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


Where We Are Going Today: ‘Century Burger’ restaurant in Jeddah

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Updated 01 April 2025
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Where We Are Going Today: ‘Century Burger’ restaurant in Jeddah

  • The original CB, my repeat order, is a simple burger packed with flavor, served with pillow-soft buns, a thick beef patty, Swiss cheese, lettuce, tomato and the signature CB sauce

Saudi burger joint Century Burger offers an extensive menu of mouthwatering dishes.

Known for its hearty meals and fresh ingredients, Century Burger began in Jeddah, where it established its first restaurant on Prince Sultan Road.

Today, the chain has 13 stores across the Kingdom and is among the largest Saudi casual dining brands.

I usually like to start with the black beetroot salad, a refreshing mix of arugula, beetroot, red onion, cooked sweet potatoes, feta cheese and a tangy dressing.

The original CB, my repeat order, is a simple burger packed with flavor, served with pillow-soft buns, a thick beef patty, Swiss cheese, lettuce, tomato and the signature CB sauce.

When I crave something savory and spicy, I opt for the fajita burger: A succulent beef patty topped with fresh grilled vegetables, fajita seasoning and melted cheese.

For anyone looking to reduce their carb intake, the keto burger is savory, delicious and very filling.

One of Century Burger’s many creative takes on burgers is black umami, served with black squid ink buns, grilled chicken breast, Swiss cheese, arugula, crispy onion, a house-made umami sauce and pickles.

The restaurant also offers variety of starters and side orders, from flavored chicken wings and chicken strips to various shrimp options.

 


Where We Are Going Today: Bab Sharqi – Saudi brand sweets

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Updated 30 March 2025
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Where We Are Going Today: Bab Sharqi – Saudi brand sweets

  • This artistic touch makes their packaging both elegant and culturally meaningful

Eid is here, bringing joy, gatherings, and the tradition of sharing sweets. Bab Sharqi, a renowned Saudi brand, blends authenticity and luxury to enhance your celebrations.

Specializing in Middle Eastern confections and petit four, Bab Sharqi distributes its creations across the Kingdom.

The name Bab Sharqi, meaning “Eastern Gate,” reflects the rich heritage of the Arab world. Each box showcases stunning illustrations of historical landmarks from Riyadh, Jazan, AlUla, and Diriyah to Petra and Jerash in Jordan and beyond.

This artistic touch makes their packaging both elegant and culturally meaningful.

I tried their chocolate petit four, and it instantly became my favorite with Saudi coffee. Its buttery, melt-in-your-mouth texture and rich chocolate coating make it perfect for guests or personal indulgence.

They also offer milk petit four, assorted options in various sizes, and beautifully packaged baklava trays with cashew, pistachio, pecan, and even chocolate baklava.

For an extra special treat, the Orientals box is perfect for Eid gatherings. It features baklava filled with pecans and salted caramel, almonds, pistachios, and coconut, all coated in fine Belgian chocolate.

Bab Sharqi’s sweets are available for delivery via HungerStation, ToYou, and Keeta or in-store at Kottouf Wa Hala, a boutique for local and regional sweets.

For more details, visit @babsharqisweets on Instagram.

 


Fitness enthusiasts challenge themselves with pre-iftar hikes in Pakistani capital

Updated 30 March 2025
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Fitness enthusiasts challenge themselves with pre-iftar hikes in Pakistani capital

  • Hikers set out hour before sunset, break fast on trails on Margalla Hills National Park
  • Participants say pre-iftar hikes help boost fat burning, maintain weight in Ramadan

ISLAMABAD: Zarnab Tahir struggled to catch her breath as the steep incline of the hiking trail at Islamabad’s picturesque Margalla Hills tested her endurance. Hiking can put people through physical exertion, especially when they do it on an empty stomach.

An hour before the sun sets and the call to prayer blares out from various mosques located in Pakistan’s capital city, a group of fitness enthusiasts take to the hiking trails in Margalla Hills National Park.

Participants hike up the mountain at the Margalla Hills National Park in Islamabad on March 25, 2025, during an Arab News’ Ramadan special coverage of a pre-iftar hiking trend in Pakistani capital. (Supplied)

Islamabad Run With Us — IRU — which describes itself as Pakistan’s “pioneering running community,” is behind the pre-iftar hiking initiative.

“When you engage in pre-iftar (physical) activities during Ramadan, it gives you extra energy, an extra boost,” Qasim Naz, who founded IRU in 2016, told Arab News on hiking trail number three.

Participants hike up the mountain at the Margalla Hills National Park in Islamabad on March 25, 2025, during an Arab News’ Ramadan special coverage of a pre-iftar hiking trend in Pakistani capital. (Supplied)

“And when someone joins in on an activity once or twice, they figure out it’s not that hard and they can sustain it comfortably.”

Naz stresses that staying active during the holy month is essential. The IRU organizes five activities a week, which include two runs and three hikes.

