor Dave Pagsy Cian

Word of

trustee of the Philippine College of Endocrinology

Diabetes and metabolism good afternoon

Doctor Pagsy Cian thanks for joining us

good afternoon Sir Stanley

and thank you for the invitation

it's good to have you here

now we're talking about the big O word

obesity that is

which is a growing concern among Filipinos

now when can one be considered obese

let's tackle that first

uh obesity can be diagnosed by

usually by computing the body mass index of a person

so that is

usually

the relationship of the patient's weight to his height

so usually for Filipinos if your BMI is more than 23

that can be considered already to be overweight

and if it's more than 25

that can be considered already to be obese

if you don't know how to compute for your BMI

it's easily accessible

via different calculators in the internet

you just need to input your weight and your height

your weight in kil

in kilograms and your height in centimeters

and then you will see the

your BMI so that would be the cut off uh

that's the only way that's the only

practical and fast way for you to know if you're

at least overweight or obese

mmm hmm

without the use of other more sophisticated instruments

I suppose now

a lot of misconceptions about obesity being measurable

visually when in fact

body mass computation is the most accurate way

you said so yourself to differentiate

someone who is obese from just someone who is being

chubby tell us more about this

uh actually the

the most accurate way of

knowing if you are obese or overweight

is by doing more complicated tests

such as Cityscan or ah

body densitometry but those are very expensive

and not very practical way of diagnosing right

a person to be obese or overweight

so in the clinics we usually just compete for BMI

however BMI also has its own um

shortcomings because a large person

let's say a very bulky person

because of muscles

can be heavy and then can have a BMI of more than 25

but it's not really actually obesite

OBEs that is related to the rise in non

communicable diseases so the

so just have to

also

correlated with the facts that you see in your patient

so the baseline is about 24 to 25 BMI

am I correct

yeah more than 23 you're at least overweight okay

because a lot of people may seem to be in denial

uh

they might be slightly overweight but they feel okay

so that's okay so

uh hat that kind of habit

that is something that a lot of Filipinos are into

you know denial so what are the signs that you are

in fact bordering on obesity

more than just being chubby

uh if you are

let's say if you are being obese

you will start to feel a lot of symptoms

like easy fatigability so maybe it's more like a

and then you would see a lot of changes in your body

so pretty come on deposition of fats in your forehead

in your shoulders

and then you have increased abdominal girth

so when you get on Kai

usually back on the game obese canary

also patients who are obese

are also preferred to develop non comedic obodysses

so easily measured would be blood pressure

so if your blood pressure is increasing

to the prehypertensive level

manga 1 30 over 90 and you are on a mediocre side

then probably you're becoming obese already okay

so when you are obese then we also recommend to test

okay so you're at risk of diabetes

heart problems and many other diseases

the concern of course over obese is the fact that uh

these diseases are not uh readily visible

they are underlying diseases

that may not seem obvious at first

of course metabolism problems

among the many threats that may come with obesity

please give us some grim statistics

in the Philippines about diseases

because we earlier raided a report about uh

a dramatic increase in diabetes and other uh

non communicable diseases

especially during the pandemic

yeah ah

recently the FNRI released new data for patient

for the number of Filipinos who are obese

right now the the estimate is around 40.2

so about 27 million adult Filipinos are at

least overweight and obese

also the prevalence

or the number of Filipino people who will develop

who has already non committable diseases

are also increasing for diabetes

