Daily Briefing

4 minute read

Want to live longer? These tiny changes can help.


According to a study published in eClinicalMedicine, small changes to your daily habits, including diet, exercise, and sleep, could help you live longer, potentially adding a year or more to your lifespan. 

Study details and key findings

For the study, researchers analyzed data from almost 60,000 participants in the UK Biobank, a longitudinal health study. The participants were followed for an average of eight years and provided information about their diet. The researchers scored each participant's diet on a scale of 0 to 100, with a higher score indicating a healthier diet. A subset of the participants also wore wrist watches to track their movement and sleep.

Using this data, the researchers created a statistical mortality model to predict longevity and health span, which was defined as the number of years free of cardiovascular disease, dementia, chronic obstructive pulmonary disease, and type 2 diabetes.

Participants with the poorest sleep, physical activity, and nutrition (SPAN) habits were used as a reference point. These participants slept 5.5 hours a night, exercised for 7.3 minutes a day, and had a diet quality score of 36.9.

According to the researchers, the ideal mix of SPAN habits was at least 7.2 hours of sleep, 42 minutes of physical activity a day, and a diet quality score of at least 58. This combination of habits was associated with a 9.35-year increase in longevity and 9.46-year increase in health span compared to participants with the lowest SPAN numbers. 

 

 

"By targeting small improvements across multiple behaviors simultaneously, the required change for any single behavior is substantially reduced, which may help overcome common barriers to long-term behavior change."

However, the researchers also found that even small changes to SPAN habits could help improve health and longevity. If participants with the poorest SPAN habits got five extra minutes of sleep a night, 1.9 extra minutes of exercise per day, and increased their diet quality score by five points (such as by eating an extra serving of vegetables or whole grains), they could increase their lifespans by a year. Participants with the poorest SPAN habits could increase their health spans by four years if they got a combined 24 extra minutes of sleep per night, 3.7 extra minutes of exercise per day, and increased their diet quality score by 23 points.

Improvements in just a single behavior could also help improve participants' health and longevity. An extra 25 minutes of sleep per night, an extra 2.3 minutes of exercise per day, or a 35.5 increase in diet quality score could also increase participants' lifespan by one year.

"All those tiny behaviors we change can actually have a very meaningful impact, and they add up over time to make a big difference in our longevity," said Nicholas Koemel, research fellow in the University of Sydney's department of physical activity, lifestyle and population health and the study's lead author.

Commentary

According to Emmanuel Stamatakis, a professor of physical activity and health at the University of Sydney and the study's senior author, the findings suggest that there is "a unique synergy" between sleep, physical activity, and diet.

Small changes in all three behaviors can have a significant impact on both health and longevity, as well as be easier for people to accomplish compared to larger changes in one behavior.

"By targeting small improvements across multiple behaviors simultaneously, the required change for any single behavior is substantially reduced, which may help overcome common barriers to long-term behavior change," Koemel said.

"We're not talking about big, ambitious goals," Stamatakis added. "We're talking about four extra pieces of broccoli at dinner tonight, that kind of thing." He also noted that the numbers in the study "are guides" and "[y]ou don't need to aim for exactly 1.9 more minutes of physical activity. Aim for a little more than before."

However, the researchers also highlighted limitations to the study, including the fact that it used self-reported dietary information and only had relatively brief recordings of sleep and exercise. Since it was a modeling study, it was built on predictions rather than real people.

"All of the gains reported in this study are theoretical," Koemel said. "We cannot claim a direct causal effect from the lifestyle patterns. These findings should therefore be interpreted as expected or projected benefits under assumed behavioral variations, rather than confirmed effects of an intervention."

Overall, "[t]he message here should not necessarily be that making these small tweaks is a silver bullet," Koemel said. "It's more so about where we take that first step and trying to look at how we can make sustainable opportunities that are more achievable for some people."

(Reynolds, Washington Post, 3/31; LaMotte, CNN, 1/13; Leake, NBC News, 1/13)


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