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Heart patients need more help to lose weight

Positive associations were found between lifestyle improvements and weight loss in obese or overweight patients. Compared to those who gained 5% or more of their body weight, those who lost at least 5% of their body weight had more frequently reduced fat and sugar intake, increased consumption of fruit, vegetables, and fish, done regular physical activity, attended a cardiac rehabilitation and prevention program and followed dietary advice from a health professional.

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Weight loss is given insufficient priority in the management of heart patients despite the benefits, according to a study published today in European Heart Journal – Quality of Care and Clinical Outcomes, a journal of the European Society of Cardiology (ESC).

The study of more than 10,000 patients found that less than 20% had a healthy body mass index (BMI) at the time of hospitalisation for a heart event. Some 16 months later, 86% of patients who were obese during hospitalisation were still obese while 14% of overweight patients had become obese. Young women were particularly affected, with nearly half of those under 55 years being obese. Yet more than a third of obese patients said they had not received advice on physical activity or nutrition and nearly one in five said they had not been informed that they were overweight.

“It seems that obesity is not considered by physicians as a serious medical problem, which requires attention, recommendations and obvious advice on personal weight targets,” stated the authors.

Weight loss is strongly recommended in overweight and obese patients with coronary heart disease to improve blood pressure and lipids levels and reduce the risk of type 2 diabetes, thereby lowering the likelihood of another heart event. This study investigated the management of patients who were overweight or obese at the time of hospitalization for a first or recurrent heart event (e.g. heart attack or elective procedure to unblock clogged arteries). The researchers examined lifestyle advice received, actions taken, and the relationship between weight changes and health status.

The researchers pooled data from the EUROASPIRE IV (2012 to 2013) and EUROASPIRE V (2016 to 2017) studies, which were conducted in 29 countries. The analysis included 10,507 patients with coronary heart disease. Patients were visited 6 to 24 months after hospitalisation for their heart event (the average gap was 16 months). The visit consisted of an interview, questionnaires and a clinical examination including weight, height and blood tests.

One in four participants (24.8%) were women and the average age at the time of hospitalisation was 62.5 years. At the time of hospitalisation, 34.9% of patients were obese and another 46.0% were overweight.3 By the time of the study visit (on average 16 months later), an even greater proportion of patients were obese (36.9%). Rates of obesity rates were higher in younger patients with a prevalence of 40.1% in those aged under 55 years (men 38.3%, women 48.4%).

Regarding the link between weight changes and health status, overweight or obese patients who lost 5% or more of their body weight had significantly lower levels of hypertension, dyslipidaemia, and previously unrecognised diabetes compared to those who gained 5% or more of their body weight – despite being equally treated with blood pressure and lipid lowering medications. They also reported higher levels of physical and emotional quality of life.

As for the advice patients received, half of all patients were advised to follow a cardiac prevention and rehabilitation programme, with no difference in advice according to their weight status. For obese patients, less than two-thirds were advised to follow dietary recommendations (63.7%) or to do regular physical activity (64.2%).

Positive associations were found between lifestyle improvements and weight loss in obese or overweight patients. Compared to those who gained 5% or more of their body weight, those who lost at least 5% of their body weight had more frequently reduced fat and sugar intake, increased consumption of fruit, vegetables, and fish, done regular physical activity, attended a cardiac rehabilitation and prevention program and followed dietary advice from a health professional.

The authors noted that weight gain was significantly associated with smoking cessation. In patients who were overweight or obese at hospitalisation, those who quit smoking gained 1.8 kg on average in contrast to the 0.4 kg average weight gain observed in persistent smokers.

Study author Professor Catriona Jennings of the National University of Ireland – Galway said cardiac rehabilitation programs, which typically emphasize exercise, should give equal priority to dietary management. She said: “Weight loss is best achieved by adopting healthy eating patterns and increasing levels of physical activity and exercise. Whilst actively trying to lose weight at the same time as trying to quit smoking is not advised, adopting a cardio-protective diet and becoming more physically active has the potential to mitigate the effects of smoking cessation on weight gain in patients trying to quit. Their aim is to maintain their weight and to avoid gaining even more weight following their quit.”

