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One Disease – One Solution: How to add years to your life and life to your years

In this presentation, I introduce a framework for improving lifespans and healthspans. I outline why most people in the developed world are living longer but spending more of these additional years in chronic ill health. I then focus on the power of nutrition to prevent, arrest and reverse most chronic diseases as part of an integrated approach that addresses the Seven Pillars of a Healthy Lifestyle: Eating Naturally; Hydrating Properly; Sleeping Soundly; Breathing Effectively; Managing Psycho-Social Health; Moving Frequently; and Creating a Healthy Environment.

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One Disease – One Solution: How to add years to your life and life to your years

  1. 1. Dr. John Mauremootoo One Disease – One solution How to add years to your life and life to your years It doesn’t have to be like that • Why we are living longer, sicker lives • The BAD – British Average Diet • The cause of most chronic diseases • Resilience and how to cultivate it
  2. 2. Please Note The information presented here is based on professional training, personal experience and interpretation of information from medical journals, articles, or books and is for informational and educational purposes only. It is not an attempt to diagnose or prescribe. People are advised to contact their primary or specialist health professional before making medical, nutritional, lifestyle or any other health-related changes.
  3. 3. Chronic Disease Affects us All • Heart and circulatory disease • Cancer • Respiratory disease • Dementia • Liver disease • Diabetes • Chronic kidney disease • Arthritis • Autoimmune disease • Neurological disorder • Mental illness • Chronic fatigue • Chronic pain Do you or your nearest and dearest have any of these or any other chronic health conditions?
  4. 4. The First Question
  5. 5. The greatest mistake that physicians make is that they attempt to cure the body without attempting to cure the mind; yet the mind and the body are one and should not be treated separately. ~ Plato (428/427 or 424/423– 348/347 BC) The Body/Mind is one
  6. 6. Presentation Outline • My health journey • The rise of chronic disease • Stress, chronic disease and resilience • Maximising resilience by addressing the seven pillars of a healthy lifestyle • Nutrition – the major determinant of health • In the context of an individualised lifestyle approach to maximise resilience
  7. 7. • Cambridge University – biology degree • Southampton University – biology PhD • University lecturer in biology – Southampton Bournemouth, London, Mauritius • Consultant in applied biology in 34 countries • Certified Naturopath • Certified Functional Medicine Practitioner My journey – where I have come from and where I am now
  8. 8. 1988
  9. 9. Source: Liu et al. (2013)
  10. 10. Lifespan and Healthspan Nothing Fails Like Success The Rise of Chronic Disease
  11. 11. Lifespan Source: Raleigh 2019 Life expectancy at birth England and Wales, 1841 - 2012
  12. 12. Why do women live longer? Source: The Humor League
  13. 13. Percentage of people in England with one or more chronic health conditions 79.30% 84.00% 85.50% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% All 65+ Healthspan Over the next 20 years there will be an expansion of morbidity, particularly complex multi-morbidity. Life expectancy gains will be spent mostly with 4+ diseases. Source: Kingston et al. (2018) 2015 2025 2035 84.00% 85.50%
  14. 14. The Chronic Disease Guarantee? 0 5 10 15 20 25 30 35 40 45 50 Depression Dementia Stroke Cancer Diabetes Respiratory disease CHD Arthritis Hypertension Chronic conditions in people aged 65 or over in England (2015) Source: Kingston et al. (2018) Percentage
  15. 15. It doesn't have to be this way The Chronic Disease Guarantee?
  16. 16. Most chronic conditions are preventable, treatable and even reversible through lifestyle change The Chronic Disease Guarantee?
  17. 17. What is the cause of chronic disease?
