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Obesiti dalam kalangan kanak-kanak boleh meningkatkan risiko diabetes, tekanan darah tinggi dan penyakit jantung. Pakar pediatrik kongsi punca, tanda amaran serta langkah pencegahan.
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00:07Intro
00:07Hai selamat pagi anda sedang menonton awal ni pagi bersama saya Nurusha Zawani Safi Syam
00:12Dalam awal ni pagi hari ni kita nak berbicara satu topik yang cukup penting sekali berkaitan dengan obesiti kanak-kanak
00:18Hari ni kita akan melihatlah ia sebagai satu isu kesihatan yang perlu dipandang serius
00:24Ramai yang menganggap berat badan berlebihan dalam kalangan kanak-kanak ini sebagai perkara biasa
00:28Tapi hakikatnya ia boleh meningkatkan risiko pelbagai penyakit kronik seperti diabetes jenis 2, tekanan darah tinggi, penyakit jantung pada usia
00:38yang lebih muda
00:39Dan hari ni bersama kita di studio adalah IHH Healthcare Malaysia
00:44Salah satu penyedia penjagaan kesihatan swasta bersepadu yang terkemuka di negara ini
00:50Untuk pengetahuan anda, IHH Healthcare Malaysia ini melalui 18 buah hospital di seluruh Malaysia merangkumi 4 hospital Green Eagles, Hospital
01:00Island, 11 hospital pantai, Prince Scott Medical Center dan Timberland Medical Center
01:06Melalui rangkaian hospital, kepakaran perubatan serta perkhidmatan penjagaan kesihatan yang menyeluruh
01:11IHH Healthcare Malaysia komited dalam memperkasakan penjagaan kesihatan pencegahan, seringan awal dan juga rawatan holistik bagi membantu rakyat Malaysia menjalani
01:22kehidupan yang lebih sihat
01:23Dan berbalik kepada topik kita hari ni berkaitan dengan obesiti kanak-kanak
01:26Bersama dengan saya di studio ketika ini adalah Dr. Go Chun Hui, pakar pediatrik dari Pantai Hospital Ampang
01:33Selamat pagi doktor, apa khabar?
01:34Selamat pagi Shazani, terima kasih atas jemputan saya ke Astro Awal ni pagi
01:39Kalau kita nak bercakap berkenaan dengan obesiti kan doktor
01:42Setakat inilah sejauh mana isu obesiti terutamanya di Malaysia dilihat sebagai satu perkara yang sangat serius doktor
01:50So perkara ini sebenarnya adalah satu masalah kesihatan awam, bukan sekadar penampilan ataupun lebih berat badan sikit
01:58Kalau kita tengok KKM punya data, National Mobility Survey data yang 2019 itu
02:06Budak-budak yang berumur 5 hingga 17, ada 3 daripada 10 yang dikategorikan overweight ataupun obese
02:15Yang berumur 30% dan anda ingatkan kalau 30% itu mereka dah ada risiko dan bila dia jadi dewasa
02:24Berapa banyak orang dewasa muda yang akan ada masalah ini?
02:29Ya, pastinya ia akan menyebabkan masalah kesihatan yang lain
02:33Tetapi, ia berbalik kepada stigma masyarakat kan doktor
02:37The people always say takpelah, budak-budak lagi kecil lagi
02:41So, the enabling dalam kalangan ibu bapa itu, adakah perkara itu juga merisaukan doktor?
02:48Sebenarnya itu adalah cabaran yang utama, seriously
02:51Selalunya waga emas mereka akan tengok cucu
02:54Kalau cucu kurus, ibu bapa semua akan kena marah
02:58So, mereka nak cucu mereka berisi lebih sikit
03:01Dia cakap, tak apa, dia berisi sekarang
03:03Kalau bila dia dah besar, dia akan jadi kurus nanti
03:06Itu sebenarnya bukan satu persepsi yang betul
03:11Satu lagi, tidak sepatutnya menilai budak itu bermoh
03:16Atau apa, berdasarkan visual assessment
03:19I think we need to have a objective assessment too
03:23So, selalunya kita akan pakai gold standard kita
03:26Ini adalah BMI, Body Mass Index
03:28So, this is BMI, Body Mass Index
03:32And ini orang dewa se, bukan?
03:34Ada dua kriteria yang generally, WHO, which is international, bukan?
