But don't read this and panic or beat yourself up, that's a waste of energy. That's choosing the punishment instead of the fix.
Instead, quietly start doing one small healthy habit. If you stop, don't revert to self-punishment again. Just quietly get back to it. Stubbornly persist until you've won.
I Saw 120 Patients This Week. Here's Why They Were Actually Sick. https://www.youtube.com/watch?v=UiVKh97rJsg
I went to the mall recently (big mistake) and I had to get lunch at the food court. I don't think there was a single gram of fiber across the 10 or so restaurants. So much of America is drive-thru garbage. Yup -- you don't even have to stand up to get your Big Mac. You can endanger other people by eating it while you drive.
We tell people to get exercise and then force them to have 9-5 desk jobs that have a 45 minute car-commute each way. And what's so much worse is that people are paying a ton of money for that car that's slowly killing them. It's not entirely their fault though -- that's just the way our society is set up. Walkability is a luxury only the rich can afford.
Then, 20 years later you show up to the doctor and the standard course of action is to prescribe a bunch of medications. The doctor says "you should exercise more and eat better" and many people just don't.
So much is broken.
Should we ban cars to force people to hike uphill to work? It will make everyone poorer, but everything is a tradeoff. Should we ban rich foods in the mall?
Society is not obligated to make the choices you want to make easier for you. That will never change, so you might as well focus on yourself and your own habits.
Humans are natural experts in min-maxing calories spent vs calories consumed. Then we solved food ~100 years ago and its been a kid in a candy shop ever since.
I’ve been swimming for 15 years, but only got into bouldering 1.5 years ago. I tried running and cycling but it always felt like a chore so I could not stick with it.
The food problem is much harder to solve for IMO, even shops are designed to get you to impulse-buy junk. Although one minor tip is to do groceries when you’re full, not when you’re hungry.
Mediterranean cuisine tasty and healthy. But it’s not as cheap as ultra-processed food.
We really don’t need to eat so much as we do for the lives most of us lead. Yes, farmers doing heavy labour and cyclists riding the tour du France need to consume 3000 to 6000 kcal because that is the actual labour they perform.
Take small portions of high quality food that you enjoy. Pay attention to what you eat and how it tastes. They will last you longer both in appetite and in the mind.
I know junk food is almost the only thing obtainable on low budget and that is the real poverty. But not having the time to well prepare meals nor having the money to buy the proper ingredients and store them in a cost-effective manner. It is one of the costs of being poor. And it is a sad thing we have the world in that state while we have multi billionaires roving around as well.
eat healthy food as much as possible.
walk. exercise. and SLEEP.
It has lots of benefits, but the most important one is it replenishes your willpower. If you're trying to develop other healthy habits, it's 10x harder if you haven't slept well.
I usually stop, if my body signals me I had enough.
(might seem like pedantery, but I know some people do believe it literally, that it is healthy to just fill themself up with "healthy food", but it is not).
My mother died from Alzheimer's at 77 but wrote down her symptoms as early as 60, a full six years before her diagnosis.
Prior to her diagnosis, she walked her dog two miles a day, had an ideal weight, ate organic, never drank or smoke, used her brain constantly, and enjoyed a happy social life.
The only problem I saw with her was she was a very light sleeper.
Her aunt also died from Alzheimer's and was super healthy when diagnosed too.
Meanwhile the 103-year-old lady at my mother's former care facility is still sharp as a tack and reads daily without needing glasses.
This study is interesting in that it quantifies the benefit as 12.5 extra dementia-free years. People with 0 risk factors had 30 years of dementia-free survival, vs 17.5 years for people with all 3 risk factors measured.
The risk factors in this specific study are blood pressure, diabetes (HbA1c), and smoking. You could reasonably also include cholesterol/ApoB, inflammation (hs-CRP), and perhaps Lp(a) as potential risk factors.
Avoiding fructose corn syrup is a really good idea. It's in a ton of sugary drinks. It really messes with inflammation in your body and your liver materializes it in a very similar way as alcohol. Basically both are bad and can cause similar issues.
For me personally I walk a few miles a day for 15+ years and I'm in ok shape. Cutting out Arizona iced tea (has a lot of fructose corn syrup) has made a material difference in how my body operates, I used to drink 1-2 cans a day for a while. Nowadays going 18 hours without food is no problem, I don't have mid-day tired spikes and I didn't change what I eat. I can't explain it but it feels like it reset something.
