We Eat Well, Exercise But Die Before We're Thirty

Submitted by tonyplant on January 8, 2007 - 12:21.

I came across this cartoon that inspired the title and reminded me of something that I've seen attributed to Terry Pratchett:

You can't make people happy by law. If you said to a bunch of average people two hundred years ago "Would you be happy in a world where medical care is widely available, houses are clean, the world's music and sights and foods can be brought into your home at small cost, travelling even 100 miles is easy, childbirth is generally not fatal to mother or child, you don't have to die of dental abcesses and you don't have to do what the squire tells you" they'd think you were talking about the New Jerusalem and say 'yes'.

As ever, I fall back onto consideration of Ben Friedman's The Moral Consequences of Economic Growth. Friedman persuasively argues that economic growth is essential to moral, social, political and cultural progress.

I wonder why we are not happier or more satisified. Are we meant to compare ourselves to others or to an idea of what we wanted for ourselves and find our lives lacking? Or has economic growth given us more diverse and intense sources of hedonism but not provided comparable opportunities for engagement or a meaningful life? I find the latter difficult to believe. Yet I meet so many people who are relying upon an external or a change in circumstance (such as a lottery win) before they will be happy. The idea that we can change ourselves and be happy seems to be ridiculous or dangerous.

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Happiness Adjusted Age Relative To Chronological Age?

Submitted by tonyplant on November 27, 2006 - 20:50.

There are several age-adjusted health scales used to horrify or shame us about our lifestyle choices and health. Real Age claims to calculate the biological age of your body, based on how well you maintain it. HeartAge can be used to tell a 42-year-old man that after a cardiovascular risk-adjustment, he has the heart of a 70-year-old man. There are anxiety and depression scores and quality of life scores. I'd like to propose an risk-adjusted happiness and resilience score for age. Imagine hearing, "You have the body of a 23-year-old but your lifestyle choices and general grumpiness gives you the Mind-Body score of 58-year old".

HeartAge is a novel use of the Framingham Heart Score: it has been reported in Patients' Perceptions of Cholesterol, Cardiovascular Disease Risk, and Risk Communication Strategies. A series of focus groups compared three strategies for communicating cardiovascular disease (CVD) risk. Participants saw three visual displays that represented the CVD risk for a 42-year-old man with a Framingham Heart Score that predicted a 25% probability for a CVD event within the next 10 years. A crowd chart showed 100 stick figures with 25 of them shaded to indicate the proportion predicted to have a CVD event over the next 10- years: this was contrasted with a similar chart for a same-aged man with no risk factors (1 figure shaded). Similarly, this same information was compared and contrasted in a simple bar graph. The HeartAge was also presented as a chart. But this time, a horizontal bar chart represented age. The first bar depicted the chronological age (42 years);

the second bar showed how this individual compared with the average age of a same-sex person in the Framingham Heart Study having the same 10-year probability of experiencing a CHD event. For the demonstration case, the 42-year-old had the same risk as a 70-year-old.

Analysis of the participants' reactions and responses revealed that the standard visual representations that show statistical probabilities of risk are confusing and uninspiring. However, a strategy that provides a cardiovascular risk-adjusted age calculation was

evaluated as clear, memorable, relevant, and potentially capable of motivating people to make healthful changes.

The BODE index is gaining in popularity for assessing people with chronic obstructive pulmonary disease (COPD). BODE is a combination of physical and physiological indices and measurements: it can be used in conjunction with quality of life questionnaires to present a full picture of a patient's health and well-being.

read more | add new comment | hearts and mind age | health | happystance | happiness | age

Podcast - Gudalur - ACCORD and the tribal hospital

Submitted by Nathalie McDermott on November 22, 2006 - 05:17.

We left the Green Hotel in Mysore for bamboo huts in the jungle near Gudalur.

Our first visit the next day was to the tribal hospital set up by Accord.  Apart from the doctors, the hospital is run entirely by members of the tribal community for the tribal community. 

 Click here to listen

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Wellness for the Lifestyle Challenged

Submitted by tonyplant on June 8, 2006 - 16:43.

Wellness for the lifestyle challenged offers 12 general principles for healthier living. The steps are all the generic advice that is popular in magazines and newspaper sections. I would include the benefit of counting our blessings. However, I particularly approve of the following as it re-iterates my usual theme that laughter is good for you.

Resolve to go out of your way daily to experience humor, lightness, fun, joy--good times by whatever name you prefer. Laughter and assorted pleasures strengthen your immune system, metabolize bad vibes and act in 1001 ways to make your everyday life richer and fuller. Unlike frustrations, setbacks, tragedy and disaster, however, initiative is needed to bring these sensations up beyond the minimal level of occurrences.

