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Showing posts with label Revathi Murugappan. Show all posts
Showing posts with label Revathi Murugappan. Show all posts

Saturday, February 28, 2026

5 Exercises Seniors Should Do Every Day, You only need these five exercises to strengthen your muscles

 



A glute bridge primarily targets the gluteus maximus (buttocks), hamstrings (back of thighs), and core muscles, including the abdominal muscles and lower back. — Photos: Freepik

A few targeted exercises can help tone up the muscles matter most

By now, you should know the benefits of building strength, especially as you age.

Strength training and cardiovascular exercises are equally important, with studies showing that combining both provides the lowest mortality risk and the best overall health outcomes.

Cardiovascular exercises are best for heart, lung and endurance health, while strength training is vital for muscle growth, bone density, metabolism, injury prevention and maintaining independence.

Numerous research reveals that significant improvements are possible even if you start strength training in your 80s and 90s. 

That said, you don’t have to sign up for gym memberships or buy fancy equipment to begin a programme.

All you need is your own body.

Instead of working out different body parts on different days, the focus here is to do a few targeted exercises to help tone up the major muscle groups to improve your balance, flexibility and posture. 

The emphasis is on the knees, hips, back and shoulders because these joints and their surrounding muscles are the primary drivers of human movement and are heavily used in daily activities like walking, sitting, bending and lifting.

The calves are also important. as building muscles in this area improves venous return – i.e. the process of blood flow back to the heart, which can decrease peripheral resistance and help stabilise or lower blood pressure.

When calf muscles contract, they compress the deep veins in the legs, effectively pumping blood against gravity toward the heart. This helps prevent blood pooling in the lower extremities and reduces the workload on the heart.

Ultimately, everyone’s aim is to be mobile till the last breath.

Here are five essential bodyweight exercises suitable for all ages and fitness levels.

Perform 10-12 repetitions of all exercises once a week, then progress to twice a week and if it gets too easy, repeat the circuit two or three more times or increase the repetitions to 15.

More importantly, do them in a controlled tempo to maximise muscle tension and safety.

By training once a week, you should feel stronger and more energetic in as little as three weeks.

However, visible, significant physical changes generally take about two to four months of consistent, once-a-week training.

There are no shortcuts, unfortunately.

By Revathi Murugappan,  a certified fitness trainer who tries to battle gravity and continues to dance to express herself artistically and nourish her soul. For more information, email starhealth@thestar.com.my. The information contained in this column is for general educational purposes only. Neither The Star nor the author gives any warranty on accuracy, completeness, functionality, usefulness or other assurances as to such information. The Star and the author disclaim all responsibility for any losses, damage to property or personal injury suffered directly or indirectly from reliance on such information.

Monday, December 8, 2025

Plaque in the neck, Cleaning out the carotid artery

 

Cleaning out the carotid artery

A carotid endarterectomy is a surgical procedure to remove plaque from this important artery that supplies the brain, without which, a stroke could occur.

A STROKE occurs when an artery that carries oxygen and nutrients to and within the brain is either blocked by a clot or bursts.

The most common type is an ischaemic stroke, which is caused by a blood clot or fatty deposits (plaques) blocking or narrowing an artery (resulting in stenosis).

Meanwhile, an haemorrhagic stroke occurs when a blood vessel in the brain leaks or ruptures.

Sometimes, there may only be a temporary disruption of blood flow to the brain.

This is known as a transient ischaemic attack (TIA), where symptoms are momentary and resolve on their own in a few minutes, or at most, within 24 hours.

The symptoms – similar to a stroke – include sudden numbness or weakness in the face, arms or legs on one side of the body, trouble speaking, vision problems in one or both eyes, dizziness, and loss of balance resulting in a sudden fall.

Often referred to as mini stroke, a TIA is actually a warning sign of a future stroke, but because the symptoms are brief, people usually just shrug them off.

