"What Percent of Americans Lead Healthy Lifestyles?"
Generally, adherence to a healthy lifestyle pattern
has decreased during the last 18 years.
Obesity is up, exercise is down,
and eating just five servings of fruits and veggies a day
dropped like a rock.
And we didn’t start out that great to begin with.
Guess what percentage of Americans at the turn of the century
had the following four healthy lifestyle characteristics?
Not smoking, not overweight, 5 servings of fruits and veggies,
and exercising a half hour a day at least five days a week?
3%.
And whether people were wealthy, college-educated,
no sub-group even remotely met clinical or public health recommendations.
Where are people falling down the most?
If you look at heart disease risk factors,
most people don’t smoke, shown here in green.
About half are exercising.
But check out the healthy diet score,
which gives folks points for drinking less than 4 cups of soda a week, for example.
On a scale of zero to five, only about 1% score a 4 or 5.
So the American Heart Association's aggressive 2020 target
to improve that by 20% would bring us up to like 1.2% of men and women.
Given that we’ve known for decades
that advanced coronary artery disease may be present by age 20,
coronary atherosclerosis, often even present in young children
it is particularly disturbing that healthy lifestyle choices are declining
rather than improving in the US.
And it shows.
In terms of life expectancy the U.S. is down
around 27 or 28 out of the 34 OECD free-market democracies.
The people of Slovenia live a year longer than citizens of the United States.
Why?
Well, according to the most rigorous analysis
of risk factors ever published the number one cause
of death and disability in the United States is our diet.
What about our diet is so bad?
The worst 5 things about our diet is that we don’t eat enough fruit,
we don’t eat enough nuts and seeds,
we eat too much salt, too much bacon, hot dogs, lunch meat, etc.,
and not enough vegetables.
That’s based on data like this on diet quality
and chronic disease mortality risk,
that found that those scoring higher
using a variety of different systems
that all agreed on more whole plant foods,
reduced the risk of dying from heart disease, cancer,
and all causes of death combined.
There is now an overwhelming body
of clinical and epidemiological evidence
illustrating the dramatic impact of a healthy lifestyle
on reducing all-cause mortality and preventing chronic diseases
such as coronary heart disease, stroke, diabetes, and cancer.
So why do we eat so bad?
Aren’t we scared of dying from some of these horrible chronic diseases?
It’s almost as if we’re eating as though our future didn’t matter.
And there’s actually data to back that up.
Death row nutrition.
The growing macabre fascination with speculating about
one’s ‘‘last meal’’ offers a window into one’s true consumption desires
when one's value of the future is discounted close to zero.
If the future didn't matter, what would we eat?
Well, in contrast to pop culture anecdotes,
this group of Cornell researchers actually created a catalog of actual last meals –
the final food requests of 247 individuals
executed in the United States during a recent five-year period.
The most commonly made request - meat.
The researchers go out of their way to note tofu never made the list.
And no one asked for vegetarian.
In fact, if you compare the last meals
to what Americans normally eat,
there’s not much difference.
If we continue to eat as though they were our last meals,
eventually, they will be.