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Medical Forum / General / General / April 2005

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Few U.S. Adults Lead Healthy Lives

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Jeff - 26 Apr 2005 01:38 GMT
http://www.reuters.com/newsArticle.jhtml?type=healthNews&storyID=8287343

Few U.S. Adults Lead Healthy Lives

By Alison McCook
NEW YORK (Reuters Health) - A paltry number of Americans follow four basic
rules of health living -- don't smoke, eat well, exercise regularly, and
maintain a healthy weight, according to new study findings released Monday.

After surveying more than 150,000 adults, Michigan researchers found that
only three percent said they maintained these healthy habits.

Lead author Dr. Mathew J. Reeves of Michigan State University in East
Lansing told Reuters Health he expected that a minority of adults would keep
up all habits, "but three percent was really quite surprising."

He explained that there are probably a number of reasons why the vast
majority of Americans don't follow their doctors' orders. People are busy,
live in environments more conducive to driving everywhere than walking or
biking, and may lack information about the dangers of unhealthy habits,
Reeves suggested.

But likely the biggest reason is the "current cultural norm" to live
unhealthy lives, he said. "If most people around you are overweight, and
don't exercise and eat mostly fast food, then it's very hard to see the need
to change the way you are living," Reeves noted.

To investigate how healthy Americans are, Reeves and his co-author Dr. Ann
P. Rafferty reviewed data collected from 153,000 adults as part of a
telephone survey.

The researchers noted how many people didn't smoke, ate at least five fruits
and vegetables every day, exercised for at least 30 minutes five or more
times per week, and had a healthy body mass index (BMI), defined as weight
in kilograms divided by the square of height in meters. A healthy BMI is
between 18.5 and 25.

Among the surveyed adults, 76 percent didn't smoke and 40 percent had
maintained a healthy weight.

However, less than one quarter ate at least five fruits and vegetables
daily, or exercised on a regular basis.

Altogether, only three percent of surveyed adults maintained all four of
these healthy habits, the authors report in the Archives of Internal
Medicine.

Reeves said that research shows being healthy can add years to your life,
slash medical expenses, cut your risk of heart disease, and generally
improve your quality of life.

"It really does matter that so many people are not taking the most basic
steps to leading a healthy lifestyle," he said. "We should be aware of what
we are giving up."

SOURCE: Archives of Internal Medicine, April 25, 2005.

© Reuters 2005. All Rights Reserved.
OccamMan - 26 Apr 2005 02:42 GMT
Is a BMI of 18.5-25 healthy again this week?  Last week it could kill
you.  Didn't know it had reverted back so quickly.

=OCCAMMAN=

"God heals and the doctor takes the fee"
-Ben Franklin

> http://www.reuters.com/newsArticle.jhtml?type=healthNews&storyID=8287343
>
[quoted text clipped - 54 lines]
>
> © Reuters 2005. All Rights Reserved.
Jim Chinnis - 26 Apr 2005 02:50 GMT
>The researchers noted how many people...ate at least five fruits
>and vegetables every day...

I'm surprised that 3% manage even that alone. I suspect no one
really does. Some days I eat almost nothing.

They must never have a colonoscopy, since that requires fasting.

I wonder what the actual wording of the survey was.
--
Jim Chinnis   Warrenton, Virginia, USA
bae@cs.toronto.no-uce.edu - 28 Apr 2005 14:20 GMT
>>The researchers noted how many people...ate at least five fruits
>>and vegetables every day...
[quoted text clipped - 3 lines]
>
>They must never have a colonoscopy, since that requires fasting.

I'm sure they meant on average, or most days, but if the wording really
was "every day", I'm surprised too.

>I wonder what the actual wording of the survey was.

It's probably "servings" rather than number of items.  Sometimes
servings of vegetables are defined as half a cup (4 oz or 100-125ml).
Dunno about you, but if I prepare some nutritious, low-calorie
vegetable like broccoli or green beans or leafy salad or whatever, I
don't think about serving size, and I eat a good bit more than half a
cup of it.  I eat a lot of veggies that are mixed into other things,
like soups.  I haven't a clue how much that is, even though I make the
soup myself.  I just chop the veggies and toss them in without any
effort to measure or calculate how many bowls of soup I'll end up
with.

Even if they explain carefully to the respondents just what a serving
consists of, I suspect most people will have a very hard time
estimating just how much of these foods they eat, especially for some
"researcher" who just phoned them up out of the blue.  (Isn't this an
awfully selective method of doing a survey?  Don't most people with a
clue let their answering machines deal with telephone solicitors, or at
least refuse to talk to them?)

Constructing a survey and selecting a sample to give results that are
meaningful is a very difficult task, and not something most people,
even most researchers, can do without the help of a specialist in this
area of statistics and social science.  The interviewers can strongly
bias the results unintentionally by factors like facial expression and
tone of voice, since most people will unconsciously bias their answers
to tell the interviewer what they think he wants to hear, or what will
make themselves look better.  And whether or not the survey was well
designed and implemented, the results will tend to be distorted and
oversimplified by the press.

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