Health management in the face of diabesity

<!DOCTYPE html> <html lang="en-SG"> <head> <meta charset="UTF-8"/> <title>Health management in the face of diabesity</title> <meta property="og:site_name" content="Herbalife"/> <meta name="description" content="As the epicenter of the diabesity crisis, the APAC region should look into healthy diets incorporating low glycemic food and less saturated fats."/> <meta name="template" content="article-detail-page"/> <meta name="viewport" content="width=device-width, initial-scale=1"/> <meta name="robots" content="index,follow"/> <script type="text/javascript" src="/ui/ruxitagentjs_ICA7NVfhqrtux_10295240705110949.js" data-dtconfig="app=4efd1ca2ca2b0bb8|ssc=1|cce=1|featureHash=ICA7NVfhqrtux|rdnt=1|uxrgce=1|cuc=57d17rgk|mel=100000|expw=1|dpvc=1|md=mdcc1=cpreferenceLocale,mdcc2=cQuantumMetricSessionID,mdcc7=dutm_campaign,mdcc8=bnavigator.userAgent,mdcc9=dutm_source,mdcc10=canonymous,mdcc12=dcartid,mdcc14=a#__next ^rb section:nth-child(8) ^rb div ^rb header ^rb div ^rb div ^rb div.h1-header-col.h1-header-right-col ^rb div.h1-header-component-wrapper.h1-header-flyout-menu__wrapper ^rb div.h1-header-flyout-menu--wrapper ^rb div.h1-header-flyout-menu--container.open ^rb div.flyout-menu-items ^rb div ^rb hn-signin ^rb a ^rb span ^rb span.lg^bs^bs:hidden.capitalize.pl-3.text-lg,mdcc15=a#__next ^rb section:nth-child(8) ^rb div ^rb header ^rb div ^rb div ^rb div.h1-header-col.h1-header-right-col ^rb div.h1-header-component-wrapper.h1-header-flyout-menu__wrapper ^rb div.h1-header-flyout-menu--wrapper ^rb div.h1-header-flyout-menu--container.open ^rb div.flyout-menu-items ^rb div ^rb hn-signin ^rb a ^rb span ^rb span.w-6.h-6.flex.justify-center.items-center.rounded-^bs^bs[100px^bs^bs].bg-primary-garden ^rb span,mdcc17=dcustomertype,mdcc18=cAK_GEO,mdcc19=bdocument.referrer,mdcc20=a#__next div.h1-header-component-wrapper.h1-header-profile__wrapper ^rb div ^rb div ^rb hn-signin ^rb a ^rb span ^rb span.capitalize.pl-3.text-lg,mdcc21=blocalStorage.dsData.$en-gb.distributorId,mdcc22=blocalStorage.dsData.$en-gb.distributorName,mdcc23=blocalStorage.dsData.$en-gb.storeName,mdcc24=blocalStorage.warehousecode,mdcc25=blocalStorage.qmCurrency,mdcc26=blocalStorage.userSponsorID|lastModification=1731928097078|tp=500,50,0|agentUri=/ui/ruxitagentjs_ICA7NVfhqrtux_10295240705110949.js|reportUrl=/ui/rb_977ba379-1f86-4427-8c25-c231ea3a3297|rid=RID_-256265361|rpid=208028227|domain=herbalife.com"></script><script defer="defer" type="text/javascript" src="https://rum.hlx.page/.rum/@adobe/helix-rum-js@%5E2/dist/rum-standalone.js" data-routing="program=71202,environment=757143,tier=publish"></script> <link rel="canonical" href="https://www.herbalife.com/en-sg/wellness-resources/articles/diabesity-the-tricky-devil-in-times-of-a-pandemic"/>  <link rel="preload" href="/fonts/HerbalifeNatural-Regular.woff2" type="font/woff2" crossorigin="anonymous" as="font"/> <link rel="preload" href="/fonts/HerbalifeNatural-Bold.woff2" type="font/woff2" crossorigin="anonymous" as="font"/> <link rel="preload" href="/fonts/Herbalife-Walsheim-GT-Light.woff2" type="font/woff2" crossorigin="anonymous" as="font"/> <link rel="preload" href="/fonts/Herbalife-Walsheim-GT-Regular.woff2" type="font/woff2" crossorigin="anonymous" as="font"/> <link rel="preload" href="/fonts/Herbalife-Walsheim-GT-Bold.woff2" type="font/woff2" crossorigin="anonymous" as="font"/>  <style> [lang="vi-vn"], [lang="vi-VN"], [lang="nn-no"], [lang="nn-NO"]{ --word-spacing: normal; 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While COVID-19 is the most recent one, it’s important that we do not lay our eyes off a few of those healthcare issues that have been afflicting the urban dwellers for long.\u003cbr\u003e\r\n\u003cbr\u003e\r\nNon-communicable diseases, as we know, contributed 71 percent of the 56.9 million \u003ca href\u003d\"https://www.who.int/gho/ncd/mortality_morbidity/en/\" target\u003d\"_blank\" rel\u003d\"noopener noreferrer\"\u003eglobal deaths in 2016\u003c/a\u003e. From this global burden, diabetes led to 1.6 billion deaths.\u003cbr\u003e\r\n\u003cbr\u003e\r\nAs of 2013, over 380 million people across the globe were affected by diabetes – a number expected to inch closer to 600 million by 2035. The Asia-Pacific region is generally considered the epicentre of the diabetes crisis. In these countries, people develop the disease earlier, get sicker, and die sooner than their counterparts in wealthier countries.\u003cbr\u003e\r\n\u003cbr\u003e\r\nMeanwhile, most individuals with type 2 diabetes – roughly 80 percent – are considered obese, highlighting the \u003ca href\u003d\"https://www.ncbi.nlm.nih.gov/books/NBK279051/\" target\u003d\"_blank\" rel\u003d\"noopener noreferrer\"\u003estrong association between diabetes and obesity\u003c/a\u003e.\u003c/p\u003e\r\n \u003ch2\u003e“Diabesity”: Occurrence of diabetes in the context of obesity\u003c/h2\u003e\r\n \u003cp\u003eIt doesn’t necessarily mean that all obese folks develop diabetes; they don’t. But according to research conducted by the National Center for Biotechnology Information , it does suggest a pretty direct connection, one that will only get deeper over time. \u003cbr\u003e\r\n\u003cbr\u003e\r\nOwing to the strong correlation between the two, Sims and colleagues in as early as the 1970s, coined the term ‘Diabesity’. When defined, the term seems simple enough: diabesity is a convenient way of describing and discussing type 2 diabetes in the context of obesity. These two afflictions seem to converge and intersect more and more, popping up in many households and communities, among family and friends who have long struggled with their weight.\u003cbr\u003e\r\n\u003cbr\u003e\r\nIn addition, some people can appear to be of normal weight, and yet be carrying excess body fat. This is sometimes referred to as “TOFI” – thin on the outside and fat on the inside. This is especially common among Asians, South Asians, fashion models, and women who eat too little protein and remain sedentary.\u003c/p\u003e\r\n \u003ch2\u003eHaving Diabesity in times of COVID-19 is tricky\u003c/h2\u003e\r\n \u003cp\u003eAccording to the World Health Organization, aged individuals and individuals with pre-existing non-communicable diseases such as diabetes, lung and heart conditions are highly susceptible to COVID-19 infection.\u003cbr\u003e\r\n\u003cbr\u003e\r\nExcess upper body fat and abdominal fat constrict the lungs. These excessive fat deposits also increase susceptibility to pulmonary infections and exacerbate airway inflammation. Diabetes on the other hand is known to weaken the natural immune reflexes of the body.\u003cbr\u003e\r\n\u003cbr\u003e\r\nIn comparison to an average weighing person with no diabetes, these individuals will face higher risk of complications and may not respond to the treatments too.\u003c/p\u003e\r\n \u003ch2\u003e It starts with mindful eating\u003c/h2\u003e\r\n \u003cp\u003eThe battle against diabesity and the risk of diabesity includes early detection, screening, prevention, health management, and personal behaviour. At the most fundamental layer of personal behaviour, it begins with healthier choices and mindful eating.\u003cbr\u003e\r\n\u003cbr\u003e\r\nIn times like this, healthcare practitioners are best positioned to guide their patients over and above the regular consultation to adopt the following dietary enhancements:\u003c/p\u003e\r\n \u003cul\u003e\r\n\u003cli\u003eIncorporate low glycemic food such as vegetables, whole fruits, beans and most 100% whole grains, which are high in fibre and promote satiety. These food types are also nutrient dense so that nutrition is maximized while limiting excessive calories.