03:39Dan kalau ASIA tetanggarani, because Asians, we are smaller
03:43So, I think we need to use the Asian criteria
03:45So, if you look here, overweight for Asians is 23 to 27.5
03:50And obese is more than 27.5
03:53Kalau WHO, dia lebih tinggi
03:56So, if your BMI is 24, you are probably overweight and you are not slim
04:03So, BMI is a very simple formula, I think everyone pernah dengar
04:08So, basically it's berat dalam kilogram
04:11Dibahagikan oleh ketinggian square
04:14Okay?
04:15So, ketinggian dalam meter
04:17Tapi, anak-anak kita tidak boleh pakai kriteria
04:21Sebab, kenapa?
04:22Sebab, anak-anak mereka akan mengalami fasa pertumbuhan yang berlainan
04:26Because of hormonal surge
04:28Jadi, kita perlu chart
04:30Di kalangan pediatric ini, kita memang banyak chart
04:33Kita suka chart
04:34So, here we have growth chart
04:37You see, untuk girls
04:395 hingga 19 tahun
04:41Dan kita ada 2 hingga 5 tahun
04:44Lelaki pun ada
04:45So, banyak chart yang kita pakai
04:48Sebenarnya lebih senang untuk kita check
04:50Kalau kita tengok
04:52Asalkan dia punya BMI di lingkungan ini
04:55Okay
04:55It's considered normal
04:56So, this is like from 5 years old to 18 years old
04:59Tapi, kalau dia lebih daripada 85th centile dekat sini
05:03Then, you are considered overweight
05:05And if you are more than here
05:06You are considered obese
05:07Okay
05:07So, this is much easier for us to check
05:10Jadi, ibu bapa juga perlu memainkan peranan lah
05:14Untuk memastikan kesihatan anak-anak mereka
05:15Berada pada tahap optimum lah
05:17Doktor, satu lagi stigma ataupun persepsi
05:20Yang mungkin kita kena tangani lah adalah
05:24Risiko kesihatan utama disebabkan oleh
05:27Obesiti ini tidak akan berlaku pada
05:29Kanak-kanak
05:30Contohnya, macam kita cakap tadi
05:31Diabetik
05:33Ataupun tekanan darah tinggi
05:34Penyakit jantung
05:35Adakah sebenarnya
05:37Kalau anak-anak ini
05:39Dalam kalangan obesiti
05:40Mereka juga mempunyai risiko kesihatan
05:42Seperti itu
05:43Doktor
05:44Ya, so
05:46Risiko ini
05:47Selalu kita akan cakap pasal yang
05:49Hypertension dan penyakit
05:50But actually, it's more than that
05:52That you will be surprised
05:53We are seeing more and more
05:55Younger teenagers
05:56They are experiencing all this
05:58Adult problem
05:59Ya, so let me just go through a little bit
06:00Of all this risk
06:01For example, so overall obesity
06:04Is when your body has a lot of fat
06:06You store fat
06:07And fat is very heavy
06:08So itu akan bagi tekanan terhadap kita punya sendi
06:12Kita punya lutut
06:13Ya, so sometimes those big child
06:15Dia punya kaki itu akan bengkok
06:17Ya, we call bow legs
06:18And ada juga dia punya femoral bone
06:20Akan sleep because of the constant heavy weight
06:23Ya, and other problems like
06:25Masalah pulmonary
06:27Sebab
06:27Dia punya leher
06:29Badan terlalu besar
06:30So, bila dia tidur
06:31Semua benda akan collapse
06:33So, dia akan ada berdengkuh
06:34Macam orang dewasa
06:36Obstructive sleep apnea
06:39Orang dewasa yang mau pilih obese
06:40Yang tidur, kena duduk
06:43Pakai CPAP
06:44Ya
06:44You will be surprised actually
06:45Children pun ada
06:46Ya
06:47And lama-lama ini
06:49Ini akan menyebabkan masalah pulmonary hypertension
06:51Sebab paru-paru sentiasa kena tekan
06:53Tambahan lagi osas
06:55Dan kekurangan oksigen
06:56Jantung pun akan terjejas
06:58Then after that
06:59We have this metabolic syndrome
07:00Yang semua orang kenal
07:01Diabetes
07:02Hypertension
07:04High cholesterol
07:04Ya
07:06Dan
07:07Lemak itu bukan sahaja di luar badan
07:10Dia juga di dalam kita punya perut
07:12Ya
07:12Viscera fat
07:13So, mereka boleh ada fatty liver disease
07:16Dan kalau lemak itu dah menyebabkan
07:18Inflamasi kepada hati
07:19Then it's very bad
07:20Ya
07:21Another one will be
07:22Ketinggian
07:23So, we will think that
07:25Budak yang badan lebih besar
07:26Selalu nampak lebih besar
07:28Kalau banding dengan kawan mereka
07:29But one thing is that
07:31Their final height is actually shorter
07:33Than what they are expected to have
07:35Kalau dia punya berat normal
07:36Why?
