How is it that the United States spends the most money on healthcare at Healthy lifestyle: 5 keys to a longer life, and yet still has the one of the lowest life expectancies of all developed nations? (To be specific: $9,400 per capita, 79 years, and 31st.)
Maybe those of us in healthcare have been looking at it all wrong, for too long.
Healthy lifestyle and longevity
Using information from the renowned Nurses’ Health analysis (NHS) and the Health Professionals Follow-up Study (HPFS), researchers from the Harvard T.H. Chan School of Public Health carried out a comprehensive analysis on the relationship between health behaviors and life expectancy at Healthy lifestyle: 5 keys to a longer life. This indicates that they possessed information on a vast number of people for a very long time. From 1980 to 2014, the NHS tracked more than 78,000 women. From 1986 to 2014, the HPFS tracked more than 40,000 males. In Healthy lifestyle: 5 keys to a longer life, there were more than 120,000 participants, 34 years of data for women, and 28 years of data for males.
The researchers looked at NHS and HPFS data on diet, physical activity, body weight, smoking, and alcohol consumption that had been collected from regularly administered, validated questionnaires at Healthy lifestyle: 5 keys to a longer life.
What is a healthy lifestyle, exactly?
These five areas were chosen because prior studies have shown them to have a large impact on risk of premature death. Here is how these healthy habits were defined and measured:
- Healthy diet, which was calculated and rated based on the reported intake of healthy foods like vegetables, fruits, nuts, whole grains, healthy fats, and omega-3 fatty acids, and unhealthy foods like red and processed meats, sugar-sweetened beverages, trans fat, and sodium at Healthy lifestyle: 5 keys to a longer life.
- Healthy physical activity level, which was measured as at least 30 minutes per day of moderate to vigorous activity daily at Healthy lifestyle: 5 keys to a longer life.
- Healthy body weight, defined as a normal body mass index (BMI), which is between 18.5 and 24.9.
- Smoking, well, there is no healthy amount of smoking. “Healthy” here meant never having smoked at Healthy lifestyle: 5 keys to a longer life.
- Moderate alcohol intake, which was measured as between 5 and 15 grams per day for women, and 5 to 30 grams per day for men. Generally, one drink contains about 14 grams of pure alcohol. That’s 12 ounces of regular beer, 5 ounces of wine, or 1.5 ounces of distilled spirits.
Researchers also looked at data on age, ethnicity, and medication use, as well as comparison data from the National Health and Nutrition Examination Surveys and the Centers for Disease Control and Prevention’s Wide-Ranging Online Data for Epidemiologic Research at Healthy lifestyle: 5 keys to a longer life.
Does a healthy lifestyle make a difference?
As it happens, adopting healthy behaviors has a significant impact at Healthy living: 5 strategies for living a longer life. This study found that those who satisfied the requirements for all five behaviors lived noticeably, remarkably longer lives than those who did not: 12 years for men and 14 years for women (assuming they acquired these habits at age 50). Individuals who did not engage in these behaviors had a significantly higher risk of dying young from heart disease or cancer.
Study investigators also calculated life expectancy by how many of these five healthy habits people had. Just one healthy habit (and it didn’t matter which one) … just one… extended life expectancy by two years in men and women. Not surprisingly, the more healthy habits people had, the longer their lifespan at Healthy lifestyle: 5 keys to a longer life. This is one of those situations where I wish I could reprint their graphs for you, because they’re so cool. (But if you’re very curious, the article is available online, and the graphs are on page 7. Check out Graph B, “Estimated life expectancy at age 50 according to the number of low-risk factors.”)
This is huge. And, it confirms prior similar research — a lot of prior similar research at Healthy lifestyle: 5 keys to a longer life. A 2017 study using data from the Health and Retirement Study found that people 50 and older who were normal weight, had never smoked, and drank alcohol in moderation lived on average seven years longer at Healthy lifestyle: 5 keys to a longer life. A 2012 mega-analysis of 15 international studies that included over 500,000 participants found that over half of premature deaths were due to unhealthy lifestyle factors such as poor diet, inactivity, obesity, excessive alcohol intake, and smoking. And the list of supporting research goes on.
So what’s our (big) problem?
As the authors of this study point out, in the US we tend to spend outlandishly on developing fancy drugs and other treatments for diseases, rather than on trying to prevent them. This is a big problem at Healthy lifestyle: 5 keys to a longer life.
Experts have suggested that the best way to help people make healthy diet and lifestyle change is at the large-scale, population level, through public health efforts and policy changes. (Kind of like motorcycle helmets and seat belt legislation…) We have made a little progress with tobacco and trans-fat legislation at Healthy lifestyle: 5 keys to a longer life.
There’s a lot of pushback from big industry on that, of course. If we have guidelines and laws helping us to live healthier, big companies aren’t going to sell as much fast food, chips, and soda at Healthy lifestyle: 5 keys to a longer life. And for companies hell-bent on making money at the cost of human life, well, that makes them very angry.