A shocking discovery

This is what happened to Indonesian businessman Eddy Giantono, 74, who experienced sudden weakness on his left arm, but felt fine subsequently.

He thought nothing of it, but mentioned the incident in passing to his family members.

While Eddy is not a smoker, he has been on medications to manage his high cholesterol, high blood pressure and diabetes for the past 20 years.

In addition, he suffered a heart attack 12 years ago and had to undergo heart bypass surgery.

Due to his medical history and noting that he was getting weaker, his family immediately took him to consult a doctor in Yogyakarta, where they live.

“The doctor said I had suffered a mild stroke (TIA) and there were many blockages in my carotid arteries (blood vessels that extend from each side of the neck to the skull).

“He recommended putting stents in, but since my heart bypass surgery was performed in Penang, I decided to seek a second opinion there as I have more confidence in the Malaysian healthcare system.

“Here I was told both my carotid arteries were blocked by 95% and 75% respectively, and I needed surgery.

“My doctor then referred me to another private hospital in Klang, Selangor,” recalls Eddy in a recent interview.

Removing the plaque

Treatment options to treat a blocked carotid artery depend on the severity of the blockage.

They typically involve a combination of lifestyle changes, medication, and medical procedures or surgery.

A blockage in the right carotid artery primarily affects the left side of the body.

This is because the brain has a “crosswired” structure, meaning the right side of the brain controls the left side of the body and vice versa.

As Eddy was a high-risk patient, he was advised to do a carotid endarterectomy on the right side.

As the block in the left carotid artery had not caused any symptoms, his doctor, consultant vascular and endovascular surgeon Dr Yow Kuan Heng, decided to take a wait-and-see approach.

A carotid endarterectomy involves making an incision in the neck, opening the carotid artery and physically removing the plaque build-up before the artery is stitched closed, often with a patch to widen it.

“Initially, my father wanted to postpone the operation as I was getting married, but the surgeon firmly said no as he was in danger of getting a stroke that could be fatal.

“So although he is a stubborn man, he had no choice but to agree,” says daughter Anatasya Giantono.

The surgery, carried out in August, was successful, and Eddy was already walking the next day, determined to go home as he didn’t want to change Anatasya’s wedding date.

“Even when he was in the intensive care unit, he insisted on being discharged,” she says, laughing.

“He gets homesick easily and doesn’t like being away for long periods.”

A week after he returned home, Eddy proudly walked his firstborn down the aisle. No one could tell he had recently undergone a complicated surgery.

Today, Eddy says he is “sihat sekali” (very well) except for speaking with a

slight lisp, which Dr Yow has said will normalise in time.

The surgical scars at his neck are fading fast and he has resumed his normal routine.

Thanks to early intervention, Eddy was most likely saved from a major stroke in the nick of time.

Get assessed quickly

Atherosclerosis – the thickening or hardening of the arteries caused by a build-up of plaque in the inner lining of an artery – can affect almost any artery in the body, including those in the heart, brain, arms, legs, pelvis and kidneys.

If the build-up is in the neck, it is called carotid artery disease; in the heart, it is coronary artery disease, in the leg, it is peripheral artery disease, etc.

According to Dr Yow, carotid stenosis from narrowing in the neck area is the fastest rising cause of ischaemic stroke in the world, particularly in the Asian region.

“Traditionally, doctors from this region felt that most strokes were happening in the skull, but that pattern has now changed due to the diabetic pandemic.

“The risk of a stroke is greatest when the narrowing in the neck is higher than 50% (classified as critical carotid stenosis).

“If there is a major stroke, you need drugs to break up the clot, but for TIA, you need to see a vascular surgeon as soon as possible to get assessed by scans,” he says.

A TIA is usually an indication of an unstable plaque in an artery supplying the brain, which can rupture at any time and cause a blood clot to form.

This clot can then break off, travel to the brain and block blood flow, leading to a stroke.

“It is important for the public to know that carotid endarterectomy is the firstline treatment for symptomatic carotid stenosis.