\u003c/li\u003e\r\n\u003cli\u003eAdd fish, lean meat and soy protein that are digested more slowly than highly-refined grains and help fight hunger\u003c/li\u003e\r\n\u003cli\u003eAvoid “empty” calories like excessive sugar, salt, saturated fats and chemical preservatives that are often found or hidden in highly processed food\u003c/li\u003e\r\n\u003c/ul\u003e\r\n \u003ch2\u003eMake friends with movement\u003c/h2\u003e\r\n \u003cp\u003eIt is the sedentary lifestyle of the current age which, combined with the high fat, high sugar, and high starch diet, unmasks the genes for obesity. It is generally believed that the very obese (those over 100 pounds overweight or with a BMI \u0026gt;40), have the greatest genetic programming for obesity.\u003cbr\u003e\r\n\u003cbr\u003e\r\nThe American College of Sports Medicine (ACSM) recommends moderate physical activity of at least\u0026nbsp;2.5-5 hours a week for substantial health benefits. Saris et al. recommended at least\u0026nbsp;5-7 hours a week of moderate physical activity is necessary to prevent the transition of normal weight to overweight or overweight to obese. Exercise should include both\u0026nbsp;cardiovascular activities and resistance training that target major muscle groups.\u003c/p\u003e\r\n \u003ch2\u003eUsing behavior change strategies\u003c/h2\u003e\r\n \u003cp\u003eSuccessful weight management involves not only lifestyle changes (e.g. diet and physical activity habits) but also behavior modification. Scientific literature stresses three specific behavior modifications techniques that work when trying to manage weight:\u003c/p\u003e\r\n \u003cul\u003e\r\n\u003cli\u003e\u003cb\u003eSelf-monitoring\u003c/b\u003e\u003cbr\u003e\r\nResearch has consistently demonstrated that self-monitoring is associated with improved treatment outcomes, and patients report that it is one of the most helpful tools in weight management.\u003c/li\u003e\r\n\u003cli\u003e\u003cb\u003eStimulus control\u003c/b\u003e\u003cbr\u003e\r\nIdentifying and modifying cues associated with overeating and inactivity can make it easier to maintain healthy habits. Controlling cues associated with overeating or a sedentary lifestyle can be helpful for long-term weight maintenance because exposure to these triggers may cause a weight regain.\u003c/li\u003e\r\n\u003cli\u003e\u003cb\u003eStress management\u003c/b\u003e\u003cbr\u003e\r\nStress is a primary trigger for overeating, Deep breathing, muscle relaxation and meditation are proven stress reduction techniques and can reduce distraction from stressful events which can interfere with the adoption and maintenance of new behaviors.\u003c/li\u003e\r\n\u003c/ul\u003e\r\n \u003cp\u003eFinally, higher levels social support are associated with greater success in weight management. Several independent studies show groups do not need to be primarily oriented toward weight management. Peer support can help people to become more self-accepting, develop interpersonal skills or new ways to manage stressful situations, all of which, in turn, might help with weight management objectives as a secondary positive consequence.\u003cbr\u003e\r\n\u003cbr\u003e\r\n\u003ci\u003eThis article was originally published in Physician\u0027s Weekly\u003c/i\u003e\u003c/p\u003e\r\n","url":"https://www.herbalife.com/en-sg/wellness-resources/articles/diabesity-the-tricky-devil-in-times-of-a-pandemic","dateModified":"2023-12-18T18:52:27.940Z","datePublished":"2023-07-26T06:00Z","articleSection":"Daily Nutrition \u0026 Health"},{"@type":"WebPage","url":"https://www.herbalife.com/en-sg/wellness-resources/articles/diabesity-the-tricky-devil-in-times-of-a-pandemic","@id":"https://www.herbalife.com/en-sg/wellness-resources/articles/diabesity-the-tricky-devil-in-times-of-a-pandemic","name":"Diabesity During the 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data-cmp-data-layer-enabled data-cmp-data-layer="{"article-detail-page-8c2e029116":{"@type":"hn-one/components/structure/article-detail-page","repo:modifyDate":"2023-12-18T18:52:27Z","dc:title":"Diabesity During the Pandemic","xdm:template":"/conf/hn-one/settings/wcm/templates/article-detail-page","xdm:language":"en-SG","xdm:tags":[],"repo:path":"/content/hn-one/en-sg/wellness-resources/articles/diabesity-the-tricky-devil-in-times-of-a-pandemic.html"}}" data-content-author="Dr. David Heber, M.D., PhD, FACP, FASN - Chairman, Herbalife Institute" data-content-publish-date="26 July 2023" data-content-category-id="content-type:goal/daily-nutrition-health" data-content-name="Diabesity During the Pandemic" data-content-type="content-type:content" data-content-sub-type="content-type:content/articles" data-content-id="e63948bb-2ea8-4fa3-824e-ba0800e539ac"> <div class="root container responsivegrid"> <div id="container-04d912910f-28a52e57-255b-4272-b763-b9ff4637b7f0" class="cmp-container"> <div 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data-cmp-src="/content/experience-fragments/hn-one/en-sg/h1-header/master/_jcr_content/root/layout_41909470/logo.coreimg{.width}.png/1729630950531/h1-logo.png" data-asset-id="b4e56f73-7477-4f9d-ba53-b0598ebd5491" data-cmp-data-layer="{"image-b0862c31dd":{"@type":"core/wcm/components/image/v3/image","repo:modifyDate":"2024-03-21T17:43:35Z","dc:title":"Herbalife Brandmark - Primary - Garden Green - rgb - png","xdm:linkURL":"/en-sg","image":{"repo:id":"b4e56f73-7477-4f9d-ba53-b0598ebd5491","repo:modifyDate":"2024-10-22T21:02:30Z","@type":"image/png","repo:path":"/content/dam/hn-one/en/hybrid/h1-logo.png","xdm:smartTags":{"peripheral":0.77}}}}" data-cmp-hook-image="imageV3" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject"> <a class="cmp-image__link" data-cmp-clickable-custom-ci href="/en-sg">  <picture> <source media="(min-width:1140px)" srcset="/dmassets/hn-one/en/hybrid/h1-logo.png?fmt=webp-alpha" type="image/webp" /> <source media="(min-width:1140px)" srcset="/dmassets/hn-one/en/hybrid/h1-logo.png" /> <source media="(min-width:640px)" srcset="/dmassets/hn-one/en/hybrid/h1-logo.png?fmt=webp-alpha" type="image/webp" /> <source media="(min-width:640px)" srcset="/dmassets/hn-one/en/hybrid/h1-logo.png" /> <source media="(min-width:1px)" srcset="/dmassets/hn-one/en/hybrid/h1-logo.png?fmt=webp-alpha" type="image/webp" /> <source media="(min-width:1px)" srcset="/dmassets/hn-one/en/hybrid/h1-logo.png" /> <img src="/dmassets/hn-one/en/hybrid/h1-logo.png" alt="Refer to the Style Guide for directions on usage. If this color does not work, you must submit a request via Workfront to the Brand Team." class="cmp-image__image" loading="lazy"/> </picture> </a> <meta itemprop="caption" content="Herbalife Brandmark - Primary - Garden Green - rgb - png"/> </div> </div> </div> <div class="h1-header-col h1-header-center-col"> <div class="h1-header-component-wrapper h1-header-top-nav__wrapper"> <div class="h1-header-top-nav" data-cmp-wrapper="header"> <div class="h1-header-top-nav-item" data-id="03197daf-01c1-44ef-a516-73beb89bc226"> <a class="h1-header-top-nav-link" data-has-sub-nav tabindex="0" arial-label="Achieve Your Goals" data-adl-cta-linkurl="" data-cmp-clickable-custom-header role="button" aria-haspopup="true">Achieve Your Goals<span class="arrow"></span></a> <div class="h1-header-sub-nav__wrapper"><div class="h1-header-sub-nav">  <div class="h1-header-sub-nav--content-wrapper" data-number-column="1">  <div class="h1-header-sub-nav--col h1-header-sub-nav--col--navigation">  <div class="h1-new-box"> <div class="h1-new-box--col h1-new-box--menu"> <nav class="nav-main-drill"> <ul class="nav-main-items" data-cmp-clickable-custom-sub> <li data-menu-link-id="navigation-bbcae291dd-item-ef72a5a8f7" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/content/hn-one/en-sg/achieve-your-goals/healthy-weight.html" data-node-path="en/achieve-your-goals/healthy-weight" data-node-name="healthy-weight" href="/en-sg/achieve-your-goals/healthy-weight" data-link-level="1" data-cmp-clickable-custom-sub-header>Healthy