07:37It's because they punya growth spurt
07:39Bila dia berat
07:40Dia punya growth spurt akan cepat
07:41Tapi dia punya growth plate dekat tulang itu akan close awal
07:45So at the end they are actually shorter than what they are supposed to be
07:48Ya
07:48So all these are physical punya masalah
07:50There is one thing yang
07:52A lot of people often missed out which is psychology
07:56Psychology
07:58Low self-esteem
07:59Kena bully
08:00Kena boycott
08:01Recently, I have a child
08:02Eight year old girl
08:04She was obese
08:05Yeah
08:06She was admitted to hospital because of anxiety
08:08And a lot of psychological stress
08:10Dia punya kawan
08:12Semua pakat
08:13Untuk boycott dia
08:14Sebab dia berat
08:15Okay
08:16Cause her to have anxiety
08:17You see this is actually a very serious problem
08:19Okay
08:20So maksudnya
08:21Ia memang memberi kesan bukan sahaja kepada kesihatan badan
08:26Kesihatan fizikal
08:26Tetapi juga kesihatan mental
08:28Pada seawal usia juga
08:29The girl that you mentioned how old is she?
08:32She is eight
08:33Okay
08:33So maksudnya ia juga boleh menyebabkan kesihatan tekanan mental kepada
08:37Kanak-kanak yang berusia 8 tahun
08:39Doktor betul ya?
08:41Ya
08:41Okay
08:41Kita nak berbalik kepada apakah punca utama yang berlakunya obesity ini
08:44Seperti yang semua sedia maklum pastanya faktor makanan
08:48Adakah mungkin faktor-faktor lain juga yang boleh menyebabkan
08:51Obesiti dalam kalangan kanak-kanak terutamanya di Malaysia ini
08:54Menjadi satu cabaran yang sangat sukar untuk dibendung
08:57Doktor
08:58Ya
08:58So untuk secara mudah nak bagi penonton untuk faham
09:01Saya kategorize dia kepada tiga benda
09:03Saya suka fikir pertama akan adalah
09:05Lebihan kalori, akses kalori ya
09:08So it's very simple
09:09Awak makan lebih daripada awak perlu
09:12Then you have extra kalori which is going to be stored as lemak
09:16Ya
09:16So number two akan adalah gaya hidup
09:18Dan ketiga adalah masalah perubatan yang lebih rumit sikit
09:21Ya
09:22Okay
09:22So untuk memahami perkara itu
09:25You mentioned okay lah maksudnya lebihan lemak itu
09:28Bagaimana sebenarnya peranan ibu bapa boleh dimainkan
09:32Untuk memahami pada usia berapa
09:35At what age the kids akan menggunakan tenaga yang tinggi
09:40Adakah pada waktu seawal usia enam tahun
09:43When they started kindergarten
09:45Ataupun mungkin sekolah rendah, sekolah menengah
09:47Memasuk usia remaja itu hormon juga akan berubah
09:50So what kind of standard yang kita boleh practice dalam kalangan ibu bapa ini untuk tahu
09:55Sejauh mana tenaga yang diperlukan oleh kanak-kanak
09:57So that the food can be balanced dengan apa yang diberikan kepada kanak-kanak
10:01So in general I think a lot of adults sendiri pun tidak tahu sendiri punya kalori berapa
10:05So I'll just give you an example
10:07Kalau orang dewasa, lelaki is roughly about 2,000 to 2,500
10:12Female maybe 1,800 to 2,300
10:14And of course it depends on your race, your height and your activity, tahap activity
10:21If you are sedentary lifestyle, of course you are going to have less
10:24And kanak-kanak sebenarnya pun sama
10:27Tetapi kita sama kena ikut dia punya ketinggian, jantina
10:31And setiap tahun adalah berlainan
10:33Because they're always growing due to hormones and different things
10:36So untuk semua orang senang faham
10:38I will say that kalau toddler lebih kurang less than 4 years old
10:42You can take about 1,000 to 1,400 kilocalorie
10:45And after that when they start going to primary school
10:48It's roughly about 1,400 to 2,000
10:52And kalau dia dah sampai remaja
10:54It's roughly 1,800 and go up as high as 3,000
10:58Because that's the time where they have hormonal seksual hormones come in puberty
