{"id":2185,"date":"2025-11-14T07:38:25","date_gmt":"2025-11-14T12:38:25","guid":{"rendered":"https:\/\/www.madischu.com\/?p=2185"},"modified":"2025-11-14T07:38:25","modified_gmt":"2025-11-14T12:38:25","slug":"lifestyle-and-major-diseases","status":"publish","type":"post","link":"https:\/\/www.life360coach.com\/index.php\/2025\/11\/14\/lifestyle-and-major-diseases\/","title":{"rendered":"Lifestyle and Major Diseases"},"content":{"rendered":"<div class=\"css-146c3p1 r-bcqeeo r-1ttztb7 r-qvutc0 r-1qd0xha r-rjixqe r-16dba41 r-imh66m\" dir=\"ltr\">\n<div class=\"css-175oi2r\">\n<p><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-adyw6z r-135wba7 r-b88u0q\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Did you know that lifestyle factors have an impact on major diseases?<strong> Studies show that L<\/strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1adg3ll r-1g7jtus r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><strong>ifestyle is the most powerful tool in preventing chronic diseases.<\/strong><\/span><\/span><br \/>\n<\/span><\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1adg3ll r-1g7jtus r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Lifestyle factors, primarily <\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">not smoking<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">, <\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">maintaining a healthy body weight (BMI 18.5\u201325)<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">, <\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">regular physical activity (at least 150 minutes of moderate exercise per week)<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">, <\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">healthy diet (e.g., Mediterranean-style, rich in fruits, vegetables, whole grains, and low in processed foods\/red meat)<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">, and <\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">moderate or no alcohol consumption<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">, have profound effects on preventing chronic diseases.<br \/>\nBelow is an expanded breakdown of the claims, supported by major epidemiological studies and meta-analyses.<br \/>\nThe five pillars of Lifestyle Medicine I learned in the Lifestyle and Wellness Coaching Course from Harvard Medical School Executive Program can be remembered using the<br \/>\nNESSS mnemonic device:<\/span><\/span><\/span><\/p>\n<ol>\n<li>N &#8211; Nutrition<\/li>\n<li>E &#8211; Exercise<\/li>\n<li>S &#8211; Sleep<\/li>\n<li>S &#8211; Stress<\/li>\n<li>S &#8211; Social Relationships\/Spirituality<\/li>\n<li>S &#8211; Substance Abuse- Avoidance of Risky Substances<br \/>\nTo these, I would add one more:<\/li>\n<li><strong>P &#8211; Purpose &amp; Meaning<\/strong><\/li>\n<\/ol>\n<p>My model of Lifestyle medicine is <strong>NESSSSSP<br \/>\n<\/strong>Between N for Nutrition, to which I would add Nature and Nurture, E for Exercise, to which we can add Energy or Vitality, and P that stands for our life&#8217;s Purpose and Meaning, there are four S letters.<br \/>\nWe must remember that Stress influences all the other six factors.<br \/>\nChronic stress is a significant factor that affects:<br \/>\n&#8211; <strong>Nutrition<\/strong> through poor digestion, gut and microbiome dysfunction,<br \/>\n&#8211; <strong>Sleep<\/strong> through insomnia and restlessness<br \/>\n&#8211; <strong>Social Relationships<\/strong> through irritability and withdrawal<br \/>\n&#8211; <strong>Substance Abuse<\/strong> &#8211; chronic stress can lead to increased alcohol, medication, or even risky substance intake that can cause addiction.<br \/>\n&#8211; Gets us burned out, exhausted, and sick to the point that we have no more energy to think about our life purpose and meaning.<br \/>\nIt is a vicious circle that should never occur if we are aware of all this and pay attention to destressing, meditating, taking breaks, and maintaining mental and physical hygiene.<br \/>\nWe must remember that it is okay to do nothing &#8211; to meditate, to take breaks so we can relax our nervous system and transition from the Sympathetic &#8216;Fight, Flight, or Freeze&#8217; state into the parasympathetic &#8216;Rest and Digest&#8217; state, where we should be, ideally.<br \/>\nSpirituality is an excellent remedy for stress, as prayer and positive thinking are effective de-stressors.<\/p>\n<hr \/>\n<p><strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">1. <span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1adg3ll r-1g7jtus r-1x3r274\">Lifestyle Factors Can<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">\u00a0Reduce the Risk of Cardiovascular Disease by Over 80%<\/span><\/span><\/span><\/span><\/strong><\/p>\n<ul dir=\"ltr\">\n<li><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Evidence<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">: The <\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">INTERHEART study<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"> (Lancet, 2004) identified <strong>nine modifiable risk factors (smoking, lipids, hypertension, diabetes, obesity, diet, physical activity, alcohol, psychosocial factors)<\/strong> that account for <\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">&gt;90% of the population-attributable risk<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"> for myocardial infarction globally. www.