Ten thousand yuan health budget, how do you spend

Balanced Arch, Arches NP RichardSaintCyr.com

If you are given 10,000 RMB a year and can only be used for health expenses, how would you spend it? Is buying an air purifier, or buying a fitness membership card, or ordering organic food, or buying a massage card? It may be more straightforward to change another questioning method: “How can the money be spent to get the most out of health?” To answer this question, it is necessary to know which lifestyles are harmless and easy to accept, and which lifestyles It is not healthy.

Many Chinese and foreigners living in China will say that air pollution is the biggest threat to health in the first place, so the cost of buying air purifiers will be the first, but is this a wise choice?

We can slightly change our thinking, assuming that exposure to air pollution is an alternative lifestyle, that is, a risk factor that can be corrected. I know that breathing is a spontaneous movement, but many readers can choose whether to live in China. If you can accept this disturbing assumption, then you can compare this always worrying “risk factor” with the risks that all of us are used to – such as obesity, smoking, lack of exercise, unreasonable diet, and other life. the way.


If you are given 10,000 RMB a year and can only be used for health expenses, how would you spend it? Is buying an air purifier, or buying a fitness membership card, or ordering organic food, or buying a massage card? It may be more straightforward to change another questioning method: “How can the money be spent to get the most out of health?” To answer this question, it is necessary to know which lifestyles are harmless and easy to accept, and which lifestyles It is not healthy. Many Chinese and foreigners living in China will say that air pollution is the biggest threat to health in the first place, so the cost of buying air purifiers will be the first, but is this a wise choice? We can slightly change our thinking, assuming that exposure to air pollution is an alternative lifestyle, that is, a risk factor that can be corrected. I know that breathing is a spontaneous movement, but many readers can choose whether to live in China. If you can accept this disturbing assumption, then you can compare this always worrying “risk factor” with the risks that all of us are used to – such as obesity, smoking, lack of exercise, unreasonable diet, and other life. the way. -- Advertisement -- We can further illustrate lifestyle choices based on the so-called four ideal health behaviours of the American Heart Association. do not smoke Not overweight (body mass index is less than 25, body mass index is body mass index, referred to as BMI, calculated as body weight [kg] divided by height [m] squared) Maintain the level of physical exercise at the target level (more than 150 minutes per week for moderate exercise) Three or more servings of fruits and vegetables in your daily diet The American Heart Association also lists three ideal health indicators, including total cholesterol levels below 200 mg/dl, systolic blood pressure less than 120 mm Hg, diastolic blood pressure less than 80 mm Hg, and fasting blood glucose levels below 100 mg/ Divided. How many of these seven items can you meet? Don't be too concerned, only 1% of the 7622 people surveyed by the American Heart Association have reached all seven. However, the most critical point is that people who achieve five or more of these indicators have a 78% lower risk of all-cause mortality than those who are unqualified, and the risk of dying from cardiovascular disease is low. %. Is this impressive? But the more interesting thing is to find out which ones are more effective and beneficial in these ideal health behaviours. Also, what is the result of their comparison with air pollution? I am a data mad, although I am at the Hejia clinic who advocates that medicine is an art, but I feel that the real numbers make me feel more comfortable. One of the tools I like to use when comparing health outcomes is the relative risk of comparing the incidence of disease in a health risk environment with a non-health risk environment. This is a very simple division: the numerator (risk environment) divided by the denominator (non-risk environment), you get the ratio, which is "relative risk." As long as the result is greater than 1, it is a positive risk, and less than 1 is a "negative" risk, that is, a benefit. Let us use air pollution and smoking as the first example. Earlier in 2012, I wrote in a very controversial article that spending one day in Beijing is equivalent to pumping 1 or 6 cigarettes. Many of my readers think that the amount of 1/6 cigarettes is too low, which is tantamount to their paganism. Sorry, this is true, and you can calculate for yourself Dr. C. Arden Pope, Professor of Economics at Brigham Young University, one of the most famous researchers in environmental science. According to the data in the study, Popper is the author or co-author of almost all the most important environmental research papers in the past 20 years. Based on this study, we can calculate the relative risks of air pollution, smoking, and secondhand smoke for lung cancer: Air pollution (according to the American Cancer Society and Harvard University's research on six major cities): relative risk 1.14.1.21 Beijing air pollution: relative risk 1.49 Second-hand smoke victims: relative risk 1.21-1.28 Half a pack of cigarettes a day: relative risk 7.7 One pack of cigarettes a day: relative risk 12.2 Two packs of cigarettes a day: relative risk 19.8 The data show that even “appropriate” smoking is far more dangerous than air pollution in Beijing. Even if you are a smoker with a “small” addiction, please sell the air purifier and then go to Valeniclin for 3 months. I am not saying that Beijing's air pollution has no effect on health. This is not the case. In fact, many scholars, including Dr. Pope, have written hundreds of papers, all pointing out that air pollution will affect residents, especially the elderly. Children, children and underlying diseases cause great harm, and after improving air quality in some areas, the overall health of the local population is also improved. I just want to emphasize that there are many health-related behaviors that we have the ability to do compared to air quality, a problem we cannot control. In addition to smoking, other bad habits can also have an impact on health. I am particularly worried about obesity. This is the most common problem in the modern era. At present, more than half of Americans are overweight in the strict sense. Their body mass index has reached 25, which is "normal" and "overweight". Threshold value. A body mass index of 25 will increase the risk of diabetes by a factor of six, doubling the risk of high blood pressure, which is only for mild super-recombination; 35% of Americans are strictly obese, their weight With an index of more than 30, a study by the Harvard School of Public Health showed that obesity increases the risk of diabetes. Obesity also increases cancer risk. A study on obesity and cancer in the American Cancer Research shows that for people with super-obesity (body mass index over 40), the relative risk of death is 1.52-1.62. In terms of the global burden of disease, China does not have much difference compared to most countries. Developing countries, including China, are eager to live a "Western" lifestyle, and quickly take the best of these lifestyles and shortcomings, which has led to chronic diseases in developed countries. . Therefore, the Chinese should also adopt the same common sense preventive measures in life as people in other countries in the world. Health japan Many of the patients I have encountered have spent huge sums of money to purchase imported air purifiers, and the profits of these purifiers are staggering. It is really necessary to whipping these dealers in public. But a large number of patients are slightly overweight, either by "walking" or eating only one or two servings of vegetables a day. I hope some of them will realize that they have spent their energy and money in the wrong place. The same is true for children; if parents use the Blueair or IQAir in their children's room, their children have reached 99% of their weight. The upper limit, then their pediatrician needs to seriously talk to their parents about the problem. How will I spend that million yuan? The expensive imported air purifiers in my home have made me feel awkward, not to mention the constant purchase of consumables (still a ridiculously high profit). I am satisfied with the three health indicators of the American Heart Association, which makes me somewhat proud. As for the ideal health behavior of the association, I don't smoke, so I only have weight and exercise problems - the source of pain in this modern society. My body mass index is between 24 and 25, but I feel that the waist space is getting tighter. Is it because Beijing's water is too hard, so that my pants are shrunk after washing? No, I have to admit that I am slowly giving up the fight against weight, and most men in their 40s are like this. I am also very good at hypocrisy, because I often eloquently advise patients to exercise for 150 minutes per week. Although these are all things I said, I am not much better than those patients. So in 2012, I took up my very interesting electric bike and switched to the hospital most of the time, even if it was in Beijing's harsh winter. The sport has now become part of my daily life, and it does not become a "burden" like taking a guilty feeling and reluctantly going to the gym. In terms of weight loss, I have started making coffee every morning, so I don't have to drink his Christmas Christmas latte (with whipped cream) because of the temptation of Starbucks muffins. My health risk is relatively small (lucky), so my goal is relatively simple and cheap. I can't afford the subsidy of 10,000 yuan, so I will use this money to buy material enjoyment only in China: two-hour massage; three-hour karaoke; a hot spring in Beijing. It is these unremarkable things in China and these accumulated, cheap pleasures that can really cleanse the body and mind. In China or in any other region, the health of the mind is as important as the health of the body.
We can further illustrate lifestyle choices based on the so-called four ideal health behaviors of the American Heart Association.