11:03Okay, dan kita nak memahami juga
11:06Bagi ibu bapa juga
11:10Bagaimana sebenarnya pemakanan yang seimbang lah
11:15Yang boleh diberikan kepada kanak-kanak
11:17Sometimes, kalau pergi sekolah pun kita tak tahu
11:20Anak nak makan apa
11:21Kalau nak bawa bekal pun
11:22The pure pressure of the kids bawa bekal
11:25Maybe now it's in trend
11:26So mereka macam okay je
11:27Tapi melihat kepada bekal, tengok kawan makan lain, dia makan lain
11:30So they don't want to
11:31So apa perkara yang paling mudah lah sebenarnya ibu bapa boleh sediakan
11:35Especially for their kids
11:37In Malaysia, you know, it's a food paradise
11:39To be honest
11:39And we are multi-racial countries
11:41Our food are all different
11:43So it's always very different
11:45And I would like to say that
11:47If you look at the food yang kita ada
11:50Just give you a few examples lah
11:51Roti canai
11:52So roti canai sebenarnya dia punya kalori
11:54Satu keping yang kosong
11:56It's already 250 kilocalorie
11:58Nasi lemak
11:59Looks very innocent
12:01Tapi banyak lemak itu
12:02One bowl is roughly about 400 to 500
12:05Nasi goreng
12:06When you use a lot of oil
12:07It has go up as high as 700
12:10So itu makanan yang utama
12:12I think it's still okay
12:13Because you need it
12:14The problem is the hidden calories
12:17In those calorie booms
12:19The snacks
12:21Satu chocolate, one bar
12:23Easily 250
12:25Cheap small
12:26Yang kecil
12:26Roughly 64 grams
12:29It can cost you as high as 180 grams
12:32So let me just give you an example
12:33Let's say there is a 4-year-old child
12:36Sendentary lifestyle
12:37So calorie demand there is about 1,400
12:40Bawa dia pergi makan fast food
12:42Satu mil
12:43Let's say burger, fries
12:46Dengan coke
12:47Yang biasa bukan yang zero coke
12:48250 mil
12:50Easily hit 800 to 1,000 kilocalorie
12:52That is already 60-70% of the daily requirement
12:56What about breakfast, dinner
12:58And they drink milk
13:00And snacks
13:01So easily they can go up to as high as 3,000 calories
13:05Now the thing is that it's not about one time
13:09Yeah
13:09Kalau we eat healthy all the time
13:11Kita makan satu kali macam ni
13:12It's okay
13:12Okay
13:12Okay
13:13But if you do that consistently everyday
13:16This is going to lead to obesity
13:18Okay
13:19Alright
13:19So maksudnya
13:20Ibu bapa dan juga orang sekeliling
13:22Sepatutnya lebih peka
13:24Melihat kepada cara pemakanan
13:26Dan juga corak perubahan
13:28Badan
13:28Seseorang kanak-kanak itu
13:30Banyak lagi sebenarnya yang nak kita bincangkan
13:32Bersama dengan Dr Goh
13:33Tapi kita nak berhenti rehat seketika
13:34Kita kembali lagi selepas ni
13:52Baik
13:53Baik
13:53Bertemu kembali dalam awal ni pagi
13:54Hari ni kami bincangkan berkenaan dengan topik kesihatan
13:58Terutamanya berkaitan dengan kanak-kanak
14:00Iaitu obesity dalam kalangan kanak-kanak
14:03Yang mana ia disifatkan sebagai satu proses kesihatan
14:05Yang sangat membimbangkan di Malaysia ketika ini
14:09Banyak yang dah kita bincangkan
14:10Bersama dengan tetamu kita di studio
14:11Kita ada Dr Goh Chun Hui
14:13Pakar Pediatrik Pantai Hospital Ampang
14:16Doktor
14:17Kita dah banyak bincangkan tadi terutamanya
14:19Bagaimana obesity itu boleh berlaku
14:20Apakah peranan ibu bapa yang boleh dimainkan
14:23Kita nak memahami juga
14:25Macam mana ibu bapa juga boleh mengetahui
14:29Sama ada berat badan anak mereka ini
14:31Benar-benar berlebihan
14:32Ataupun kita sifatkan sebagai obesity lah kan
14:36Do you have any chart for you to share
14:39Untuk mengetahui ibu bapa tahulah kan
14:42Because sometimes they look so normal
14:44They look so okay lah
14:45Okay je ni
14:46Tetapi tak tahu
14:47Itu adalah dalam range obesity
14:49Doktor
