Page 38 - Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022

Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022
14 MOH-AMM Scientific Meeting 2022 in conjunction with 23 NIH Scientific Conference Abstract Book
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3. This cut across all levels i.e., ministries, public and private practices, NGOs and on
individual level (whole of society and whole of government approach).

In delivering services more efficiently, I propose the decentralisation of organisational
hierarchy whereby, a project-focused organisational design is needed. Decentralisation of
organisational hierarchy is needed for a fluid communication and fast decision-making
between divisions. The key to breaking the ‘binge-and-purge’ cycle in the knowledge work is
to use the project rather than the job as the organising principle, especially in healthcare
whereby we deal a lot with new policy interventions and programmes.

To deliver services more equitably, policies being introduced in healthcare need to
encompass multi-stakeholders from different backgrounds. We would need policies that
dismantle underlying political, economic, social, and physical determinants of health. For
leaders to commit in delivering equitable healthcare system, leaders need to ensure sufficient
participation of experts from different background in drafting policies.

In conclusion, firstly, leaders can only commit through their own will to incentivise their team
members to work more efficiently, which can be achieved by decentralising the organisational
hierarchy. Secondly, in order for leaders to commit to working more equitably, there is a dire
need for leaders to acknowledge the importance of diverse perspectives and expertise.

SYMPOSIUM 7 – BE ACTIVE COMBATING NCDS

COMBATING NCD WITH PHYSICAL ACTIVITY!

Dr. Rozaiman Ebrahim
Hospital Tuanku Ja’afar
Seremban

Non-Communicable Diseases (NCD) such as diabetes mellitus, hypertension and
cardiovascular disease share the same predisposing risk factors related to an unhealthy
lifestyle including physical inactivity, unhealthy eating habit, smoking and alcohol
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consumption. Physical inactivity is identified as the fourth leading cause of death worldwide .
World Health Organization (WHO) has recommended at least 150 minutes/week of moderate
intensity physical activity to reduce the risk of developing chronic diseases. Low physical
activity is the most significant contributor to weight gain and obesity then physical activity is
critical to prevent further weight gain in overweight and obese individuals. Many scientific
studies have shown that blood pressure reductions following aerobic, resistance and
concurrent exercise training. Exercise is important in the management of hypertension and
has been shown to be as effective as first-line anti-hypertensive medication in improving
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blood pressure control . Regular physical activity (PA) and exercise are a crucial therapeutic
strategy in the management of many cardiovascular diseases. They are associated with
reduced cardiovascular and all-cause mortality, regardless of age, sex, ethnicity, or the
presence of comorbidities. Structured lifestyle intervention trials that include moderate
intensity physical activity at least 150–175 min/week and dietary energy restriction targeting
weight loss of 5%−7% have demonstrated reductions of 40%–70% in the risk of developing
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type 2 diabetes in people at high risk with impaired glucose tolerance . Adults with type 2

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