Articles

Heart Health Among Malaysian Youth

What alarming trends are currently shaping the rise of heart-related issues for Malaysian youths, and how do these trends reflect broader societal changes?

  • The prevalence of heart-related issues and diseases among Malaysian youths is increasingly alarming, with rising obesity rates and sedentary lifestyles becoming significant concerns. Recently, the Ministry of Health, Malaysia (MOH) revealed that 32.5% of heart attack fatalities in Malaysia affect people under the age of 60. Although there was a decrease of 5.4% compared to 2021, there remains a substantial gap in heart health awareness. According to the MOH, approximately 43.7% of Malaysian youths aged 15 to 24 are classified as overweight or obese, highlighting the urgent need for intervention.

    This trend reflects broader societal changes, including a shift towards a more digital lifestyle. Young people spend excessive time on screens, leading to decreased physical activity. The growing consumption of processed foods high in sugars and unhealthy fats also contributes to this crisis, as many youths opt for convenience over nutrition.Moreover, the increase in ischaemic heart disease among younger populations is particularly troubling. Diseases of the circulatory system accounted for 20.79% of deaths in hospitals in 2022, underscoring the growing prevalence of heart-related issues among youths, according to a MOH report. This shift highlights the need for comprehensive public health strategies that address lifestyle choices and improve access to healthcare, particularly in urban areas where risk factors are more prevalent. As a society, we must prioritise education on heart health and promote healthier lifestyle choices among our youth to combat these alarming trends effectively.

In what ways does the intense academic and social pressure faced by Malaysian youths manifest in their heart health, and what coping strategies can be employed to combat these effects?

  • Intense academic and social pressures significantly impact the heart health of Malaysian youths, leading to chronic stress that can have serious cardiovascular consequences. This stress often manifests as elevated blood pressure, irregular heart rates, and increased cortisol levels, all of which are risk factors for heart disease. According to the MOH, mental health issues among youths are on the rise, with many experiencing anxiety and depression due to academic demands and social expectations. Unmanaged emotional stress can lead to conditions such as “broken heart syndrome,” where extreme emotional distress results in sudden heart failure.To combat these effects, it is essential to implement effective coping strategies. Schools and parents should promote stress management techniques, such as mindfulness practices, physical exercise, and balanced workloads. Encouraging participation in sports and recreational activities can provide an outlet for stress and foster a sense of community among youths. Integrating mental health education into school curricula can also help by equipping students with the necessary tools to manage stress effectively. By fostering an environment that prioritises mental well-being, we can help mitigate the negative impact of stress on heart health.


How does understanding one’s family health history empower Malaysian youths to take charge of their cardiovascular health, and what proactive steps can they take based on this knowledge?

  • Understanding family health history is a powerful tool for Malaysian youths in managing their cardiovascular health. Awareness of genetic predispositions to conditions such as heart disease, hypertension, and diabetes can motivate young individuals to adopt healthier lifestyles and seek regular medical check-ups. Those with a family history of heart disease are at a significantly higher risk of developing similar conditions. By being informed about their family health background, youths can take proactive measures to mitigate these risks, such as engaging in regular health screenings and adopting heart-healthy habits.

    Proactive steps include monitoring cholesterol levels, blood pressure, and body mass index through regular health check-ups. The MOH encourages young people to be vigilant about their health, particularly if they have a family history of cardiovascular issues. Additionally, young individuals should be encouraged to adopt heart-healthy habits, such as maintaining a balanced diet, exercising regularly, and avoiding smoking. By taking these steps, they can significantly reduce their risk of developing cardiovascular diseases later in life, leading to a healthier future.


How do cultural attitudes and beliefs in Malaysia influence the heart health behaviours of youths, and what role can community initiatives play in reshaping these perceptions for better health outcomes?

  • Cultural attitudes and beliefs in Malaysia significantly influence the heart health behaviours of youths. Traditional views on body image and dietary practices can lead to unhealthy eating habits and a lack of awareness regarding the importance of physical activity. For example, certain cultural practices may prioritise high-calorie foods during celebrations, overshadowing the need for healthier dietary choices. Additionally, there is often a lack of understanding about the risks associated with high cholesterol and its contribution to heart disease, as many believe that symptoms must be present for high cholesterol levels to be dangerous.

    Community initiatives can play a crucial role in reshaping these perceptions. By promoting awareness campaigns highlighting the importance of heart health, and the risks associated with unhealthy lifestyles, communities can foster a culture that values physical activity and nutritious eating. The MOH supports programmes involving local leaders, schools, and healthcare providers to disseminate information and encourage healthier behaviours effectively. For instance, organising health fairs that offer free health screenings and educational workshops can empower youths to make informed decisions about their heart health, ultimately leading to better health outcomes.


How can parents and educational institutions collaborate to create a holistic approach to heart health for Malaysian youths, and what specific initiatives can they implement to foster healthier lifestyles?

  • Collaboration between parents and educational institutions is essential for fostering a holistic approach to heart health among Malaysian youths. Parents can play a pivotal role by modelling healthy behaviours, such as preparing balanced meals, encouraging outdoor activities, and limiting screen time. The MOH emphasises the importance of family involvement in promoting health, as children are more likely to adopt healthy habits when they observe their parents practising them. Educational institutions can complement these efforts by integrating health education into their curricula, promoting sports and physical activities, and creating environments conducive to a heart-healthy lifestyle.

    Specific initiatives could include establishing after-school sports programmes, health clubs, and nutrition and healthy cooking workshops. Schools can also collaborate with local healthcare providers to organise community health fairs that offer screenings and educational resources.

    By working together, parents and educators can create a supportive framework that empowers youths to adopt healthier habits, ultimately reducing the prevalence of heart disease in this vulnerable population. Regular communication between parents and schools about health goals and activities can further reinforce these initiatives, ensuring that heart health remains a priority in the lives of Malaysian youths.

By Dr Dr. G. S. Sridhar, Consultant Cardiologist