Copyright 2006, Tony Plant Happystance Project

add new comment | well-being | laughter | humour | health | happiness | fun | blessings

Happiness-Adjusted Age Relative To Chronological Age?

Submitted by tonyplant on June 2, 2006 - 13:48.

There are several age-adjusted health scales used to horrify or shame us about our lifestyle choices and health. Real Age claims to calculate the biological age of your body, based on how well you maintain it. HeartAge can be used to tell a 42-year-old man that after a cardiovascular risk-adjustment, he has the heart of a 70-year-old man. There are anxiety and depression scores and quality of life scores. I'd like to propose an risk-adjusted happiness and resilience score for age. Imagine hearing, "You have the body of a 23-year-old but your lifestyle choices and general grumpiness gives you the Mind-Body score of 58-year old".

HeartAge is a novel use of the Framingham Heart Score: it has been reported in Patients' Perceptions of Cholesterol, Cardiovascular Disease Risk, and Risk Communication Strategies. A series of focus groups compared three strategies for communicating cardiovascular disease (CVD) risk. Participants saw three visual displays that represented the CVD risk for a 42-year-old man with a Framingham Heart Score that predicted a 25% probability for a CVD event within the next 10 years. A crowd chart showed 100 stick figures with 25 of them shaded to indicate the proportion predicted to have a CVD event over the next 10- years: this was contrasted with a similar chart for a same-aged man with no risk factors (1 figure shaded). Similarly, this same information was compared and contrasted in a simple bar graph. The HeartAge was also presented as a chart. But this time, a horizontal bar chart represented age. The first bar depicted the chronological age (42 years);

the second bar showed how this individual compared with the average age of a same-sex person in the Framingham Heart Study having the same 10-year probability of experiencing a CHD event. For the demonstration case, the 42-year-old had the same risk as a 70-year-old.

Analysis of the participants' reactions and responses revealed that the standard visual representations that show statistical probabilities of risk are confusing and uninspiring. However, a strategy that provides a cardiovascular risk-adjusted age calculation was

evaluated as clear, memorable, relevant, and potentially capable of motivating people to make healthful changes.

The BODE index is gaining in popularity for assessing people with chronic obstructive pulmonary disease (COPD). BODE is a combination of physical and physiological indices and measurements: it can be used in conjunction with quality of life questionnaires to present a full picture of a patient's health and well-being.

read more | 5 comments | scales | resilience | health | happystance | happiness | age

Allostasis, Sleep and Happiness

Submitted by tonyplant on March 3, 2006 - 11:55.

Following on from allostasis and happiness I've been thinking about the contribution of sleep to allostasis (and therefore, well-being). The Times carried a summary of El-Sheik's research into sleep quality in children. The more that children are exposed to parental conflicts, the worse they sleep. And, the worse children sleep, the more likely they are to be tired when awake, have difficulty focusing and be irritable and badly behaved. All of which sounds like it could make a contribution to a diagnosis of ADHD, particularly the need to have the behaviour documented in a variety of settings. And, as the children would be tired for most of the day, I think that that criterion would be met.

I wrote about the diabetic children with uncontrolled ketoacidosis who prompted Salvador Minuchin to say that "behavioral events among family members can be measured in the bloodstream of other family members". It seems as if that could also be adapted to "behavioural events among family members can be measured in the diagnoses of other family members".

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Allostasis and Happiness

Submitted by tonyplant on March 2, 2006 - 17:47.

I've been reading a lot about allostasis and allostatic load lately. Primarily because I am trying to understand where happiness and its beneficial effects fit in. Leading advocates of the concept claim that it makes sense of why some societies (such as the UK, the rest of Europe and the US) are experiencing a surge in the numbers of people who are developing obsesity, metabolic disorders (e.g., Syndrome X or type II diabetes) or addictions. At its highest level, allostasis implies that social policies have a critical impact on how we experience our lives, and therefore influence our resilience and ability to withstand disease and to recover from illness.

I've borrowed this following explanation of allostasis from Dr. Salt's summary of a classic paper:

[stress has] many mechanisms, but among the most prominent are the manifestations of physiological stress responses as a result of living and working conditions, inter-personal conflict, as well as the sense of control of one’s environment and optimism/pessimism toward the future. "Allostatic load" refers to the cost of adaptation to a stressful environment, which elicits repeated and sometimes prolonged adaptive responses ("allostasis") that preserve homeostasis in the short run but can cause wear- and-tear on the body and brain. Functional symptoms and syndromes, decreased cognitive function during aging, abdominal obesity, increased risk for hypertension and cardiovascular disease, insulin-dependent diabetes and decreased immune responses are all manifestations of allostatic load.

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