<\/span><\/span>pubmed.ncbi.nlm.nih.gov<\/li>\n<li><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Nurses\u2019 Health Study &amp; Health Professionals Follow-up Study<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"> (NEJM, 2000; updated analyses): <strong>Individuals adhering to <\/strong><\/span><strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">five low-risk lifestyle factors<\/span><\/span><\/strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"><strong> (never smoking, BMI &lt;25, \u226530 min\/day moderate-to-vigorous activity, moderate alcohol, high diet quality score)<\/strong> had an <\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">82% lower risk of coronary events<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"> compared to those with zero factors. <\/span><\/span>nejm.org<span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-14j79pv r-7cikom r-t9a87b r-137agu6\" style=\"font-size: 14.4px;\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"> +1<\/span><\/span><strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Mechanism<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">: These factors reduce atherosclerosis, hypertension, dyslipidemia, and inflammation\u2014core drivers of heart disease.<\/span><\/span><\/strong><\/li>\n<\/ul>\n<hr \/>\n<p><strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">2. <span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1adg3ll r-1g7jtus r-1x3r274\">Lifestyle Factors Can<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">\u00a0Reduce the Risk of Diabetes by Over 90%<\/span><\/span><\/span><\/span><\/strong><\/p>\n<ul dir=\"ltr\">\n<li><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Diabetes Prevention Program (DPP)<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"> (NEJM, 2002): An intensive lifestyle intervention (resulting in 7% weight loss and 150 minutes of weekly activity) reduced the incidence of diabetes by <\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">58%<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"> in high-risk adults\u2014<\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">more effective than metformin (31%)<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">. <\/span><\/span>\n<div class=\"omit-from-copy\">\n<div class=\"css-175oi2r r-1awozwy r-xoduu5 r-1777fci r-1537yvj r-9iso6\"><button class=\"css-175oi2r r-1loqt21 r-1ny4l3l\" role=\"button\" type=\"button\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-6y1tle r-1gkfh8e r-56xrmm\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\">pmc.ncbi.nlm.nih.gov<\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-14j79pv r-7cikom r-t9a87b r-137agu6\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"> +1<\/span><\/span><\/span><\/button><\/div>\n<\/div>\n<\/li>\n<li><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Finnish Diabetes Prevention Study<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"> (NEJM, 2001; follow-ups): <\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">58% risk reduction<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"> with similar lifestyle changes. <\/span><\/span>\n<div class=\"omit-from-copy\">\n<div class=\"css-175oi2r r-1awozwy r-xoduu5 r-1777fci r-1537yvj r-9iso6\"><button class=\"css-175oi2r r-1loqt21 r-1ny4l3l\" role=\"button\" type=\"button\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-6y1tle r-1gkfh8e r-56xrmm\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\">pubmed.ncbi.nlm.nih.gov<\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-14j79pv r-7cikom r-t9a87b r-137agu6\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"> +1<\/span><\/span><\/span><\/button><\/div>\n<\/div>\n<\/li>\n<li><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Combined analysis<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"> (Diabetes Care, 2023; prior meta-analyses):<strong> Adherence to <\/strong><\/span><strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">four or five healthy behaviors<\/span><\/span><\/strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"><strong> (non-smoking, healthy weight, physical activity, healthy diet, low alcohol)<\/strong> was associated with a <\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">93% lower risk of type 2 diabetes<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"> over 10\u201320 years. <\/span><\/span>diabetesjournals.org<strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Mechanism<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">: Weight control and exercise improve insulin sensitivity; diet reduces glycemic load and visceral fat.