Weight</a> </li> <li data-menu-link-id="navigation-bbcae291dd-item-534d5dd739" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/content/hn-one/en-sg/achieve-your-goals/fitness-and-performance.html" data-node-path="en/achieve-your-goals/fitness-and-performance" data-node-name="fitness-and-performance" href="/en-sg/achieve-your-goals/fitness-and-performance" data-link-level="1" data-cmp-clickable-custom-sub-header>Fitness & Performance</a> </li> <li data-menu-link-id="navigation-bbcae291dd-item-872b88eeb4" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/content/hn-one/en-sg/achieve-your-goals/daily-nutrition-health.html" data-node-path="en/achieve-your-goals/daily-nutrition-health" data-node-name="daily-nutrition-health" href="/en-sg/achieve-your-goals/daily-nutrition-health" data-link-level="1" data-cmp-clickable-custom-sub-header>Daily Nutrition & Health</a> </li> <li data-menu-link-id="navigation-bbcae291dd-item-8090f948a1" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/content/hn-one/en-sg/achieve-your-goals/skin-body-care.html" data-node-path="en/achieve-your-goals/skin-body-care" data-node-name="skin-body-care" href="/en-sg/achieve-your-goals/skin-body-care" data-link-level="1" data-cmp-clickable-custom-sub-header>Skin & Body Care</a> </li> </ul> </nav> </div> </div> </div>  <div class="h1-header-sub-nav--col h1-header-sub-nav--col--cta-card">  </div> </div> </div> </div> <div class="h1-header-top-nav-item--background"></div> </div> <div class="h1-header-top-nav-item" data-id="68d1113e-5fe4-4e47-ae83-3a090dc08094"> <a class="h1-header-top-nav-link" data-has-sub-nav tabindex="0" arial-label=" Products" data-adl-cta-linkurl="" data-cmp-clickable-custom-header role="button" aria-haspopup="true"> Products<span class="arrow"></span></a> <div class="h1-header-sub-nav__wrapper"><div class="h1-header-sub-nav">  <div class="h1-header-sub-nav--content-wrapper" data-number-column="1">  <div class="h1-header-sub-nav--col h1-header-sub-nav--col--navigation">  <div class="h1-new-box"> <div class="h1-new-box--col h1-new-box--menu"> <nav class="nav-main-drill"> <ul class="nav-main-items" data-cmp-clickable-custom-sub> <li data-menu-link-id="navigation-3082ecc75c-item-9cb2d378c9" class="nav-main-item nav-main-expand"> <a class="nav-main-link nav-main-expand-link" data-adl-cta-linkurl="#" data-node-path="en/products/by-type" data-node-name="by-type" href="#" data-link-level="1" data-cmp-clickable-custom-sub-header>By Type</a> <ul class="nav-main-items nav-main-expand-content" data-menu-main-id="navigation-3082ecc75c-item-9cb2d378c9" data-cmp-clickable-custom-sub-sub> <li data-menu-link-id="navigation-3082ecc75c-item-e1b60b60d7" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/all-products" data-node-path="en/products/by-type/all-products" data-node-name="all-products" href="/en-sg/u/category/all-products" data-link-level="2" data-cmp-clickable-custom-sub-header>View all</a> </li> <li data-menu-link-id="navigation-3082ecc75c-item-86f29ec3fe" class="nav-main-item nav-main-expand"> <a class="nav-main-link nav-main-expand-link" data-adl-cta-linkurl="/en-sg/u/category/by-type/shakes" data-node-path="en/products/by-type/shakes" data-node-name="shakes" href="/en-sg/u/category/by-type/shakes" data-link-level="2" data-cmp-clickable-custom-sub-header>Shakes</a> <ul class="nav-main-items nav-main-expand-content" data-menu-main-id="navigation-3082ecc75c-item-86f29ec3fe" data-cmp-clickable-custom-sub-sub> <li data-menu-link-id="navigation-3082ecc75c-item-a31e3554b3" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/by-type/shakes/meal-replacement" data-node-path="en/products/by-type/shakes/meal-replacement" data-node-name="meal-replacement" href="/en-sg/u/category/by-type/shakes/meal-replacement" data-link-level="3" data-cmp-clickable-custom-sub-header>Meal Replacement</a> </li> <li data-menu-link-id="navigation-3082ecc75c-item-6f6ba1632e" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/by-type/shakes/weight-management" data-node-path="en/products/by-type/shakes/weight-management" data-node-name="weight-management" href="/en-sg/u/category/by-type/shakes/weight-management" data-link-level="3" data-cmp-clickable-custom-sub-header>Weight Management</a> </li> <li data-menu-link-id="navigation-3082ecc75c-item-42d4c5fde7" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/by-type/shakes/sports-performance" data-node-path="en/products/by-type/shakes/sports-performance" data-node-name="sports-performance" href="/en-sg/u/category/by-type/shakes/sports-performance" data-link-level="3" data-cmp-clickable-custom-sub-header>Sports Performance</a> </li> <li data-menu-link-id="navigation-3082ecc75c-item-e257229e11" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/by-type/shakes/protein-boost" data-node-path="en/products/by-type/shakes/protein-boost" data-node-name="protein-boost" href="/en-sg/u/category/by-type/shakes/protein-boost" data-link-level="3" data-cmp-clickable-custom-sub-header>Protein Boost</a> </li> </ul> </li> <li data-menu-link-id="navigation-3082ecc75c-item-d0624c4c18" class="nav-main-item nav-main-expand"> <a class="nav-main-link nav-main-expand-link" data-adl-cta-linkurl="/en-sg/u/category/by-type/teas-beverages" data-node-path="en/products/by-type/teas-and-beverages" data-node-name="teas-and-beverages" href="/en-sg/u/category/by-type/teas-beverages" data-link-level="2" data-cmp-clickable-custom-sub-header>Teas & Beverages</a> <ul class="nav-main-items nav-main-expand-content" data-menu-main-id="navigation-3082ecc75c-item-d0624c4c18" data-cmp-clickable-custom-sub-sub> <li data-menu-link-id="navigation-3082ecc75c-item-67daf95d76" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/by-type/teas-beverages/energy-boost" data-node-path="en/products/by-type/teas-and-beverages/energy-boost" data-node-name="energy-boost" href="/en-sg/u/category/by-type/teas-beverages/energy-boost" data-link-level="3" data-cmp-clickable-custom-sub-header>Energy Boost</a> </li> <li data-menu-link-id="navigation-3082ecc75c-item-efc2478e85" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/by-type/teas-beverages/hydration-boost" data-node-path="en/products/by-type/teas-and-beverages/hydration-boost" data-node-name="hydration-boost" href="/en-sg/u/category/by-type/teas-beverages/hydration-boost" data-link-level="3" data-cmp-clickable-custom-sub-header>Hydration Boost</a> </li> <li data-menu-link-id="navigation-3082ecc75c-item-40ee870bf1" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/by-type/teas-beverages/sports-performance" data-node-path="en/products/by-type/teas-and-beverages/sports-performance" data-node-name="sports-performance" href="/en-sg/u/category/by-type/teas-beverages/sports-performance" data-link-level="3" data-cmp-clickable-custom-sub-header>Sports Performance</a> </li> <li data-menu-link-id="navigation-3082ecc75c-item-9bbd2f873f" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/by-type/teas-beverages/relaxation" data-node-path="en/products/by-type/teas-and-beverages/relaxation" data-node-name="relaxation" href="/en-sg/u/category/by-type/teas-beverages/relaxation" data-link-level="3" data-cmp-clickable-custom-sub-header>Relaxation</a> </li> </ul> </li> <li data-menu-link-id="navigation-3082ecc75c-item-238f51ea5c" class="nav-main-item nav-main-expand"> <a class="nav-main-link nav-main-expand-link" data-adl-cta-linkurl="/en-sg/u/category/by-type/vitamins-supplements" data-node-path="en/products/by-type/vitamins-and-supplements" data-node-name="vitamins-and-supplements" href="/en-sg/u/category/by-type/vitamins-supplements" data-link-level="2" data-cmp-clickable-custom-sub-header>Vitamins & Supplements</a> <ul class="nav-main-items