“Uptake and access to cardiac rehabilitation programs is poor with less than half of patients across Europe reporting that they completed a program,” added Professor Jennings. “Such programs would provide a good opportunity to support patients in addressing overweight and obesity, especially for female patients who were found to have the biggest problem with overweight and obesity in the study. Uptake and access could be improved with the use of digital technology, especially for women, who possibly are less likely to attend a program because they have many other competing priorities, such as caring for others. There are good reasons for people to address their weight after a cardiac event. – but it’s not easy and they do need help.”

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Celebrating World School Milk Day by making milk safe and accessible to Filipino school children

Tetra Pak believes that attaining a sustainable future is anchored on initiatives protecting people and the planet. That is why alongside its efforts in ensuring safe nutrition for children, Tetra Pak is also helping promote sustainability in various communities by providing recycling training for teachers and students.

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In light of World Milk School Day, a global event celebrating the benefits and success of school milk programs, world-leading food processing and packaging solutions company, Tetra Pak, draws attention to the role of multi-stakeholder collaborations to sustainably address childhood nutrition by making fresh milk safe and accessible for everyone.

In the Philippines, Republic Act 11037 also known as an Act Institutionalizing a National Feeding Program for Undernourished Children in Public Day Care was a breakthrough development that mothered the School-Based Feeding Program (SBFP) of the Department of Education.

For the 2020-2021 School Year, it surpassed the target of providing nutritious food products and pasteurized or sterilized milk to 1.7 million beneficiaries from primary public school students in daycare, kindergarten, and elementary schools across the country. Despite the many challenges posed by the COVID-19 pandemic, DepEd SBFP recorded an achievement rate of 183.46% for the milk component and  198.15% for the Nutritious Food Products (NFP) component for the 2020-2021 School Year.  

As the SBFP aims to reach more schoolchildren and communities, RFM Corporation, a home-grown food and beverage leader, highlights the advantages of using UHT milk or milk that went through Ultra High-Temperature pasteurization, thus is safer and has a longer shelf life. This is an important feature considering infrastructure challenges and the lack of refrigeration to distribute the milk in far-flung areas.

Tetra Pak has been helping RFM Corporation deliver Selecta Kids Fortified Milk in Tetra Wedge® Aseptic 200ml Slim, a carton package that protects both the nutritional value and the taste of the milk for up to 12 months. Introduced in 2021, so that children in various parts of the country could have access to safe nutrition, Tetra Wedge® Aseptic Slim uses aseptic technology to ensure that the packaging materials and product inside it are free from harmful bacteria. Like all Tetra Pak carton packages, it’s made of renewable materials and recyclable paperboard, making it one of the best ways to feed the future sustainably.

According to Ms. Marie Concepcion-Young, Senior Vice President and General Manager, Consumer Group of RFM Corporation, “Milk help school kids reach their physical and cognitive potential. Aside from making it accessible, it is imperative that the milk stays fresh and safe even as we transport it to hard-to-reach areas or those with limited storage facilities.” 

During the first phase of SBFP Milk Component, Selecta Kids Fortified Milk in Tetra Wedge® Aseptic 200ml Slim was delivered to schools in Bicol, Davao, and Soccsksargen regions benefitting 359,557 school children. Tetra Pak together with Tetra Laval Food for Development is likewise providing practical support where they share best practices in school milk programs organization and implementation, as well as providing environmental education.

“For decades, we have been working with our customers and relevant stakeholders to support school feeding programs around the world because we believe these are effective in addressing poor health and nutrition in disadvantaged communities,” said Michael Wu, Managing Director, Tetra Pak Malaysia, Singapore, Philippines, and Indonesia.

He adds that “We are committed to making food safe and available, everywhere.  That is why we make sure that school children get all the goodness of milk to have the energy to stay in school and get that brain boost they need for learning.”

Tetra Pak believes that attaining a sustainable future is anchored on initiatives protecting people and the planet. That is why alongside its efforts in ensuring safe nutrition for children, Tetra Pak is also helping promote sustainability in various communities by providing recycling training for teachers and students.

“Whether it is addressing food availability or environmental concerns, we believe that real, lasting impact in society can be achieved if stakeholders work together,” Wu concludes.

