Nutrition - Thekeyto combating health threats - volume 3- The key to combating health threats

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Nutrition - Thekeyto combating health threats - volume 3- The key to combating health threats
volume

                                              3

               Nutrition
               –T
                 he key to
                combating
                health threats

Published by

                     A joint initiative by
Nutrition - Thekeyto combating health threats - volume 3- The key to combating health threats
Nutrition Society of Malaysia

                                                                               Disclaimer
                                                                               Nutrition Month Malaysia (NMM)
                                                                               educational materials are not in any way
                                                                               intended to substitute medical advice
                                                                               from your doctor or health professionals.
   CHAIRMAN                                                                    When in doubt, please consult your
  Dr Tee E Siong                                                               doctor. The Nutrition Society of Malaysia
                                                                               (NSM), Malaysian Dietitians’ Association
                                                                               (MDA) and the Malaysian Association

Nutrition
                                  Dr Roseline Yap            Assoc Prof        for the Study of Obesity (MASO) are not
                                     Wai Kuan             Dr Chin Yit Siew     liable for any issue arising from the use
                                                                               of these educational materials.

Month
                                      Malaysian Dietitians’ Association        NSM, MDA, and MASO do not endorse
                                                                               any products and are not responsible for

Malaysia
                                                                               any claims made in the advertisements.
                                                                               Intellectual property is vested in the
                                                                               NMM programme. No part of the

National
                                                                               educational materials shall be reprinted
                                                                               without written permission of the
                                                                               National Steering Committee of NMM.

Steering                                                                       Copyright reserved © Nutrition Month
                                                                               Malaysia (NMM) 2021.

Committee
                                   Ms Tan Ye Ting        Mr Lee Zheng Yii

                                         Malaysian Association for

2021                                       the Study of Obesity

                                                                               Secretariat

MEMBERS                                                                                                     (263773-W)

(Representatives from                                                          12A, Jalan PJS 8/4, Mentari Plaza,
                                                                               Bandar Sunway, 46150 Petaling Jaya,
partner Professional Bodies)                                                   Selangor Darul Ehsan.
                                                                               Tel: 03-5632 3301 Fax: 03-5638 9909
                                    Dr Denise Koh        Dr Gan Wan Ying       Email: versahealth@versa-group.com

                   AcknowledgEment
          Nutrition Month Malaysia (NMM) is managed and implemented by professional
           bodies and supported by the private sector. The initiative reflects the spirit of
         partnership that is essential to facilitate the dissemination of appropriate nutrition
                      information to the general public for the wellbeing of all.

                                          Jointly organised by

           We would like to thank the following organisations for contributing towards the
                       successful implementation of NMM activities for 2021.

                   Main sponsor                                  Co-sponsors

                                                                        ®

                                                    HE•AL 2
Nutrition - Thekeyto combating health threats - volume 3- The key to combating health threats
Nutrition
                  The Key to Combating NCDs
                  and COVID-19 Health Threats
                                     Non-communicable diseases (NCDs) in Malaysia have been a major health
                                     concern for more than 3 decades and remain as major causes of morbidity
                                     and mortality. And with the current COVID-19 pandemic that has been around
                                     for more than a year, it has made the situation even worse. Those individuals
                                     with underlying NCDs are at a much higher risk of getting seriously ill with the
                                     COVID-19 infection. Healthy nutrition and healthy lifestyle practices can help
                                     to prevent and better manage NCD risk factors while boosting our immune
                                     system to reduce the impact of coronarvirus infection.

                                     To provide guidance to the public in adopting these practices to combat these
                                     health threats, the Nutrition Month Malaysia (NMM) programme is being
                                     implemented through various approaches. One of our key actvities is the
                                     NMM publication - ‘HE-AL Volume 3: Nutrition-The Key to Combating Health
                                     Threats’. This is an infographic magazine that provides simple but informative
                                     guides on healthy eating & active living to fight NCDs and COVID-19, which
                                     you can practise during this lockdown.
        Dr Tee E Siong
                                     We provide 7 key nutrition messages on healthy nutrition in this magazine
              Editor                 as a goal to combating these health threats. These include practising healthy
                                     dietary practices, consuming antioxidant-rich foods, consuming milk for
Chairman, Nutrition Month Malaysia
                                     healthier body, cooking nutritious meals at home and reading nutrition
National Steering Committee 2021     information on food labels for better food choices.
               and
                                     We encourage you to also participate in the virtual nutrition fair to learn
  President, Nutrition Society of    healthy nutrition in fun and interactive way at the https://virtualfair.
             Malaysia                nutritionmonthmalaysia.org.my. Various educational materials are also
                                     available in this website.

