Cardiac health a concern for all

Updated 23 December 2012
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Cardiac health a concern for all

Dr. Hani Najm, a cardiac surgeon at the King Abdulaziz Cardiac Center in Riyadh and vice president of the Saudi Heart Association, will highlight his concerns about the heart health of the Saudi population at the 5th Middle East Cardiovascular Disease and Intervention Conference in Dubai on Jan. 28-31. Najm will be speaking extensively on this topic and share the Kingdom’s experience with the international audience at the conference.
In an exclusive interview with Arab News, he also discussed his worries about cardiac health in the Kingdom. He pointed to the lifestyle here as one of the major reasons for the high incidence of cardiac disease.

With the high incidence of lifestyle diseases in Saudi Arabia, cardiac health is a concern for the population. What steps are being taken to educate people on the prevention of cardiac disease?
Cardiovascular diseases have become one of the most alarming disease threats in the Kingdom. Statistics show that a quarter of the population is diabetic, and an even higher percentage suffers from hypertension. Similarly, 6-7 percent suffers from high cholesterol and coronary disease, both of which are a major cardiovascular burden that will require specific preventative measures to combat the risk factors.
Currently, cardiac care in Saudi Arabia is sophisticated and advanced, but we do not have in place the necessary preventative measures that would adequately control the risk factors. More recently, laws have been passed banning smoking tobacco in public areas, and although these laws are being enforced, we may not have seen enough real action so far.
An important factor that could lead to a drop in disease rates and prevention of these conditions is the drive to educate the public about heart disease. This has mainly been conducted by the Saudi Heart Association via media campaigns, education programs, and the distribution of brochures and information packages.
Public awareness should target different sectors of the population – school children, working adults, senior citizens – to educate them on how to control their weight, control carbohydrate and sugar intake, in addition to monitoring and learning how to avoid hypertension.
“Moreover, to successfully implement a public awareness program of this magnitude, there is a need for a more systematic approach to the issue – something currently lacking in Saudi Arabia. The heart health of the general public should be the responsibility of the civil society; however, currently only the medical society is actively tackling this issue from a professional education and scientific perspective at conferences such as the 5th Middle East Cardiovascular Disease and Intervention Conference taking place at Arab Health 2013.
The Saudi Heart Association is hosting outreach programs in malls along with educational lectures; these types of initiatives need to be identified and spread amongst all sectors of society.
Is obesity not a concern for cardiac health, as it is also part of the Saudi lifestyle and a major cause of diabetes?
Obesity in general is associated with multiple medical problems such as diabetes, hypertension and what you call a metabolic syndrome, but if all these associated diseases are not present, then obesity itself is not directly related to cardiac health. This means overweight people without any of the other major risk factors for heart disease may not develop heart disease just because they are overweight.

What are the latest statistics on the incidence of cardiac disease in Saudi Arabia?
We have some statistics that have concluded there is a prevalence of cardiac disease, such as coronary heart disease, in around 6 percent of the population. A quarter of the Saudi population suffers from diabetes, around 27 percent from hypertension, and 35-40 percent suffers from hypercholesterolemia; all of which will add up to an increasing level of cardiac diseases in the Kingdom.
There is an important issue worth mentioning in terms of incidence of cardio disease, which is that 50 percent of the population is still below 25 years of age. There is a high-risk profile, and we expect a rise in cardiovascular illness in the next 15-20 years, when most 25-year-olds will be aged 40-50, and that is when the manifestation of cardiovascular disease occurs.
If we do not control the risk factors in the young population immediately, it won’t matter how many advanced cardiac centers we have, as it will not cover the number of cardiovascular patients.
So, as we can see, the incidences of conditions that may lead to cardiovascular illnesses are on the rise. Unfortunately, there are bad habits within the Saudi society that have been acquired culturally and socially, such as smoking water pipes. This has become prevalent in homes and in public despite control from the government. Cigarette smoking is also prevalent in schools, and the rates are increasing alarmingly.