“In surgery, you immediately clamp the artery before opening it up, but in stenting, you have to push a guided wire through a hot zone of clot.

“That process, even with protection devices or filters, has a higher rate of stroke than surgery,” explains Dr Yow.

He adds: “In Eddy’s case, after discussions with my multidisciplinary team, we decided to operate only on the side that was symptomatic because he has moderate heart failure.

“Since he had no symptoms on the left side, we didn’t touch it.

“If he develops symptoms in future, then we have to think about surgery.”

He emphasises that physiotherapy must be done as soon as possible after surgery, and on average, patients are discharged from hospital by day three.

A repeat scan of the repaired carotid artery is carried out six weeks after surgery.

So, if you experience a TIA, head to the doctor as soon as possible and request for a carotid artery ultrasound or computed tomography (CT) angiography.

Don’t delay as every minute can make a difference.

The Star Malaysia
By REVATHI MURUGAPPAN starhealth@thestar.com.my


Related article:

24 Jul 2025 — Carotid artery disease occurs when fatty deposits, called plaques, clog the blood vessels that deliver blood to the brain and head (carotid ...
carotid artery disease from www.mayoclinic.org

Sunday, February 4, 2024

Just clap your hands a few seconds a day for health

Clap for health

Monday, October 30, 2023

How to lose weight without exercising

 

Most adults need seven to eight hours of sleep every night to restore and repair the body. — TNS


Who doesn’t want to be lean and slim without putting in effort?

Physical activity or exercise has plenty of physical, emotional and mental benefits, but it doesn’t necessarily mean you will shed the kilos easily by partaking in it.

Some people hate exercising and are not motivated to push or challenge themselves – they simply don’t get the same endorphin release as others.

Reluctant exercisers need external motivators to keep going, like the promise of boosting their overall health, to look good, or because their physician has said they must do so to stay alive.

Our ancestors remained active out of necessity, not choice: they had to move to hunt for food.

Once fed, they rested to conserve energy because there was nothing much to do.

When food supply diminished, they’d be on their feet, hunting again.

Resting is a natural human tendency, so don’t beat yourself up if that’s what you like to do.

With advances in technology and labour-saving devices, the world is now accessible with our fingers, and even minimal movement seems to have taken a backseat.

That’s why we are blossoming sideways.

Is that bad?

It depends on how much weight you’re putting on.

One 2021 study published in the Annals of Epidemiology found that people who started adulthood with a body mass index (BMI) in the normal range, and became overweight – but never obese – in later life, tend to live the longest.

Adults in this category lived longer than even those whose BMI stayed in the normal range throughout their life.

However, those who started adulthood as obese and continued to add weight had the highest death rate.

So, a bit of extra weight is okay as long as you don’t balloon out of control.

Any healthy person can lose weight without exercising – you just need a lifestyle tweak and some discipline.

Prioritise what you enjoy doing instead of struggling to achieve unrealistic goals.

Try some of the following tips to help you trim down.

Chew your food thoroughly and savour every morsel before you swallow it to feel full faster. — AFP

> Hydrate with water


Make it a point to drink two glasses of water after waking up to help “activate” your internal organs.

The water will help to remove any toxins before your first meal of the day.

Water helps regulate body temperature, lower blood pressure, carry nutrients and oxygen to various cells, and maintain optimal kidney function.

Replacing sugary drinks and alcoholic beverages with water can help reduce your daily caloric intake.

Whenever you feel hungry, you may actually be thirsty, or even slightly dehydrated.

So don’t reach out for snacks, but drink a big glass of plain water first – and ideally wait 30 minutes before eating.

Drinking water prior to meals can help you feel fuller and reduce your overall food intake, which can lead to weight loss over time.

If plain water isn’t appealing, try adding fruit slices like oranges, or herbs like mint, lemon and rosemary, for extra flavour and nutrients.

> Eat slowly and mindfully


Instead of munching down solid food, especially poultry and meat, chew thoroughly.