                                     I urge you to start today and make small changes in daily routine for a
                                     healthier life. Remember: Determination and Consistency are crucial to
                                     achieving these goals. Stay safe at home.

                                     Contents
                                     04       Key message 1:
                                             	
                                                Practise Healthy Nutrition to Fight Health Threats

                                     06       Key message 2:
                                             	
                                                Manage NCDs, Fight COVID-19

                                     07       Key message 3:
                                             	
                                                Get Active for Stronger Body and Mind

                                     08       Key message 4:
                                             	
                                                Get Antioxidant-rich Foods to Boost Immune System

                                     09       Key message 5:
                                             	
                                                Consume Milk for Healthier Body

                                     10      Key message 6:
                                            	
                                                Cook Nutritious Meals at Home

                                     11      Key message 7:
                                            	
                                                Read Nutrition Information on Food Labels
                                                    HE•AL 3
Nutrition - Thekeyto combating health threats - volume 3- The key to combating health threats
Key message            1

           Practise Healthy Nutrition to
               Fight Health Threats
           Current Health Threats                                                           New Health Threat

                           obesity

                       NCDs in Malaysia
                                             diabetes     hypertension            +                 Covid-19

                            > 3 decades
            NCDs + Covid-19 infection increase risk of being severely ill
                           or dying from the infection.

 Fight Health Threats –
 through healthy nutrition
                       Boost immune
                       system to fight                  BGL        BP       Control NCD                          Manage
                       infections like                                      risk factors                         healthy body
                       Covid-19                               TC                                                 weight

9 Steps to Achieve Good Nutrition                                                                              Healthy people
1    Eat more fruits
     and vegetables            2     Eat more whole
                                     grains                                                                    without NCDs
                                                                                                                 have better
                                                                                                              immune system
                                                                                                             to fight COVID-19
3 Include plant
  based protein
  in diet
                               4 Consume  milk and
                                 milk products           5 Drink
                                                           water
                                                                 more plain
                                                                        L
                                                                                                              infection better.

6    Reduce S.O.S
                               7 Cook
                                 meals
                                      nutritious
                                                         8 Read  nutrition
                                                           information on
                                                           food
                                                                                    9 Beactivephysically
                                                                                                 every day

                                                               labels
    salt         sugar

                                                                    HE•AL 4
Nutrition - Thekeyto combating health threats - volume 3- The key to combating health threats
Use Food Pyramid to Guide
             Healthy Food Choices
  MALAYSIAN
  FOOD                                                                                         Limit intake of fats, oils,
                                                                                                 sugars and salt

  PYRAMID
  2020                                                            Milk and milk products:
                                                                             2 servings
                                                                                                        Fish: 1 serving
                                                                                                          Poultry/eggs/meat: 1-2 servings

  Guide to Your
                                                                                                            Legumes: 1 servings

  DAILY Food Intake
                                                                                                                    Rice, other cereals
                                                                                                                     whole grain cereal-based products
                                                                                                                      and tubers: 3-5 servings

                                                  Plain water: 6-8 glasses
   Note:                                              1 glass = 250 ml
   ● The number of servings is calculated
     based on 1500 to 2300 kcal.
   ● This pyramid is meant for children aged             Vegetables:                                                          Fruits:
     7 years and older; for younger children,          > 3 servings
                                                       –                                                                        2 servings
     refer to the Malaysian Dietary
     Guidelines (MDG) for Children and
     Adolescents.
   ● For adolescents aged 13 to 15 years,
     the recommendation for fruits is 2-3
     servings and for milk and milk products
     2-3 servings.
   ● For adolescents aged 16 to < 18 years,
     the recommendation for fruits is 2-3
     servings, milk and milk products 2-3
     servings and for rice, other cereals,
     whole grain cereal-based products and
     tubers 3-6 servings.