When I've been on vacation in other countries outside of the US for a few weeks, I noticed the same thing (less hungry, more energy, etc.) and a commonality there is I also didn't drink large amounts of fructose corn syrup. There's a lot of variables I'm sure but I can say I feel a difference for the better after stopping and I've now repeated these feelings when doing normal things locally.
My body has been completely transformed from 15 years of running. I'm 5'7" and 135 pounds at age 41. My face looks thin, I have a better body than most 20 year olds. I gave myself the best gift that I could possibly give myself.
If they could distill 15 years of running (5x per week) and put it in pill form, I truly believe it would be the most valuable thing medicine has ever created.
All it takes is 45 minutes per day for 5 days per week. And you can actually have fun while doing it! It takes a long time to get to that point but it's so worth it.
And if you can't spare 45 minutes 5 days per week, do it 3 days a week instead. Something is better than nothing.
I'd argue that if someone wants to go beyond walking into running or even jogging, they ought to get their strength up so they don't have blood sugar crashes or cramps. It's never a bad idea to gain some muscle.
Same with eating deep fried food. Especially if it's a food that's otherwise quite healthy. A bit of hot oil isn't going to be your undoing. Just don't make these things a habit. Enjoy a bit of indulgence, but be honest with yourself: is this once per month thing becoming a once per week thing, or a once every few days thing? Daily? Don't do that. Recognize vice. But don't be so strict that you never allow anything remotely unhealthy. Humans aren't great at abstinence.
Having said that, there's a reason I don't drink more often and it's because it really is terrible for you. I agree, haha. Just, don't pretend you'll never do bad things ever again. Unless you have far more willpower than I do — that's entirely possible.
That obviously doesn't mean walking is bad, I just mean to point out that even those people who believe in it as a silver bullet, can be hit with something totally out of left field.
Life is really quite brutish and short. You can do all the right things, and die early. All the wrong things, and live a long time. Take care of yourself for sure, but also find a balance and enjoy your life.
It's an odds game. I don't encourage people to start going into the long tail of diminishing returns to improve their longevity at the expense of everything else, but low hanging fruit like going for a walk every day has a very high ROI in later life quality of life.
If I get taken out, I want it to be while I'm saving kids from an angry bear, not something stupid like ^
Wow! That's some luck!
Movie night suggestion: Final Destination 1 and 2
GP: Go walking.
You: Instead, find a balance and enjoy life.
Walking is very enjoyable. Try it! Bonus, you'll come up with some of your best ideas!
This hypothesis makes much more sense to me when you think to the associated diseases (diabetes, heart disease etc...)
You can get a overview of his research on this podcast (approx 75min): https://www.youtube.com/watch?v=59Oje6n2JLU
Stay on top of your cardiovascular health. Even moderate diet and lifestyle changes can have a significant impact on the last decade of your life. These things compound over decades.
I've hard about cognitive reserve and how healthy lifestyle choices can build that. But I never read about ways to minimize the number of years you have to live with dementia. I wish I could sign an order that would grant me a dignified death once I'm deemed no longer fit to make that decision.
Technically there's an extreme version of this where someone's lifestyle is so bad that they're unlikely to live past 60, but the last 10-20 years of that life would not be fun.
The right to die humanely is the single most under-regarded and under-valued aspect of life hygiene.
Whoever defined this, thank you for having common sense!
This stood out to me because there are so many lunatics defining it as 121/80 or even 121/70 with the backwards idea that the systolic is more important. Worse still is when they insist that something as low as 100/65 is optimal despite complaints of dizziness. All the while hammering home that you should chug a million gallons of water and deprive yourself of sodium. It's like they're trying to make people miserable.
If you're at 135/85, and you're middle aged / younger, and your diet and lifestyle aren't already optimized, it's something you should probably care about, not look for the next highest rung on the ladder so that you can celebrate for being below it.
Elsewhere they'd be borderline normal, but "in the west" (really just the USA) they're considered stage 1 hypertension and it's anyone's guess what wild nonsense the doctor will tell them once that's in their chart.
It's a total circus. Covering your own ass and screwing the patient over by assuming the worst is not preventative medicine. Overprescribing medication would cause harm if the patient is too naive for their own good despite doing everything else right. Nobody in their right mind should listen to that kind of doctor or take the medication.
Nothing I've ever tried has fixed this, including scratch-cooking everything for months, no meat, no salt, for months. Distance running. Weightlifting. Lots of sleep. I literally don't even have to work the rest of my life and am in my 40s, so no stress, either. I guess I'm just screwed!