  18. 18. Too new Too much Too little
  19. 19. Pollution Agrochemicals Injury Infection Traumatic events Nutrition Exercise Sleep Electromagnetic radiation Drugs Mold Hydration Cleaning products The stress bucket Beauty products
  20. 20. A disease state occurs when a threshold is crossed Disease Threshold CumulativeStress TimePhysiological state Disease Threshold (“top of the bucket”)
  21. 21. A disease state occurs when a threshold is crossed Disease Threshold CumulativeStress Physiological state
  22. 22. CumulativeStress Disease Threshold Physiological state
  23. 23. Chronic disease symptoms manifest themselves when stress exceeds the disease threshold
  24. 24. Chronic disease = an overflowing stress bucket
  25. 25. The size of the bucket can change
  26. 26. CumulativeStress Disease Threshold Physiological state
  27. 27. CumulativeStress Disease Threshold Physiological state
  28. 28. Disease Threshold CumulativeStress Physiological state
  29. 29. Take heed of the canaries
  30. 30. Resilience Balance between: • The size of the stress bucket • The total stress load or body burden The ability to handle stress of all kinds
  31. 31. Chronic disease = an overflowing stress bucket
  32. 32. The Solution to Chronic disease = Maximising Resilience
  33. 33. How to maximise resilience
  34. 34. Seven Pillars of a Healthy Lifestyle Nutrition Hydration Breathing Psycho-social Health Movement Healthy Environment Sleep Maximising resilience by addressing the seven pillars of a healthy lifestyle
  35. 35. If we could give every individual the right amount of nourishment and exercise, not too little and not too much, we would have found the safest way to health. ~ Hippocrates Maximising Resilience
  36. 36. 1. Eat Naturally Nutrition
  37. 37. Source: Murray (2013) Leading UK disease risk factors 14 of the 20 main risk factors are diet-related (67% of the risk) Alcohol use High blood pressure High body-mass index Diet low in fruits Alcohol use High total cholesterol High fasting plasma glucose Diet low in nuts and seeds Diet high in processed meat Diet low in seafood omega-3 fatty acids Diet low in fibre Diet high in sodium Diet low in vegetables Diet low in whole grains Diet low in polyunsaturated fatty acids
  38. 38. Britain’s BAD Diet
  39. 39. Comparison of English diet with guidelines • Energy intake • 5-A-Day recommendation • Ultra-processed food Britain’s BAD Diet Sources: Bates et al. (2016) & SACN (2012)
  40. 40. Males Females Energy Intake (Calories) Sources: Bates et al. (2016) & SACN (2012) Calorie surplus Calories required
  41. 41. Source: Wikimedia Commons Fruit and vegetable recommendation
  42. 42. What percentage of 11-18 year olds meet the 5-A-Day recommendation? Sources: Bates et al. (2016) & SACN (2012)
  43. 43. 8%
  44. 44. What percentage of 19 - 64 year olds meet the 5-A-Day recommendation? Sources: Bates et al. (2016) & SACN (2012)
  45. 45. 27%
  46. 46. What percentage of those over 65 years old meet the 5-A-Day recommendation? Sources: Bates et al. (2016) & SACN (2012)
  47. 47. 35%
  48. 48. Source: The Guardian Ultra-processed food
  49. 49. What percentage of our calories comes from ultra-processed food?
  50. 50. Source: Monteiro et al. (2017) 50.7%
  51. 51. We are powered by edible food-like substances Source: Monteiro et al. 2017 Percentage of UK calorie consumption from different food categories (2008)
  52. 52. Eat real food, not too much, mostly plants. ~ Michael Pollan A Dietary Manifesto in Eight Words What does eating naturally mean?
  53. 53. Eating Naturally = eating a wholefood plant- rich diet
  54. 54. 2-4 litres water equivalent Don’t beat yourself up about an occasional indiscretion Wholefood plant-rich food plate Non-starchy vegetables (30-50%) Nuts/seeds (5-20%) Legumes (10-30%) Fruits (10-30%) Starchy vegetables (30-60%) Derived from: Fuhrman (2011 Popper & Merzer (2013) Davis & Melina (2014)
  55. 55. Oats, fruit and flaxseed
  56. 56. Soup
  57. 57. Vegetable paella
  58. 58. Bulgar wheat stir fry
  59. 59. Mezze cake
  60. 60. Roast potatoes
  61. 61. Creamy mushroom risotto
  62. 62. Cottage Pie
  63. 63. Vegetable Curry
  64. 64. Mushroom and leek pie
  65. 65. Evidence for wholefood plant- rich diet health advantages
  66. 66. • Cardiovascular disease • Diabetes • Multiple sclerosis • Kidney disease • Cancer • Chronic liver diseases • Rheumatoid arthritis • Alzheimer's disease • Parkinson's disease • COPD • Mood disorders • Influenza & pneumonia • Blood infections The role of WFPR in preventing, arresting and reversing disease
  67. 67. 1979 1989 1999 2009 20191969 1919 1929 1939 1949 1959 1969 The role of WFPR in preventing, arresting and reversing disease1926 Cardiovascular disease 1935 Diabetes Multiple sclerosis 1950 1955 Kidney disease Cancer 1975 Alzheimer’s disease 1993 Parkinson’s disease 2001 Mood disorders Chronic liver disease 1977 Blood infections 2012 2011 Influenza & pneumonia Rheumatoid arthritis 1981 COPD
  68. 68. The role of WFPR in disease reversal • Cardiovascular disease • Cancer • Diabetes
  69. 69. Cardiovascular Disease Defeating Heart Disease • 198 CVD patients received counselling to convert from their usual diet to a wholefood plant-based diet • 177 (89%) complied. Major cardiac events totalled one stroke (0.6% recurrence) • Thirteen of the 21 non-compliant participants experienced adverse events (63% recurrence). Source: Esselstyn et al. 2014
  70. 70. Source: Carroll (1975) Animal fat intake and breast cancer R2 = 81%
  71. 71. Source: Carroll (1975) Plant fat intake and breast cancer R2 = 2%
  72. 72. Source: Carroll (1975) Animal fat intake and breast cancer Animal fat intake is 94% correlated with animal protein The factor might be levels of animal product consumption rather than animal fat alone
  73. 73. Sources: 1. Tonstad et al. 2009; 2. Vang et al. 2008 Diabetes AHS 2: Prevalence of Type 2 Diabetes in a health conscious group1 A diet that included at least weekly meat intake was associated with a 74% increase in odds of developing diabetes compared with zero meat intake2 Percentage Type 2 Diabetes among adults over 30
  74. 74. What the Blue Zones tell us Source: Buettner (2010)
  75. 75. What the longest-lived people have in common Source: Wikimedia Commons (2019)
  76. 76. Source: Davis (2019)
  77. 77. If a wholefood plant-rich diet is so effective, why doesn’t everybody promote it?
