Diet and having a long and disability-free life

I’d never even heard that nuts and seeds were so essential to a long and disability free life.  To prevent heart disease, it outranked being a couch potato, and eating enough fruit, vegetables, and whole grains!  And it was 8th in importance for overall prevention of death and disability.  So always add some Super Seed Mix to whatever you’re cooking.

Disability-adjusted life year (DALY). One DALY is equal to one year of healthy life lost.

Recently The Lancet published The Global Burden of Disease Study 2010, the largest ever effort to describe the global distribution and causes of a wide array of major diseases, injuries, and health risk factors. The results show that infectious diseases, maternal and child illness, and malnutrition now cause fewer deaths and less illness than they did twenty years ago. As a result, fewer children are dying every year, but more young and middle-aged adults are dying and suffering from disease and injury, as non-communicable diseases, such as cancer and heart disease, become the dominant causes of death and disability worldwide. Since 1970, men and women worldwide have gained slightly more than ten years of life expectancy overall, but they spend more years living with injury and illness.

Much of the study puts the causes and risks of death and how many years of low quality of life into a unit combining them both: the Disability Adjusted Life Years (DALY):

 

DALY = years of life lost to premature death + years lived with disability.

The chart below is for only heart disease, the #1 killer in North America. Notice that in terms of diet:

  • The most important dietary factor is a diet low in nuts and seeds – this is even more important than being a couch potato!
  • Diets low in fruit, seafood (omega-3 varieties), whole grains, and vegetables are more likely to lead to a bad outcome!

 

Here’s a longer list sorted by most to least DALY in North America.  I’ve highlighted the dietary risks in red:

Disability-adjusted life years (DALY) Risk Factors.  DALY = years of life lost to premature death + years lived with disability.

High-income North America Global
Tobacco smoking, including 2nd hand smoke 1 2
High body-mass index 2 6
Alcohol use 3 3
High blood pressure 4 1
High fasting plasma glucose 5 7
Physical inactivity and low physical activity 6 10
Diet low in fruits 7 5
Diet Low in nuts and seeds 8 12
High total cholesterol 9 15
Drug use 10 19
Diet high in sodium 11 11
Diet high in processed meat 12 22
Diet low in vegetables 13 17
Ambient particulate matter pollution              14 9
Diet high in tran fatty acids 15 28
Diet low in seafood omega-3 fatty acids 16 18
Diet low in whole grains 17 16
Diet Low in fiber 18 24
Diet high in sugar-sweetened beverages 19 32
Diet low in polyunsaturated fatty acids 20 27
Childhood sexual abuse 21 33
Intimate partner violence 22 23
Occupational low back pain 23 21
Lead exposure 24 26
Occupational risk factors for injuries 25 20
Low bone mineral density 26 35
Residential radon 27 40
Occupational particulate matter, gases and fumes 28 30
Diet low in calcium 29 38
Diet low in milk 30 41
Occupational carcinogens 31 37
Diet high in red meat 32 43
Ambient ozone pollution 33 39
Occupational asthmagens 34 42
Iron deficiency 35 13
Occupational noise 36 36
Zinc deficiency 37 31
Unimproved water source 38 34
childhood underweight 39 8
Vitamin A deficiency 40 29
Unimproved sanitation 41 25
Household air pollution from solid fuels N/A 4
Supoptimal breastfeeding N/A 14

 

And now the most common causes of death and disability loss.  I was struck by the high number of mental disorders:

Leading causes of disability-adjusted life years (DALY)  2010

North America Global
Heart disease (ischaemic) 1 1
COPD chronic obstructive pulmonary disorder 2 9
Low back pain 3 6
trachea, bronchus, lung cancers 4 22
Major depressive disorder 5 11
Other musculoskeletal disorders 6 24
Cerebrovascular disease 7 3
Diabetes 8 14
neck pain 9 21
Road injury 10 10
Drug use disorders 11 31
Alzheimer’s disease and other dementia 12 49
Anxiety disorders 13 26
Self-harm 14 18
Falls 15 19
Cirrhosis of the liver 16 23
Colon and rectum cancers 17 44
Chronic kidney diseases 18 29
Alcohol use disorders 19 35
Breast cancer 20 47
Lower respiratory infections 21 2
Asthma 22 28
Schizophrenia 23 43
Osteoarthritis 24 38
Interpersonal violence 25 27
Preterm Birth Complications 26 8
Other cardiovascular and circulatory diseases 27 37
Benign prostatic hyperplasia 28 62
Migraine 29 30
Congenital anomalies 30 17
Pancreatic cancer 31 64
Cardiomyopathy and myocarditis 32 50
Hypertensive heart disease 33 42
Prostate cancer 34 88
Other hearing loss 36 41
HIV/AIDS 37 5
Poisonings 42 58
Sickle cell disorders 43 71
Diarrhoeal disease 48 34
Liver cancer 49 33
Epilepsy 52 36
Neonatal encephalopathy 54 12
Oesophageal cancer 55 57
Stomach cancer 56 39
Drowning 64 32
Adverse effects of medical treatment 69 82
Fire, heat, hot substances 73 34
Exposure to mechanical forces 75 48
Meningitis 91 25
Sepsis etc in newborn baby 99 16
Maternal disorders 109 40
protein-energy malnutrition 116 20
Iron-deficiency Anaemia 117 15
Exposure to forces of nature 123 45
Tuberculosis 124 13
Syphilis 146 55
Typhoid and paratyphoid fewvers 149 52
Measles 153 56
Malaria 155 7

 

Sometimes it’s easier to read a chart than numbers.  Below is the GLOBAL (not North America) top 20 burden of disease risk factors in 2010 to put this in perspective (expressed as a percentage of DALY):

About Alice

I've milled and baked with whole grains for many years, because whole grains are delicious, and white flour is missing the nutrition that protects you from cancer, stroke, heart disease, diabetes and many other diseases. Plus it's a good emergency food.
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