do not smoke
Not overweight (body mass index is less than 25, body mass index is body mass index, referred to as BMI, calculated as body weight [kg] divided by height [m] squared)
Maintain the level of physical exercise at the target level (more than 150 minutes per week for moderate exercise)
Three or more servings of fruits and vegetables in your daily diet
The American Heart Association also lists three ideal health indicators, including total cholesterol levels below 200 mg/dl, systolic blood pressure less than 120 mm Hg, diastolic blood pressure less than 80 mm Hg, and fasting blood glucose levels below 100 mg/ Divided.

How many of these seven items can you meet? Don't be too concerned, only 1% of the 7622 people surveyed by the American Heart Association have reached all seven. However, the most critical point is that people who achieve five or more of these indicators have a 78% lower risk of all-cause mortality than those who are unqualified, and the risk of dying from cardiovascular disease is low. %. Is this impressive? But the more interesting thing is to find out which ones are more effective and beneficial in these ideal health behaviors. Also, what is the result of their comparison with air pollution?

I am a data mad, although I am at the Hejia clinic who advocates that medicine is an art, but I feel that the real numbers make me feel more comfortable. One of the tools I like to use when comparing health outcomes is the relative risk of comparing the incidence of disease in a health risk environment with a non-health risk environment. This is a very simple division: the numerator (risk environment) divided by the denominator (non-risk environment), you get the ratio, which is "relative risk." As long as the result is greater than 1, it is a positive risk, and less than 1 is a "negative" risk, that is, a benefit.

