Eat . Play . Live

“Eat Well, Play Often, Live Fully”

– Your Pathway to Holistic Wellness –

Miracle Cures Everywhere…

“Ninety-five percent of all diseases are caused by a build-up of acid in our bodies. We need to cleanse our bodies regularly, just like a car. We need to clean our bodies to make sure they work properly so we don’t get diseases like cancer and diabetes. By cleansing our bodies we will become more fit and our metabolism will increase and we will lose weight, especially in all those tough spots: the arms, the belly, and the bum.”

“If you eat meat and don’t cleanse on a regular basis (i.e., “irrigate” your bowels), it begins to putrefy and rot inside us and the lower colon gets clogged with an immovable, thick, toxic sludge that causes many serious diseases. Many of us are carrying around as much as 10 pounds of this disgusting stuff.”

“You can’t blame aging for this, you can only blame yourself. Do you want to be healthy? You must take control and detoxify your body. An acidity and toxicity assessment only costs eighty dollars. Isn’t your health worth this much?”

Unless you’ve been living totally off the grid for a very long time, chances are you have come across similar advertisements, either in magazines, on TV, or increasingly, social media. Apart from the “toxicity” assessment, there is almost certainly some service or a miraculous product that will instantly cure all your ailments, and at a discounted price if you reply swiftly (usually within 24 hours for TV ads), which is typically only revealed right at the end of an incredibly captivating sales pitch.

I can assure you absolutely every statement made in the fictitious example above is either an oversimplication, incorrect or grossly misleading. There is no need to regularly “detoxify” and “cleanse” our bodies as promoted above. Detoxification will not result in weight loss. There is no way to make a particular part of your body lose weight by consuming a specially formulated “fat-melting algae” potion, or a “secret herbal remedy”, which will magically eliminate the “flab”.

These ads typically feature fit, attractive actors and use a mix of over-the-top fear-mongering and faith-healing proselytizing, with an impressive dose of pseudoscientific jargon thrown into the mix to create a sense of urgency and credibility.

Show me the Science

The EPL website is about health and well-being. More particularly, it’s aiming to reveal proven facts associated with good health. I will also use the term wellness throughout this website – a broad term that is mainly used in relation to holistic health therapies. Sadly, the term is often misused to promote unproven medical therapies. As the detoxifying story (sales pitch) above demonstrates, there is a considerable amount of strange and bizarre information out there. Almost daily we are showered with advice about our health. We are told what to eat. We are told what not to eat. We are told to take supplements. We are told we need exercise. We are told to stretch. We are told to take pharmaceuticals. We are told to avoid pharmaceuticals. We are told to cleanse. We are told get our meridians centred. We are told to get healthy! So, what are you waiting for?

My aim is to shed light on this wellness landscape and uncover some of the factors that obscure it. I will try to strip away the hype and the agendas to reveal the sound evidence where it exists, and its absence when the research hasn’t been done (or remains inconclusive). In addition, I will provide practical guidance (and cautions) for those wishing to navigate the churning sea of facts, findings, fiction, fallacies, and unfounded fears associated with navigating the intricate world of health and wellness advice.

The path to good health is actually much more straightforward than we are often led to believe. Ninety percent of a healthy lifestyle is associated with a few simple truths. I won’t claim that this is always an easy path to follow, but if you can parse the twisted messages that bombard us daily, you will find the journey to better health can be surprisingly direct.

Wellness in a Nutshell

First off, it’s important to understand that your health and well-being is a personal responsibility, significantly influenced by your daily choices and behaviours. Research consistently reinforces the notion that proactive measures, such as maintaining a balanced diet, engaging in regular physical activity, and prioritizing mental well-being, can profoundly affect our quality of life. Achieving and maintaining good health is a lifelong journey that will most likely require making a few small, gradual tweaks to your daily routine. It’s about discovering what works best for you and fitting it into your life in a way that feels doable and enjoyable. I won’t claim that this path is always easy, but if you follow the advice offered here, and persevere, you will soon be on your way to a healthier and happier version of yourself…

What is Wellness?

Wellness can be defined as the active, ongoing process of making choices that lead to a healthy and fulfilling life. In simple terms, it’s a way of living that focuses on keeping you healthy, rather than just reacting when something goes wrong. It is also important to keep in mind that your body, mind, and spirit are all connected, and you need to take care of each part to be truly well. We tend to think we are healthy when we don’t have any obvious health issues, but wellness is more than just not being sick. It’s about working towards the best possible state of health and preventing problems before they start, or can get worse.

Wellness encompasses multiple intricately connected dimensions, including: physical, emotional, social, spiritual, intellectual, environmental, occupational, and financial. If you neglect any one of these areas for too long, it can have a negative impact on your health and overall quality of life. When all these areas are balanced, it allows for a sense of harmony and well-being.