       Healthy nutrition made easy with                                                                Gentle reminder
                food pyramid
                                                                                                       Have vegetables at
• Helps to select appropriate food intake that meets daily
  nutrient needs.
                                                                                               1       every meal
• Eat more foods at the base, eat less foods at higher level.                                          Consume more whole
                                                                                               2       fruits instead of juices
                                                Balance                                                Eat a variety of grain
                                                                                               3       products; choose
                                                 Eat all food
                                                                                                       whole grains
                                                  groups to
                                                                                                       Choose lean meat and
                                                get variety of
                                                  nutrients
                                                                                               4       include plant-based
                                                                                                       protein foods
                                                                                               5       Go for plain water
                                                                                                       Adjust number of
       Follow the
                                                                                  Include
                                                                             different foods   6       servings according to
     serving size to                                                         within the same           your needs
    avoid excessive                                                           group as they
                                                                                                       Practise quarter-quarter-
      consumption                                                              have similar
                                                                                nutrients      7       half concept of MyHealthy
                                                                                                       Plate to provide healthy
  Moderation                                                                  Variety                  daily meals

                                                                                    HE•AL 5
Nutrition - Thekeyto combating health threats - volume 3- The key to combating health threats
Key message   2

  Manage NCDs, Fight Covid-19
                                                                        Increase severity
                                                                        of COVID-19 and
                                                                        mortality
  Obesity     Hypertension          Diabetes       High blood
                                                      lipid

            Control NCDs through Healthy Eating Practices

                      TO REDUCE                          TO INCREASE

                   Eating outside food             Cook more often

                   High salt foods             	Use natural herbs &
                                                  spices in cooking

                   High fat/oil foods              Choose steamed &
                   		                               grilled foods

                   Refined grains                  Include more whole grains

                   Imbalanced diet                 Consume more vegetables

                   High sugar foods                Eat fruits as desserts
                   & drinks

       Control NCDs through Healthy Lifestyle Practices

                  Maintain a                        Be physically               Get sufficient
                  healthy body                      active                      amount of
                  weight                                                        sleep

                                                    Monitor blood
                                                    pressure, lipid             Manage
                  Quit smoking                      profile and                 stress
                                                    sugar level
                                                    regularly

                                               HE•AL 6
Nutrition - Thekeyto combating health threats - volume 3- The key to combating health threats
Key message   3

                   Get Active for
              Stronger Body and Mind
                                  Physical activity...
         helps to lower
                                                                         helps to
     blood sugar level,
                                                                         reduce stress
       blood pressure,
                                                                         and anxiety
      blood cholesterol

            promotes
        bone and joint                                                   improves
               health                                                    immune
                                                                         function

   Physical                                                              aids in
   activity                                                              management of
                                                                         body weight to
   matters                                                               prevent obesity
   for managing
   NCDs and
   COVID-19

                   Staying Active During Covid-19 Pandemic
     Aim for a variety of workouts                    Break sedentary habits
       - get your family involved                      - sit less, move more
              To increase stamina

                                                   Active break in         Move around
               Aim: 5-6 times a week             between office work        the house

      To increase strength & flexibility

                                                               Be active with
               Aim: 2-3 times a week                             children

                                           HE•AL 7
Nutrition - Thekeyto combating health threats - volume 3- The key to combating health threats
Key message     4

       Get Antioxidant-rich Foods to
         Boost Immune System
                        How antioxidants fight free radicals
     How free radicals                Harmful effects of                 Antioxidants
    accumulate in body                  free radicals                   neutralise free
                   formed
                                                                           radicals                       Consume
                   in body                            NCDs
                                                      increase
                                                                         cell       free radicals
                                                                                    attaching cell
                                                                                                         antioxidant-
                                                                                                          rich foods
   tobacco
    smoke
                        air
                     pollution                                                                            to prevent
                                                      suppress                                             ill health
                                                      immune
                                                      system
                                                                                      oxidative
                                                                                      stress

                EXAMPLES of antioxidants and food sources
               Vitamin C                   Carotenoids                 Flavonoids and                 Indoles and sulphur
                                                                         polyphenols                      compounds

