The Health of Nations, David Katz, MD

If all of us were simply to make better use of our feet, our forks, and our fingers — if we were to be physically active every day, eat a nearly optimal diet, and avoid tobacco — fully 80 percent of the chronic disease burden that plagues modern society could be eliminated. Really.

Better use of feet, forks, and fingers — and just that — could reduce our personal lifetime risk for heart disease, cancer, stroke, serious respiratory disease, or diabetes by roughly 80 percent. The same behaviors could slash both the human and financial costs of chronic disease, which are putting our children’s futures and the fate of our nation in jeopardy. Feet, forks, and fingers don’t just represent behaviors we have the means to control; they represent control we have the means to exert over the behavior of our genes themselves.

Feet, forks, and fingers could reshape our personal medical destinies, and modern public health, dramatically, for the better. We have known this for decades. So why doesn’t it happen?

Because a lot stands in the way. For starters, there’s 6 million years of evolutionary biology. Throughout all of human history and before, calories were relatively scarce and hard to get, and physical activity — in the form of survival — was unavoidable. Only in the modern era have we devised a world in which physical activity is scarce and hard to get and calories are unavoidable. We are adapted to the former, and have no native defenses against the latter.

http://thehealthcareblog.com/blog/2012/10/03/the-health-of-nations/

India’s City Dwellers at Greater Risk than Americans for Heart Disease, from Scientific American Blog

Image courtesy of iStockphoto/JeremyRichards

Diabetes, heart disease, stroke and other afflictions that once primarily plagued wealthier, western countries are now accelerating in poorer nations.

A new study reveals that risk factors for heart disease in Indian cities are now more prevalent than they are in the U.S. or Western Europe per capita. And with a population of more than 1.1 billion, India’s health is a major global concern.

Cardiovascular disease is still the leading killer in the U.S., but it has been on steady decline for decades. In India and other countries, such as China and Brazil, this and other diseases linked to an unhealthier lifestyle, are on the rise.

“India has the dubious distinction of being known as the coronary and diabetes capital of the world,” Prakash Deedwania, of the University of California, San Francisco and co-author of the report, said in a prepared statement.

For the study, the researchers assessed the health of 6,198 adults who lived in 11 cities in various parts of India. Across the country about 79 percent of men and 83 percent of women didn’t get much exercise, and 41 percent of men and 45 percent of women were overweight or obese, the team found. And high-fat, low-fruit-and-vegetable diets were common. All of these trends put people at higher odds for developing—and dying from—cardiovascular disease. The findings were presented April 20 in Dubai at the World Congress of Cardiology.

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About the Author: Katherine Harmon is an associate editor for Scientific American covering health, medicine and life sciences. Follow on Twitter @katherineharmon.