Health, Wellness, and Well-being

Although health, wellness, and well-being, are closely related concepts, each have a slightly different focus area. While there is some overlap, wellness emphasizes the choices we make to improve our lives, well-being refers to how we personally feel and experience life, and health is concerned with our objective physical and mental condition. Together, they provide a comprehensive view of an individual’s overall state and quality of life.

Basic Principles of Wellness

Seven basic wellness principles have been identified from studying how people recover from illness. These principles are common among those who tend to bounce back well from health challenges:

  1. Wellness is holistic: Instead of just focusing on symptoms, it is important to take care of your body, mind, and spirit as a whole.
  2. The self is the only true healer: Health professionals can guide you, but your own body, mind, and spirit (including placebo response – e.g. release of neurotransmitters) are what actually do the healing.
  3. Wellness is your responsibility: Rather than blaming yourself when you get sick, see it as a chance to learn how to be healthier. And don’t forget to give yourself credit when you feel good!
  4. Positive thinking gives you power: Negative thoughts can make you feel helpless; while positive thinking helps you find solutions and take control of your health.
  5. Wellness is an active process: Don’t wait for good health to come to you or rely on someone else to fix your problems. You need to be actively involved in your own health journey. If you’re unsure how, seek advice from a trusted holistic health provider, but be wary of wellness misinformation and quackery.
  6. Focus on outcomes, not problems: Don’t get stuck on what’s wrong. Once you identify a problem, shift your energy towards finding solutions.
  7. Prevention eliminates the need for treatment: It does not take much time, money, or energy to prevent health issues, but treating them can often be very expensive. As the saying goes, “An ounce of prevention is worth a pound of cure” (Benjamin Franklin, 1735).

From Infections to Longevity: A Century of Shifting Life Expectancy and Causes of Death

Over the past two centuries, the landscape of life expectancy and causes of death has undergone a remarkable transformation. Back in the 19th century, life was tough, and life expectancy was relatively low due to high rates of infectious diseases, inadequate sanitation, and limited medical knowledge. However, as we progressed into the 20th century, scientific breakthroughs in medicine, better hygiene practices, and the development of vaccines brought about a dramatic increase in life expectancy. The focus shifted from infectious diseases to long-term chronic conditions (including autoimmune disorders and degenerative diseases) which became leading causes of death in the modern era.

According to the American National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), six out of every ten adults (60%) in the United States are living with a chronic disease and four out of every ten adults (40%) have two or more. Chronic diseases, sometimes referred to as degenerative diseases or simply long-term conditions, are broadly defined as conditions that persist for a year or longer and require ongoing medical attention, or limit activities of daily living or both. These chronic degenerative diseases include a range of conditions, such as heart disease, cancer, stroke, Alzheimer’s disease and other types of dementia, chronic lung disease, diabetes and chronic kidney disease; and are the primary contributors to mortality and disability in the United States (1). Other chronic health conditions include osteoporosis, arthritis, obesity, Crohn’s disease, irritable bowel syndrome, ulcerative colitis, amyotrophic lateral sclerosis (ALS, aka Lou Gehrig’s disease), allergies, long-term mental illnesses, and many more.

With the exception of low-income countries, the three leading causes of death globally are cardiovascular diseases, stroke and chronic obstructive pulmonary disease (including chronic bronchitis and emphysema). These three causes are closely followed by Alzheimer’s disease and other dementias, lower respiratory infections (mainly pneumonia), various cancers, diabetes mellitus, kidney diseases and hypertensive heart disease (caused by long-term high blood pressure) in both high-income and upper-middle-income countries (“developed countries”).

In upper-middle-income countries (such as China, Russia, Mexico and Brazil), there has been a notable rise in deaths from lung cancer and other diseases linked to tobacco use. In high-income countries (such as the United States, Canada, Japan, most of Europe, Australia, New Zealand, and much of Southeast Asia), deaths are increasing in all disease categories mentioned above except two – deaths from cardiovascular diseases and stroke have in fact decreased by roughly 20 percent over the last two decades, largely as a result of smoking cessation programs, lifestyle modification, and hypertension (high blood pressure) treatment and management programs (2). However, a number of recent studies suggest that there has been an increase in stroke event rates in young adults over the last 15 years, believed to be due to increasing prevalence in obesity and diabetes (3; 4).

Nonetheless cardiovascular diseases and stroke are still in the top three causes of death in developed countries (in fact, all categories except low-income countries), with deaths from hypertensive heart disease on the rise. At the same time, deaths due to Alzheimer’s disease and other dementias have increased, overtaking stroke to become the second leading cause in high-income countries (5).