it's already about um 8.2%

so that's about 3 to 4 million Filipinos

but

an additional 14.2% would already have free diabetes

your borderline diabetes so since I've been having

one in 5 Filipinos would have abnormal glucose level

already for hypertension

it's about one in every Filipino uh

would have hypertension

but the number of Filipino people having hypertension

seem to be plateauing but for the HIV is overweight

and this lipidemia

or the abnormal lipid levels are all increasing

of course what you eat and moving more

diet and exercise key to fighting diabetes

especially for Filipinos whose natural diet uh doctor

consists of diabetes friendly food

we are uh carbo and sugar leaning in a lot of ways

and our penchant for seasonings

and MSG seems unprecedented

the world over now

if we as a country

are shifting towards a healthier diet and mindset

cultural change may be required don't you think

yes definitely

many doctors will tell our patients not diet

exercise usual not gonna lie

but it is because he does not know how to do it

so the prevent or or the what we could

what we should do

in order for us to curve this numbers

is really a concerted efforts between community

schools for your mother workplace

the adult the working group and even the government

to really provide a healthy environment

provide areas where physical activities

can be encouraged for the

for the children for the adult working people

and even for the elderly encourage people to hit

to eat healthy of course

by providing alternatives in fast foods

restaurants and other places

and of course getting a lot of people from different

from different organisations to collaborate

and find innovative ways for us

to promote healthy living among Filipinos

yes so it's

so it's not that I know it's your said and done also

because we all know for a fact

that healthy food may be a bit expensive

especially for those living under the poverty line

when access to food like sardines or noodles

may be easier for a lot of people

uh the success of any health campaign

of course lice

in information dissemination from health institutions

do you think there is enough being done

to spread information about non

communicable diseases and if not

what you have in mind to promote the seriousness

in fact of this health threat

well a lot of Filipinos now are in social media

so actually the DOA

is doing a good job in promoting healthy lifestyle

because they have a lot of platforms already

disseminating this information

our organisation

the Philippine College of Endocrinology

Diabetes and metabolism

also has different social media platforms where in

we spread the right information

for all kinds of patients

having diabetes and endocrine

all endocrine disorders however

they were Madame paring misinformation disinformation

so it's really promoting um

sites where in

people can really get the correct information

they need and they are looking for

alright let's talk a bit about legislation now

what can government

and lawmakers do to help in the campaign

because we've seen some success uh

in this field

when they require the use of iodized salt

in the past years now

can something similar be done about sugar

perhaps regulate the use of sugar

in a lot of our food products

because sugar is quite pervasive

a monosodium glutamate

in a lot of products sold in the market

which are accessible to our countrymen

yes melanin manga before let's say ah

pinangal nayamanga high fructose containing ah

beverages the banacarnata and a zero calories ah

other

the other legislations that are being pushed through

specially by our society

would be you putting more tax on sugar beverages

providing healthier or Kumbaga pang

banning all of this high sugary drinks in the school

so as we could teach our children to drink

your more natural sources

your more healthier healthier drinks and food

some more canteen in the school

also

we are looking at you providing the number of calories

let's say

in the menu for restaurant or in the fast food

so that people could be aware of um

how much are they eating and then

providing list of healthy

alternatives for people who are choosing food