14:49So exactly like I say
14:51Visual assessment is never accurate
14:53So even healthcare workers can be tricked by it
14:56So just let me show you
14:58I have two charts here
14:58So I'll give you an example
15:01We mainly want to use BMI
15:02But in kanak-kanak kita ada pakai chart
15:05Weight for age
15:06Ataupun ketinggian untuk ikut dia punya umur
15:09So let's say we have two kids
15:13Let's just standardize
15:14Dua-dua pun umur 4 tahun
15:1620kg
15:18Tapi budak yang pertama tu dia tinggi sikit
15:22110cm
15:22So that will give a BMI of about 16.5cm
15:25The second one is shorter 95cm
15:29So if you plot the chart you see the first child
15:31Dia punya berat dengan ketinggian dia
15:36It's within the centau
15:38Everything looks normal
15:39Perfect
15:39That's good
15:40Now what about the second child
15:42Looks okay as well
15:44You see berat
15:45Berat dia dekat sini
15:46And ketinggian dekat sini
15:47A bit on the low side
15:48But it's still within the child
15:50Okay
15:50So if you try to imagine budak yang majani
15:52You think that maybe they are okay one
15:54It's just a bit shorter
15:54But if you plot it in the BMI chart
15:57This is where you see a true difference
15:59Now the first child BMI is 16.5cm
16:03Exactly within the normal centau
16:05But the second child BMI is 22cm
16:08It's way above the chart
16:09Okay
16:10So you can imagine
16:11You have the same weight
16:12But if you are shorter
16:14You actually are at risk of
16:16Probably you are obese
16:17Yeah
16:18That's why chart is very important
16:19Okay
16:20Adakah
16:21Like us adults
16:22Kita akan sekurang-kurangnya
16:24Melakukan medical check-up
16:25Once a year lah
16:26Okay so that we know
16:27Our well-being
16:29Termasuklah
16:29Kalau kita juga sebagai orang dewasa
16:31Sama ada kita berada dalam
16:32Kalangan obesity
16:33Ataupun tidak
16:34Should children
16:35Do the same?
16:37Definitely
16:38Children should always go for
16:39Check-up as well
16:40Okay
16:41But
16:42You have to
16:44Of course
16:45The perception is very important
16:48Number one
16:48Your parents must have a
16:50True perception
16:52Like
16:53Adakah anak saya sihat ke
16:54Ataupun dia
16:55Badan besar
16:57Is considered normal
16:58Then
16:58Once they identify
16:59Only they will come
17:00To us for help
17:02Yeah
17:02Okay so
17:03Maksudnya
17:05Pemahatian awal itu sangat penting lah juga kan
17:07Tapi selain daripada
17:09We talk about calories
17:10We talk about food intake juga
17:12Bagaimana sebenarnya
17:13The lifestyle of the kids juga
17:15Menyumbang kepada masalah
17:16Obesiti
17:17Now we know
17:18They are more with gadgets
17:19Parents are so busy
17:21With work
17:22Sometimes
17:23Hanya weekend
17:24Boleh bawa keluar
17:25Main
17:27Does that really
17:29Impactful
17:29Of course
17:30If you come and think about it
17:31The whole problem
17:32Is still
17:33Calorie balance
17:33The usage of calorie
17:35If you eat a lot
17:36But you use less calorie
17:38Of course
17:39You have to store more calorie
17:41Which is turned into fat
17:42Yeah
17:42So
17:43Kalau kita tengok gaya hidup sebelum ini
17:45Dalam masa
17:46Zaman 80-an
17:47By the time
17:48Petang semua orang dah
17:49Menunggang basikal
17:50Pergi taman
17:50Bayang bola sepak
17:51Tangkap ikan dekat longkang
17:53Ya
17:53Tapi sekarang
17:54It's very different
17:55You have all the gadgets
17:56And especially bandar besar
17:58Tuition dah sampai pukul 6
18:00Parents datang balik lambat
18:02Jam 2 jam lagi
18:03Balik rumah
18:04Makan
18:04No one has the energy
18:06To actually go for that
18:07That's
18:08That's the reality
18:09But it's actually quite sad
18:11But again
18:12If
18:13If
18:15You can
18:16Work for 8 hours
18:17Why can't you work for