What are the reasons of extreme hypertension in the Kingdom? Is it because of the lifestyle, food, environment, or other reasons? How can awareness help in diminishing heart problems?
Hypertension is prevalent in the Kingdom for all the reasons mentioned above, in addition that diabetes, which is very closely related to hypertension, is highly common in the people of Saudi Arabia. These are all acquired risk factors for heart diseases, due to the sedentary lifestyle, improper eating habits, as well as the environmental and generic factors that contribute to all this.

How well is the Kingdom doing in terms of offering world-class cardiology care for its patients?
Cardiac surgery in general follows very strict detrimental factors for outcome. This means the outcome of surgery is measured either by major outcomes such as death, or minor outcomes such as morbidity or complications. These outcomes are measured very carefully in heart surgery, and these are what we call ‘code risk-adjusted outcome’, so it is a risk-adjusted outcome based on the population.
In Saudi Arabia, in particular at King Abdulaziz Cardiac Center, we use international benchmarks for cardiac surgery such as the STS (Society of Thoracic Surgery) Database, an American system; and the EACTS (European Association of Cardio Thoracic Surgery) Database. These produce a very robust number of statistics to benchmark the outcome of cardiac surgery across the world.
We have also started a nationwide cardiac surgery database that we are enrolling across all cardiac surgeries done in the country in order to benchmark the entire database of Saudi Arabia against what is happening in the rest of the world.

Does Saudi Arabia attract mostly foreign cardiac surgeons or does the country have the mechanisms to educate and train local surgeons?
Over the last 30 years, the government has made a tremendous effort to send young, bright Saudi doctors abroad to continue their education. All these doctors have returned with advanced sophisticated training from North America and Europe, and they now form a robust corps of cardiac surgeons as well as cardiologists, resulting in the most advanced cardiovascular care in Saudi Arabia.
Now, in addition to the presence of these physicians trained abroad and matured through this system, we have also local training. Certification for both cardiac surgery and cardiology is provided to allow for local certification in advanced subspecialties in cardiac surgery and imaging as well as cardiac catheterization.

What future developments do you foresee for Saudi Arabia in terms of its cardiology services?
I see an acute need for the organization of cardiovascular services, in particular the streamlining of cardiac services that are offered by different caregivers, i.e., the Ministry of Health, National Guard, private sector, universities, and so on. In order to lower the mortality rate for cardiac disease, we need to coordinate the services offered by different caregivers, so that a patient who is suffering from a heart attack can get to the closest hospital and receive intervention during the ‘golden hour’ (first 90 minutes) after the heart attack.
There have been some proposed solutions to network and integrate the advanced cardiac care in the Kingdom that are currently being discussed.

Why is it important for cardiology physicians to attend educational conferences and keep up with the latest research in the field?
As medical professionals, we need to keep up with the latest technologies, studies, and research papers that address our practices. This is a continuation of our education and training, because clinical trials as well as the way we manage patients change based on new sciences.
The only way to be able to acquire such knowledge is through meetings conducted in the region, such as the 5th Middle East Cardiovascular Disease and Intervention Conference at Arab Health 2013, where global leaders from all over the world are invited to give briefs of studies, consensus statements, and guidelines for the management of patients.
Physicians can attend the event and will be able to transfer the knowledge from the West to East. Additionally, there is regionally produced research that can be shared amongst the Middle Eastern countries as well as with the Western representatives.

Besides awareness, what should people do to avoid the problem of cardiovascular diseases?
The problem with awareness is that people are aware, but they do not act on what they know. If you asked people if exercise is good for your health, they would say ‘yes’; nevertheless, they do not exercise. Smoking is bad for your health – they would also say ‘yes, it is bad’ – but they will continue to smoke. The bottom line is: First, the actual piece of knowledge of cardiovascular disease prevention should get to the public, but then practicing this becomes very difficult. Based on my experience, most people, at least in Saudi Arabia, may know that piece of knowledge of what helps to prevent cardiac diseases, but they do not practice it.

