Chronic Disease A-Z

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Cardiovascular diseases   
Coeliac DiseaseCrohn's DiseaseColitis - ulcerativeCystic Fibrosis
Diabetes - type IDiabetes - type IIEczemaGraves' disease
IBS - Irritable Bowel SyndromeLupus - SLE, SCLE, ALSMultiple Sclerosis 
PsoriasisRheumatoid ArthritisStatinsThyroid health
    
    
    

Chronic diseases are common in the 21st century. However, with different lifestyles their incidence could be drastically reduced. Even when a chronic disease is already present it is possible to reduce the level of symptoms by changing lifestyle.

What are the chronic diseases that affect us in the 21st century?

Some chronic diseases are almost entirely genetic in origin, that is they would occur whatever lifestyle you or your parents led. Others occur as a result of exposure to infectious disease and again are unavoidable once you've been unlucky enough to contract the initial infectious disease. However most chronic disease is avoidable and occurs as a result of the lifestyles that we lead nowadays.

Chronic diseases with a genetic origin and their incidence per 1000 people.

All these diseases come with different degrees of severity. While they are listed as being genetic in origin some have an environmental components. For instance otosclerosis has been linked with measles. These diseases are relatively rare.

  • Otosclerosis - 5.0, Hearing loss due to excess bone growth in the middle ear.
  • Familial hypercholesterolaemia - 2.0, Very high levels of cholesterol leading to early onset heart disease.
  • Polycystic kidney disease - 1.0, Potentially fatal kidney disease involving cysts.
  • Huntingdon's disease - 1.0, A progressive condition that eventually leads from jerky movement through difficulties swallowing and speaking to seizures.
  • Cystic Fibrosis - 0.4, A progressive condition in which mucus becomes more sticky leading to digestive and respiratory problems.
  • Duchenne Muscular Dystrophy - 0.3, Rapid Loss of muscle tissue and muscle weakness. Mostly found in males.

Some of these disease affect us from early childhood e.g. Cystic Fibrosis, while other have an adult onset e.g. Huntingdon's disease. Either way it is normal to know one or two people who are affected by genetic disease. While they could not have avoided it, they can normally do something to minimise their symptoms by following the best possible lifestyle.

Chronic disease resulting from infectious diseases

Most infections resolve completely after a period of time, some kill, especially in people without robust immune systems. There are others that leave a lasting imprint on their hosts, us. Some of these diseases are well understood while others are not. Throughout time new infectious agents evolve and so the list of diseases changes over time. Some of note are listed below.

  • Lyme disease - Most commonly caught from deer tick bites. The bacteria that causes it can often lead to permament arthritis and other problems.
  • Rheumatic fever - Caused by streptococcus infections that causes heart and joint problems.
  • Tuberculosis - A well known scourge of humanity from ancient times until the mid 20th century. It is still a problem nowadays with increased spread from tropical areas.
  • Post viral syndromes. Conditions labelled as Chronic Fatigue and ME may perhaps come into this category in some instances.
  • Polio - Many people have had the polio virus, but only a small percentage get any long term symptoms. Most don't even know they've had it. Since the introduction of the oral vaccine in the 1960's very few people suffer from the long term symptoms that include paralysis.

It is worth noting that infectious disease was virtually unknown until 10,000 years ago when man started settling down in farming communities. The close association of man with domestic animals and larger groups of humanity gathered in one place, enabled pathogens to spread more easily.

Chronic disease resulting from lifestyle choices and incidence in the UK

The environment we live in nowadays is drastically different from that which we evolved in. Humanity has been around as a species for about 200,000 years and yet it was only 10,000 years ago that we first settled down into farming communities. The changes in our diet that followed the agricultural revolution and then the industrial revolution 200 years ago have caused a massive rise in heart disease, cancer and diabetes. Evidence from DNA analysis of skeletons over 10,000 years ago shows that these 3 major diseases were extremely uncommon in our hunter gatherer forebears. Evidence from the few hunter gatherer tribes left in the wolrd since the beginning of the 20th century also indicate that those over the age of 45 rarely succumb to heart disease and cancer.

  • Heart disease - The number 1 killer in the west affects people from middle age onwards. A faulty diet is the main factor leading to this disease that includes strokes, heart attacks and heart failure.
  • Osteoporosis - Although it does not appear high up in the mortality statistics it does lead to reduced quality of life, which then substantially increases the risk of other fatal disease.
  • Cancer - The number 2 killer in the west is again affected to a large degree by our diet. Some environmental factors are also key players in causing this unpleasant disease.
  • Dementia - Possibly the number 3 biggest killer in the west, depending on definition. Once over the age of 85 this is listed as the biggest cause of death in the UK for women2.
  • Respiratory failure - The number 4 biggest killer in the west.

Looking directly at the death statistics for the UK one thing soon becomes clear. Don't smoke or drink to excess if you want to live a long healthy life. Yes I know that is obvious, but it really struck me as I moved down the age categories for mortality how the most common cause of death became increasingly related to smoking and alcohol abuse. None of the top 5 leading causes of death age 85+ are particularly related to smoking or alcohol abuse. Move down to the 60-65 age category and suddenly half of the causes of death are very clearly related to smoking and drinking with lung cancer, oesophagal cancer and chronic pulmonary obstruction featuring. Diet can help improve health a huge amount, but if you smoke and drink to excess you are doing more damage to your body than you can recoup even with the best possible diet.

