{"id":6495,"date":"2015-01-26T08:18:52","date_gmt":"2015-01-26T14:18:52","guid":{"rendered":"https:\/\/wholehealthchicago.com\/?p=6495"},"modified":"2021-10-17T09:24:39","modified_gmt":"2021-10-17T14:24:39","slug":"the-mystery-of-the-dying-british-bus-drivers","status":"publish","type":"post","link":"https:\/\/wholehealthchicago.com\/blog\/2015\/01\/26\/the-mystery-of-the-dying-british-bus-drivers","title":{"rendered":"The Mystery of the Dying British Bus Drivers"},"content":{"rendered":"\n

More than 50 years ago, epidemiologists in the UK realized that the death rate among British bus drivers was twice that of bus conductors. This was from all causes of death\u2014heart attacks, cancer, strokes, everything. During their investigations, they concluded the villain was inactivity.  Back then, and until recently, there were two operators on every bus (most of them the familiar double-deckers). First, a driver who simply sat in his seat all day and drove, and second, a conductor who scrambled around like a monkey, up and down the stairs, making his way among passengers, collecting fares in the ka-ching-y machine strapped to his waist.<\/p>\n\n\n\n

This was really one of the first times doctors began to appreciate the link between early death and an inactive, sedentary life or, conversely, the protective effects of physical activity. Being overweight or obese wasn\u2019t taken much into account back then as many of the drivers were of normal weight. Now, a half century later, the link between a sedentary life and early death has been reconfirmed in dozens of studies worldwide.<\/p>\n\n\n\n

But also during the past 50 years, more than 50% of us became either overweight or obese. And just as you\u2019d expect, being both inactive and overweight places you at even greater health risks than the inactive-but-normal-weight bus drivers.<\/p>\n\n\n\n

Q+A<\/strong><\/h3>\n\n\n\n

To keep things simple, you need to know the answers to several questions (you likely know a lot of this already):<\/p>\n\n\n\n

  1. \u201cIf I\u2019m sedentary but not overweight, am I risking my health?\u201d Answer: YES. You\u2019re just like the bus driver.<\/li>
  2. \u201cIs this risk reversible by increasing my activity level?\u201d Answer: YES (definitely).<\/li>
  3. \u201cIf I\u2019m overweight or obese, do I have increased health risks?\u201d Answer: Have you been living on Mars?<\/li>
  4. \u201cIf I lose weight, will it lower my risks?\u201d Answer: See #3<\/li>
  5. \u201cIf I\u2019m overweight and inactive, is this the worst place to be?\u201d Answer: See #3<\/li>
  6. \u201cI\u2019m inactive and I can\u2019t lose weight! Or I lose it and just gain it back again? Is there nothing I can do that will reduce my risks?!\u201d Answer: YOU ARE IN LUCK!<\/li><\/ol>\n\n\n\n

    Obviously, both losing weight and getting religious about physical activity would be ideal, but if you did one with gusto and were less successful with the other, you\u2019d still come out ahead.<\/p>\n\n\n\n

    Are weight and inactivity separate risks?<\/strong><\/h3>\n\n\n\n

    Which now brings us to a massive study (more than 300,000 patients) from the UK published this week in the American Journal of Clinical Nutrition<\/em><\/a>.<\/p>\n\n\n\n

    The study\u2019s conclusion answered one troubling question: Can weight and inactivity be considered separate risks? And the answer here is yes. It\u2019s even worthwhile to treat them separately.<\/p>\n\n\n\n

    What this means is that if you\u2019re both overweight and inactive, if you\u2019re among the majority who can\u2019t get the weight off and keep it off, simply exercising will dramatically reduce a lot of your risks. This is in the realm of really important information because many people who are overweight mistakenly think they\u2019ll lose weight with exercise, becoming discouraged and depressed when they don\u2019t lose it and then give up on exercising.<\/p>\n\n\n\n