Unveiling the Hidden Culprit: How Low-Grade Inflammation Fuels Chronic Degenerative Diseases

One of the most important medical discoveries of the past two decades has been that the immune system and inflammatory processes are involved in almost all of these chronic physical and mental health conditions. Inflammation is the process by which your white blood cells and other specialised inflammatory cells protects you from infection from outside invaders, such as bacteria and viruses. Sporadic increases in inflammation also play a vital role in healing after physical injury. However, the clinical consequences of systemic chronic inflammation (SCI) can be severe and include increased risk of metabolic syndrome (including insulin resistance, hyperglycaemia, hypertension and dyslipidaemia), type 2 diabetes, non-alcoholic fatty liver disease (NAFLD), heart disease, chronic kidney disease, various types of cancer, depression, neurodegenerative and autoimmune diseases, osteoporosis and sarcopenia (loss of muscle mass and strength). It has been known for a long time that patients with autoimmune diseases (such as rheumatoid arthritis) that are characterized by systemic inflammation, also tend to have insulin resistance, dyslipidaemia and hypertension, and that they have higher rates of metabolic syndrome, type 2 diabetes, heart disease and stroke (6).

SCI-related disease rates have increased dramatically for both older and younger individuals living in industrialized countries following a Western lifestyle, but are relatively rare among individuals in non-Westernized populations who adhere to diets, lifestyles and ecological niches that more closely resemble those present during most of human evolution (6). Compelling evidence for the role of lifestyle in the development of chronic inflammation came from a recent study of 210 healthy twins, which found that non-heritable factors, such as lifestyle and exposure to environmental factors, are the strongest contributors to differences in chronic inflammation between individuals, and are the main drivers of systemic chronic inflammation (7).

Shifting the Healthcare Focus: Prioritizing Prevention over Treatment

Compelling evidence from various sources consistently points to unhealthy lifestyle and environmental factors, in conjunction with chronic stress, as the leading role players in initiating or exacerbating systemic low-grade (chronic) inflammation, and the ensuing chronic diseases prevalent in the world today (8). These factors include poor dietary choices (high in processed foods, sugars and unhealthy fats, while low in essential nutrients), physical inactivity, exposure to various environmental and industrial toxicants, persistent infections and psychological stress. Furthermore, it’s worth noting that systemic chronic inflammation during pregnancy can have lasting developmental consequences, heightening the risk of chronic diseases throughout one’s lifetime (9, 10).

Despite the grim statistics for chronic health conditions, there is hope. It is estimated that close to 80 percent of deaths caused by chronic health conditions can be prevented by making a few simple lifestyle changes. According to World Health Organization (WHO) statistics, of all the people who die in the United States annually, only about 10 percent die because of inadequate health care, and approximately 20 percent die because of biological or environmental factors. The rest die as the direct result of an unhealthy lifestyle (5).

Until recently, the central focus of healthcare has predominantly been on treatment (and arguably still is), which can be very effective in managing infectious diseases, but not so much for chronic health conditions. I think it is high time that we shift the focus towards prevention. This is because the majority of prevailing health conditions can be linked to our contemporary lifestyles – the not-so-great diet choices, prolonged periods of inactivity, and a growing disconnect from the environmental forces that shaped our bodies over the eons.

Although some risk factors, such as age or family history, cannot be controlled, many others can. Prevention means making smarter choices. By living a healthy lifestyle, you can help keep your blood pressure, cholesterol, and blood sugar levels “normal”, and not only lower your risk for developing chronic health conditions, but also reverse pre-chronic issues, such as pre-diabetes, hypertension and obesity (11).

Smoking is the single largest preventable cause of death globally. According to the American Council on Science and Health, four out of five (80%) leading causes of death in the United States are related directly to cigarette smoking – 30 percent of all cancer deaths, 30 percent of all heart disease fatalities, and over 80 percent of all deaths from chronic bronchitis and emphysema. It is also an unquantifiable risk factor for cerebrovascular disease (stroke) and for Alzheimer’s disease (12).

If you are currently still smoking, your first priority needs to be to quit right now. Find out what resources are available to help you. If you need, talk to your doctor. Outline a specific course of action that will work for you, but don’t delay. Quitting is one of the best decisions you can make for your health, as well as that of your close friends and family (second-hand smoke exposure). If you are still smoking and do not consider quitting, this website is not for you. You are knowingly playing Russian roulette with your health and you only have yourself to blame if your health goes off the rails, if it hasn’t done so yet…

Another preventable risk factor is excessive alcohol use. Over time, alcohol use can lead (or contribute) to the development of many chronic conditions including hypertension (a leading cause of heart disease and stroke), liver disease, digestive problems, and several types of cancer (including colorectal, breast, liver, and oesophagus) (13, 14). Emerging evidence suggests that even drinking within recommended limits (2 drinks or less in a day for men or 1 drink or less in a day for women) may increase the overall risk of death from various causes. Although some older adults may benefit from drinking a small amount of alcohol, any potential protection from light drinking will be very small and unlikely to outweigh the harms (15).