nav-main-expand-content" data-menu-main-id="navigation-3082ecc75c-item-238f51ea5c" data-cmp-clickable-custom-sub-sub> <li data-menu-link-id="navigation-3082ecc75c-item-a8b246b9c9" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/by-type/vitamins-supplements/general-health" data-node-path="en/products/by-type/vitamins-and-supplements/general-health" data-node-name="general-health" href="/en-sg/u/category/by-type/vitamins-supplements/general-health" data-link-level="3" data-cmp-clickable-custom-sub-header>General Health</a> </li> <li data-menu-link-id="navigation-3082ecc75c-item-2fd69c792a" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/by-type/vitamins-supplements/weight-management" data-node-path="en/products/by-type/vitamins-and-supplements/weight-management" data-node-name="weight-management" href="/en-sg/u/category/by-type/vitamins-supplements/weight-management" data-link-level="3" data-cmp-clickable-custom-sub-header>Weight Management</a> </li> <li data-menu-link-id="navigation-3082ecc75c-item-0fc23d4fa7" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/by-type/vitamins-supplements/digestive-health" data-node-path="en/products/by-type/vitamins-and-supplements/digestive-health" data-node-name="digestive-health" href="/en-sg/u/category/by-type/vitamins-supplements/digestive-health" data-link-level="3" data-cmp-clickable-custom-sub-header>Digestive Health</a> </li> <li data-menu-link-id="navigation-3082ecc75c-item-75939c3a07" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/by-type/vitamins-supplements/heart-health" data-node-path="en/products/by-type/vitamins-and-supplements/heart-health" data-node-name="heart-health" href="/en-sg/u/category/by-type/vitamins-supplements/heart-health" data-link-level="3" data-cmp-clickable-custom-sub-header>Heart Health</a> </li> <li data-menu-link-id="navigation-3082ecc75c-item-9276d93c98" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/by-type/vitamins-supplements/immune-support" data-node-path="en/products/by-type/vitamins-and-supplements/immune-support" data-node-name="immune-support" href="/en-sg/u/category/by-type/vitamins-supplements/immune-support" data-link-level="3" data-cmp-clickable-custom-sub-header>Immune Support</a> </li> <li data-menu-link-id="navigation-3082ecc75c-item-65857b5d95" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/by-type/vitamins-supplements/bone-joint-health" data-node-path="en/products/by-type/vitamins-and-supplements/bone-joint-health" data-node-name="bone-joint-health" href="/en-sg/u/category/by-type/vitamins-supplements/bone-joint-health" data-link-level="3" data-cmp-clickable-custom-sub-header>Bone & Joint Health</a> </li> <li data-menu-link-id="navigation-3082ecc75c-item-ef16fdbdc9" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/by-type/vitamins-supplements/womens-health" data-node-path="en/products/by-type/vitamins-and-supplements/womens-health" data-node-name="womens-health" href="/en-sg/u/category/by-type/vitamins-supplements/womens-health" data-link-level="3" data-cmp-clickable-custom-sub-header>Women's Health</a> </li> <li data-menu-link-id="navigation-3082ecc75c-item-93b22b7add" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/by-type/vitamins-supplements/mens-health" data-node-path="en/products/by-type/vitamins-and-supplements/mens-health" data-node-name="mens-health" href="/en-sg/u/category/by-type/vitamins-supplements/mens-health" data-link-level="3" data-cmp-clickable-custom-sub-header>Men's Health</a> </li> <li data-menu-link-id="navigation-3082ecc75c-item-447a476911" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/by-type/vitamins-supplements/skin-health" data-node-path="en/products/by-type/vitamins-and-supplements/skin-health" data-node-name="skin-health" href="/en-sg/u/category/by-type/vitamins-supplements/skin-health" data-link-level="3" data-cmp-clickable-custom-sub-header>Skin Health</a> </li> </ul> </li> <li data-menu-link-id="navigation-3082ecc75c-item-3f34a9bf81" class="nav-main-item nav-main-expand"> <a class="nav-main-link nav-main-expand-link" data-adl-cta-linkurl="/en-sg/u/category/by-type/skin-body-hair" data-node-path="en/products/by-type/skin-body-and-hair" data-node-name="skin-body-and-hair" href="/en-sg/u/category/by-type/skin-body-hair" data-link-level="2" data-cmp-clickable-custom-sub-header>Skin, Body & Hair</a> <ul class="nav-main-items nav-main-expand-content" data-menu-main-id="navigation-3082ecc75c-item-3f34a9bf81" data-cmp-clickable-custom-sub-sub> <li data-menu-link-id="navigation-3082ecc75c-item-a5dca08869" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/by-type/skin-body-hair/skin-care" data-node-path="en/products/by-type/skin-body-and-hair/skin-care" data-node-name="skin-care" href="/en-sg/u/category/by-type/skin-body-hair/skin-care" data-link-level="3" data-cmp-clickable-custom-sub-header>Skin Care</a> </li> <li data-menu-link-id="navigation-3082ecc75c-item-e0e92a0cb3" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/by-type/skin-body-hair/body-care" data-node-path="en/products/by-type/skin-body-and-hair/body-care" data-node-name="body-care" href="/en-sg/u/category/by-type/skin-body-hair/body-care" data-link-level="3" data-cmp-clickable-custom-sub-header>Body Care</a> </li> <li data-menu-link-id="navigation-3082ecc75c-item-f835fb6704" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/by-type/skin-body-hair/hair-care" data-node-path="en/products/by-type/skin-body-and-hair/hair-care" data-node-name="hair-care" href="/en-sg/u/category/by-type/skin-body-hair/hair-care" data-link-level="3" data-cmp-clickable-custom-sub-header>Hair Care</a> </li> </ul> </li> </ul> </li> <li data-menu-link-id="navigation-3082ecc75c-item-33cf1a2679" class="nav-main-item nav-main-expand"> <a class="nav-main-link nav-main-expand-link" data-adl-cta-linkurl="#" data-node-path="en/products/by-need" data-node-name="by-need" href="#" data-link-level="1" data-cmp-clickable-custom-sub-header>By Need</a> <ul class="nav-main-items nav-main-expand-content" data-menu-main-id="navigation-3082ecc75c-item-33cf1a2679" data-cmp-clickable-custom-sub-sub> <li data-menu-link-id="navigation-3082ecc75c-item-9e9ea5c890" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/all-products" data-node-path="en/products/by-need/all-products" data-node-name="all-products" href="/en-sg/u/category/all-products" data-link-level="2" data-cmp-clickable-custom-sub-header>View All</a> </li> <li data-menu-link-id="navigation-3082ecc75c-item-1294df0b91" class="nav-main-item nav-main-expand"> <a class="nav-main-link nav-main-expand-link" data-adl-cta-linkurl="/en-sg/u/category/by-need/healthy-weight" data-node-path="en/products/by-need/healthy-weight" data-node-name="healthy-weight" href="/en-sg/u/category/by-need/healthy-weight" data-link-level="2" data-cmp-clickable-custom-sub-header>Healthy Weight</a> <ul class="nav-main-items nav-main-expand-content" data-menu-main-id="navigation-3082ecc75c-item-1294df0b91" data-cmp-clickable-custom-sub-sub> <li data-menu-link-id="navigation-3082ecc75c-item-d3dbd6b755" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/by-need/healthy-weight/meal-replacement" data-node-path="en/products/by-need/healthy-weight/meal-replacement" data-node-name="meal-replacement" href="/en-sg/u/category/by-need/healthy-weight/meal-replacement" data-link-level="3" data-cmp-clickable-custom-sub-header>Meal Replacement</a> </li> <li data-menu-link-id="navigation-3082ecc75c-item-90cf3cdfea" class="nav-main-item "> <a class="nav-main-link " 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href="/en-sg/u/category/by-need/fitness-performance" data-link-level="2" data-cmp-clickable-custom-sub-header>Fitness & Performance</a> </li> <li data-menu-link-id="navigation-3082ecc75c-item-083453a9f4" class="nav-main-item