Managing Obesity: A Doctor's Chat on Diet and Healthy Living

 Managing Obesity: A Doctor's Chat on Diet and Healthy Living 

Doctor: "Good morning, Mr. Tan! How’s everything going? I see you’ve come in for your check-up today."

Mr. Tan: "Hi, doctor. I’ve been okay, but I’ve noticed my weight has been going up slowly. I’m not sure what I’m doing wrong with my diet or activity. What do you think?"

Doctor: "It’s great that you’re paying attention to your health. Gradual weight gain is something a lot of people overlook, but it can lead to bigger issues like diabetes or high blood pressure. Let’s talk about how you can make some changes to your lifestyle."

Obesity in Malaysia: A Growing Career

Obesity is a growing health issue in Malaysia, with nearly half of adults classified as overweight or obese. Managing obesity starts with small, sustainable changes, especially in diet and physical activity.

Starting with Diet: Small, Manageable Changes

Doctor: "The first step is focusing on your diet. Do you know your BMI, or body mass index?"

Mr. Tan: "I’ve heard of it, but I don’t really know what mine is."

Doctor: "Your BMI helps us understand your risk for obesity-related health problems. If your BMI is 23 or higher or your waist is more than 90 cm, it’s a sign to make some changes. For diet, focus on balance. What’s your usual meal like?"
Mr. Tan: "I often grab fast food because I’m busy."

Doctor: "Small changes can make a big difference. Try swapping fried foods for grilled ones and add more vegetables. It’s not about giving up your favorite foods but balancing them."

Dietitian's Role in Weight Management

Doctor: "I also recommend meeting with a dietitian. They’ll help personalize your meal plans to fit your lifestyle. You don’t need to stop eating nasi lemak or roti canai—just try smaller portions and add vegetables."

Physical Activity: Small Steps to Get Moving

Doctor: "How much exercise do you get each week?"

Mr. Tan: "Not much, honestly. I’m always tired after work."

Doctor: "Even small steps can help. Aim for at least 30 minutes of moderate activity each day. You don’t need to go to the gym—simple activities like walking or cycling can make a big difference."

Clinical Practice Guidelines (CPG) Malaysia for Obesity Management

The CPG guidelines recommend starting with lifestyle changes like diet and physical activity. If necessary, medication or bariatric surgery can be considered, but they are typically the last resort.

Australian Studies on Obestiy: Insights and Recommendations

In Australia, studies emphasize the role of obesogenic environments—places that promote unhealthy eating and sedentary behavior. Australian guidelines recommend focusing on balanced nutrition and physical activity to reduce obesity. Research indicates that improving diet and activity significantly lowers the risk of type 2 diabetes and other obesity-related issues. These findings align with our approach in Malaysia, reinforcing that even small dietary changes can have a major long-term impact.

Childhood Obesity: A Growing Issue

Doctor: "Obesity isn’t just a problem for adults. Childhood obesity is rising too. Have you noticed anything in your son’s eating or activity habits?"

Mr. Tan: "He’s a bit overweight, and I know he spends a lot of time on screens."

Doctor: "Encourage healthy eating habits—offer more fruits and vegetables, limit sugary snacks, and get him active. At least 60 minutes of physical activity a day is recommended for kids. The CPG guidelines suggest a step-by-step approach, starting with counseling and, if needed, exploring other treatments."

Staying on Track: The Power of Small War 

Doctor: "The key to success in managing weight is making small, consistent changes. Reduce portion sizes, cut back on sugary drinks, and walk a bit more every day. It’s not about perfection but progress."

Mr. Tan: "Thanks, doctor. That sounds doable. I’ll start today!"

Doctor: "I’m sure you’ll do great. Remember, we’re here to support you. Whether it’s diet, exercise, or just checking in on your progress, we’re with you every step of the way."

Conclusion: A Healthier Malaysia Starts with You

Obesity is a serious health concern, but with the right support, it’s manageable. By focusing on healthy eating, staying active, and making small, sustainable changes, you can improve your health and prevent obesity-related diseases. Whether it’s for yourself or your family, everyone plays a role in managing obesity. Start with small, consistent steps, and your doctor and dietitian will be there to guide you along the way. Australian studies show that balancing diet, exercise, and lifestyle changes can significantly reduce obesity risk. A healthier Malaysia starts with you.

Dr. Lee Pei San ( Dr. Sandy Lee)
M.D. (USM)
MMED candidate in sexual and reproductive health (SYD, AUS)