An article in the June 2009 issue of The American Journal of Medicine is certainly appropriate in today's discussion about health care.
Lifestyle choices are associated with cardiovascular disease and mortality. The purpose of this study was to compare adherence to healthy lifestyle habits in adults between 1988 and 2006.
Analysis of adherence to 5 healthy lifestyle trends (≥5 fruits and vegetables/day, regular exercise >12 times/month, maintaining healthy weight [body mass index 18.5-29.9 kg/m2], moderate alcohol consumption [up to 1 drink/day for women, 2/day for men] and not smoking) in the National Health and Nutrition Examination Survey 1988-1994 were compared with results from the National Health and Nutrition Examination Survey 2001-2006 among adults aged 40-74 years.
Over the last 18 years, obesity has increased from 28% to 36%; regular physical activity has decreased from 53% to 43%; and eating 5 or more fruits and vegetables a day has decreased from 42% to 26% among adults aged 40-74 years.
Adherence to all 5 healthy habits has gone from 15% to 8% (P <.05).
Adherence to healthy habits is no more likely in people with cardiovascular disease, hypertension, diabetes, or hypercholesterolemia.
Why do we do this to ourselves?