in this kind of places yes

lastly doctor uh

of course uh

this requires a a

a united lifestyle change uh

not just of individual persons

but us as a country now uh

what do you think will happen to us

if we don't change our ways

uh the

the Filipinos uh

in particular US regards what they eat

and US regards

the prevalence of non communicable diseases

in Filipinos

ah well

of course it will be increasing

no the projected in 20 or 30 years from now is actually

most matter as pay a numbers for the Philippines

but more than the numbers

would be the complications of this

non communicable diseases like strokes

heart attacks

which will be more costly for an individual

to sustain all the medications

and also for our healthcare system

also for our government who will eventually

try to cover for all of this condition

so if you want to really curb this ah

healthcare cost no in

at individual level or government level

so we should try to focus more on the root cause

which is usually diabetes

obesity hypertension

so that's what we need to do in the next few years

all right Doctor Dave Paxisihan

of the Philippine College of Endocrinology

Diabetes and metabolism

thanks a lot for joining us this afternoon

thank you thank you very much

at dito

upang matulungan kaming maunawaan ang kaugnayan sa pagitan ng labis na katabaan

at mga hindi nakakahawang sakit

Like diabetes ay sinamahan ni Doctor Dave Pagsy Cian

Salita ng

Trustee ng Philippine College of Endocrinology

Diabetes at metabolismo magandang hapon

Doctor Pagsy Cian salamat sa pagsama sa amin

magandang hapon Sir Stanley

at salamat sa imbitasyon

Buti na lang nandito ka

ngayon ay pinag-uusapan natin ang malaking salitang O

obesity yan

na lumalagong alalahanin ng mga Pilipino

Ngayon kailan maituturing na napakataba

harapin muna natin yan

uh obesity ay maaaring masuri sa pamamagitan ng

kadalasan sa pamamagitan ng pag-compute ng body mass index ng isang tao

kaya iyon ay

kadalasan

ang kaugnayan ng bigat ng pasyente sa kanyang taas

Kaya kadalasan para sa mga Pilipino kung ang iyong BMI ay higit sa 23

na maaaring ituring na sobra sa timbang

at kung ito ay higit sa 25

na maaaring ituring na napakataba

kung hindi mo alam kung paano mag-compute para sa iyong BMI

ito ay madaling ma-access

sa pamamagitan ng iba 't ibang calculators sa internet

kailangan mo lang ipasok ang iyong timbang at ang iyong taas

ang iyong timbang sa tapahan

sa kilo at ang iyong taas sa sentimetro

at pagkatapos ay makikita mo ang

iyong BMI para iyon ang maputol uh

yun lang ang paraan na yun lang

praktikal at mabilis na paraan para malaman mo kung ikaw

Hindi bababa sa sobra sa timbang o napakataba

nang walang paggamit ng iba pang mas sopistikadong instrumento

Ipagpalagay ko ngayon

maraming maling kuru-kuro tungkol sa labis na katabaan na nasusukat

biswal kung sa katunayan

Ang body mass computation ay ang pinakatumpak na paraan

ikaw na mismo ang nagsabi na mag-iba ka

isang taong napakataba mula sa isang tao lamang

Chubby sabihin sa amin ang higit pa tungkol dito

uh talaga ang

ang pinakatumpak na paraan ng

Alam kung ikaw ay napakataba o sobra sa timbang

ay sa pamamagitan ng paggawa ng mas kumplikadong mga pagsubok

tulad ng Cityscan o ah

body densitometry ngunit ang mga iyon ay napakamahal

at hindi masyadong praktikal na paraan ng pag-diagnose ng tama

isang taong napakataba o sobra sa timbang

So sa clinics kadalasan nakikipagkumpitensya lang kami sa BMI

gayunpaman ang BMI ay mayroon ding sariling um

pagkukulang dahil malaking tao

sabihin nating napakalaki ng tao

dahil sa muscles

maaaring mabigat at pagkatapos ay maaaring magkaroon ng BMI na higit sa 25

pero hindi naman talaga obesite

Mga OBE na nauugnay sa pagtaas ng hindi

mga nakakahawang sakit kaya ang

kaya kailangan lang

din

nauugnay sa mga katotohanan na nakikita mo sa iyong pasyente

kaya ang baseline ay mga 24 hanggang 25 BMI

tama ba ako

oo higit sa 23 ikaw ay hindi bababa sa sobra sa timbang okay

dahil maraming tao ang maaaring mukhang in denial

eh

Maaaring medyo sobra ang timbang nila ngunit okay ang pakiramdam nila

So okay lang kaya

uh hat ganyang ugali

iyon ay isang bagay na kinagigiliwan ng maraming Pilipino