Get from       e.g guava,               e.g carrots, papaya
                                                                        e.g oats, grapes                 e.g kailan, broccoli
colourful       oranges

 foods!
                  Increase intake of antioxidant-rich foods
 Eat a rainbow of colourful      Add fruits for breakfast         Consume half of your               Spice up recipes with
   fruits and vegetables                                         grains from whole grain               herbs and spices
                                                                          variety

    More Dietary Goodness in Fruits, Veggies & Whole grains
         Not just high in antioxidants but also:                                Reduce risk factors of NCDs

                                                       HE•AL 8
Nutrition - Thekeyto combating health threats - volume 3- The key to combating health threats
Key message   5

Consume Milk for Healthier Body
                                                         1.	Supports immune health

                    Lactose
          Protein                                                        Good quality protein
                                                                         with complete amino
                         Vitamins                                        acids
              Minerals
                                                                         Vitamins A, D, E
                                                                         that can function as
                                                                         antioxidants
              Nutritious &
              wholesome!
    2. Important for bone and                            3. Supports child growth
       muscle health
                                                                      Combination of key
                                                                      nutrients including
                                                                      high quality protein,
                              Protein,                                carbohydrates and
                              calcium,                                milk fat
                              vitamin D
                                                                      Variety of vitamins
                                                                      and minerals

                               MILK = WHOLESOME FOOD
                                 GOOD FOR ALL AGES
                                              Drink Milk Everyday!

                                     How to achieve?              Go for variety!
      AIM                            • Add a glass of milk
                                       for breakfast
                                                                  • Use different dairy
                                                                    products (yoghurt,

      1–2                            • Drink milk as a
                                                                    cheese)

     servings                          snack in between           • Choose plain milk
                                       meals                        more often
      of milk
      per day                        • Drink milk as post-
                                       exercise drink

                                               HE•AL 9
Nutrition - Thekeyto combating health threats - volume 3- The key to combating health threats
Key message       6

  Cook Nutritious Meals at Home
                                                     WHY cook healthier meals ?
                                                             Cooking healthily at home
                                                       Healthier meals for the family

                                                                          ABLE TO...
  Did you know?                                    choose healthier                     use healthier
  People who cook healthy dishes                     ingredients                      cooking methods
  at home consume:
              More fruits
              More vegetables                     Healthier meals with less salt, sugar and fats/oil
              Less calorie
              Less fats and oils
              Less sugar
              Less salt                                               Reduce risk of NCDs

                                  How To Cook Healthier Meals?

        Use healthier                      Use less S.O.S                        Use healthier cooking
         ingredients                     (salt, oil and sugar)                         methods

                                                   Use more                                   More

   lean meat           skinless
                       chicken
                                         herbs &      natural seasonings            steam                 stir-fry
                                          spices

                                                    Reduce

   low fat milk       vegetables                                                     boil                  bake

                                                                                              Less
                                            salt               sugar

   brown rice          legumes

                                                                                            deep-frying
                                                       oil

                                                    HE•AL 10
Key message   7

    Read Nutrition Information on
           Food Labels
           Why read
           nutrition                                          To make wise
            label?                                            food choices
                                                              based on
                                                              nutrient content

        Provides a quick                What are the     Lists nutrient content
        check on energy
       content per serving
                                       key information        per serving
                                         to look for?

 Identifies healthier options within                     Highlights the level
    the same category of food                             of key nutrients

            When to use nutrition information on labels?

                                                                   When
               When                                             comparing
               buying                                           2 brands of
               a new                                             the same
               product                                            category

                                           HE•AL 11
HE•AL 12
HE•AL 13
HE•AL 14
HE•AL 15
HE•AL 16
HE•AL 17
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                                  HE•AL 18
NotE S
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                                  HE•AL 19
A Nation-Wide
                                                 Community Nutrition
                                                 Promotion Programme
                                                 Since 2002
     Achievements of NMM
Aimed to promote greater awareness of healthy eating and active living among Malaysians, it is a
strategic partnership between three professional bodies, namely, Nutrition Society of Malaysia (NSM),
Malaysian Dietitians’ Association (MDA), Malaysian Association for the Study of Obesity (MASO) and
supported by Ministry of Health Malaysia. Corporate company support and partnership from 2008
enabled more educational materials and activities and greater outreach to the community.

