Rapid urban growth in cities like Kuala Lumpur created barriers to outdoor exercises, causing an increased focus on indoor gym trends and commercial aerobics.

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The Malaysian Ministry of Health reported that the prevalence of diabetes in the country had increased from 6.1% in 2006 to 7.3% in 2011. Heart disease, stroke, and kidney disease were also on the rise, with the Ministry of Health recording a total of 32,000 deaths from these diseases in 2011.

The lifestyle of a young Malaysian in 2011 brought unique psychological pressures that directly impacted overall health.

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: The lifestyle for many urban youths shifted toward "hedonistic" entertainment, which sometimes included unhealthy practices like smoking or frequenting late-night eateries. Emerging Policy & Change 2011 was also a year of structured reform:

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: Approximately 72.8% of Malaysians lived in urban areas by 2011. This shift led to a "modern lifestyle" characterized by high media penetration, with local trends heavily influenced by Western, Korean, and Japanese cultures.

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