You know denial so ano ang signs na ikaw

sa katunayan hangganan sa labis na katabaan

higit pa sa pagiging chubby

eh kung ikaw

sabihin natin kung ikaw ay napakataba

magsisimula kang makaramdam ng maraming sintomas

Like easy fatigability kaya siguro mas parang a

at pagkatapos ay makikita mo ang maraming pagbabago sa iyong katawan

So pretty come on deposition ng taba sa noo mo

sa iyong mga balikat

at pagkatapos ay nadagdagan mo ang kabilogan ng tiyan

Kaya kapag napunta ka kay Kai

karaniwang bumalik sa laro napakataba kanaryo

pati mga pasyente na napakataba

ay ginustong din upang bumuo ng non comedic obodysses

Kaya madaling masukat ang presyon ng dugo

kaya kung tumataas ang iyong presyon ng dugo

sa antas ng prehypertensive

Manga 1 30 over 90 at ikaw ay nasa isang pangkaraniwang panig

saka malamang nagiging obese ka na okay

Kaya kapag ikaw ay napakataba, inirerekumenda din namin na subukan

okay kaya nasa panganib ka ng diabetes

Mga problema sa puso at marami pang ibang sakit

The concern of course over obese is the fact na uh

ang mga sakit na ito ay hindi madaling makita

sila ay pinagbabatayan ng mga sakit

na maaaring hindi halata sa una

syempre mga problema sa metabolismo

Kabilang sa maraming banta na maaaring dulot ng labis na katabaan

mangyaring bigyan kami ng ilang malungkot na istatistika

sa Pilipinas tungkol sa mga sakit

kasi kanina ni-raid namin yung report about uh

isang kapansin-pansing pagtaas sa diabetes at iba pang uh

mga hindi nakakahawang sakit

lalo na sa panahon ng pandemya

oo ah

kamakailan ang FNRI ay naglabas ng bagong data para sa pasyente

para sa dami ng mga Pilipinong napakataba

sa ngayon ang pagtatantya ay nasa paligid ng 40.2

kaya humigit-kumulang 27 milyong adultong Pilipino ang nasa

Hindi bababa sa sobra sa timbang at napakataba

din ang pagkalat

o ang bilang ng mga Pilipinong uunlad

na mayroon nang mga non committable disease

ay tumataas din para sa diabetes

ito ay tungkol sa um 8.2%

So mga 3 to 4 million Filipinos yan

ngunit

Ang karagdagang 14.2% ay magkakaroon na ng libreng diabetes

Your borderline diabetes kaya simula nung nagkakaroon ako

isa sa 5 Pilipino ay magkakaroon ng abnormal na antas ng glucose

para sa hypertension na

ito ay tungkol sa isa sa bawat Pilipino uh

magkakaroon ng hypertension

ngunit ang bilang ng mga Pilipinong may hypertension

Tila talampas ngunit para sa HIV ay sobra sa timbang

at itong lipidemia

o ang mga abnormal na antas ng lipid ay tumataas lahat

Syempre kung ano ang kinakain mo at gumagalaw pa

susi sa diyeta at ehersisyo sa paglaban sa diabetes

lalo na sa mga Pilipino na natural diet uh doctor

Binubuo ng diabetes friendly na pagkain

kami ay uh carbo at asukal nakahilig sa maraming paraan

at ang aming pagkahilig sa mga pampalasa

at ang MSG ay tila walang uliran

ang mundo ngayon

kung tayo bilang isang bansa

ay lumilipat patungo sa isang mas malusog na diyeta at pag-iisip

Maaaring kailanganin ang pagbabago sa kultura, hindi ba

oo tiyak

maraming doktor ang magsasabi sa ating mga pasyente na huwag mag-diet

exercise usual hindi magsisinungaling

ngunit ito ay dahil hindi niya alam kung paano ito gagawin

kaya ang maiwasan o o ang kung ano ang maaari naming

kung ano ang dapat nating gawin

para ma-curve natin ang mga numerong ito

ay talagang isang pinagsama-samang pagsisikap sa pagitan ng komunidad

mga paaralan para sa lugar ng trabaho ng iyong ina

The adult ang working group at maging ang gobyerno

para talagang makapagbigay ng malusog na kapaligiran

magbigay ng mga lugar kung saan ang mga pisikal na aktibidad

maaaring hikayatin para sa

para sa mga bata para sa mga taong may sapat na gulang na nagtatrabaho

at kahit para sa mga matatanda ay hinihikayat ang mga tao na tamaan

para kumain ng malusog syempre

sa pamamagitan ng pagbibigay ng mga alternatibo sa mga fast food

mga restawran at iba pang lugar

at siyempre nakakakuha ng maraming tao mula sa iba 't ibang

mula sa iba 't ibang organisasyon upang makipagtulungan

at humanap ng mga makabagong paraan para sa atin

upang itaguyod ang malusog na pamumuhay sa mga Pilipino

oo kaya ito ay

So it 's not that I know na sinabi at tapos na rin

dahil alam nating lahat para sa isang katotohanan

