What to do, why and when





Being proactive will help you to become healthier and happier. And it could actually save your life.
Topics …
1.1 Small adjustments. Big gains.
Even small changes can make a significant difference to your health, improve your quality-of-life – and how well you feel – and prevent problems. For those problems that can’t be prevented, being proactive will enable early detection and treatment, which means reduced severity and a quicker recovery from illness.
It may require some adjustments to what you eat (Diet and Nutrition); your physical activity (Exercise); and the way you manage a few other aspects of your life (Other priorities for good health)
It may require some adjustments to what you eat (Diet and Nutrition); your physical activity (Exercise); and the way you manage a few other aspects of your life (Other priorities for good health).
The extent of these adjustments will depend upon your age and current health, so there are dedicated sections that deal with what you can expect, and what proactive steps need to be taken, for each age group: 20s; 30s; 40s; 50s; 60s; 70s; 80s and 90s.

1.2 You may feel healthy now but how long will it last?
Do you have a time bomb ticking away?

Some potential health problems can lie dormant without any early warning signs that ring alarm bells. For example, diabetes; cancer; kidney disease; glaucoma; hypertension; osteoporosis; and heart disease. These, and others, are explained in section 8.1 Silent but serious.
Damage accumulates silently over decades before crossing a threshold when it takes hold – usually from middle-age onwards. Being proactive can minimise the risks but a lot of people remain reactive, or don’t make the right adjustments.
Sometimes this is because they feel healthy and ignore the fact that good current health does not mean good future health. As a result, they fail to take the steps that are needed to build resilience and boost their immune system including, in addition to the right diet and exercise, steps such as Managing Stress, getting consistent Sleep and regular Checkups – all of which are important even when you feel healthy!
Early warning signs


Although some major health problems fall into the category of “Silent but serious”, many have early warning signs. There is a long list of these in section 7 Early warning signs.
For example, breathlessness is often dismissed as being “out of condition” or “unfit” but it can be a sign of more serious health problems, including heart disease, lung disease or anaemia.
Another example is hearing loss that is often regarded as “just ageing” and, as a result, often ignored. However, even mild hearing loss doubles the risk of dementia over time.
Tiredness is also commonly ignored. People tell themselves that it is just a by-product of a busy life, but it can be caused by sleep apnoea – studies indicate that over 50% of people above the age of 50 have it. The danger of not getting tested is that it increases the risk of some serious health consequences such as cancer, type 2 diabetes, heart disease, stroke and Alzheimer’s disease.
What you don’t know can kill you
For example, most people don’t know that it is possible for arteries to become blocked even when a normal blood test indicates that everything is within safe limits, including cholesterol.
The first sign can be a heart attack, and it can sometimes be fatal. A slow buildup of plaque in the arteries can be caused by lifestyle factors, such as lack of exercise, smoking, etc; or genetic factors, such as Lipoprotein(a) – not just cholesterol.
Although the risk starts in the mid-30s, it becomes significant from the mid-40s and increases sharply from the mid-50s: Heart disease.

1.3 The benefits of proactive health
The benefits of adopting the proactive health practices explained in this guide are formidable, and it’s not difficult to do, as discussed in Healthy people have better habits.
| What it benefits | How it benefits |
| Ageing and quality-of-life | A good quality of life can be sustained for longer |
| Brain health | Positivity, clarity of thought and memory improvement |
| Cost | Better health means lower medical expenses |
| Happiness | More enjoyment and life satisfaction |
| How you feel | More vitality, energy and “feeling good” |
| Mobility | Flexibility and ease of movement retained for longer |
| Immunity | Less likelihood of contracting a range of illnesses |
| Injury | Exercise and stretching reduces the likelihood of injury |
| Well-being | More balance, harmony and wellness; less anxiety |
1.4 Your brain, mindfulness and proactive health
Better physical health supports good brain health (Better brain health) and good brain health supports better physical health (The brain’s role in good health).
The brain’s influence is usually at a subconscious level but you do have some conscious control. For example, you can teach yourself to become a Positive thinker. You can also use “mindfulness” to become more alert;

to think more clearly; to focus better on the task at hand; and to improve your situational awareness – Mindfulness.
1.5 Health and happiness

Studies show a direct correlation between health and happiness (Reference: “Health is the Secret to Happiness” on Psychology Today’s website). This works two ways – being healthy contributes to being happy, and being happy contributes to good health [Harvard Health Publishing].
Of course, being happy means different things to different people. For some it means experiencing pleasure or enjoyment. For others it means contentment or emotional well-being. Others need purpose and meaning in their life, so they have a sense of fulfilment or satisfaction. Proactive health is important for all these different ‘types of happiness’
1.6 Steps to proactive health
Start by reading about the health issues for your particular age-group and the relevant proactive health practices: 20s; 30s; 40s; 50s; 60s; 70s; 80s and 90s.

Then, if you want to learn more about a health topic, or how to give yourself the best chance of good ongoing health, you can get more information by following the links to the resource sections of the Guide.
You may also want to have a look at What doctors don’t tell you – it may surprise you that relevant information is not always provided, and risks are not fully explained. So, you need to know what questions to ask.
Then, after putting together your plan to become proactive – or expand what you already do – take the first step, keeping in mind the importance of not overdoing it: One step at a time.
1.7 Ageing well
Some people maintain a very good quality-of-life well into their later years – they remain healthy, physically robust and mentally sharp; they retain their mobility, vitality and feel good, sometimes great. Others are not so lucky. Some become frail and lose their independence, often far too young. But … is it “luck”? Genetics plays a role, although the difference is more often the result of lifestyle choices made many years earlier. Knowing more about proactive health will help you make the right choices.

When researching the key to ageing well, it became clear that there was no need for a specific section on ageing in the Proactive Health Guide. This is because what is needed to age well is exactly what is needed for proactive health – adopting and sustaining the health practices explained for each age group: 20s; 30s; 40s; 50s; 60s; 70s; 80s and 90s.