Let us use air pollution and smoking as the first example. Earlier in 2012, I wrote in a very controversial article that spending one day in Beijing is equivalent to pumping 1 or 6 cigarettes. Many of my readers think that the amount of 1/6 cigarettes is too low, which is tantamount to their paganism. Sorry, this is true, and you can calculate for yourself Dr. C. Arden Pope, Professor of Economics at Brigham Young University, one of the most famous researchers in environmental science. According to the data in the study, Popper is the author or co-author of almost all the most important environmental research papers in the past 20 years. Based on this study, we can calculate the relative risks of air pollution, smoking, and secondhand smoke for lung cancer:

Air pollution (according to the American Cancer Society and Harvard University's research on six major cities): relative risk 1.14.1.21
Beijing air pollution: relative risk 1.49
Second-hand smoke victims: relative risk 1.21-1.28
Half a pack of cigarettes a day: relative risk 7.7
One pack of cigarettes a day: relative risk 12.2
Two packs of cigarettes a day: relative risk 19.8
The data show that even “appropriate” smoking is far more dangerous than air pollution in Beijing. Even if you are a smoker with a “small” addiction, please sell the air purifier and then go to Valeniclin for 3 months.

I am not saying that Beijing's air pollution has no effect on health. This is not the case. In fact, many scholars, including Dr. Pope, have written hundreds of papers, all pointing out that air pollution will affect residents, especially the elderly. Children, children and underlying diseases cause great harm, and after improving air quality in some areas, the overall health of the local population is also improved. I just want to emphasize that there are many health-related behaviors that we have the ability to do compared to air quality, a problem we cannot control.

In addition to smoking, other bad habits can also have an impact on health. I am particularly worried about obesity. This is the most common problem in the modern era. At present, more than half of Americans are overweight in the strict sense. Their body mass index has reached 25, which is "normal" and "overweight". Threshold value. A body mass index of 25 will increase the risk of diabetes by a factor of six, doubling the risk of high blood pressure, which is only for mild super-recombination; 35% of Americans are strictly obese, their weight With an index of more than 30, a study by the Harvard School of Public Health showed that obesity increases the risk of diabetes. Obesity also increases cancer risk. A study on obesity and cancer in the American Cancer Research shows that for people with super-obesity (body mass index over 40), the relative risk of death is 1.52-1.62.

In terms of the global burden of disease, China does not have much difference compared to most countries. Developing countries, including China, are eager to live a "Western" lifestyle, and quickly take the best of these lifestyles and shortcomings, which has led to chronic diseases in developed countries. . Therefore, the Chinese should also adopt the same common-sense preventive measures in life as people in other countries in the world.
Health japan
Many of the patients I have encountered have spent huge sums of money to purchase imported air purifiers, and the profits of these purifiers are staggering. It is really necessary to whipping these dealers in public. But a large number of patients are slightly overweight, either by "walking" or eating only one or two servings of vegetables a day. I hope some of them will realize that they have spent their energy and money in the wrong place. The same is true for children; if parents use the Blueair or IQAir in their children's room, their children have reached 99% of their weight. The upper limit, then their pediatrician needs to seriously talk to their parents about the problem.

How will I spend that million yuan? The expensive imported air purifiers in my home have made me feel awkward, not to mention the constant purchase of consumables (still a ridiculously high profit). I am satisfied with the three health indicators of the American Heart Association, which makes me somewhat proud. As for the ideal health behavior of the association, I don't smoke, so I only have weight and exercise problems - the source of pain in this modern society. My body mass index is between 24 and 25, but I feel that the waist space is getting tighter. Is it because Beijing's water is too hard, so that my pants are shrunk after washing? No, I have to admit that I am slowly giving up the fight against weight, and most men in their 40s are like this. I am also very good at hypocrisy, because I often eloquently advise patients to exercise for 150 minutes per week. Although these are all things I said, I am not much better than those patients.

So in 2012, I took up my very interesting electric bike and switched to the hospital most of the time, even if it was in Beijing's harsh winter. The sport has now become part of my daily life, and it does not become a "burden" like taking a guilty feeling and reluctantly going to the gym. In terms of weight loss, I have started making coffee every morning, so I don't have to drink his Christmas Christmas latte (with whipped cream) because of the temptation of Starbucks muffins.

My health risk is relatively small (lucky), so my goal is relatively simple and cheap. I can't afford the subsidy of 10,000 yuan, so I will use this money to buy material enjoyment only in China: two-hour massage; three-hour karaoke; a hot spring in Beijing. It is these unremarkable things in China and these accumulated, cheap pleasures that can really cleanse the body and mind. In China or in any other region, the health of the mind is as important as the health of the body.
Ten thousand yuan health budget, how do you spend Ten thousand yuan health budget, how do you spend Reviewed by Hamza Ali on September 11, 2019 Rating: 5

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