nav-main-expand"> <a class="nav-main-link nav-main-expand-link" data-adl-cta-linkurl="/en-sg/u/category/by-need/daily-nutrition" data-node-path="en/products/by-need/daily-nutrition" data-node-name="daily-nutrition" href="/en-sg/u/category/by-need/daily-nutrition" data-link-level="2" data-cmp-clickable-custom-sub-header>Daily Nutrition</a> <ul class="nav-main-items nav-main-expand-content" data-menu-main-id="navigation-3082ecc75c-item-083453a9f4" data-cmp-clickable-custom-sub-sub> <li data-menu-link-id="navigation-3082ecc75c-item-85d99732ea" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/by-need/daily-nutrition/protein" data-node-path="en/products/by-need/daily-nutrition/protein" data-node-name="protein" href="/en-sg/u/category/by-need/daily-nutrition/protein" data-link-level="3" data-cmp-clickable-custom-sub-header>Protein </a> </li> <li data-menu-link-id="navigation-3082ecc75c-item-0df6498f20" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/by-need/daily-nutrition/vitamins-and-supplements" data-node-path="en/products/by-need/daily-nutrition/vitamins-and-supplements" data-node-name="vitamins-and-supplements" href="/en-sg/u/category/by-need/daily-nutrition/vitamins-and-supplements" data-link-level="3" data-cmp-clickable-custom-sub-header>Vitamins & Supplements</a> </li> <li data-menu-link-id="navigation-3082ecc75c-item-229a78cc5c" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/by-need/daily-nutrition/hydration" data-node-path="en/products/by-need/daily-nutrition/hydration" data-node-name="hydration" href="/en-sg/u/category/by-need/daily-nutrition/hydration" data-link-level="3" 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data-node-name="hair-care" href="/en-sg/u/category/by-need/skin-and-body-care/hair-care" data-link-level="3" data-cmp-clickable-custom-sub-header>Hair Care</a> </li> <li data-menu-link-id="navigation-3082ecc75c-item-bff5eec79d" class="nav-main-item "> <a class="nav-main-link " data-adl-cta-linkurl="/en-sg/u/category/by-need/skin-and-body-care/skin-health" data-node-path="en/products/by-need/skin-body-care/skin-health" data-node-name="skin-health" href="/en-sg/u/category/by-need/skin-and-body-care/skin-health" data-link-level="3" data-cmp-clickable-custom-sub-header>Skin Health</a> </li> </ul> </li> </ul> </li> </ul> </nav> </div> </div> </div>  <div class="h1-header-sub-nav--col h1-header-sub-nav--col--cta-card">  <div class="h1-header-cta-card" data-card-id="navigation-3082ecc75c-item-efa2bf62a4" role="img" data-level="0" data-idx="0" data-style="background-image: url(\2f dmassets\2fregional-reusable-assets\2f apac\2fimages\2fli-man-coffee-cafe-1151592555.jpg?fmt=webp-alpha)"> <div 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href="/en-sg/wellness-resources" data-adl-cta-linkurl="/content/hn-one/en-sg/wellness-resources.html" tabindex="0" arial-label="Wellness Resources" data-cmp-clickable-custom-header>Wellness Resources<span class="arrow"></span></a> </div> <div class="h1-header-top-nav-item" data-id="0b67dabe-d50f-4d8e-9950-17ab29f2ff8f"> <a class="h1-header-top-nav-link" data-node-name="business-opportunity" data-node-path="business-opportunity" href="/en-sg/business-opportunity" data-adl-cta-linkurl="/content/hn-one/en-sg/business-opportunity.html" tabindex="0" arial-label="Business Opportunity" data-cmp-clickable-custom-header>Business Opportunity<span class="arrow"></span></a> </div> <div class="h1-header-top-nav-item" data-id="77831947-57a2-4617-8b7a-76d613ec2d10"> <a class="h1-header-top-nav-link" data-has-sub-nav tabindex="0" arial-label="About Herbalife" data-adl-cta-linkurl="" data-cmp-clickable-custom-header role="button" aria-haspopup="true">About Herbalife<span class="arrow"></span></a> <div 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label-aem="{"tryingToProcessPreviousOrder":"","iconText":null,"previousOrderSuccessful":""}"></hn-bag> </div> </div> <div class="h1-header-component-wrapper h1-header-flyout-menu__wrapper">  <div class="h1-header-flyout-menu--icon" tabindex="0" role="link" data-adl-cta-linkName="menu open" data-adl-cta-linkPosition="header" data-adl-cta-linkElement="button"> <div data-cmp-src="/content/experience-fragments/hn-one/en-sg/h1-header/master/_jcr_content/root/layout_41909470/flyout-menu/icon-menu.coreimg{.width}.jpeg/1712320303371/hamburger-icon.jpeg" data-asset-id="42f0551f-9653-459a-b1a1-f6f6e282078b" data-cmp-data-layer="{"image-9ee8ad17e7":{"@type":"core/wcm/components/image/v3/image","repo:modifyDate":"2024-03-21T17:43:35Z","image":{"repo:id":"42f0551f-9653-459a-b1a1-f6f6e282078b","repo:modifyDate":"2024-04-05T12:31:43Z","@type":"image/jpeg","repo:path":"/content/dam/hn-one/en/hybrid/icons/hamburger_icon.jpg","xdm:smartTags":{"registration plate":0.839,"address sign":0.751,"composite 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srcset="/dmassets/hn-one/en/hybrid/h1-logo.png" /> <img src="/dmassets/hn-one/en/hybrid/h1-logo.png" alt="Refer to the Style Guide for directions on usage. 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data-cmp-data-layer="{"image-0efd3a29f1":{"@type":"core/wcm/components/image/v3/image","repo:modifyDate":"2024-03-21T17:43:35Z","image":{"repo:id":"16ef8741-6f86-42e4-8be9-3f33c07a009a","repo:modifyDate":"2024-04-05T12:31:43Z","@type":"image/png","repo:path":"/content/dam/hn-one/en/hybrid/icons/close.png","xdm:smartTags":{"tartan":0.881,"javelin":0.838,"skiing":0.783,"vertex":0.877,"cross":0.838,"dot":0.769,"crossed arms":0.844,"leaf":0.849,"kilt":0.812,"web icon":0.811,"symmetry":0.807,"checked pattern":0.785,"qr code":0.829,"triangular":0.838,"fraternity":0.827,"rectangle":0.855,"motif":0.773,"plaid":0.845,"crossbar":0.817,"checkered":0.808,"star symbol":0.785,"mesh":0.77,"night photography":0.935,"cross country":0.854}}}}" data-cmp-hook-image="imageV3" class="cmp-image" itemscope itemtype="http://schema.org/ImageObject">  <picture> <source media="(min-width:1140px)" srcset="/dmassets/hn-one/en/hybrid/icons/close.png?fmt=webp-alpha" type="image/webp" /> <source media="(min-width:1140px)" srcset="/dmassets/hn-one/en/hybrid/icons/close.png" /> <source media="(min-width:640px)" srcset="/dmassets/hn-one/en/hybrid/icons/close.png?fmt=webp-alpha" type="image/webp" /> <source media="(min-width:640px)" srcset="/dmassets/hn-one/en/hybrid/icons/close.png" /> <source media="(min-width:1px)" srcset="/dmassets/hn-one/en/hybrid/icons/close.png?fmt=webp-alpha" type="image/webp" /> <source media="(min-width:1px)" srcset="/dmassets/hn-one/en/hybrid/icons/close.png" /> <img src="/dmassets/hn-one/en/hybrid/icons/close.png" alt="Close icon for the flyout" class="cmp-image__image" loading="lazy"/> </picture> </div> </div> </div> </div> <div class="flyout-menu-items--nav--slide"> <div class="flyout-menu-items--nav--slide--wrapper">  <div class="flyout-menu-items--nav"> <menu> <li class="link-with-sub-menu"> <a class="h1-header-mob-nav-link" data-cmp-clickable-custom-header-mob data-id="03197daf-01c1-44ef-a516-73beb89bc226">Achieve Your Goals</a> </li> <li class="link-with-sub-menu"> <a class="h1-header-mob-nav-link" data-cmp-clickable-custom-header-mob data-id="68d1113e-5fe4-4e47-ae83-3a090dc08094"> Products</a> </li> <li class="link-without-sub-menu"> <a class="h1-header-mob-nav-link" data-cmp-clickable-custom-header-mob href="/en-sg/wellness-resources">Wellness Resources</a> </li> <li class="link-without-sub-menu"> <a class="h1-header-mob-nav-link" data-cmp-clickable-custom-header-mob href="/en-sg/business-opportunity">Business Opportunity</a> </li> <li class="link-with-sub-menu"> <a class="h1-header-mob-nav-link" data-cmp-clickable-custom-header-mob data-id="77831947-57a2-4617-8b7a-76d613ec2d10">About Herbalife</a> </li> </menu> </div>  <div class="flyout-menu-items--nav"> <nav