Optimizing Health Span is Key!
Why a Health-Focused Lifestyle is Essential for Avoiding Chronic Disease
As I stood in the pharmacy recently, I couldn’t help but notice a striking trend. The room was filled with elderly individuals, many of whom were collecting repeat prescriptions—not for acute, infectious illnesses, but for chronic conditions requiring long-term management. This moment reinforced a profound realization I had many years ago: chronic disease has become the dominant health challenge of our time, and yet, unlike infectious diseases, it is largely preventable.
Worse still – most people have come to conceptualize chronic disease as a “sign of aging” accepting that as the years March on, health wanes and suffering increases... This couldn’t be further from the truth – we should be tack-sharp, fully mobile and functional well into late life before our health falls off a proverbial cliff and we die (health decline & death within a short space of time, not drawn out over years or even decades). In other words, your health-span should be high throughout your lifespan, right through to the end – it should not decline from middle aged and lead you into a lifetime of prescriptive medication to manage the symptoms of chronic disease...
You see, by adopting a health-focused lifestyle rooted in the 5 pillars of metabolic health, namely: exercise, nutrition, sleep, light exposure, and grounding, we can optimize our health-span, reduce our risk of chronic illness, and live vibrant lives well into old age.
The Burden of Chronic Disease
Chronic diseases, such as type 2 diabetes, cardiovascular disease, and autoimmune disorders, are now the leading causes of morbidity and mortality worldwide (WHO, 2020). Unlike acute infectious diseases, which often have clear causes and treatments, chronic illnesses develop insidiously over time, influenced by lifestyle factors like inappropriate diet, lack of physical activity, and poor sleep patterns, etc. They are not inevitable consequences of aging but are preventable in most cases. Understanding how to mitigate these risks starts with an appreciation of our biology.
Human Beings as Hypercarnivores
From a gastroenterology perspective, human beings are Hypercarnivores, meaning our physiology is adapted to a diet predominantly composed of animal-based foods (Mann et al., 2019). Evidence from isotopic studies of ancient bones indicates that early Homo sapiens relied heavily on meat and animal fat for sustenance (Smith et al., 2021). This dietary template provided the dense nutrition needed to fuel our large brains and highly active lifestyles. However, the modern shift towards processed, carbohydrate-heavy diets and sedentary lifestyles has introduced a mismatch between our biology and our environment, setting the stage for chronic disease (Eaton et al., 1988).
The Five Pillars of a Health-Focused Lifestyle
1. Exercise: Movement as Medicine
Physical inactivity is a leading risk factor for chronic disease (Booth et al., 2012). Regular exercise improves insulin sensitivity, reduces inflammation, and supports cardiovascular health. Resistance training, in particular, is crucial for maintaining muscle mass and metabolic health as we age. Evolutionarily, humans were built for movement - hunting, gathering, and building - making physical activity an essential component of well-being.2. Nutrition: A Species-Appropriate Diet
A diet centred on nutrient-dense animal foods - such as fatty cuts of meat, organs, eggs, and fish - provides the essential nutrients both macro and micro needed for optimal health (Cordain et al., 2002). Eliminating processed foods, refined sugars, and seed oils can help prevent insulin resistance, systemic inflammation, and oxidative stress, which are key drivers of chronic disease. Incorporating intermittent fasting or time-restricted eating can further support metabolic flexibility and cellular repair processes (Mattson et al., 2017).3. Sleep: The Foundation of Recovery
Chronic sleep deprivation is linked to obesity, diabetes, and cardiovascular disease (Walker, 2017). Sleep is a biological necessity, allowing for cellular repair, hormonal regulation, and memory consolidation. Prioritizing consistent sleep patterns and creating an environment conducive to restful sleep - such as minimizing artificial light and reducing noise - can have profound effects on overall health.4. Light Exposure: Aligning with Circadian Rhythms
Exposure to natural light, particularly in the morning, regulates our circadian rhythms and supports hormonal balance (Czeisler & Buxton, 2012). Modern lifestyles, characterized by excessive exposure to artificial light and inadequate sunlight, disrupt these rhythms, increasing the risk of metabolic and mood disorders. Spending time outdoors and minimizing screen time after sunset are simple ways to restore this balance.5. Grounding: Reconnecting with the Earth
Grounding, or direct physical contact with the Earth’s surface, has been shown to reduce inflammation, improve sleep, and enhance recovery from stress (Chevalier et al., 2012). While the mechanisms are still being studied, it is thought that the Earth’s electrons may act as antioxidants, neutralizing harmful free radicals in the body. Incorporating grounding practices, such as walking barefoot on grass or sand, into daily life can enhance overall wellness.