Family Carnivals                                       Educational Materials
• Organised 11 major                                   for School Children &
 fun-filled carnivals                                  Preschoolers
                                                       • Published comic book
School & Kindergarten                                    and activity book for
Roadshows                                                primary school          Bahagia
                                                                                        n2
                                                                                                   n,
                                                                                            Sarapa
• Visited 160 primary                                    children                     Makan Belajar.
                                                                                       Pandai
  schools and provided                                 • Published DVD and
  healthy eating and active
                                                                                                                                                                                Kanak-kanak Sihat, Negara Lebih Sihat

                                                         worksheets for                                                                                                                       Memupuk Gaya
                                                                                                                                                                                              Pemakanan
                                                                                                                                                                                              Sihat                                                       Kanak-kanak Sihat, Negara Lebih Sihat

  living messages                                        preschoolers
                                                                                                                                                                                              DVD
                                                                                                                                                                                              Untuk Kanak-Kanak Pra-sekolah (4-6 tahun)
                                                                                                                                                                                              • Bahagian 1: Makan Secara Sihat,
                                                                                                                                                                                                                  DVD Untuk Kanak-Kanak
                                                                                                                                                                                                            Membesar   Dengan
                                                                                                                                                                                                                  Pra-sekolah
                                                                                                                                                                                              • Bahagian 2: Makan•Sarapan,
                                                                                                                                                                                                                              (4-6Kuat
                                                                                                                                                                                                                     BahagianPandai
                                                                                                                                                                                              • Bahagian 3: Makan Secara
                                                                                                                                                                                                            Bermain Dengan
                                                                                                                                                                                                                               1:
                                                                                                                                                                                                                     MakanSihat,
                                                                                                                                                                                                                                   tahun)
                                                                                                                                                                                                                                       Belajar
                                                                                                                                                                                                                            Secara Sihat,
                                                                                                                                                                                                                     MembesarCergas
                                                                                                                                                                                                                                Dengan Kuat
                                                                                                                                                                                                                                                       Memupuk Gaya Pemakanan Sihat

                                                                                                                                                                                                                                            • Bahagian 2:
                                                                                                                                                                                                                                              Makan Sarapan,
                                                                                                                                                                                                                                              Pandai Belajar Disokong oleh
                                                                                                                                                                     Terbitan                       Dengan sokongan

• Visited 175 kindergartens
                                                                                                                                                                                                                                            • Bahagian
                                                                                                                                                                                                                                                  Geran Promosi Kesihatan daripada
                                                                                                                                                                                                                      Kementerian Kesihatan Malaysia
                                                                                                                                                                                                                                                          1:
                                                                                                                                                                                                                                              Makan Secara Sihat,
                                                                                                                                                                                                                                              Bermain Dengan Cergas
                                                                                                                                                                                                                                                                                                                      Terbitan

                                                                                                                                                                 2
                                                                                                                                                      Bahagian
                                                                                                                                          onton DVD
                                                                                                                                    as men
                                                                                                                           ini selep
                                                                                                                aktiviti
                                                                                                       kertas

                                                       Educational Press
                                                                                                                                                                                                                                                                                                                              Disokong oleh Geran
                                                                                                                                                                                                                                                                                      Dengan sokongan
                                                                                                                                                                                                                                                                                                                           Promosi Kesihatan daripada

                                                                                             Gunakan

  and conducted
                                                                                                                                                                                                                                                                                     Kementerian Kesihatan Malaysia

  interactive nutrition                                Articles
  activities                                           • Published over 102
                                                          articles in English,
Publications for Public                                   Bahasa Malaysia &
• Published 11 practical nutrition guidebooks,            Chinese newspapers
 5 recipe books and 1 mini-booklet
                                                       Mass Media Promotions
                                                       • Disseminated messages
                                                          through radio,
                                                          television & website

  Visit our website to obtain more information on educational materials from the Nutrition Month
         Malaysia programme. We also welcome feedback/queries. To reach us, please contact:

    Chairman, Nutrition Month Malaysia                                VersaComm Sdn Bhd,
      Email: president@nutriweb.org.my      or                Nutrition Month Malaysia Secretariat
 Website: www.nutritionmonthmalaysia.org.my                      Tel: (03) 5632 3301/5637 3526

                    Nutrition Month Malaysia              @nutritionmonth_malaysia

                                               HE•AL 20
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