Some time back, I attended a wellness retreat where we were told to chew every mouthful 27 times and savour all the flavours before swallowing.

The food almost turns to liquid by the time it goes down the throat.

Not only does this increase the amount of nutrients absorbed by the body, it’s also easier on the digestive process.

Additionally, longer chewing also helps develop a stronger jaw and chin, suppress hunger and gets you full faster, aiding in your weight loss journey.

> Load up on fibre and protein


You don’t have to eliminate all carbohydrates, just minimise overly-processed ones, such as white breads and pre-packaged foods like cookies and crackers.

This is because such foods are rapidly digested and converted into blood sugar.

Instead, consume more protein and fibre.

Protein takes longer to digest and decreases the level of the hunger-regulating hormone ghrelin, making you feel fuller for a longer period.

Fibre expands in your gut like a sponge, so it’s a natural appetite suppressant.

It also moves faster in your intestines, which signals to the brain that you are full.

Along with lean meats and poultry, add on a good mix of fresh fruits, vegetables and whole grains to make up the rest of the meal.

Even a five-minute break to take deep breaths at work can do wonders to bring down stress levels. — AFP

> Scale back on added sugar


Sugar itself doesn’t make the weighing scale jump up, but it tends to be in foods that have too many calories.

Whether it’s soft drinks, teh tarik or desserts, it should be the first thing to go if you’re trying to lose weight.

The sweet stuff is also hidden in all sorts of foods from salad dressing to sauces to canned fruits, so don’t be deceived that you’re eating a healthy salad when you’ve doused the greens with salad dressing.

ALSO READYou wouldn't expect to find sugar in these foods

When it comes to caffeinated beverages, skip the sugar, honey and creamer if possible, as these can quickly add to the calories.

Having your tea or coffee black is best, but if like me, you need to add some milk, opt for skim or low fat over full cream.

By eliminating sugar, you can lower your risk of heart disease dramatically because too much sugar in your diet heightens your risk of high blood pressure, obesity, and diabetes – the three main risk factors for heart disease and cardiovascular decline.

ALSO READWhat you can do to reduce heart attack and stroke risk

> Manage stress levels


This is hard for everyone, but we’ve got to try.

When the body is under pressure, it releases the hormone cortisol, which is linked to increased appetite and fat storage.

Excess cortisol levels can increase appetite and cravings for energy-dense, comfort foods.

High cortisol levels over time have also been linked to abdominal fat gain.

Take time daily to do something to lower the stress levels: laugh, read a good book, play with a pet or just take deep breaths.

Find a quiet corner at work, close your eyes and spend five minutes mid-morning and in the afternoon to do a few rounds of deep breathing by inhaling through the nose and exhaling through the mouth or nose.

Do this again in bed, just before you sleep.

> Get proper sleep


Your body relies on sleep to restore and repair itself, and getting enough rest can also benefit your weight-loss efforts.

There is mounting evidence that people who get too little sleep have a higher risk of weight gain and obesity than people who get seven to eight hours of sleep a night.

Sleep deprivation changes your endocrine function and metabolism by affecting your production of the hunger-regulating hormones ghrelin and leptin.

This can make you feel hungrier than usual, increasing the likelihood of craving for unhealthy snacks.

It’s no surprise that when you’re exhausted, it’s harder to control your impulses for comfort food like cookies, chocolates and ice cream.

Practise good sleep hygiene by sleeping at the same time every day, switching off all gadgets two hours before bedtime and ensuring the room temperature is comfortable.

By Revathi Murugappan who is a certified fitness trainer who tries to battle gravity and continues to dance to express herself artistically and nourish her soul. For more information, email starhealth@thestar.com.my. The information contained in this column is for general educational purposes only. Neither The Star nor the author gives any warranty on accuracy, completeness, functionality, usefulness or other assurances as to such information. The Star and the author disclaim all responsibility for any losses, damage to property or personal injury suffered directly or indirectly from reliance on such information.