Email: life.style@arabnews.com


Opinion: Tackling childhood obesity starts at home

Updated 9 sec ago
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Opinion: Tackling childhood obesity starts at home

DHAHRAN: Here, Dr. Hanan Al-Shaikh discusses child obesity in a mini opinion piece for Arab News. Al-Shaikh is chair of the Women and Children’s Health Department at Johns Hopkins Aramco Healthcare in Saudi Arabia.

The received wisdom about the causes of obesity is that genetics has the strongest influence. This seems to provide comfort to parents of large children: It’s not my fault; it’s written in their DNA.

This is nonsense. Children are not born obese; obesity is induced by their environment. Yes, a child’s genetics can make them more susceptible to overeating, but are they the ones buying the food and cooking the meals?

Sorry, parents, but it is time to take responsibility for your children’s waistlines. You and you alone have the strongest influence on whether your children become overweight or obese. You choose what they eat and determine how much they exercise. Your own choices around diet and physical exertion set the example they will follow.

A recent forecast published in leading medical journal The Lancet suggests that Saudi Arabia will have one of the highest child obesity rates in the world by 2050. Separate research suggests that obesity costs the country almost $227 billion a year.

It is human nature to seek excuses for big problems by focusing on factors outside of one’s control. Yes, genetics plays a role in obesity. No, we cannot stop our children from seeing billboards advertising fried chicken buckets. Yes, the heat makes it harder to exercise outdoors for many months of the year.

It is also human nature to confer responsibility for big problems on others, particularly the state. The government needs to crack down on fast food advertising, encourage schools to raise physical activity levels, and so on.

These things may be true. But most of us retain the absolute power to choose what we eat and how much we exercise – even if we pretend we do not – and many factors are well within our control.

One of these is the role that parents have in teaching their children how to eat and exercise in their earliest years. Nothing influences a young child more than the actions of their parents, and roughly speaking, the first seven years of a child’s life are crucial for instilling lifelong habits for healthy eating and exercise.

Once a child becomes overweight or obese, it is incredibly hard for them to shed the weight. Some obese children may need surgery; most will need months, if not years, of treatment. The burden on the child, the parents, and the healthcare system is huge. Prevention rather than intervention is key.

Sadly, some kids who visit the paediatric wellness clinic at our hospital tell us they get as many as eight hours of screen time per day, eat chocolate and popcorn for lunch, and drink more than a can of soda daily. These are terrible habits that will almost certainly cross over into their adult lives.

It is time for parents to stop blaming influences outside their control and, instead, play a leading role in the fight against child obesity.


Saudi Arabia makes space for freelancers to thrive in culinary sector

Updated 12 July 2025
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Saudi Arabia makes space for freelancers to thrive in culinary sector

  • Culinary Commission’s latest move is ‘a dream come true’ for chefs

JEDDAH: Saudi Arabia’s Culinary Arts Commission has launched a freelance license for chefs via the Abde’a Cultural Licenses Platform.

The commission’s CEO, Mayada Badr, told Arab News: “The freelance chef license is a major milestone in empowering Saudi culinary talent, as it is opening the door for chefs to innovate and succeed independently while contributing to the Kingdom’s culinary sector.”

The newly introduced license will enable Saudi nationals aged 18 and above — and who hold certified culinary training and valid food safety or health certifications. (Supplied)

Abde’a, an e-platform developed to strengthen partnerships with the private sector, is operated under the umbrella of the Ministry of Culture.

The newly introduced license will enable Saudi nationals aged 18 and above — and who hold certified culinary training and valid food safety or health certifications — to legally provide freelance culinary services, paving the way for wider freelance opportunities in diverse venues and events across the Kingdom.

The freelance chef license is a major milestone in empowering Saudi culinary talent, as it is opening the door for chefs to innovate and succeed independently while contributing to the Kingdom’s culinary sector.

Mayada Badr, Saudi Culinary Arts Commission CEO

The initiative will “support skill development and career growth in the sector, as well as recognition and credibility by reinforcing adherence to professional standards in the culinary field,” according to a statement.

Chef Rawan Al-Harthi, a Jeddah-based pastry chef, said: “This license gives us the freedom to showcase our culinary identity while working independently and legally. It’s a dream come true for chefs who want to grow their brand without being tied to a restaurant.”