<\/span><\/span><\/strong><\/li>\n<\/ul>\n<hr \/>\n<p><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">3. <strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1adg3ll r-1g7jtus r-1x3r274\">Lifestyle Factors Are<\/span><\/strong><\/span><strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">\u00a0Attributed to 40% of Dementia Cases<\/span><\/span><\/strong><\/span><\/span><\/p>\n<ul dir=\"ltr\">\n<li><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Lancet Commission on Dementia (2020)<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">: Identified <\/span><strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">12 modifiable risk factors<\/span><\/span><\/strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"><strong> (less education, hypertension, hearing impairment, smoking, obesity, depression, physical inactivity, diabetes, social isolation, excessive alcohol, air pollution, traumatic brain injury)<\/strong> that account for <\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">~40% of dementia cases worldwide<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">. <\/span><\/span>\n<div class=\"omit-from-copy\">\n<div class=\"css-175oi2r r-1awozwy r-xoduu5 r-1777fci r-1537yvj r-9iso6\"><button class=\"css-175oi2r r-1loqt21 r-1ny4l3l\" role=\"button\" type=\"button\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-6y1tle r-1gkfh8e r-56xrmm\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\">alzint.org<\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-14j79pv r-7cikom r-t9a87b r-137agu6\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"> +2<\/span><\/span><\/span><\/button><\/div>\n<\/div>\n<\/li>\n<li><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Key contributors<\/span><\/span><\/strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">: Midlife hypertension, obesity, and physical inactivity each contribute ~5\u20137%; smoking ~5%; diabetes ~3%.<\/span><\/span><\/li>\n<li><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">FINGER Trial<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"> (Lancet, 2015):\u00a0<strong>A multidomain intervention (including diet, exercise, cognitive training, and vascular risk management)<\/strong> improved cognitive function in at-risk elderly individuals. <\/span><\/span>\n<div class=\"omit-from-copy\">\n<div class=\"css-175oi2r r-1awozwy r-xoduu5 r-1777fci r-1537yvj r-9iso6\"><button class=\"css-175oi2r r-1loqt21 r-1ny4l3l\" role=\"button\" type=\"button\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-6y1tle r-1gkfh8e r-56xrmm\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\">thelancet.com<\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-14j79pv r-7cikom r-t9a87b r-137agu6\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"> +1<\/span><\/span><\/span><\/button><\/div>\n<\/div>\n<p><strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Implication<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">: ~60% of dementia risk is non-modifiable (genetics, age), but <\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">40% is potentially preventable<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"> through lifestyle.<\/span><\/span><\/strong><\/li>\n<\/ul>\n<hr \/>\n<p><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">4. <strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1adg3ll r-1g7jtus r-1x3r274\">Lifestyle\u00a0<\/span><\/strong><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"><span style=\"box-sizing: border-box; margin: 0px; padding: 0px;\"><strong>Factors\u00a0Are<\/strong><\/span><strong>\u00a0Attributed to 42% of Cancer Cases<\/strong><\/span><\/span><\/span><\/span><\/p>\n<ul dir=\"ltr\">\n<li><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">American Cancer Society &amp; WHO estimates<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"> (CA Cancer J Clin, 2022): <\/span><strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">42% of cancer cases and 45% of cancer deaths in the U.S.<\/span><\/span><\/strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"><strong> are attributable to modifiable risk factors<\/strong>. <\/span><\/span>\n<div class=\"omit-from-copy\">\n<div class=\"css-175oi2r r-1awozwy r-xoduu5 r-1777fci r-1537yvj r-9iso6\"><button class=\"css-175oi2r r-1loqt21 r-1ny4l3l\" role=\"button\" type=\"button\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-6y1tle r-1gkfh8e r-56xrmm\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\">pubmed.ncbi.nlm.nih.gov<\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-14j79pv r-7cikom r-t9a87b r-137agu6\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"> +1<\/span><\/span><\/span><\/button><\/div>\n<\/div>\n<\/li>\n<li><strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Breakdown<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">:<\/span><\/span><\/strong>\n<ul>\n<li><strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Tobacco<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">: ~19% of cancers<\/span><\/span><\/strong><\/li>\n<li><strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Obesity<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">: ~7.8%<\/span><\/span><\/strong><\/li>\n<li><strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Alcohol<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">: ~5.6%<\/span><\/span><\/strong><\/li>\n<li><strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Poor diet\/low fiber<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">: ~5.2%<\/span><\/span><\/strong><\/li>\n<li><strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Physical inactivity<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">: ~2.9%<\/span><\/span><\/strong><\/li>\n<li><strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">UV exposure, infections, etc.<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">: remainder<\/span><\/span><\/strong><\/li>\n<\/ul>\n<\/li>\n<li><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Global Burden of Disease Study<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"> (Lancet, 2022; 2019 data): Similar proportions internationally, with <strong>~44% of cancer DALYs attributable to modifiable risks like tobacco, alcohol, and diet<\/strong>. <\/span><\/span>\n<div class=\"omit-from-copy\">\n<div class=\"css-175oi2r r-1awozwy r-xoduu5 r-1777fci r-1537yvj r-9iso6\"><button class=\"css-175oi2r r-1loqt21 r-1ny4l3l\" role=\"button\" type=\"button\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-6y1tle r-1gkfh8e r-56xrmm\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\">thelancet.com<\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-14j79pv r-7cikom r-t9a87b r-137agu6\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"> +1<\/span><\/span><\/span><\/button><\/div>\n<\/div>\n<\/li>\n<li><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Mechanism<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">: Smoking causes DNA damage; obesity promotes inflammation and hormones (e.g., insulin, estrogen); alcohol is a carcinogen; exercise reduces colon\/breast cancer via hormonal and immune pathways.<\/span><\/span><\/li>\n<\/ul>\n<hr \/>\n<p><strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-adyw6z r-135wba7 r-b88u0q\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Summary Table<\/span><\/span><\/span><\/strong><\/p>\n<div class=\"css-175oi2r r-xoduu5 r-1ifxtd0 r-lltvgl r-bnwqim r-13qz1uu\">\n<table>\n<tbody>\n<tr>\n<th>\n<div class=\"css-175oi2r r-1adg3ll r-11f147o r-faml9v\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\">Disease<\/span><\/span><\/div>\n<\/th>\n<th>\n<div class=\"css-175oi2r r-1adg3ll r-11f147o r-faml9v\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\">% Risk Reduction (Optimal Lifestyle)<\/span><\/span><\/div>\n<\/th>\n<th>\n<div class=\"css-175oi2r r-1adg3ll r-11f147o r-faml9v\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\">% Cases Attributable to Lifestyle<\/span><\/span><\/div>\n<\/th>\n<\/tr>\n<tr>\n<td>\n<div class=\"css-175oi2r r-1adg3ll r-11f147o r-faml9v\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\">Cardiovascular Disease<\/span><\/span><\/div>\n<\/td>\n<td>\n<div class=\"css-175oi2r r-1adg3ll r-11f147o r-faml9v\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">&gt;80%<\/span><\/span><\/span><\/div>\n<\/td>\n<td>\n<div class=\"css-175oi2r r-1adg3ll r-11f147o r-faml9v\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\">~90% (population-attributable)<\/span><\/span><\/div>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<div class=\"css-175oi2r r-1adg3ll r-11f147o r-faml9v\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\">Type 2 Diabetes<\/span><\/span><\/div>\n<\/td>\n<td>\n<div class=\"css-175oi2r r-1adg3ll r-11f147o r-faml9v\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">&gt;90%<\/span><\/span><\/span><\/div>\n<\/td>\n<td>\n<div class=\"css-175oi2r r-1adg3ll r-11f147o r-faml9v\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\">~80\u201390%<\/span><\/span><\/div>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<div class=\"css-175oi2r r-1adg3ll r-11f147o r-faml9v\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\">Dementia<\/span><\/span><\/div>\n<\/td>\n<td>\n<div class=\"css-175oi2r r-1adg3ll r-11f147o r-faml9v\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\">\u2014<\/span><\/span><\/div>\n<\/td>\n<td>\n<div class=\"css-175oi2r r-1adg3ll r-11f147o r-faml9v\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">~40%<\/span><\/span><\/span><\/div>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<div class=\"css-175oi2r r-1adg3ll r-11f147o r-faml9v\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\">Cancer<\/span><\/span><\/div>\n<\/td>\n<td>\n<div class=\"css-175oi2r r-1adg3ll r-11f147o r-faml9v\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\">\u2014<\/span><\/span><\/div>\n<\/td>\n<td>\n<div class=\"css-175oi2r r-1adg3ll r-11f147o