This aerial view shows the Margalla Hills National Park in Islamabad on March 25, 2025, during an Arab News’ Ramadan special coverage of a pre-iftar hiking trend in Pakistani capital. (Supplied)

“Either we can maintain our weight, or if our goal is weight loss, we can achieve it by being in a calorie deficit while eating a healthy diet and exercising,” Naz explained.

Tahir, 22, meanwhile, said that she was committed to reaching the top of hiking trail before sunset. This was the second time she was hiking with IRU.

Participants hike up the mountain at the Margalla Hills National Park in Islamabad on March 25, 2025, during an Arab News’ Ramadan special coverage of a pre-iftar hiking trend in Pakistani capital. (Supplied)

She agreed with Naz that group activities are “much easier” to sustain.

“I think it is important to go at your own pace and it’s so much easier with the group,” Tahir, a content creator, told Arab News.

Participants hike up the mountain at the Margalla Hills National Park in Islamabad on March 25, 2025, during an Arab News’ Ramadan special coverage of a pre-iftar hiking trend in Pakistani capital. (Supplied)

“If you go alone, it’s kind of more difficult and you are, like, really slow but if you go with the group you can maintain that pace and I think it’s much easier that way.”

Mahwish Ashraf, a journalist associated with a foreign diplomatic mission in Islamabad, shared how she struggled the first time that she went on a pre-iftar hike with IRU.

“The first time I was hiking, I returned from in between, I couldn’t complete it,” she admitted. “So, this is my second time hiking with the IRU, and gladly, I’m at the main point, the meeting point.”

Eraj Khan, a commercial specialist visiting from Australia to spend Ramadan with his family, said pre-iftar hikes give one “lots of energy.”

“For fat burning, it’s a great activity,” Khan said. “Especially because the last two hours of fasting are the hardest, most people feel really hungry. But so far, I’m loving it.”

As the clock continued to tick and evening settled in, the hikers began to pick up their pace. For Tahir, reaching the top of the trail before sunset was a victory in itself.

She had pushed past exhaustion, embraced the challenge and proved to herself that she was capable of more than she thought she could achieve.

And according to her, hiking with the group made all the difference.

“The energy of the group keeps you going,” she said. “Even when you feel like stopping, you see everyone else moving forward, and you push through.”

 


French fry revolution satisfies Ramadan night cravings in Jeddah

Updated 30 March 2025
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French fry revolution satisfies Ramadan night cravings in Jeddah

  • One of Crusty’s visitors, Sukinah Qattan, told Arab News: “This atmosphere doesn’t just enhance the joy of tasting food; it also enriches Saudi Arabia’s culinary sector, supports local chefs

JEDDAH: During the holy month of Ramadan, Jeddah’s streets come alive with food stalls, drawing crowds to savor local favorites such as the popular “basta” fries pop-up experience.

Stalls, particularly those selling French fries, line the streets, bringing people together in a celebration of local flavors.

Food carts and traditional kiosks set up in alleyways of residential areas and in public squares serve delicious dishes and beverages, evoking nostalgia and reviving the spirit of the past.

After years of perfecting his steak-cooking skills, Abdoush decided to elevate the French fries game by adding premium steak cubes, topped with his signature sauce. (AN photo by Hashim Nadeem/Supplied)

The word “basta” comes from the Arabic term for simplicity, “basata,” to represent an experience that is modest, affordable, and rich in flavor.

In these attractive settings, markets bustle with activity as the aroma of kebda (liver), balila (chickpeas), and French fries fills the air, bringing the warmth of social gatherings that define the holy month.

Keeping tradition alive

Abdulrahman Ghazi, owner of the food stall Balilat Ajdadna, spoke to Arab News about the city’s love for its street foods.

“French fries have always been a Ramadan favorite, along with balila and liver. We’ve been serving customers in Al-Safa district for 28 years, and our loyal patrons know us well,” he said.

“We prepare kebda using an old traditional method, but with our own twist. We cook it with natural oil, suet, and lamb fat, without using any additional oils. This technique is highly favored by many,” Ghazi explained.

The authentic way of preparing balila takes more time and requires at least three hours of slow cooking over low heat with plenty of water, he added.

“In the past, balila was soaked for 12 hours before cooking to ensure it was thoroughly cleaned of bicarbonate residue, a crucial step that many overlook today. Unfortunately, some now use bicarbonate with a pressure cooker to speed up the process, which takes away from its true flavor.”

He insisted that the correct way to prepare balila is to let the chickpeas soak overnight, wash it thoroughly, and then cook it slowly.

“That’s why we call it ‘Balila Ajdadna’ — because it is made just like our ancestors used to prepare it in Makkah, where we originally come from,” Ghazi added.

The stall’s balila is priced is SR5 ($1.30) for a small plate and SR10 for a large plate. The small plate of fries costs SR6 and the large goes for SR12, with all the sauces one could wish for.