18:1920 minutes everyday
18:20Just for your health
18:21Right
18:22So
18:23I believe that
18:24Dalam gaya hidup ini
18:25Actually parents
18:26Really play a very important role
18:28Yeah
18:28Gaya hidup for example
18:29Kalau parents
18:30Sendiri pun
18:31Tak gerak banyak
18:33Balik rumah pun
18:34Netflix
18:34Netflix sahaja
18:36Rumah semua sediakan makanan
18:38Yang ber
18:38Banyak soda
18:41How do you expect the kids to be different
18:44The kids is not going to say that
18:45Dad I'm not going to drink coke
18:47Yeah
18:47Because it's not healthy
18:48You're drinking
18:48I don't want to be the same like you
18:50So
18:51Parents
18:53It's your role
18:53Very important
18:55Okay
18:56Okay
18:57So
18:57Berbalik kepada
18:58Peranan yang perlu dimainkan oleh ibu bapa itu
19:00Apakah mungkin
19:02The simplest lah
19:04Amalan mudah yang boleh dilakukan oleh ibu bapa
19:06If
19:07Let's say on weekdays
19:09Sibuk dengan bekerja
19:10Balik dah penat
19:11But they only have about what 20 minutes lah
19:13Sebagai amalan mudah
19:14The simplest way doktor
19:16What can they do?
19:17So
19:18Amalan untuk mengubah
19:19Untuk mengatasi masalah ini
19:20I think
19:20It is
19:21You need to be a bit more holistic
19:23So I will
19:24I will focus on three things
19:25One is the
19:25The first concept will be
19:27Eat healthy
19:28Concept
19:29We know
19:30Food pyramid
19:31Everybody knows
19:32Food pyramid has been there for
19:33Multiple years
19:34But
19:35Why is it that obesity
19:36Is still going up
19:37Where
19:37I think
19:38It is time that maybe
19:39We have to educate the younger parents
19:41You know
19:41Which are tech savvy
19:42Maybe it's time for you to learn more about
19:45Calories
19:46How much calories your child actually perlukan
19:49And
19:50Look at the food label
19:51Pergi beli makanan
19:52You have to be a bit smart
19:54When you prepare food for your child
19:55So for example
19:56If let's say
19:57Your anak lapar
19:59Dia cari makanan dekat rumah
20:02Sini
20:02Kita ada apa
20:03We have three biji of Ferrero Rocher
20:05Dengan chips
20:06Mola ini memang selalu dapat di rumah
20:08Okay
20:08This one is 400 kilocalorie
20:11All together?
20:12Ya
20:12Okay
20:13But if you can choose this
20:15Dia lapar
20:16You bagi dia makan
20:17Dua biji apple
20:19Orange
20:20Dua biji telur masak
20:21Sama juga
20:22400 kilocalorie
20:23I can confirm
20:24Your child cannot finish this
20:26It's gonna feel full
20:27But you see
20:28It's not about the calorie itself
20:29It's about the content
20:30You see
20:31Here we have a protein of at least 20 gram
20:34More fibers, vitamins
20:36But here mainly sugars
20:37So
20:38Kena fikir
20:39Ya
20:40Kena bijak sikit
20:41Kalau memilih makanan untuk
20:42Kanak-kanak lah
20:43Ya
20:43Second thing will be
20:45Exercise
20:47Is something
20:48Is a concept that I want to instill in all parents
20:50Is that exercise
20:51Should be a part of your lifestyle
20:54Ya
20:54The problem sekarang is
20:56Family
20:57Mereka akan rasa exercise ni adalah satu effort
21:00You have to
21:00Spend time
21:01You have to do effort
21:02Just to exercise
21:04It's not
21:04You shouldn't
21:05You shouldn't do it that way
21:06Okay
21:08Like
21:08You have to understand a little bit about energy consumption
21:11Ya
21:11So we have basal metabolic zone
21:13Metabolic rate
21:14Which is about 70%
21:16Ya
21:16And the exercise that we are doing
21:18There are two types
21:18If you go to gym
21:19Buat benda yang lasak itu
21:21It's what we call as the EAT
21:23Yeah
21:23Exercise, activity, thermogenesis
21:25Okay
21:25The most you can burn is roughly about 10% Zahaja
21:28There's another one that often people omit is that
21:32The non-exercise type