  78. 78. Why doesn’t everybody promote WFPB? • Vested interest / conflicts of interest • Contradictory study findings • Lack of awareness Image: CC BY 2.0 FOLLOW THE MONEY
  79. 79. Conflicts of interest Our core purpose is to make nutrition science accessible to all and we do this through the interpretation, translation and communication of often complex scientific information. In all aspects of our work, we aim to generate and communicate clear, accurate, accessible information on nutrition, diet and lifestyle, which is impartial and relevant to the needs of diverse audiences…
  80. 80. British Nutrition Foundation Governors include representatives of…
  81. 81. Source:
  82. 82. Source: Introducing QMAC 2016 Challenge Sponsor Nestlé Canada
  83. 83. Source: PepsiCo Source: PepsiCo
  84. 84. Contradictory study findings: the example of eggs & cholesterol Source: Dillner 2015
  85. 85. High cholesterol increases mortality
  86. 86. Dietary cholesterol contributes to blood cholesterol Meta analysis of 27 studies Source: Hopkins 1992
  87. 87. Conclusion: Minimise dietary cholesterol as a contribution to longevity and good health
  88. 88. Very few studies on dietary cholesterol from 2000
  89. 89. 2013 Review of studies Sources: Griffin & Lichtenstein (2013); Barnard (2019) Author, year Intervention Funding Source Ballesteros 2004 Eggs American Egg Board Chakrabarty 2002 Eggs Indian Council for Medical Research Greene 2005 Eggs American Egg Board Harman 2008 Eggs, saturated fat & calories British Egg Industry Council Herron Eggs American Egg Board Isherwood 2010 Prawns European Fisheries Fund, Sea Fish Industry Authority Katz 2005 Eggs American Egg Board Knopp 2003 Eggs American Egg Board Mutungi 2008 Eggs & low carb diet American Egg Board Njike 2010 Eggs American Egg Board Pearce 2009 Eggs Australian Egg Corp, Ltd Vislocky 2009 Eggs & exercise American Egg Board
  90. 90. 2013 Review of studies • The effect of dietary cholesterol on LDL cholesterol concentrations, is modest and appears to be limited to population subgroups. • In these cases, restrictions in dietary cholesterol intake are likely warranted.
  91. 91. 2007 Review of studies on health effects of soft drinks, juice and milk • Studies funded by the food industry are 4- to 8-fold more likely to support conclusions favourable to the industry. • Industry funding of nutrition-related scientific articles may bias conclusions in favour of sponsors' products, with potentially significant implications for public health.
  92. 92. 2013 Non-nutritive sweeteners: review and update • There are mixed reports about the safety of aspartame. • All of the studies funded by the industry vouch for its safety, whereas 92% of independently funded studies report that aspartame can cause adverse health effects.
  93. 93. Lack of Awareness How many days of nutritional education do medical students receive in UK? Source: Chung et al. (2014)
  94. 94. 3 Days Source: Chung et al. (2014)
  95. 95. 3/750 Source: Chung et al. (2014)
  96. 96. 0.4% Source: Chung et al. (2014)
  97. 97. Where is the Solution to Chronic Disease?
  98. 98. A Healthy Lifestyle Seven Pillars of a Healthy Lifestyle Nutrition Hydration Breathing Psycho-social Health Movement Healthy Environment Sleep We Already have The Solution
  99. 99. • Our health journeys – where we are and where we want to be • The twelve principles of good health • The seven pillars of a healthy lifestyle • A personalised programme for lifelong good health How to Optimise Body-Mind Health Implementing the New Paradigm Two Day Workshop with Dr. John Mauremootoo & Julie Mauremootoo New Paradigm Health Dates and Times to be announced What is included: A personalized manual, healthy lunches, water, teas and coffee How to create a healthy lifestyle that works for your unique circumstances See for a detailed workshop synopsis
  100. 100. Thank you
  101. 101. Seven Pillars of a Healthy Lifestyle Nutrition Hydration Breathing Psycho-social Health Movement Healthy Environment Sleep Questions/Observations, Surprises, Confirmations