The Key to Health Span: Prevention Over Prescription
The pharmacy scene I observed underscores a critical point: reliance on medications to manage chronic conditions is a suboptimal solution. These treatments address symptoms but often fail to tackle root causes. By embracing a health-focused lifestyle, we can shift from a reactive model of healthcare to a proactive one, reducing our reliance on pharmaceuticals and enhancing quality of life.
The benefits of this approach extend beyond physical health. A well-balanced lifestyle that prioritizes exercise, nutrition, sleep, light exposure, and grounding also supports mental and emotional well-being, fostering resilience and vitality.
Conclusion
Chronic disease is not an inevitable part of aging - it is a consequence of choices made over a lifetime. By realigning our lifestyles with our evolutionary biology, we can give ourselves the best chance to thrive. Adopting a health-focused approach centred on exercise, species-appropriate nutrition, restorative sleep, natural light exposure, and grounding is not just a strategy for preventing chronic disease; it is the key to unlocking a long, vibrant, and fulfilling life.
Let us remember: the true goal is not simply to live longer but to live better. The power to optimize your health span is in your hands.
References
Booth, F. W., Roberts, C. K., & Laye, M. J. (2012). Lack of exercise is a major cause of chronic diseases. Comprehensive Physiology, 2(2), 1143-1211.
Chevalier, G., Sinatra, S. T., Oschman, J. L., et al. (2012). Earthing (grounding) the human body reduces blood viscosity—a major factor in cardiovascular disease. Journal of Alternative and Complementary Medicine, 18(1), 83-88.
Cordain, L., Eaton, S. B., Sebastian, A., et al. (2002). Origins and evolution of the Western diet: health implications for the 21st century. American Journal of Clinical Nutrition, 81(2), 341-354.
Czeisler, C. A., & Buxton, O. M. (2012). The human circadian timing system and sleep–wake regulation. In Kryger, M. H., et al. (Eds.), Principles and Practice of Sleep Medicine. Elsevier.
Eaton, S. B., Konner, M., & Shostak, M. (1988). Stone agers in the fast lane: chronic degenerative diseases in evolutionary perspective. American Journal of Medicine, 84(4), 739-749.
Mann, N., Johnson, C., & Wilson, C. (2019). The carnivorous human: A comparative, evolutionary perspective. Nutrition Research Reviews, 32(2), 1-16.
Mattson, M. P., Longo, V. D., & Harvie, M. (2017). Impact of intermittent fasting on health and disease processes. Ageing Research Reviews, 39, 46-58.
Smith, G. M., Stewart, J. R., & Marín-Arroyo, A. B. (2021). Isotopic evidence of meat consumption in early humans. Nature Ecology & Evolution, 5(2), 1-6.
Walker, M. P. (2017). Why We Sleep: Unlocking the Power of Sleep and Dreams. Scribner.
World Health Organization (WHO). (2020). Noncommunicable diseases. Retrieved from https://www.who.int.
Aging is a natural biological process, but premature and accelerated aging intensifies this progression, driven by a lifestyle of excess—relying on ultra-processed foods, prolonged inactivity, and chronic stress. These habits lay the foundation for lifestyle-related diseases and chronic illnesses. Lifestyle medicine advocates for proactive changes, such as regular exercise, balanced nutrition, improved sleep hygiene, and effective stress management. However, genetic predispositions in some individuals may lead to familial conditions that necessitate more complex interventions, including polypharmacy or surgery.
I am 60, and last year I ran the Sydney Marathon. Alas, it was *very* hot, and I ended up in the medical tent with dehydration and very low blood pressure. Whilst in the tent, the medics were taking notes and they asked me what prescription meds I was on. I said none. They were incredulous! They said: “This is not normal at your age… are you sure you take no meds?” I am not anti-meds, but I do not like taking them, and my very strong preference is to find lifestyle alternatives.