Dr Kogulakrishnan Kaniappan

Explore the new Women’s Cardiovascular Health Focus Issue, featuring sex-specific and gender-related insights into cardiovascular health and a strong focus on women’s experiences and outcomes. https://bit.ly/46XwFyq

Singgah Kedai Mamak Selepas Terawih? Fahami Apa Berlaku Pada Tubuh Apabila Anda Mengambil 'Moreh' Berat Pada Waktu Malam.

Alhamdulillah, selesai 20 rakaat solat Terawih, badan terasa ringan dan berpeluh. Memang seronok apabila dapat singgah bersembang di kedai makan bersama rakan-rakan jemaah. Sambil bersembang, hidangan roti canai dan teh tarik berais sering menjadi pilihan utama.

"Bolehlah makan lebih sikit, tadi dah bakar banyak kalori masa solat."

Kenyataan ini agak mengelirukan. Mari kita fahami sains metabolisme dan jam biologi (Circadian Rhythm) tubuh kita apabila kita makan makanan berat pada jam 11 malam:

1. METABOLISME SEDANG BEREHAT
Menjelang lewat malam, jam biologi tubuh telah bersedia untuk fasa tidur dan pemulihan. Kadar metabolisme dan sistem pencernaan anda secara semulajadi menjadi sangat perlahan berbanding waktu siang.

2. PROSES PENYIMPANAN LEMAK (LIPOGENESIS)
Roti canai (karbohidrat ringkas) dan teh tarik (gula tinggi) adalah penyumbang kalori yang sangat besar. Apabila kalori tenaga ini masuk ke dalam badan pada waktu anda hampir tidur, tubuh tidak mempunyai peluang untuk menggunakannya melalui aktiviti fizikal.
Kesannya? Hormon insulin akan segera menukar lebihan gula dan kalori tersebut menjadi lemak. Lemak ini akan disimpan terus di bahagian perut (Visceral Fat) sepanjang anda tidur!

3. GANGGUAN KUALITI TIDUR DAN ASID PERUT
Makanan yang berminyak dan berat memerlukan masa berjam-jam untuk dihadam. Apabila anda baring dengan perut yang penuh, ia bukan sahaja mengganggu fasa tidur nyenyak (Deep Sleep) anda, malah meningkatkan risiko asid perut menolak naik ke kerongkong (GERD). Anda mungkin akan bangun sahur dalam keadaan letih, sebu, dan pedih ulu hati.

PANDUAN MOREH MESRA PERUT:
Keinginan untuk mengunyah selepas Terawih adalah tindak balas normal tubuh yang kehilangan tenaga. Namun, pilihlah alternatif yang lebih ringan dan mudah dihadam.
Sekiranya lapar, nikmatilah segelas susu suam, sepotong buah-buahan seperti betik, atau segenggam kekacang panggang (almond/walnut). Ia memberikan rasa kenyang tanpa membebankan organ pencernaan anda.

Kongsikan fakta kesihatan ini bersama ahli keluarga dan rakan jemaah anda. Pilihan moreh yang bijak akan memastikan badan anda kekal bertenaga dan sihat sepanjang bulan Ramadan ini.

🫀✨ How body fat distribution shapes cardiovascular ageing — differently for men and women!
A fascinating analysis of over 21,000 UK Biobank participants shows that where we store fat matters far more than how much we store when it comes to cardiovascular ageing.
Using machine learning applied to advanced MRI phenotyping, the study reveals:

🔥 Key insights
• Visceral fat is the strongest driver of accelerated cardiovascular ageing in both sexes.
• Liver fat and muscle fat infiltration also worsen biological cardiovascular age.
• In men, android and abdominal subcutaneous fat further increase age-delta.
• In pre-menopausal women, gynoid fat (hips & thighs) is protective — a remarkable sex-specific effect.
• BMI falls short as a risk marker: many individuals are misclassified compared to MRI-based fat mapping.
• Lipid and inflammatory biomarkers (ApoB, LDL, glycoprotein acetyls) track closely with age acceleration, while HDL and DHA appear protective.
• Physical activity improves biological age — yet visceral fat remains a consistent adverse factor.

💡 Why it matters
These findings highlight fat distribution, not weight alone, as a crucial modifiable determinant of cardiovascular health and ageing. They also underscore the importance of sex-specific mechanisms, including the protective role of oestradiol and gluteofemoral fat in women.
A promising direction for future therapies targeting:
✨ visceral adiposity
✨ metabolic inflammation
✨ adipose tissue function

https://academic.oup.com/eurheartj/article-abstract/46/46/5089/8237966?redirectedFrom=fulltext&login=false

🫀📊 New long-term study: Physical activity may matter MORE than diet alone for reducing cardiovascular & all-cause mortality.
Even active people with less-than-ideal diets had lower death risk than inactive individuals.
Move your body. Consistently. 💪🚶‍♂️

https://www.sciencedirect.com/science/article/abs/pii/S0899900723002149

“ May this Pongal bring abundance, peace and lasting happiness to everyone ” 🌾

The new 2026 ACC/AHA/Multisociety Clinical Performance and Quality Measures for Patients With Peripheral Artery Disease (PAD) provide a comprehensive framework for assessing and improving PAD care across various clinical settings.

Get the details in : https://bit.ly/45xtCMK

Insurance ‘Quotas’ Prioritising Outpatient Over Inpatient Care May Hurt Patients — Kok Mun Sum Insurers' directives to raise the quota of outpatients over inpatients for certain illnesses, including dengue, may subtly undermine medical judgement. Dengue can worsen rapidly. When insurers apply pressure to reduce admissions, the safety margin narrows.

Use ’s latest infographic on respiratory infections to talk to your patients about 5️⃣ ways to protect their heart this flu season.

Explore additional resources on the 🆕 Respiratory Infections and Your Heart hub ➡️ https://bit.ly/49XYbOQ