21:33Ya
21:34Which is jalan
21:35Jalan, naik tangga
21:36Ya
21:37Jalan lebih
21:38So if you do it right
21:39You can actually burn up to 30%
21:42Oh
21:42Extra
21:42That's why people are pushing like 10,000 steps a day
21:44You try it
21:45If you try to do it
21:47If you can maintain
21:47You really need consistency
21:48If you can maintain it
21:49You will see the difference
21:50Okay
21:51Ya
21:51This is not only for adults
21:54For children
21:55For children as well
21:56Okay
21:56Ya for children as well
21:57So I always tell my parents
21:59I say that
22:00I understand you are tired
22:01You come back very late
22:02After your meal
22:03Why not just take 30 minutes
22:05Walk around your Kawasan Perumahan
22:08Ya
22:09Just walk around that 20 minutes
22:11You increase your steps
22:12Okay
22:12And secondly
22:13You will realise that
22:14A lot of the time
22:15Your children will start to tell you
22:17A lot of things about school
22:18This is what I
22:19It's about quality time also
22:20Yes
22:20This is what I like about
22:21You will catch up certain things like
22:23Oh they don't like this friend
22:24Their friends bully them
22:25This is when
22:25It's a bonding time
22:26Okay
22:27It only takes about 30-40 minutes
22:29Okay
22:29Ya
22:31Perkongsi yang sangat menarik hari ini
22:32Sebab dia lain sedikit lah
22:34Selalu we talk about
22:35Makanan yang
22:35Apa yang patut dikonsum
22:37Apa yang tak patut
22:38Some would say
22:40Jauhkan makanan-makanan yang manis lah
22:43Berlemak ni lah
22:44But
22:44Sometimes
22:45Dia boleh memberi sebagai
22:47Satu bentuk ganjaran
22:48If sometimes lah doktor
22:50Is that okay?
22:51Of course
22:51Why not?
22:52Why not?
22:53Once a week?
22:54Once a month?
22:55That comes to the whole
22:56Family environment
22:58The food that you prepare at home
22:59Do you think I thought
23:00These things are from my house
23:01Actually
23:02I don't restrict them too much
23:04Okay
23:04But
23:04It's not something that they
23:06They eat everyday
23:08Alright
23:08So if I have a choice
23:10I'm dead
23:10I will always try to choose something
23:12That is more healthy
23:13Of course
23:13There are kids
23:14Let them enjoy
23:16Of course
23:17At the back of my head
23:18I always understand
23:19That oh
23:19This is how much they need
23:20Roughly
23:21They are eating too much of ice cream
23:22Or something
23:23Then I will control
23:23You can't do that everyday
23:25Okay
23:26You have to set
23:29Good teladan yang bagus
23:30Imagine if parents sendiri pun
23:32Bila snack ambil semua benda ini
23:34Of course your kids are going to follow
23:36Alright
23:36Imagine if I'm a doctor here
23:38Coming to give talk about obesity
23:39I'm obese
23:40Are you going to listen to me?
23:42Right
23:42I have to set a good example
23:44I have to restrict and discipline
23:45Right
23:46Okay doktor
23:48Kita dah bercakap berkenaan dengan
23:49What can parents do?
23:51Even it's not just parents lah
23:52Saya merasakan ia merupakan satu tanggungjawab
23:54Seluruh ekosistem lah sebenarnya
23:56School lah juga memainkan peranan yang sangat penting
23:59But of course it starts from home lah kan
24:01Okay
24:01Tetapi kita nak menyentuh berkenaan dengan
24:03Bentuk rawatan ataupun perubatan
24:06Some kids juga mengalami masalah kesihatan
24:09Yang didiagnosekan lain-lain lah
24:12Every children is different
24:13Adakah terdapat keadaan perubatan tertentu
24:16Yang boleh menyebabkan kanak-kanak ini
24:18Juga mengalami obesity
24:20Sometimes it's not just about the food
24:22It's not just about the calorie
24:23Tetapi keadaan kesihatan itu
24:25Yang membuatkan seorang kanak-kanak itu
24:28Terpaksa tak boleh bergerak banyak
24:31Is there any such?