Maaaring medyo mahal ang masustansyang pagkain na iyon

lalo na sa mga nabubuhay sa ilalim ng linya ng kahirapan

kapag may access sa pagkain tulad ng sardinas o noodles

Maaaring mas madali para sa maraming tao

uh ang tagumpay ng anumang kampanyang pangkalusugan

syempre kuto

sa pagpapakalat ng impormasyon mula sa mga institusyong pangkalusugan

Sa tingin mo ba sapat na ang ginagawa

upang maikalat ang impormasyon tungkol sa hindi

mga nakakahawang sakit at kung hindi

kung ano ang nasa isip mo para isulong ang kaseryosohan

sa katunayan ng banta sa kalusugan na ito

Well maraming Filipinos ngayon ang nasa social media

So actually yung DOA

ay gumagawa ng isang mahusay na trabaho sa pagtataguyod ng malusog na pamumuhay

dahil marami na silang platform

pagpapakalat ng impormasyong ito

aming organisasyon

Kolehiyo ng Endocrinology ng Pilipinas

Diabetes at metabolismo

Mayroon ding iba 't ibang mga platform ng social media kung saan sa

ikinakalat namin ang tamang impormasyon

para sa lahat ng uri ng mga pasyente

pagkakaroon ng diabetes at endocrine

Gayunpaman, lahat ng endocrine disorder

sila ay Madame paring maling impormasyon disinformation

So nagpo-promote talaga um

mga site kung saan sa

talagang makukuha ng mga tao ang tamang impormasyon

kailangan nila at hinahanap nila

sige pag-usapan natin ng kaunti ang tungkol sa batas ngayon

ano kayang gobyerno

at ginagawa ng mga mambabatas upang tumulong sa kampanya

dahil may nakita tayong tagumpay uh

sa larangang ito

kapag nangangailangan sila ng paggamit ng iodized salt

sa mga nakaraang taon ngayon

Maaari bang gawin ang isang katulad na bagay tungkol sa asukal

marahil ay ayusin ang paggamit ng asukal

sa marami sa aming mga produktong pagkain

dahil ang asukal ay medyo malaganap

isang monosodium glutamate

sa maraming produkto na ibinebenta sa merkado

na mapupuntahan ng ating mga kababayan

yes melanin manga bago natin sabihin ah

Pinangalanang nayaman sa mataas na fructose na naglalaman ng ah

inumin ang banacarnata at isang zero calories ah

iba pa

ang iba pang mga batas na itinutulak

lalo na ng ating lipunan

Maglalagay ka ba ng mas maraming buwis sa mga inuming asukal

pagbibigay ng mas malusog o Kumbaga pang

Pagbabawal sa lahat ng mataas na matamis na inumin na ito sa paaralan

para maturuan natin ang ating mga anak na uminom

iyong mas likas na mapagkukunan

ang iyong mas malusog na mas malusog na inumin at pagkain

ilang canteen pa sa school

din

Tinitingnan ka namin na nagbibigay ng bilang ng mga calorie

sabihin natin

sa menu para sa restaurant o sa fast food

para malaman ng mga tao um

ang dami nilang kinakain tapos

pagbibigay ng listahan ng malusog

mga alternatibo para sa mga taong pumipili ng pagkain

sa ganitong uri ng mga lugar oo

sa wakas doktor uh

syempre eh

ito ay nangangailangan ng a

isang nagkakaisang pagbabago sa pamumuhay uh

hindi lamang ng mga indibidwal na tao

ngunit tayo bilang isang bansa ngayon uh

ano sa tingin mo ang mangyayari sa atin

kung hindi natin babaguhin ang ating mga paraan

uh ang

ang mga Pilipino uh

sa partikular na US tungkol sa kung ano ang kanilang kinakain

at pagbati ng US

ang pagkalat ng mga hindi nakakahawang sakit

sa mga Pilipino

ah sige

syempre tataas

hindi ang inaasahang sa 20 o 30 taon mula ngayon ay talagang

pinakamahalaga bilang magbayad ng mga numero para sa Pilipinas

ngunit higit pa sa mga numero

magiging komplikasyon nito

mga hindi nakakahawang sakit tulad ng stroke

atake sa puso

na magiging mas magastos para sa isang indibidwal

upang mapanatili ang lahat ng mga gamot

at para din sa aming sistema ng pangangalagang pangkalusugan

para din sa ating gobyerno na sa huli

subukang takpan ang lahat ng kundisyong ito

So kung gusto mo talagang pigilan ito ah

Walang gastos sa pangangalagang pangkalusugan

sa indibidwal na antas o antas ng pamahalaan

Kaya dapat nating subukang mag-focus nang higit sa ugat na sanhi

na kadalasang diabetes

hypertension ng labis na katabaan

Kaya iyon ang kailangan nating gawin sa mga susunod na taon

sige Doctor Dave Paxisihan

ng Kolehiyo ng Endocrinology ng Pilipinas

Diabetes at metabolismo

Maraming salamat sa pagsama sa amin ngayong hapon

salamat maraming salamat