Although rising costs, particularly for oil, have led to price increases, Ghazi said that they strive to keep prices stable.

“Our prices remain the same throughout the year, even during Ramadan. We do not impose additional taxes, and we have always absorbed the costs ourselves.”

French fries take a new turn

While some vendors have remained loyal to tradition, serving fries with classic Saudi sauces such as garlic and homar (tamarind), others have introduced elements from various cuisines, elevating the dish beyond its conventional form.

In an interview with Arab News, Saudi content creator Abdoush, who has over half a million followers on social media, shared his inspiration for launching his fries stall — one that locals call “The Rich Man’s Stall” because its fries sell for SR60.

After years of perfecting his steak-cooking skills, Abdoush decided to elevate the French fries game by adding premium steak cubes, topped with his signature sauce.

“For me, it’s all about taking something familiar and turning it into an unforgettable experience,” he said.

His steak fries stall Crusty is located on Ali Abou Al-Ola street, operating from the backyard of a neighborhood home and serving lines of eager customers.

With innovative ingredients, such as wok-tossed steak cubes finished with a torch, Abdoush’s stall has attracted thousands of visitors during Ramadan.

The stall is a bustling business, with four counters dedicated to fries. Around 20 workers manage the operation, going through over 100 kg of steak per day and an unmeasured amount of potatoes.

According to Aboush, Crusty serves an average of 500 customers on weekdays, while on weekends the number soars to over 700.

“We do this out of love and passion. Food is truly amazing, it’s a blessing,” he said.

But what makes Abdoush’s fries expensive?

“It’s all about the process of making the fries. We don’t just fry them in regular oil — we add tallow and beef fat from the steaks. The steak we use is Russian striploin, a high-grade cut known for its marbling and rich fat content. We add about half a steak on top of the fries,” he explained.

“We also make a special sauce that we drizzle over the steak fries, but I highly recommend adding some homar (tamarind). It gives the dish a unique touch.”

Abdoush’s inspiration behind the steak fries is connected to Jeddah’s culture, especially the rise of French fry pop-ups. “Personally, I love making steaks, and with five years of experience, this was the perfect concept to bring to life.”

Crusty started last year and its popularity this year has been on a whole new level.

After Ramadan, Abdoush plans to launch his first Crusty restaurant specializing in steaks. “We won’t just serve French fries and steaks, we’ll also be adding burgers to the menu,” he said.

Residents and visitors flock to these stalls, where they not only indulge in delicious food but also experience live cooking demonstrations.

One of Crusty’s visitors, Sukinah Qattan, told Arab News: “This atmosphere doesn’t just enhance the joy of tasting food; it also enriches Saudi Arabia’s culinary sector, supports local chefs, and reinforces the presence of traditional dishes in the modern cultural scene.”

Other fries stalls offer more affordable fries. For example, Adani Bar Cafe and Ma’loom restaurant serve fries for no more than SR15.

However, their innovation lies in cutting the potatoes into cubes, instead of the traditional fries shape, and topping them with a cilantro, garlic, and lemon sauce, which visitors love.

Anas Abbas, a fries enthusiast from Jeddah, told Arab News: “Every Ramadan, I make sure to visit Adani Bar. I love their fries. They’ve truly become a Ramadan tradition. I always bring some home for my mother after her Taraweeh prayers because she also appreciates this delicious treat.”

 

 


Where We Are Going Today: ‘Salad Flavors’ cafe in Riyadh 

Updated 28 March 2025
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Where We Are Going Today: ‘Salad Flavors’ cafe in Riyadh 

Have you ever craved a salad for lunch or dinner but were worried it wouldn’t fill you up? At Salad Flavors, that’s unlikely to be a problem.

Located in Al-Malqa, Riyadh, the cafe offers four different kinds of salads, each with a large selection of fresh toppings and its own special dressing. And while the menu may not be very big, the flavors are.

The bestselling dish comes with grilled chicken and the signature sauce. You will love the crispy eggplant.

A less creamy option would be a great alternative to have for lighter days.

The rich salad is a vegetarian alternative similar to the signature dish but with different toppings and an orange dressing. The sweet potato and okra set it apart.

Another vegetarian choice is the quinoa salad, which has apple and a more balsamic-based dressing to give it extra tang and freshness.

For seafood lovers, the crab salad is a good option. The mango, cucumber, sesame and panko toppings give it the feel of a poke bowl (without the raw fish) and the flavors work great together. I would also prefer a lighter dressing to accompany the salad.

Salad Flavors also offers individual and gathering-sized boxes of grape leaves fatteh and cabbage fatteh. The grape leaves option is zesty, tangy and very tasty, while the cabbage is more unusual but well worth a try.

The only thing missing from the menu is the option for visitors to customize a dish with their favorite toppings and sauce.

But if you’re looking for a new fresh tasting salad place in Riyadh for lunch or dinner, Salad Flavors is among the top options available.