    I\u2019m here to tell you this is all wrong. Regular exercise will reduce many of the health risks associated with both being overweight and inactive. Even if you don\u2019t lose the weight you want, you\u2019ll come out ahead. By doing something physical every day, you\u2019ll make a significant improvement in your longevity. And FYI, according to the investigators the minimum is a brisk 20-minute walk every day of your (now longer) life.<\/p>\n\n\n\n

    The reason this study is so important is readily apparent to anyone who has struggled to lose weight, which is about half of us, including me. We all know that it\u2019s much (much!) easier to exercise than it is to lose weight. In fact, you can do something physical right this minute but it might take you months to get your weight to a level you\u2019re happy with.<\/p>\n\n\n\n

    But a second study adds a warning\u2026<\/strong><\/h3>\n\n\n\n

    A recent and well publicized article showed protracted sitting of any kind, whether you\u2019re driving a bus or tucked into a cubicle staring at a computer screen, increases your disease and death risks, reconfirming the bus driver issue. But what was especially disappointing was that eight hours of sitting and then exercising was not as helpful as breaking up the workday with physical activity.<\/p>\n\n\n\n

    Ideally, the bus driver and the conductor would switch jobs every hour. For you, if you have a sedentary job, break it up with some physical activities during the day (climb a few flights of stairs, for example). Then at the end of the day (or before work, if you\u2019re an early riser), head to your health club two or three times a week for something really strenuous.<\/p>\n\n\n\n

    In fact, it might be a good idea to download one of the many apps that monitor how much you\u2019re actually walking during the day (fitbit<\/a> does this handily, too, and so does a plain old pedometer). One of my patients, a waitress in a busy restaurant, told me she averages five miles at work alone, and a mile walking to and from her L stop. And from a flight attendant: Parking lot, through O\u2019Hare, the flight, and home again, four miles.<\/p>\n\n\n\n

    Don\u2019t expect a lot of help from your doctor (unless you\u2019re at WHC)<\/strong><\/h3>\n\n\n\n

    As a side note, a recent article in the British Medical Journal<\/em><\/a> took primary care physicians to task for their failure to provide patients with nutritional counseling, weight control guidance, and exercise recommendations. This revelation became apparent with the increasingly widespread use of electronic medical records, whose charts can be audited and recommendations made. The chart evaluations found that among obese and overweight patients virtually no medical recommendations had been made for healthy eating, calorie restriction, referrals to nutritionists, or exercise programs.<\/p>\n\n\n\n

    Of course, none of this applies if you happen to be a WholeHealth Chicago patient. We have three nutritionists ready and waiting, rulers poised ready to rap your knuckles (kidding), and with increased encouragement from health insurers to cover nutritional counseling, you can\u2019t say we didn\u2019t offer!<\/p>\n\n\n\n

    Be well,
    David Edelberg, MD
    <\/em><\/p>\n\n\n\n

    PS:  Because of the popularity and beneficial effects of the HCG (human chorionic gonadotropin) weight-loss program, WholeHealth Chicago is presenting a short workshop to discuss the HCG protocol.  I will be there with Seanna Tully, one of our nutritionists. Though it\u2019s free and open to all, due to limited seating please call and reserve a space for Monday, February 9th at 6:30 pm.  773-296-6700<\/p>\n","protected":false},"excerpt":{"rendered":"

    More than 50 years ago, epidemiologists in the UK realized that the death rate among British bus drivers was twice that of bus conductors. This was from all causes of death\u2014heart attacks, cancer, strokes, everything. During their investigations, they concluded the villain was inactivity.  Back then, and until recently, there were two operators on every […]<\/p>\n","protected":false},"author":2087,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,50,3,51],"tags":[1709,325,614,1710,1366],"class_list":["post-6495","post","type-post","status-publish","format-standard","hentry","category-blog","category-healthy-lifestyle","category-knowledge-base","category-m","tag-inactivity","tag-obesity","tag-overweight","tag-sedentary-life-style","tag-sitting"],"yoast_head":"\r\nThe Mystery of the Dying British Bus Drivers<\/title>\r\n<meta name=\"description\" content=\"More than 50 years ago, epidemiologists in the UK realized that the death rate among British bus drivers was twice that of bus conductors.\" \/>\r\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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