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The Bellevue Resort leads international coastal cleanup #SeaTheChange in Bohol

The Bellevue Resort – Bohol is a two-time ASEAN Green Hotel awardee, proudly a leader for sustainability.

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More than half a thousand volunteers from local organizations and private sectors, including frontliners, professionals, employees, students, divers, and many more gathered together to collect and segregate an estimated 1,713 kg of non-biodegradable waste at the recently concluded 37th International Coastal Cleanup (ICC) day hosted by The Bellevue Resort in Doljo Beach, Panglao, Bohol.

The Bellevue Resort – Bohol is a two-time ASEAN Green Hotel awardee, proudly a leader for sustainability. This eco-friendly five-star hotel has consistently spearheaded meaningful initiatives for responsible tourism in Bohol since its opening in 2012. Today the resort continues to head and take part in various efforts to promote environmental protection and conservation in the Philippines.

To know more about the resort, visit www.thebellevuebohol.com.

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5 Affordable and simple ways everyone can be an eco warrior

Understanding that collective effort is the way to go, retail giant SM Supermalls is committed to helping all Filipinos make more environmentally friendly choices in every aspect of their life.

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From changing weather patterns to disease outbreaks, we are already feeling the effects of global warming. We need to act now and work together in protecting the planet.

Understanding that collective effort is the way to go, retail giant SM Supermalls is committed to helping all Filipinos make more environmentally friendly choices in every aspect of their life.

“Many people care about the planet but find it hard to create a green lifestyle because of limited time or budget. That’s why we have community programs that make it more convenient and affordable to be an eco-warrior,” says Jonjon San Agustin, SVP for Marketing, SM Supermalls.

Here are five easy ways on how you and your family can live greener.

Segregate your trash and Trash to Cash

Segregating your biodegradable and recyclable waste reduces the amount of trash that goes into landfills. Have separate containers for different kinds of trash: biodegradable for food and garden waste; recyclable for plastic, paper, and metal waste; residual waste for trash that can’t be recycled including used tissue or paper plates; electronic waste for old batteries or broken gadget which shouldn’t be mixed with other waste because they contain metals that can contaminate the soil.

You can bring your recyclable waste to SM Supermalls’ Trash to Cash Recycling Market, held 10 am to 2 pm on every first Friday and Saturday of the Month. Visit this link to find the kiosk locations near you.

Limit the use of plastic through Plastic Waste Collection

Did you know that it takes plastic over 1,000 years to decompose?

About 10% of plastic materials will end up in the ocean and can kill marine life. In the Philippines, plastic waste often congests sewage systems causing floods. You can avoid using single use plastic by bringing your own reusable containers or eco bags when going to the groceries.

You can also buy items in eco-friendly packaging.

Plastic cutlery and straws are optional during order delivery or takeout. For dine-in, you can have your own eco-kit which has a drinking bottle, a set of utensils, and a foldable eco bag. Go green anytime and anywhere!

You can also recycle your plastic waste through SM Supermalls’ Plastic Waste Collection programs. Make it a fun weekend and volunteer for SM by the Bay and SM Mall of Asia’s regular ocean clean-up drives.

Plant a garden

Plants help stop climate change by removing carbon dioxide from the air. If you don’t have a large yard for a garden, you can still get houseplants! There are many creative and beautiful ways to add more plants to a small home like using a backless bookshelf or installing vertical gardens.

Get plants, tools, and expert tips on how to take care of your home garden at SM Mall. You can also find beautiful containers like terrariums and plant hangers that are made by Filipino SMEs.

Buy eco-friendly products

Choose more environmentally friendly products to gradually create a sustainable lifestyle.

Environmentally friendly products can be reusable or biodegradable. They are usually made from sustainable materials with eco-friendly packaging. They also produced less toxic waste during manufacturing and after disposal.

You can find thousands of eco-friendly products within SM malls through the recently launched Green Finds pop-up stores. The selection of products can help go green in every aspect of your life.

Reuse as much as you can

Before you throw anything away, consider if the item can be either upcycled into something useful, or donated to someone who needs it. SM holds regular toy and book drives, where you can even get discount vouchers to use in the store.

Join the Green Movement

The SM Green Movement is a collective effort of SM, its customers, communities, and partners to promote green living, green culture and a green planet. For more information, visit this website.

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