EC Gastroenterology and Digestive System

Review Article Volume 10 Issue 6 - 2023

Changes for the Better; Why is it so Difficult?

Avram M Cooperman*, Jonah Tripp, Lillian B Wagner, Griffin Cooper and Leo Wagner

The Pancreas and Biliary Center, NY, USA

*Corresponding Author: Avram M Cooperman, Emeritus Surgeon, The Pancreas and Biliary Center, NY, USA.
Received: March 22, 2023; Published: May 31, 2023

Changing medical thinking and practices require an open mind, new thoughts, and abundant patience as the process may take up to 20 years. At least 60% of adults have 1 or more chronic diseases (CD’s). Four CD’s; cardiovascular, cancer, diabetes, and obesity account for 70% of all deaths. The U.S. funds much of the worlds health expenditures while ranking last in health care amongst similar industrial nations. The main cause of CD is a faulty lifestyle which includes smoking, alcohol, insufficient exercise, and an unhealthy diet of red meat, animal protein, and processed foods, which cause chronic inflammation. A healthy lifestyle includes a healthy diet, exercise, sleep and reduced stress. A healthy diet is prime and is based on Whole Foods and is Plant Based. A whole food plant-based diet (WFPBD) includes fruits, vegetables, seeds and nuts.

Adopting a WFPBD would significantly reduce greenhouse gas emissions and extend the natural lives of 72 - 80 billion land animals and replenish the seas of aquatic life. It would reduce health care expenditures, extend all lives and improve climate and planetary health.

Keywords: Chronic Diseases (CD’s); Whole Food Plant-Based Diet (WFPBD)

  1. The answer is 17 years, what is the question: understanding time lag in translational research (2011).
  2. Knowledge translation: The missing link between knowledge and practice (2019).
  3. Hay MC., et al. “Harnessing experience: Exploring the gap between evidence-bases medicine and clinical practice”. Journal Eval Cain Tract 5 (2008): 797-713.
  5. Covid-19 and Chronic Disease: The impact on treatment for chronic illness revealed and gt (2020).
  6. Cooperman AM., et al. “The Perfect Storm- Longevity, Obesity, Lifestyle and the Planet”. EC Gastroenterology and Digestive System 10 (2022): 16-21.
  7. Global Health.
  8. https://www.nih,gov: what we do.
  9. The U.S. Government and the World Health Organization.
  10. US Global Health Tracker.
  11. The Commonwealth Fund Mirror, Mirror Reflecting Poorly (2021).
  12. Tanking the Top Healthcare Systems in the Country.
  13. World Health Organization Assess the Worlds Health Systems.
  14. Top 10 countries with the best health care system.
  15. New report Confirms US Life Expectancy has Declined to Lowest Level Since (1996).
  16. NHE Fact sheet.
  17. The Commonwealth Fund Us Health Care from a Global Perspective 2022 Accelerated Spending, Worsening Outcomes (2022).
  18. Childrens Mental Health is in Crisis.
  19. obesity.
  20. Based Diets Could Save Millions of Lives and Dramatically cut greenhouse gas emissions.
  21. https// (2016).
  22. Animal Kill Clock (2023).
  23. https://sentient media .org
  24. https://www.seafood
  25. https://giving Inefficient Practices Lead to Nearly 50 tons of Fish Wasted.
  26. About chronic Diseases.
  27. Zhu N Adherence to a healthy Lifestyle and all-cause and cause-specific mortaliy in Chinese adults: a 10 year prospective study of 0.5 million people.
  28. Khaw K-T., et al. “Combined impact of health behaviors and combined mortality in med and women The EPIC-Norfolk prospective study”. PLOS Medicine1 (2008): e2.
  29. NIH-AARP Diet and Health Study.
  30. Warburton DER., et al. “Health benefits of Physical Activity: the evidence”. Canadian Medical Association Journal 6 (2006).
  31. The Microbiome.
  32. Epitope-based vaccine design yields fusion peptide-directed antibodies that neutralize diverse strains of HIV-1”. Nature Medicine 24 (2018): 392-400.
  33. Why the Gut Microbiome is Crucial for Your Health.
  34. Valdes A., et al. “Role of the gut microbiota in nutrition and health”. British Medical Journal 361 (2018): K2179.
  35. Wu H-J and Wu E. “The role of gut microbiota in immune homeostasis and autoimmunity”. Gut Microbes 1 (2012): 4-14.
  36. Blog What is TMAO And Why Should You Avoid It?.
  37. Koeth RA., et al. “Intestinal microbiota metabolism of: carnitine, a nutrient in red meat promotes atherosclerosis”. Nature Medicine5 (2013): 576-585.
  38. Li XS., et al. “Gut microbiota-dependent trimethylamine N-oxide in acute coronary syndrome”. European Heart Journal 38911 (2017): 814-824.
  39. Ronical C., ét al. “Trimethlamine-N-Oxide Predicts Cardiovascular Mortality in Peripheral Artery Disease”. Nature Scientific Reports (2018):15580.
  40. Yao M-E., et al. “Trimethylamine -N-Oxide has prognostic values coronary artery disease: a meta analyses and dose response analysis”. BMC Cardiovascular Disorders (2020).
  41. Contributions of intestinal bacteria to nutrition and metabolism in the critically ill (2012).
  42. Vitamin B12 and the intestinal microbiome (2021).
  43. Role of Microbiota-Gut_brain Axis in regulating Dopaminergic Siignaling (2022).
  44. Heart Disease Facts, Statistics and You.
  45. Heart Disease Facts/cdc,gov.
  46. Esselstyn CB JR., et al. “A way to reverse coronary artery disease”. The Journal of Family Practice7 (2014): 356-364.
  47. Nutrition Lifestyle and Disease Prevention Your DNA is Not Your Destiny (2021).
  48. Twins study looks at genes role in disease-Web med.
  49. Migration patterns and breast cancer risk in Asian-American women.
  50. Profits soar at food, gas corporations as they raise prices on Americans (2022).
  51. UKs Tesco commits to healthy food sales target after shareholder pressure.
  52. Nutrition Nutrition Education Mandate Introduced for Doctors (2011).
  53. Nutrition Nov 10 2011 Doctors Know Less Than They Think About Nutrition (2011).
  54. Lytsy P and Westerling R. “Patient expectations of screening and preventive treatments”. Journal of the American Board of Family Medicine6 (2012): 495-502.
  56. Peska P., et al. “Twenty year experience with the North Karelia Project. Preventive Activities yield Results Nord. Med 109.2 (1004).
  57. Buettner D. The Finnish Town that went on a Diet. The Atlantic 7 (2015): 1-15.
  58. The North Karelia Project: Cardiovascular Disease (2020).
  59. North Karelia Project: Prevention of Cardiovascular Disease in Finland Through Population-Based Lifestyle Interventions (2021).
  61. Oldenberg B., et al. “The Spread and Uptake of Diabetes Prevention Programs Around the World: a case study from Finland and Australia”. Translational Behavioral Medicine2 (2011): 270-282.

Avram M Cooperman., et al. "Changes for the Better; Why is it so Difficult?". EC Gastroenterology and Digestive System  10.6 (2023): 24-31.