24:32Yeah of course like
24:33Like for example genetic disease
24:35There's one genetic disease
24:36It's called Prader-Willi syndrome
24:38This is going to be interesting
24:39So they are born with this disease
24:41They are lacking in certain genes
24:43And their hormone leptin
24:44Leptin is a hormone yang bagi kita kenyang
24:46So leptin mereka tak berfungsi bagus
24:48So dia akan sentiasa lapar, lapar, lapar
24:51Makan, makan, makan, makan, makan
24:52Sampai tahap yang paling teruk
24:53Parents actually kena kuncikan peti sejuk
24:56Yeah
24:57So this is just one of the examples
25:00Of course there are examples like
25:01Kekurangan thyroid hormone
25:03Atau masalah chronic
25:04Yang kadang-kadang ada masalah ginjal
25:07SLE
25:07They are on steroids
25:09So those are a side effect of the medications
25:11Yeah
25:12That's why serial tracking is very important
25:15Rather than just one-time tracking
25:17Because you see
25:17If I see a growth chart of the BMI
25:20From here
25:22Suddenly at four years old
25:23Zoop
25:24Shoots up
25:25It tells you a lot of things actually
25:27What happened over here?
25:29Is it a medical problem?
25:30Is it a family dynamics problem?
25:32Adakah one of the parents passed away?
25:34Gadol ke?
25:36Sibling rivalry
25:37Tiba-tiba ada anak baruta
25:38So a lot of things
25:39When you see this kind of thing
25:41You will try to find out the reason
25:43It's not just sekadar makan sahaja
25:45It's about the whole family
25:47The dynamics and everything
25:48Okay
25:49So saya kira perbincangan kita
25:51Sudahpun melihat kepada secara keseluruhannya
25:54Antara faktor-faktor berlakunya obesity
25:56Dan bagaimana untuk mencegahnya
25:58We have come to an end doktor
26:00Cuma mungkin kita nak melihat kepada nasihat doktor sendiri
26:03Yang mana pemeriksaan dan juga saringan awal itu adalah penting
26:08Like you said
26:09From the outer
26:10Memang kita tak nampaklah
26:11Apa sebenarnya masalah kesihatan itu
26:12So saringan adalah sangat penting
26:14What can you say doktor?
26:15So saringan awal
26:16It's penting untuk semua penyakit
26:18Yeah
26:18Especially obesity
26:19So
26:20Bila patient
26:22Kalau mereka tak pasti
26:23Sama ada anak dia
26:24Obiskat atau apa
26:25Just come to us
26:26Kita akan
26:27Menilai dia
26:28Secara awal
26:29Kita akan buat
26:30Teliti punya sejarah
26:32Then
26:33Kita akan tengok family dynamics
26:34We will
26:35We will check everything in detail
26:37Then we will analyse for them
26:39So that
26:40Mereka tahu
26:41Oh rupanya masalah dia adalah dekat sini
26:43Dekat sini
26:44Then of course from doctor side
26:45Kita akan
26:46Buat baseline investigation
26:48Just to
26:50Macam open file
26:51Lepas itu kita tahu
26:51Okay
26:52Mana satu kanak-kanak yang sebenarnya
26:54Berisiko
26:54Untuk
26:55Untuk dapat
26:56Metabolic syndrome ke
26:57Dan sebagainya
26:58That's why
26:59Early intervention is always very important
27:01Okay
27:02Baik
27:02Terima kasih kita ucapkan kepada Dr. Go Chun Hui
27:05Pakar Pediatrik
27:06Dari Pantai Hospital Ampang
27:09Atas perkongsian hari ini
27:10Dan kita harap
27:12Semualah
27:12Bukan sahaja apa-apa
27:13Tetapi seluruh masyarakat
27:15Membuka mata
27:16Tentang topik hari ini
27:17Dan
27:18Mencegahnya
27:19Adalah lebih baik daripada
27:20Merawatnya
27:21Terima kasih sekali lagi
27:22Doktor
27:22Kerana sedih bersama dengan kami hari ini
27:24Tapi itu sahaja masa yang kami ada
27:25Dalam awal ni pagi hari ini
27:26Sekian
27:27Saya Norsha Zwanisah Fusham
27:28Kita jumpa lagi
27:29Terima kasih
27:37Terima kasih
27:38Terima kasih
27:39Terima kasih
27:39Terima kasih
27:39Terima kasih
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