What changes in lifestyle help us avoid chronic disease?

Follow the following rules and for most people, you will not go far wrong.

  • Don't smoke. Lung, throat and mouth cancers will be far less likely as well as heart attacks and strokes. You'll also avoid bronchitis and be able to move about without getting breathless.
  • Drink in moderation, ie less than 4-8 units at any one time and less than 14-28 units per week (womens figures come first).
  • Avoid junk food. Heart attacks and strokes as well as a number of cancers including those of the digestive tract are less likely if you avoid ready meals, fast food outlets and most food in packaging.
  • Eat plenty of fresh fruit and vegetables. Forget 5 a day, if you have a healthy appetite it should be more like 10 per day. This will help reduce the likelihood of cancer and heart disease.
  • Avoid too much sweetness. Chocolate bars, sweets, buns, muffins, puddings and cakes all create a sugar rush that for most people leads to problems later in life.
  • Cut down on carbohydrates. For most people eating more than 50% of your calories from grains and sweet foods is unneccessary and bad for health. Potato, pasta, rice, cereals and bread are fine in moderation, but the Government is wrong to place them at the base of the food pyramid, implying they should make up most of the diet. Most people should be eating more in the way of vegatables and protein and fat sources.
  • Exercise every day with anything from a 30 minute walk to 2-3 hours of intense exercise. However if you do undertake intense exercise make sure you recover well.

References:

1. http://www.geneticalliance.org.uk/education3.htm   I used this for a list, but this charity had duplicated classifications and questionable figures. I amended them based on wiki research.

2. Basic Microbiology, Volk and Brown 1997 ISBN 0-673-99560-7

3. http://www.statistics.gov.uk/statbase/ssdataset.asp?vlnk=6922 with help from http://apps.who.int/classifications/apps/icd/icd10online/

Don't miss.... more from Robin.

  • It is known as the number 1 killer in the West and yet is in the large majority of cases preventable. One of the main ways to prevent heart disease is to modify your diet and get active. Probably you already know that, but exactly how should you modify your diet and what type of exercise is best? You'll find some of the answers in this article.
  • Coeliac disease is understood to be a sensitivity to gluten in wheat. However, to recover fully from the disease many people need to do more than just avoid gluten from cereals such as wheat.
  • Crohn's disease is on the increase. How can people with it improve their quality of life. It seems that dietary change may be one of the key factors.
  • What is Cystic Fibrosis and how can it be the health of those with it be improved by diet and exercise?
  • Type 1 diabetes is 10 times less common than the lifestyle disease called type 2 diabetes. However it shares many of the same features, although is harder to reverse.
  • Type 2 Diabetes is getting more and more commonplace, especially in the West, with more than 1 in every 12 people being affected. What lies behind this increase in diabetes rates and what should you do if you have it?
  • Eczema, like so many other allergic type disease has increased in prevalence recently. This article looks at some of the causes, including the hygiene hypothesis, which may lie behind the current rise in cases.
  • Graves' disease is an autoimmune condition that affects the thyroid. The thyroid tissue becomes enlarged and overactive as a result of being attacked by antibodies from our own immune system.
  • Irritable Bowel Syndrome - IBS is a very common digestive complaint that features abdominal pain along with increased levels of constipation or diarrhoea.
  • Lupus is perhaps the archetypal auto inflammatory disease, in that it can involve most parts of the immune system and all parts of the body. There are some nutritional approaches that should help, depending on your specific symptoms.
  • Genetics play an important role in Lupus, with identical twins suffering with it in around a third of cases where their twin has it. For non identical twins the rate is 1 in 20. It is thought that more than 30 genes could play a role.
  • Multiple Sclerosis or MS is a debilitating neurological disease that affects about 1 person in every 800 in the UK. In other words most of us know a handful of people with the disease. It prevalence varies from North to South suggesting a role for vitamin D and sunlight and it affects women more than men hinting at either a sex-linked genetic predisposition or the role of sex hormones. Cases of this disease also appear to be growing, raising questions about moden lifestyle factors.
  • Psoriasis an autoimmune disease in which the body's immune system attacks our own cells. In this case it is the cells of the skin that are most affected. It affects about 3 in every 100 of us.
  • Rheumatoid arthritis is an autoimmune condition that affects 1 person in every 100 or 200. Most sufferers end up on a cocktail of drugs to alleviate the symptoms. However, there is a lot that can be achieved with dietary and lifestyle modification.
  • Are statins worth taking? Increasingly they are getting a bad press as more and more details come out about the full range of side effects they have.
  • The thyroid is a key gland that regulates our metabolism. A large number of us will experience health issues related to our thyroid gland over our lifetime. An over active thyroid will affect about 1-2% of people and an underactive thyroid will affect at least 5-6% of people. In short about 1 in 10 of us will experience significant ill health due to our thyroid. Thyroid health is often seen as a bone of contention between the medical community and alternative health practitioners. Low thyroid functioning is regularly under diagnosed by Doctors according to many nutritionists. Could this really be true?
  • Ulcerative Colitis is affecting nearly 1 in 400 of us. In many cases it is not diagnosed. There are a number of dietary changes that you can make to ease the burden of this disease.