If you have a drinking problem or drug dependency, find out where you can get professional help and make an appointment. Follow through. Start by figuring out why you started using drugs or alcohol to begin with. Your personal motives have a lot to do with your ability to kick the habit. As always, talk to your doctor if necessary.

If you have a weight problem, start your weight management program with guidance from a trusted health care practitioner and information from this website. Formulate a plan specifically how you are going to change your eating and exercise habits so you can lose weight safely and permanently.

 

References:

  1. (2022). Drinking too much alcohol can harm your health. Learn the facts | CDC. Centers for Disease Control and Prevention. https://www.cdc.gov/alcohol/fact-sheets/alcohol-use.htm
  2. Seminog, O. O., Scarborough, P., Wright, F. L., Rayner, M., & Goldacre, M. J. (2019). Determinants of the decline in mortality from acute stroke in England: Linked national database study of 795 869 adults. The BMJ. https://www.bmj.com/content/365/bmj.l1778
  3. (2019). New data on stroke deaths. Centers for Disease Control and Prevention. https://www.cdc.gov/vitalsigns/stroke/index.html
  4. Yahya, T., Jilani, M. H., Khan, S. U., Mszar, R., Hassan, S. Z., Blaha, M. J., Blankstein, R., Virani, S. S., Johansen, M. C., Vahidy, F., Cainzos-Achirica, M., & Nasir, K. (2020). Stroke in young adults: Current trends, opportunities for prevention and pathways forward. PubMed Central (PMC). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8315351/
  5. (2020). The top 10 causes of death. WHO | World Health Organization. https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death
  6. Furman, D., Campisi, J., Verdin, E., Carrera-Bastos, P., Targ, S., Franceschi, C., Ferrucci, L., Gilroy, D.W., Fasano, A., Miller, G.W., Miller, A.H., Mantovani, A., Weyand, C.M., Barzilai, N., Goronzy, J.J., Rando, T.A., Effros, R.B., Lucia, A., Kleinstreuer, N. & Slavich, G.M. (2019). Chronic inflammation in the etiology of disease across the life span. Nature Medicine 25, 1822-1832 (2019). https://doi.org/10.1038/s41591-019-0675-0
  7. Brodin, P., Jojic, V., Gao, T., Bhattacharya, S., Angel, C., Furman, D., Shen-Orr, S., Dekker, C., Swan, G., Butte, A., Maecker, H., & Davis, M. (2015). Variation in the human immune system is largely driven by non-heritable influences. Cell, 160(1-2), 37-47. https://doi.org/10.1016/j.cell.2014.12.020
  8. Roberts, C. K., & Barnard, R. J. (2005). Effects of exercise and diet on chronic disease. Journal of Applied Physiology, 98(1), 3-30. https://doi.org/10.1152/japplphysiol.00852.2004
  9. Fleming, T. P., Watkins, A. J., Velazquez, M. A., Mathers, J. C., Prentice, A. M., Stephenson, J., Barker, M., Saffery, R., Yajnik, C. S., Eckert, J. J., Hanson, M. A., Forrester, T., Gluckman, P. D., & Godfrey, K. M. (2018). Origins of lifetime health around the time of conception: Causes and consequences. The Lancet, 391(10132), 1842-1852. https://doi.org/10.1016/s0140-6736(18)30312-x
  10. Parisi, F., Milazzo, R., Savasi, V. M., & Cetin, I. (2021). Maternal low-grade chronic inflammation and intrauterine programming of health and disease. International Journal of Molecular Sciences, 22(4), 1732. https://doi.org/10.3390/ijms22041732
  11. Center for Adult Medicine and Preventive Care. (2020). Questions to ask about chronic disease reversal therapy. https://campmedicine.org/blog/questions-to-ask-about-chronic-disease-reversal-therapy/
  12. Alzheimer’s Research UK. (2020). All you need to know about smoking and dementia. https://www.alzheimersresearchuk.org/blog/all-you-need-to-know-about-smoking-and-dementia/
  13. (2022). Drinking too much alcohol can harm your health. Learn the facts | CDC. Centers for Disease Control and Prevention. https://www.cdc.gov/alcohol/fact-sheets/alcohol-use.htm
  14. Alcohol: Balancing risks and benefits. (2022). The Nutrition Source. https://www.hsph.harvard.edu/nutritionsource/healthy-drinks/drinks-to-consume-in-moderation/alcohol-full-story/
  15. Jackson, R., Broad, J., Connor, J., & Wells, S. (2005). Alcohol and ischaemic heart disease: Probably no free lunch. The Lancet, 366(9501), 1911-1912. https://doi.org/10.1016/s0140-6736(05)67770-7

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