data-id-menu="03197daf-01c1-44ef-a516-73beb89bc226" class="nav-drill"> <div class="nav-drill--block"> <ul class="nav-items nav-level-1" data-cmp-clickable-custom-sub-mob> <li class="nav-item" role="treeitem"> <a class="nav-link back-main-menu" tabindex="0" role="link" data-cmp-clickable-custom-sub-header-mob href="javascript:;"> Back </a> </li> <li class="nav-item "> <div class="nav-link--wrapper"> <a class="nav-link " tabindex="0" data-adl-cta-linkurl="/content/hn-one/en-sg/achieve-your-goals/healthy-weight.html" href="/en-sg/achieve-your-goals/healthy-weight" data-link-level="1" data-cmp-clickable-custom-sub-header-mob>Healthy Weight</a> <span class="nav-link--next"></span> </div> </li> <li class="nav-item "> <div class="nav-link--wrapper"> <a class="nav-link " tabindex="0" data-adl-cta-linkurl="/content/hn-one/en-sg/achieve-your-goals/fitness-and-performance.html" href="/en-sg/achieve-your-goals/fitness-and-performance" data-link-level="1" data-cmp-clickable-custom-sub-header-mob>Fitness & Performance</a> <span class="nav-link--next"></span> </div> </li> <li class="nav-item "> <div class="nav-link--wrapper"> <a class="nav-link " tabindex="0" data-adl-cta-linkurl="/content/hn-one/en-sg/achieve-your-goals/daily-nutrition-health.html" href="/en-sg/achieve-your-goals/daily-nutrition-health" data-link-level="1" data-cmp-clickable-custom-sub-header-mob>Daily Nutrition & Health</a> <span class="nav-link--next"></span> </div> </li> <li class="nav-item "> <div class="nav-link--wrapper"> <a class="nav-link " tabindex="0" data-adl-cta-linkurl="/content/hn-one/en-sg/achieve-your-goals/skin-body-care.html" href="/en-sg/achieve-your-goals/skin-body-care" data-link-level="1" data-cmp-clickable-custom-sub-header-mob>Skin & Body Care</a> <span class="nav-link--next"></span> </div> </li> </ul> </div> </nav> <nav data-id-menu="68d1113e-5fe4-4e47-ae83-3a090dc08094" class="nav-drill"> <div class="nav-drill--block"> <ul class="nav-items nav-level-1" data-cmp-clickable-custom-sub-mob> <li class="nav-item" role="treeitem"> <a class="nav-link back-main-menu" tabindex="0" role="link" data-cmp-clickable-custom-sub-header-mob href="javascript:;"> Back </a> </li> <li class="nav-item nav-expand"> <div class="nav-link--wrapper"> <a class="nav-link nav-expand-link" tabindex="0" data-adl-cta-linkurl="#" href="#" data-link-level="1" data-cmp-clickable-custom-sub-header-mob>By Type</a> <span class="nav-link--next"></span> </div> <ul class="nav-items nav-expand-content" role="tree" data-cmp-clickable-custom-sub-sub-mob> <li class="nav-item "> <div class="nav-link--wrapper"> <a class="nav-link " tabindex="0" data-adl-cta-linkurl="/en-sg/u/category/all-products" href="/en-sg/u/category/all-products" data-link-level="2" data-cmp-clickable-custom-sub-header-mob>View all</a> <span class="nav-link--next"></span> </div> </li> <li class="nav-item nav-expand"> <div class="nav-link--wrapper"> <a class="nav-link nav-expand-link" tabindex="0" data-adl-cta-linkurl="/en-sg/u/category/by-type/shakes" href="/en-sg/u/category/by-type/shakes" data-link-level="2" data-cmp-clickable-custom-sub-header-mob>Shakes</a> <span class="nav-link--next"></span> </div> <ul class="nav-items nav-expand-content" role="tree" data-cmp-clickable-custom-sub-sub-mob> <li class="nav-item "> <div class="nav-link--wrapper"> <a class="nav-link " tabindex="0" data-adl-cta-linkurl="/en-sg/u/category/by-type/shakes/meal-replacement" href="/en-sg/u/category/by-type/shakes/meal-replacement" data-link-level="3" data-cmp-clickable-custom-sub-header-mob>Meal Replacement</a> <span class="nav-link--next"></span> </div> </li> <li class="nav-item "> <div class="nav-link--wrapper"> <a class="nav-link " tabindex="0" data-adl-cta-linkurl="/en-sg/u/category/by-type/shakes/weight-management" href="/en-sg/u/category/by-type/shakes/weight-management" data-link-level="3" data-cmp-clickable-custom-sub-header-mob>Weight Management</a> <span class="nav-link--next"></span> </div> </li> <li class="nav-item "> <div class="nav-link--wrapper"> <a class="nav-link " tabindex="0" data-adl-cta-linkurl="/en-sg/u/category/by-type/shakes/sports-performance" href="/en-sg/u/category/by-type/shakes/sports-performance" data-link-level="3" data-cmp-clickable-custom-sub-header-mob>Sports Performance</a> <span class="nav-link--next"></span> </div> </li> <li class="nav-item "> <div class="nav-link--wrapper"> <a class="nav-link " tabindex="0" data-adl-cta-linkurl="/en-sg/u/category/by-type/shakes/protein-boost" href="/en-sg/u/category/by-type/shakes/protein-boost" data-link-level="3" data-cmp-clickable-custom-sub-header-mob>Protein Boost</a> <span class="nav-link--next"></span> </div> </li> </ul> </li> <li class="nav-item nav-expand"> <div class="nav-link--wrapper"> <a class="nav-link nav-expand-link" tabindex="0" data-adl-cta-linkurl="/en-sg/u/category/by-type/teas-beverages" href="/en-sg/u/category/by-type/teas-beverages" data-link-level="2" data-cmp-clickable-custom-sub-header-mob>Teas & Beverages</a> <span class="nav-link--next"></span> </div> <ul class="nav-items nav-expand-content" role="tree" data-cmp-clickable-custom-sub-sub-mob> <li class="nav-item "> <div class="nav-link--wrapper"> <a class="nav-link " tabindex="0" data-adl-cta-linkurl="/en-sg/u/category/by-type/teas-beverages/energy-boost" href="/en-sg/u/category/by-type/teas-beverages/energy-boost" data-link-level="3" data-cmp-clickable-custom-sub-header-mob>Energy Boost</a> <span class="nav-link--next"></span> </div> </li> <li class="nav-item "> <div class="nav-link--wrapper"> <a class="nav-link " tabindex="0" data-adl-cta-linkurl="/en-sg/u/category/by-type/teas-beverages/hydration-boost" href="/en-sg/u/category/by-type/teas-beverages/hydration-boost" data-link-level="3" data-cmp-clickable-custom-sub-header-mob>Hydration Boost</a> <span class="nav-link--next"></span> </div> </li> <li class="nav-item "> <div class="nav-link--wrapper"> <a class="nav-link " tabindex="0" data-adl-cta-linkurl="/en-sg/u/category/by-type/teas-beverages/sports-performance" href="/en-sg/u/category/by-type/teas-beverages/sports-performance" data-link-level="3" data-cmp-clickable-custom-sub-header-mob>Sports Performance</a> <span class="nav-link--next"></span> </div> </li> <li class="nav-item "> <div class="nav-link--wrapper"> <a class="nav-link " tabindex="0" data-adl-cta-linkurl="/en-sg/u/category/by-type/teas-beverages/relaxation" href="/en-sg/u/category/by-type/teas-beverages/relaxation" data-link-level="3" data-cmp-clickable-custom-sub-header-mob>Relaxation</a> <span class="nav-link--next"></span> </div> </li> </ul> </li> <li class="nav-item nav-expand"> <div class="nav-link--wrapper"> <a class="nav-link nav-expand-link" tabindex="0" data-adl-cta-linkurl="/en-sg/u/category/by-type/vitamins-supplements" href="/en-sg/u/category/by-type/vitamins-supplements" data-link-level="2" data-cmp-clickable-custom-sub-header-mob>Vitamins & Supplements</a> <span class="nav-link--next"></span> </div> <ul class="nav-items nav-expand-content" role="tree" data-cmp-clickable-custom-sub-sub-mob> <li class="nav-item "> <div class="nav-link--wrapper"> <a class="nav-link " tabindex="0" data-adl-cta-linkurl="/en-sg/u/category/by-type/vitamins-supplements/general-health" href="/en-sg/u/category/by-type/vitamins-supplements/general-health" data-link-level="3" data-cmp-clickable-custom-sub-header-mob>General Health</a> <span class="nav-link--next"></span> </div> </li> <li class="nav-item "> <div class="nav-link--wrapper"> <a class="nav-link " tabindex="0" data-adl-cta-linkurl="/en-sg/u/category/by-type/vitamins-supplements/weight-management" href="/en-sg/u/category/by-type/vitamins-supplements/weight-management" data-link-level="3" data-cmp-clickable-custom-sub-header-mob>Weight Management</a> <span class="nav-link--next"></span> </div> </li> <li