Another chef, Faisal Al-Malki, echoed Al-Harthi’s sentiments. “Being recognized as a licensed freelance chef adds value to our profession and pushes us to raise the bar in terms of quality and creativity,” he said.

The launch of this initiative “underscores the commission’s commitment to expanding opportunities for local culinary talent, while fostering a culture of creativity and professionalism,” a press release stated.

 


Where We Are Going Today: ‘Liu Chong Qing Hot Pot’ – Chinese restaurant in Riyadh

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Updated 11 July 2025
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Where We Are Going Today: ‘Liu Chong Qing Hot Pot’ – Chinese restaurant in Riyadh

  • Refreshing fruits and traditional Chinese tea are served at the end of the meal, which rounds out the experience beautifully

If you’re seeking an affordable yet delightful hot pot experience, Liu Chong Qing Hot Pot in Riyadh is a must-try. This renowned Chinese restaurant chain specializes in Sichuan-style hot pot and boasts over 500 locations worldwide, making it a favorite among hot pot enthusiasts. 

The restaurant offers both spicy and mild broth, catering to a range of preferences. But the broth is just the beginning; the open buffet is truly the highlight. Guests can choose from a vast array of fresh ingredients, including shrimp, crab, lettuce, salmon, tuna, and various types of mushrooms. This buffet style allows you to pick exactly what you want, ensuring a personalized dining experience.

Once you’ve gathered your ingredients, you can return to your table, where raw beef awaits. One of the best parts of the experience is cooking the beef to your liking. You can choose how you want it done — whether rare, medium, or well-done — adding a layer of customization to your meal. It’s exciting to watch the raw meat sizzle in the hot pot. You can wrap the cooked beef in lettuce or enjoy it on its own, perhaps with a side of rice.

Refreshing fruits and traditional Chinese tea are served at the end of the meal, which rounds out the experience beautifully. The restaurant’s location in the vibrant Hittin district of the Saudi capital adds to its appeal, ensuring a lively atmosphere that enhances the dining experience. 

The branch in Riyadh is huge and boasts a corner that allows visitors to try traditional Chinese outfits and take pictures.

From the variety of ingredients to the enjoyable cooking process, Liu Chong Qing delivers a satisfying hot pot experience that’s both fun and delicious.

 


Recipes for success: Chef Federico Erroi  offers advice, a tasty crème brûlée recipe 

Updated 11 July 2025
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Recipes for success: Chef Federico Erroi  offers advice, a tasty crème brûlée recipe 

DUBAI: Federico Erroi’s culinary story begins in Florence, Italy, guided by his grandmother’s steady hands. She taught young Federico how to make pastry cream, sparking his lifelong fascination with desserts and the discipline behind them. 

 “I was never the best at theoretical subjects in school,” Erroi tells Arab News. “But when it came to getting my hands dirty in the kitchen, I always found success and great satisfaction.” 

Caption

By the age of 21, Erroi was already working professionally in Florence. After nearly a decade honing his craft in Italy, he moved to Dubai in 2017. Since then, he has led pastry programs at top-tier restaurants including Rue Royale and Cipriani. Today, he heads the pastry team at CÉ LA VI Dubai, a restaurant featured in the city’s Michelin Guide for three consecutive years. 

Erroi was recently shortlisted for Pastry Chef of the Year by the Hotel and Catering Awards.  

When you started out, what was the most common mistake you made?  

If there’s one thing I’ve always struggled with — not just in the kitchen, but in life — it’s patience. I always wanted to finish everything as quickly as possible, but still perfectly. This has been one of my biggest challenges, because pastry — especially baking — requires time. Long resting periods, fermentation and proofing are what give flavor, texture and structure to the best products. A mousse that hasn’t rested long enough will be too runny, and dough that hasn’t been rested long enough will lack flavor. That’s how I’ve come to master the ancient art of patience. 

CÉ LA VI Dubai. (Supplied)

What’s your top tip for amateurs?  