r-faml9v\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">~42%<\/span><\/span><\/span><\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<hr \/>\n<p><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-adyw6z r-135wba7 r-b88u0q\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"><strong>Key Takeaways:<\/p>\n<p><\/strong><\/span><\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1adg3ll r-1g7jtus r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Adopting <\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">these core healthy behaviors can prevent disease:<br \/>\n<\/span><\/span><strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">&#8211; Quit smoking<br \/>\n&#8211; Maintain a healthy weight<br \/>\n<\/span><\/strong><\/span><\/span><strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1adg3ll r-1g7jtus r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">&#8211; Stay active and exercise moderately<br \/>\n&#8211; Nutrition &#8211; the Mediterranean Diet is highly recommended. Variety, fiber, and probiotic foods are key.<br \/>\n&#8211; Low alcohol consumption<br \/>\n<\/span><\/span><\/span><\/strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1adg3ll r-1g7jtus r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"><strong>&#8211; Stress management<\/strong><br \/>\n<strong>&#8211; Social Connections &#8211; friends, hobbies, spirituality<\/strong><br \/>\n<strong>&#8211; Vocation, Purpose, and Meaning &#8211; love what you do and do things for others. Give back!<\/strong><br \/>\n<\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Research shows that a healthy lifestyle is key to preventing the vast majority of heart disease and diabetes, and reducing dementia and cancer risk by 40\u201342%.<br \/>\nThese are not theoretical\u2014long-term cohort studies and RCTs confirm that <\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-b88u0q r-1x3r274\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"><strong>lifestyle is the most powerful tool in preventing chronic diseases<\/strong><\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\"><strong>.<\/strong><\/span><\/span><\/span><\/p>\n<p><strong><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-adyw6z r-135wba7 r-b88u0q\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Sources<\/span><\/span><\/span><\/strong><\/p>\n<ol dir=\"ltr\" start=\"1\">\n<li><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Yusuf S, et al. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. <\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274 r-36ujnk\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Lancet<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">. 2004;364(9438):937-952. <\/span><a class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1g4g62n r-yn5ncy r-clrlgt r-nvplwv r-18jsvk2 r-14mxzap r-1ddef8g r-1loqt21\" role=\"link\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15364185\/\" target=\"_blank\" rel=\"noopener noreferrer nofollow\" data-copy-preserve=\"1\">PubMed<\/a><\/span><\/li>\n<li><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Stampfer MJ, et al. Primary Prevention of Coronary Heart Disease in Women through Diet and Lifestyle. <\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274 r-36ujnk\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">N Engl J Med<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">. 2000;343(1):16-22. <\/span><a class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1g4g62n r-yn5ncy r-clrlgt r-nvplwv r-18jsvk2 r-14mxzap r-1ddef8g r-1loqt21\" role=\"link\" href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJM200007063430103\" target=\"_blank\" rel=\"noopener noreferrer nofollow\" data-copy-preserve=\"1\">NEJM<\/a><\/span><\/li>\n<li><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Diabetes Prevention Program Research Group. Reduction in the Incidence of Type 2 Diabetes with Lifestyle Intervention or Metformin. <\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274 r-36ujnk\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">N Engl J Med<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">. 2002;346(6):393-403. <\/span><a class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1g4g62n r-yn5ncy r-clrlgt r-nvplwv r-18jsvk2 r-14mxzap r-1ddef8g r-1loqt21\" role=\"link\" href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa012512\" target=\"_blank\" rel=\"noopener noreferrer nofollow\" data-copy-preserve=\"1\">NEJM<\/a><\/span><\/li>\n<li><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Tuomilehto J, et al. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. <\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274 r-36ujnk\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">N Engl J Med<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">. 