class="nav-item "> <div class="nav-link--wrapper"> <a class="nav-link " tabindex="0" data-adl-cta-linkurl="/en-sg/u/category/by-type/vitamins-supplements/digestive-health" href="/en-sg/u/category/by-type/vitamins-supplements/digestive-health" data-link-level="3" data-cmp-clickable-custom-sub-header-mob>Digestive Health</a> <span class="nav-link--next"></span> </div> </li> <li class="nav-item "> <div class="nav-link--wrapper"> <a class="nav-link " tabindex="0" data-adl-cta-linkurl="/en-sg/u/category/by-type/vitamins-supplements/heart-health" href="/en-sg/u/category/by-type/vitamins-supplements/heart-health" data-link-level="3" data-cmp-clickable-custom-sub-header-mob>Heart Health</a> <span class="nav-link--next"></span> </div> </li> <li class="nav-item "> <div class="nav-link--wrapper"> <a class="nav-link " tabindex="0" data-adl-cta-linkurl="/en-sg/u/category/by-type/vitamins-supplements/immune-support" href="/en-sg/u/category/by-type/vitamins-supplements/immune-support" data-link-level="3" data-cmp-clickable-custom-sub-header-mob>Immune Support</a> <span class="nav-link--next"></span> </div> </li> <li class="nav-item "> <div class="nav-link--wrapper"> <a class="nav-link " tabindex="0" data-adl-cta-linkurl="/en-sg/u/category/by-type/vitamins-supplements/bone-joint-health" href="/en-sg/u/category/by-type/vitamins-supplements/bone-joint-health" data-link-level="3" data-cmp-clickable-custom-sub-header-mob>Bone & Joint Health</a> <span class="nav-link--next"></span> </div> </li> <li class="nav-item "> <div class="nav-link--wrapper"> <a class="nav-link " tabindex="0" data-adl-cta-linkurl="/en-sg/u/category/by-type/vitamins-supplements/womens-health" href="/en-sg/u/category/by-type/vitamins-supplements/womens-health" data-link-level="3" data-cmp-clickable-custom-sub-header-mob>Women's Health</a> <span class="nav-link--next"></span> </div> </li> <li class="nav-item "> <div class="nav-link--wrapper"> <a class="nav-link " tabindex="0" data-adl-cta-linkurl="/en-sg/u/category/by-type/vitamins-supplements/mens-health" href="/en-sg/u/category/by-type/vitamins-supplements/mens-health" data-link-level="3" data-cmp-clickable-custom-sub-header-mob>Men's Health</a> <span class="nav-link--next"></span> </div> </li> <li class="nav-item "> <div class="nav-link--wrapper"> <a class="nav-link " tabindex="0" data-adl-cta-linkurl="/en-sg/u/category/by-type/vitamins-supplements/skin-health" href="/en-sg/u/category/by-type/vitamins-supplements/skin-health" data-link-level="3" data-cmp-clickable-custom-sub-header-mob>Skin Health</a> <span class="nav-link--next"></span> </div> </li> </ul> </li> <li class="nav-item nav-expand"> <div class="nav-link--wrapper"> <a class="nav-link nav-expand-link" tabindex="0" data-adl-cta-linkurl="/en-sg/u/category/by-type/skin-body-hair" href="/en-sg/u/category/by-type/skin-body-hair" data-link-level="2" data-cmp-clickable-custom-sub-header-mob>Skin, Body & Hair</a> <span class="nav-link--next"></span> </div> <ul class="nav-items nav-expand-content" role="tree" data-cmp-clickable-custom-sub-sub-mob> <li class="nav-item "> <div class="nav-link--wrapper"> <a class="nav-link " tabindex="0" data-adl-cta-linkurl="/en-sg/u/category/by-type/skin-body-hair/skin-care" href="/en-sg/u/category/by-type/skin-body-hair/skin-care" 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srcset="/dmassets/global-reusable-assets/images/healthy-fats.jpg:desktop-w1248h533-234" /> <source media="(min-width:640px)" srcset="/dmassets/global-reusable-assets/images/healthy-fats.jpg:tablet-w664h356-186?fmt=webp-alpha" type="image/webp" /> <source media="(min-width:640px)" srcset="/dmassets/global-reusable-assets/images/healthy-fats.jpg:tablet-w664h356-186" /> <source media="(min-width:1px)" srcset="/dmassets/global-reusable-assets/images/healthy-fats.jpg:mobile-w343h356-096?fmt=webp-alpha" type="image/webp" /> <source media="(min-width:1px)" srcset="/dmassets/global-reusable-assets/images/healthy-fats.jpg:mobile-w343h356-096" /> <img src="/dmassets/global-reusable-assets/images/healthy-fats.jpg" alt="Healthy fats" class="cmp-image__image" loading="lazy"/> </picture> <meta itemprop="caption" content="Healthy fats"/> </div> </div> </div> <div class="cmp-articles-detail__article"><div class="articles article-detail"> <div class="cmp-article-detail"> <p class="cmp-article-detail-category">Daily Nutrition & Health</p> <div class="cmp-article-detail-content"> <h1 class="cmp-article-detail-content__title">Diabesity During the Pandemic</h1> <p class="cmp-article-detail-content__details">Dr. David Heber, M.D., PhD, FACP, FASN - Chairman, Herbalife Institute <span class="hlicon-dot"></span>26 July 2023</p> </div> </div> </div> </div> <div class="cmp-articles-detail__container"><div class="container responsivegrid"> <div id="container-711a820299-d82a5be3-99c9-4a2d-8f83-576179e079a1" class="cmp-container"> <div class="text-header text"> <div class=" h1-cmp-theme-background-color__primary" id="-6bae507f-44f6-4e9d-b245-c3958f1f2534"> <div class="cmp-text-header"> <div class="cmp-text-header__body h1-cmp-theme-color__primary"><p>We are fighting multiple health devils in our daily lives. While COVID-19 is the most recent one, it’s important that we do not lay our eyes off a few of those healthcare issues that have been afflicting the urban dwellers for long.<br /> <br /> Non-communicable diseases, as we know, contributed 71 percent of the 56.9 million <a href="https://www.who.int/gho/ncd/mortality_morbidity/en/" target="_blank" rel="noopener noreferrer">global deaths in 2016</a>. From this global burden, diabetes led to 1.6 billion deaths.<br /> <br /> As of 2013, over 380 million people across the globe were affected by diabetes – a number expected to inch closer to 600 million by 2035. The Asia-Pacific region is generally considered the epicentre of the diabetes crisis. In these countries, people develop the disease earlier, get sicker, and die sooner than their counterparts in wealthier countries.<br /> <br /> Meanwhile, most individuals with type 2 diabetes – roughly 80 percent – are considered obese, highlighting the <a href="https://www.ncbi.nlm.nih.gov/books/NBK279051/" target="_blank" rel="noopener noreferrer">strong association between diabetes and obesity</a>.</p> </div> </div> </div> </div> <div class="text-header text"> <div class=" h1-cmp-theme-background-color__primary" id="-86cc25c9-2bf8-4c77-9fe1-8d95dafe35a9"> <div class="cmp-text-header"> <div class="cmp-text-header__body h1-cmp-theme-color__primary"><h2>“Diabesity”: Occurrence of diabetes in the context of obesity</h2> </div> </div> </div> </div> <div class="text-header text"> <div class=" h1-cmp-theme-background-color__primary" id="-2159713b-71f8-4301-9bde-c9788a61f8a0"> <div class="cmp-text-header"> <div class="cmp-text-header__body h1-cmp-theme-color__primary"><p>It doesn’t necessarily mean that all obese folks develop diabetes; they don’t. But according to research conducted by the National Center for Biotechnology Information , it does suggest a pretty direct connection, one that will only get deeper over time. <br /> <br /> Owing to the strong correlation between the two, Sims and colleagues in as early as the 1970s, coined the term ‘Diabesity’. When defined, the term seems simple enough: diabesity is a convenient way of describing and discussing type 2 diabetes in the context of obesity. These two afflictions seem to converge and intersect more and more, popping up in many households and communities, among family and friends who have long struggled with their weight.<br /> <br /> In addition, some people can appear to be of normal weight, and yet be carrying excess body fat. This is sometimes referred to as “TOFI” – thin on the outside and fat on the inside. This is especially common among Asians, South Asians, fashion models, and women who eat too little protein and remain sedentary.