Understanding of cardiac risk factors is poor and people may not realise how exposed they are. Pawan Singh / The National
Understanding of cardiac risk factors is poor and people may not realise how exposed they are. Pawan Singh / The National

Region’s residents risk heart problems



ABU DHABI // Nearly nine out of ten people in the UAE are at risk of cardiovascular disease and one out of three of those is unaware of the fact.

A survey by the Emirates Cardiac Society of more than 4,000 people also revealed that people who discovered they were at risk did not seek medical help, mostly because they did not feel unwell.

Diabetes, hypertension, smoking, high cholesterol, obesity and a family history of cardiovascular disease are all risk factors.

Dr Alawi Alsheikh-Ali, the president of the ECS, said: “The findings are alarming. The risk factors may not have any symptoms and people don’t go to doctors because they don’t feel unwell.

“It’s not part of the culture here to go see the doctor if you have a headache or high blood pressure. People have to understand that they need to check for risk factors.”

The study looked at the prevalence of cardiac risk factors, whether screening was useful and what happened when people were made aware of the fact that they had a risk factor.

Dr Alsheikh-Ali said 85 per cent had at least one – with 30 per cent of those screened having high blood pressure, of which only 17 per cent knew of their condition.

“The magnitude of the problem is huge. The second thing is the average age is very low and, as the population ages, there will be huge economic consequences,” he said.

Engaging people in the community was the way forward, the cardiologist said. “We can’t tell why people are not seeking help. It is maybe because they have no health insurance or people don’t perceive it as a risk,” Dr Alsheikh-Ali said.

The researchers screened people – three quarters of whom were male and who had an average age of 38 – at four shopping malls, nine healthcare facilities, and three labour camps in five cities in UAE.

Dr Hani Sabbour, consultant cardiologist at Sheikh Khalifa Medical City, said that the incidence of severe heart disease presented itself 11 years earlier in Arabian Gulf countries compared with the United States and Europe.

“One of the youngest patients I saw was a 19-year-old who had a massive heart attack and had a blocked artery. This is almost unheard of in western medical literature,” Dr Sabbour said.

A lot of patients who have heart failure did not know their heart was weak, the doctor said.

“The understanding of the link between heart disease and diabetes and cholesterol is challenging because young people don’t have symptoms. Young people think ‘I don’t feel bad so why should I take medication?’,” he said.

Dr Sabbour said that patients might be reluctant to see a doctor, but if they were counselled properly, they would seek help. The problem needed to be addressed very early, Dr Sabbour said.

Dr Abdul Razzak Alkaddour, consultant physician and head of the smoke-cessation clinic at Sheikh Khalifa Medical City, said many people did not recognise smoking as a risk factor in cardiac disease.

“The culture of prevention does not exist in this part of the world and there is very little education about this in school or at university,” he said.

The study, titled Opportunistic Screening for CVD Risk Factors, The Dubai Shopping for Cardiovascular Risk Study, was conducted in 2013 and was released last month in the World Heart Federation's journal, Global Heart.

arizvi2@thenational.ae

It's up to you to go green

Nils El Accad, chief executive and owner of Organic Foods and Café, says going green is about “lifestyle and attitude” rather than a “money change”; people need to plan ahead to fill water bottles in advance and take their own bags to the supermarket, he says.

“People always want someone else to do the work; it doesn’t work like that,” he adds. “The first step: you have to consciously make that decision and change.”

When he gets a takeaway, says Mr El Accad, he takes his own glass jars instead of accepting disposable aluminium containers, paper napkins and plastic tubs, cutlery and bags from restaurants.

He also plants his own crops and herbs at home and at the Sheikh Zayed store, from basil and rosemary to beans, squashes and papayas. “If you’re going to water anything, better it be tomatoes and cucumbers, something edible, than grass,” he says.

“All this throwaway plastic - cups, bottles, forks - has to go first,” says Mr El Accad, who has banned all disposable straws, whether plastic or even paper, from the café chain.

One of the latest changes he has implemented at his stores is to offer refills of liquid laundry detergent, to save plastic. The two brands Organic Foods stocks, Organic Larder and Sonnett, are both “triple-certified - you could eat the product”.  

The Organic Larder detergent will soon be delivered in 200-litre metal oil drums before being decanted into 20-litre containers in-store.

Customers can refill their bottles at least 30 times before they start to degrade, he says. Organic Larder costs Dh35.75 for one litre and Dh62 for 2.75 litres and refills will cost 15 to 20 per cent less, Mr El Accad says.

But while there are savings to be had, going green tends to come with upfront costs and extra work and planning. Are we ready to refill bottles rather than throw them away? “You have to change,” says Mr El Accad. “I can only make it available.”

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Qualifier A, Muscat

(All matches to be streamed live on icc.tv) 

Fixtures

Friday, February 18: 10am Oman v Nepal, Canada v Philippines; 2pm Ireland v UAE, Germany v Bahrain 

Saturday, February 19: 10am Oman v Canada, Nepal v Philippines; 2pm UAE v Germany, Ireland v Bahrain 

Monday, February 21: 10am Ireland v Germany, UAE v Bahrain; 2pm Nepal v Canada, Oman v Philippines 

Tuesday, February 22: 2pm Semi-finals 

Thursday, February 24: 2pm Final 

UAE squad:Ahmed Raza(captain), Muhammad Waseem, Chirag Suri, Vriitya Aravind, Rohan Mustafa, Kashif Daud, Zahoor Khan, Alishan Sharafu, Raja Akifullah, Karthik Meiyappan, Junaid Siddique, Basil Hameed, Zafar Farid, Mohammed Boota, Mohammed Usman, Rahul Bhatia

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Three ways to limit your social media use

Clinical psychologist, Dr Saliha Afridi at The Lighthouse Arabia suggests three easy things you can do every day to cut back on the time you spend online.

1. Put the social media app in a folder on the second or third screen of your phone so it has to remain a conscious decision to open, rather than something your fingers gravitate towards without consideration.

2. Schedule a time to use social media instead of consistently throughout the day. I recommend setting aside certain times of the day or week when you upload pictures or share information. 

3. Take a mental snapshot rather than a photo on your phone. Instead of sharing it with your social world, try to absorb the moment, connect with your feeling, experience the moment with all five of your senses. You will have a memory of that moment more vividly and for far longer than if you take a picture of it.