When it comes to pastry, the most common mistake is always the same: precision. Pastry is a perfect balance, an alchemy based on carefully selected and precisely measured ingredients. Many amateurs get the measurements wrong out of haste or distraction, or they replace ingredients or alter quantities as they please, which inevitably leads to disappointing results. 

My mother, for example, has the bad habit of reducing the amounts of butter or cream in my recipes. She’s very health-conscious and always afraid of overdoing it. But without fail, the result never satisfies her, and she always asks the same questions: “Federico, why are these cookies so hard?” or “Why is this cream flavorless?” or “Why is this mousse so runny?” And my response is always the same: “Mom, are you sure you followed the recipe?”  

Desserts aren’t always healthy. They are indulgences and guilty pleasures. We can absolutely enjoy them, as long as it’s in moderation. 

CÉ LA VI Dubai. (Supplied)

What one ingredient can instantly improve any dish? 

Any dish, if made with care, passion and — above all — love, will never disappoint. And maybe it’s the love we put into cooking that gets passed on to the ingredients we touch and makes our meal a moment of pure pleasure. That’s probably why your mom’s or grandma’s food always tastes the best. Then again, maybe a good quality vanilla or a pinch of salt — a contrast to the sweetness in pastry — is the real secret ingredient. 

When you go out to eat, do you find yourself critiquing the food?  

I’m simply grateful to share that moment with the people around the table. What scares my friends and family most when they cook for me is the fear of being judged, but I always tell them this: “For those of us who work in kitchens, just sitting at a table with loved ones is already a wonderful meal, because we’re used to eating in a rush, standing up or sitting on a cardboard box in a kitchen corner, alone, at odd hours, or while working.” 

What’s your favorite cuisine or dish to order?  

I always like to try something new — something beyond my culinary culture or dishes that require complex preparation that I can’t replicate at home. Sometimes, I just enjoy a perfectly executed croissant or a pizza baked in a wood-fired oven. As for desserts, I prefer to stick with the classics — a good tiramisu or quality gelato.

What’s your go-to dish if you have to cook something quickly at home?  

Probably pasta with cherry tomatoes, basil and parmesan. If I need a quick dessert, I’ll make a tiramisu, a passion fruit panna cotta or a chocolate soufflé. What do these recipes have in common? Simplicity. Just a few ingredients, each carefully selected and blended or cooked in a way that creates a dish with a unique flavor. 

What customer request or behavior most annoys you? 

Cooking in a restaurant also means learning to accept criticism, to really listen to what customers say, and to understand their preferences. It’s not always easy to accept certain comments like “This chocolate mousse is too airy” or “This dessert is too sweet or too bitter,” because everyone has their own palette. But sometimes, feedback, if listened to and understood, can genuinely help us improve. That’s why I always stay open to customer opinions, whether positive or negative. In fact, I’m often more interested in the negative feedback, because it’s from that input that I’ve been able to create new ideas or improve dishes I thought were already perfect. The truth is, in this profession, you never truly “arrive.” There’s always something more to learn. 

What’s your favorite dish to make? 

Panettone. It’s one of those desserts made with just a few ingredients: sourdough starter, water, flour, butter, eggs and sugar, along with raisins and candied orange. But making it is a true magic act that starts with the sourdough itself, a simple mixture of water and flour that’s fermented and refreshed daily for at least three months. This creates a colony of bacteria that will make the panettone rise and give it a unique, unrepeatable flavor, as the bacteria’s development depends on the surrounding temperature, the water used, and good microbes in the working environment. Only when the sourdough is ready can we proceed with the first dough, mixing the starter with water, flour, sugar, butter and eggs. 

This rests for 12 hours, followed by the final dough with the remaining ingredients. Then, after another six-hour rest, we reach the magical moment of baking, the moment of truth, where, based on the final volume, we truly understand whether all the previous steps were done perfectly, or if we made mistakes in temperature, fermentation or even the pH of our precious star ingredient, the sourdough starter. 

As a head chef, what are you like? 