</p> </div> </div> </div> </div> <div class="text-header text"> <div class=" h1-cmp-theme-background-color__primary" id="-9167275d-925e-4610-bad0-e7c4efcc18d0"> <div class="cmp-text-header"> <div class="cmp-text-header__body h1-cmp-theme-color__primary"><h2>Having Diabesity in times of COVID-19 is tricky</h2> </div> </div> </div> </div> <div class="text-header text"> <div class=" h1-cmp-theme-background-color__primary" id="-e476ed9f-1d41-42ff-9e05-bcc6703bf0f4"> <div class="cmp-text-header"> <div class="cmp-text-header__body h1-cmp-theme-color__primary"><p>According to the World Health Organization, aged individuals and individuals with pre-existing non-communicable diseases such as diabetes, lung and heart conditions are highly susceptible to COVID-19 infection.<br /> <br /> Excess upper body fat and abdominal fat constrict the lungs. These excessive fat deposits also increase susceptibility to pulmonary infections and exacerbate airway inflammation. Diabetes on the other hand is known to weaken the natural immune reflexes of the body.<br /> <br /> In comparison to an average weighing person with no diabetes, these individuals will face higher risk of complications and may not respond to the treatments too.</p> </div> </div> </div> </div> <div class="text-header text"> <div class=" h1-cmp-theme-background-color__primary" id="-cdfe824b-576f-4caa-900b-56489ca1b245"> <div class="cmp-text-header"> <div class="cmp-text-header__body h1-cmp-theme-color__primary"><h2> It starts with mindful eating</h2> </div> </div> </div> </div> <div class="text-header text"> <div class=" h1-cmp-theme-background-color__primary" id="-c68d70ed-de29-4478-90a0-1a9d54f96ae0"> <div class="cmp-text-header"> <div class="cmp-text-header__body h1-cmp-theme-color__primary"><p>The battle against diabesity and the risk of diabesity includes early detection, screening, prevention, health management, and personal behaviour. At the most fundamental layer of personal behaviour, it begins with healthier choices and mindful eating.<br /> <br /> In times like this, healthcare practitioners are best positioned to guide their patients over and above the regular consultation to adopt the following dietary enhancements:</p> </div> </div> </div> </div> <div class="text-header text"> <div class=" h1-cmp-theme-background-color__primary" id="-6a0197f2-be27-4dab-a253-d872d969f85d"> <div class="cmp-text-header"> <div class="cmp-text-header__body h1-cmp-theme-color__primary"><ul><li>Incorporate low glycemic food such as vegetables, whole fruits, beans and most 100% whole grains, which are high in fibre and promote satiety. These food types are also nutrient dense so that nutrition is maximized while limiting excessive calories.</li><li>Add fish, lean meat and soy protein that are digested more slowly than highly-refined grains and help fight hunger</li><li>Avoid “empty” calories like excessive sugar, salt, saturated fats and chemical preservatives that are often found or hidden in highly processed food</li></ul> </div> </div> </div> </div> <div class="text-header text"> <div class=" h1-cmp-theme-background-color__primary" id="-30656b38-5557-4367-9482-314e1c097a64"> <div class="cmp-text-header"> <div class="cmp-text-header__body h1-cmp-theme-color__primary"><h2>Make friends with movement</h2> </div> </div> </div> </div> <div class="text-header text"> <div class=" h1-cmp-theme-background-color__primary" id="-8a3bf88b-cc16-43f6-acec-f624036affac"> <div class="cmp-text-header"> <div class="cmp-text-header__body h1-cmp-theme-color__primary"><p>It is the sedentary lifestyle of the current age which, combined with the high fat, high sugar, and high starch diet, unmasks the genes for obesity. It is generally believed that the very obese (those over 100 pounds overweight or with a BMI >40), have the greatest genetic programming for obesity.<br /> <br /> The American College of Sports Medicine (ACSM) recommends moderate physical activity of at least 2.5-5 hours a week for substantial health benefits. Saris et al. recommended at least 5-7 hours a week of moderate physical activity is necessary to prevent the transition of normal weight to overweight or overweight to obese. Exercise should include both cardiovascular activities and resistance training that target major muscle groups.</p> </div> </div> </div> </div> <div class="text-header text"> <div class=" h1-cmp-theme-background-color__primary" id="-a5cd9044-3dba-479a-88af-2b32398bf567"> <div class="cmp-text-header"> <div class="cmp-text-header__body h1-cmp-theme-color__primary"><h2>Using behavior change strategies</h2> </div> </div> </div> </div> <div class="text-header text"> <div class=" h1-cmp-theme-background-color__primary" id="-f5d4f6fc-b264-4a17-9a18-9396b25e5206"> <div class="cmp-text-header"> <div class="cmp-text-header__body h1-cmp-theme-color__primary"><p>Successful weight management involves not only lifestyle changes (e.g. diet and physical activity habits) but also behavior modification. Scientific literature stresses three specific behavior modifications techniques that work when trying to manage weight:</p> </div> </div> </div> </div> <div class="text-header text"> <div class=" h1-cmp-theme-background-color__primary" id="-d19bc8aa-1e3c-435c-9e36-2c8b7d4da8f8"> <div class="cmp-text-header"> <div class="cmp-text-header__body h1-cmp-theme-color__primary"><ul><li><b>Self-monitoring</b><br /> Research has consistently demonstrated that self-monitoring is associated with improved treatment outcomes, and patients report that it is one of the most helpful tools in weight management.</li><li><b>Stimulus control</b><br /> Identifying and modifying cues associated with overeating and inactivity can make it easier to maintain healthy habits. Controlling cues associated with overeating or a sedentary lifestyle can be helpful for long-term weight maintenance because exposure to these triggers may cause a weight regain.</li><li><b>Stress management</b><br /> Stress is a primary trigger for overeating, Deep breathing, muscle relaxation and meditation are proven stress reduction techniques and can reduce distraction from stressful events which can interfere with the adoption and maintenance of new behaviors.</li></ul> </div> </div> </div> </div> <div class="text-header text"> <div class=" h1-cmp-theme-background-color__primary" id="-1fad862b-e405-42b8-9b0e-951931cee6e0"> <div class="cmp-text-header"> <div class="cmp-text-header__body h1-cmp-theme-color__primary"><p>Finally, higher levels social support are associated with greater success in weight management. Several independent studies show groups do not need to be primarily oriented toward weight management. Peer support can help people to become more self-accepting, develop interpersonal skills or new ways to manage stressful situations, all of which, in turn, might help with weight management objectives as a secondary positive consequence.<br /> <br /> <i>This article was originally published in Physician's Weekly</i></p> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="content-link-list-layout aem-GridColumn aem-GridColumn--default--12"><div> <div class="cmp-content-link-list-layout h1-cmp-theme-background-color__primary cmp-analytics-multipleoccurance"> <div class="cmp-content-link-list-layout__header-wrapper" data-adl-layout-linkelementCustom="button" data-adl-layout-linkComponent="content-link-list-layout" data-adl-layout-linkPosition="{s}.cmp-content-link-list-layout__title.h1-cmp-theme-color__secondary .cmp-text p{s}_content-link-list-layout"> <div class="cmp-content-link-list-layout__header content-wrapper page-gutter"> <div 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