2001;344(18):1343-1350. (Finnish DPS; referenced in follow-up analyses)<\/span><\/span><\/li>\n<li><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Aune D, et al. Combination of Multiple Low-Risk Lifestyle Behaviors and Incident Type 2 Diabetes: A Systematic Review and Dose-Response Meta-analysis of Prospective Cohort Studies. <\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274 r-36ujnk\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Diabetes Care<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">. 2023;46(3):643-651. (Updates prior meta-analyses, including BMJ-related work)<\/span><\/span><\/li>\n<li><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Livingston G, et al. Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. <\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274 r-36ujnk\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Lancet<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">. 2020;396(10248):413-446. <\/span><a class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1g4g62n r-yn5ncy r-clrlgt r-nvplwv r-18jsvk2 r-14mxzap r-1ddef8g r-1loqt21\" role=\"link\" href=\"https:\/\/www.thelancet.com\/article\/S0140-6736(20)30367-6\/fulltext\" target=\"_blank\" rel=\"noopener noreferrer nofollow\" data-copy-preserve=\"1\">Lancet<\/a><\/span><\/li>\n<li><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Ngandu T, et al. A 2-year multidomain intervention of diet, exercise, cognitive training, and vascular risk monitoring versus control to prevent cognitive decline in at-risk elderly people (FINGER): a randomised controlled trial. <\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274 r-36ujnk\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Lancet<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">. 2015;385(9984):2255-2263. <\/span><a class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1g4g62n r-yn5ncy r-clrlgt r-nvplwv r-18jsvk2 r-14mxzap r-1ddef8g r-1loqt21\" role=\"link\" href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(15)60461-5\/abstract\" target=\"_blank\" rel=\"noopener noreferrer nofollow\" data-copy-preserve=\"1\">Lancet<\/a><\/span><\/li>\n<li><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Siegel RL, et al. Cancer statistics, 2022. <\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274 r-36ujnk\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">CA Cancer J Clin<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">. 2022;72(1):7-33. <\/span><a class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1g4g62n r-yn5ncy r-clrlgt r-nvplwv r-18jsvk2 r-14mxzap r-1ddef8g r-1loqt21\" role=\"link\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35020204\/\" target=\"_blank\" rel=\"noopener noreferrer nofollow\" data-copy-preserve=\"1\">PubMed<\/a><\/span><\/li>\n<li><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">GBD 2019 Cancer Risk Factors Collaborators. The global burden of cancer attributable to risk factors, 2010-19: a systematic analysis for the Global Burden of Disease Study 2019. <\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274 r-36ujnk\"><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">Lancet<\/span><\/span><span class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1x3r274\">. 2022;400(10352):563-591. <\/span><a class=\"css-1jxf684 r-bcqeeo r-1ttztb7 r-qvutc0 r-poiln3 r-1g4g62n r-yn5ncy r-clrlgt r-nvplwv r-18jsvk2 r-14mxzap r-1ddef8g r-1loqt21\" role=\"link\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35988567\/\" target=\"_blank\" rel=\"noopener noreferrer nofollow\" data-copy-preserve=\"1\">PubMed<br \/>\n<\/a><\/span><\/li>\n<\/ol>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Did you know that lifestyle factors have an impact on major diseases? Studies show that Lifestyle is the most powerful tool in preventing chronic diseases. Lifestyle factors, primarily not smoking, maintaining a healthy body weight (BMI 18.5\u201325), regular physical activity (at least 150 minutes of moderate exercise per week), healthy diet (e.g., Mediterranean-style, rich in [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18,109],"tags":[83],"class_list":["post-2185","post","type-post","status-publish","format-standard","hentry","category-diseases","category-nutrition-lifestyle","tag-lifestyle"],"_links":{"self":[{"href":"https:\/\/www.life360coach.com\/index.php\/wp-json\/wp\/v2\/posts\/2185","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.life360coach.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.life360coach.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.life360coach.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.life360coach.com\/index.php\/wp-json\/wp\/v2\/comments?post=2185"}],"version-history":[{"count":0,"href":"https:\/\/www.life360coach.com\/index.php\/wp-json\/wp\/v2\/posts\/2185\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.life360coach.com\/index.php\/wp-json\/wp\/v2\/media?parent=2185"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.life360coach.com\/index.php\/wp-json\/wp\/v2\/categories?post=2185"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.life360coach.com\/index.php\/wp-json\/wp\/v2\/tags?post=2185"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}