I believe I’ve changed a lot over the years. I love teaching and sharing everything I’ve learned. I have no secrets — there truly are none, even if some professionals still claim otherwise. I always try to motivate my team and keep morale high, especially when the work hours get longer and more stressful. Today, I consider myself a very patient person — maybe thanks to this beautiful profession. I’ve never raised my voice in the kitchen, never insulted or scolded anyone. I firmly believe that kindness and good manners are the foundation of any relationship, and they can truly make a difference in the workplace. 

Chef Federico’s pineapple creme brûlée  

Ingredients for the coconut pastry cream:  

Coconut milk 350 g 

Coconut cream 50 g 

Sugar 1 38 g 

Lime zest 1/2 pc  

Sugar 2 38 g  

Salt 0.6 g  

Flour 32 g  

Corn starch 12 g  

Egg yolk 80 g  

Method:  

Mix coconut milk, coconut cream, sugar 1, lime zest in a pot and bring to a boil. 

In a separate bowl mix sugar 2, salt, flour, starch, egg yolk till powder is completely absorbed avoiding the lumps formations. 

Pour hot liquid onto the egg mix and bring back on fire stirring continuously till first bubble appear. 

Pour in a terrine and let it set covered with cling film on touching the cream (to avoid skin formation). 

When is completely cold mix till creamy texture and pour it onto the pineapple compote into the pineapple cup. 

Coat the surface with sugar and brulee till golden dark brown. 

Ingredients for the pineapple compote:  

Pineapple juice 100 g 

Sugar agar agar 10 g  

Finely chopped pineapple 100 g 

Method: (One portion 70 g of compote) 

Take a whole pineapple, cut off the leaf and slice it into three thick slices horizontally. 

With a spoon or a scooper scoop off the pulp creating a cup. 

Warm up the juice to 40°. 

Mix sugar and agar and add to pineapple juice. 

Boil for one min. 

Let it set in the chiller and blend it nicely. 

Add pineapple chopped and mix. 

Spread it evenly inside the pineapple cup. 


WOOHOO, a restaurant operated by an AI chef, to open in Dubai soon

Updated 10 July 2025
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WOOHOO, a restaurant operated by an AI chef, to open in Dubai soon

  • AI ‘Chef Aiman’ to create data-driven flavour combinations
  • The restaurant that bills itself as “dining in the future” is set to open in September

DUBAI: In Dubai, your dinner might soon come with a side of source code.
WOOHOO, a restaurant that bills itself as “dining in the future,” is set to open in September in central Dubai, a stone’s throw from the world’s tallest building, the Burj Khalifa.
Food at WOOHOO will be assembled by humans, for now, but everything else — from the menu to ambience to service — will be designed by a culinary large-language-model called “Chef Aiman.”
Aiman — a portmanteau of “AI” and “man” — is trained on decades of food science research, molecular composition data and over a thousand recipes from cooking traditions around the world, said Ahmet Oytun Cakir, one of WOOHOO’s founders.

Food prepared using the recipe from "Aiman", the AI Chef is served on a plate, at the Trove Restaurant in Dubai on July 8, 2025. (REUTERS)

While Chef Aiman can’t taste, smell or interact with his dishes like a chef normally would, the model works by breaking cuisine down to its component parts like texture, acidity and umami, and reassembling them into unusual flavour and ingredient combinations, according to Aiman’s developers.
These prototypes are then refined by human cooks who taste the combinations and provide direction, in an effort led by renowned Dubai-based chef Reif Othman.
“Their responses to my suggestions help refine my understanding of what works beyond pure data,” Aiman explained, in an interview with the interactive AI model.
The goal, Aiman’s creators say, is not to supplant the human element of cooking but to complement it.
“Human cooking will not be replaced, but we believe (Aiman) will elevate the ideas, creativity,” said Oytun Cakir, who is also chief executive of hospitality company Gastronaut.
Aiman is designed to develop recipes that re-use ingredients often discarded by restaurants, like meat trimmings or fat, he said.
Longer term, WOOHOO’s founders believe Aiman could be licensed to restaurants across the globe, reducing kitchen waste and improving sustainability. (Reporting by Luke Tyson Editing by Ros Russell)