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Khalib A. Latiff

Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia

Author-ID : 305196

Medicine & Pharmacology

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Articles

Lifestyle dominates cardiovascular risks in Malaysia Latiff, Khalib A.; Yusof, Khairul H.
Medical Journal of Indonesia Vol 17, No 1 (2008): January-March
Publisher : Faculty of Medicine Universitas Indonesia

Cardiovascular problem is one of the leading cause of death in Malaysia and now invaded to the sub-urban and rural areas. To prevent and control of this problem, several main risk factors needed to be known and shall be reexamined and ranked according to the priority. The objectives of this research paper was to identify several dominant risk factor related to cardiovascular problem. A cross sectional study was carried out from March 2000 â June 2001 on a total of 8159 rural population aged 18 and above to measure the prevalence of the common cardiovascular risk factors. Those risk factors are systolic blood pressure, diastolic blood pressure, serum cholesterol level, obesity index, blood glucose level, smoking, physical activity and mental stress. Overall prevalence of common cardiovascular risk factors were higher, dominated by physical inactivity (65.7%), hypercholesterolemia â TC:HC (62.3%), mental stress (55.5%) and obesity (53.7%). Smoking was also high at 49.9% especially among men. However systolic hypertension, diastolic hypertension and diabetes mellitus; although increased by age, its prevalence is relatively low at 23.7%, 19.2%, and 6.3% respectively. Cardiovascular risk factors related to lifestyle are much evidenced as compared to risk factors related to the biological influence. Therefore, all initiatives in community health intervention should be mobilized specifically on prevention and control of lifestyle-related risk factors. (Med J Indones 2008; 17: 50-6)Keywords: cardiovascular problem, community intervention, lifestyle-linked risk factors

Lessons learned from health and fitness prescription: a Malaysian experience Latiff, Khalib A.; Junid, Syed A.; Razak, Muhammad A.; Ali, Osman; Amin, Rahmah M.; Hazli, Khairul; Rahman, Rizam A.
Medical Journal of Indonesia Vol 16, No 1 (2007): January-March
Publisher : Faculty of Medicine Universitas Indonesia

Proportion of chronic diseases sufferers are increased by age. The usual control measures are therapeutic prescription and clinical counseling. However, its low compliance rate has interfered this effort. Therefore, community intervention can be a suitable prescriptive option to provide a long lasting effect. For that, a package of community intervention has been established in one sub-urban area in Malaysia to observe its acceptability, thus it can be acted as a social instrumentation to bring both biological and social benefits to this group of community. This study used quasi-experimental design on a cohort of elderly citizen aged 45 and above. Respondents are exposed to a mixed and planned prescribed fitness activity using participatory approach. Process involved in program implementation is closely observed both quantitatively and qualitatively. Community participation occurred in a positive and fast mode, with 78% being the elderly people aged above 45 years old. Initial observation revealed that about 47.6% suffering hypertension, while 38.4% hypercholesterolemia, 16.8% obese and 7.1% diabetes mellitus. Physically active members were moderate - about 31.0%. In term of process, participatory approach seems to be very effective to mobilize community towards health and fitness. A planned community fitness program is a form of social instrumentation to bring biological and social benefits to chronic diseases sufferers. It has also useful to promote favorable lifestyle and quality of life of this group of people. (Med J Indones 2007; 16:39-46) Keywords: community intervention, community participation, fitness program, disease burden

At what age group blood pressure discontinue to increase? An assessment using change-point analysis Latiff, Khalib A.; Yusof, Khairul H.; Yanuar, Fera
Medical Journal of Indonesia Vol 19, No 2 (2010): May
Publisher : Faculty of Medicine Universitas Indonesia

Aim To study at what age group blood pressure ceases to increase for women and men.Methods Applying change-point technique, we used our existing database - mega base-line cross-sectional Hulu LangatÂ Health Study that was initiated in 2000 - to locate the most appropriate age limit in planning promotive, preventive andÂ controlling strategies against systolic hypertension.Results Systolic hypertension was found to be constantly increasing for both gender right from the early age until theÂ middle age group. However, women achieved the systolic peak 15 years earlier (at 41-45 years old) than men (at 56-60Â years old). Systolic blood pressure was steadily declined after the peak.Conclusions Hypertension intervention, we recommend age before 40 (women) and 55 (men) be the most appropriate period toÂ apply various public health intervention, after that, the action must be exclusively curative. (Med J Indones 2010; 19:136-41)Keywords: change-point analysis, public health intervention, systolic hypertension

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