Decline in heart failure deaths has been undone, led by people under 45
statnews.com
statnews.com
Also from the article.
"Yancy sees three explanations for higher death rates from heart failure: First, the persistence of risk factors and the necessity to intervene there. “That’s actionable,” he said. Second, the persistence of health inequities. “That is theoretically actionable, but it will require as much public policy as it will require medical therapeutics and lifestyle change.” Third is the outsized influence of Covid-19, a phenomenon he said we have yet to understand."
So why are risk factors and interventions "actionable" but health inequities only "theoretically actionable"? There's also a direct connection and large overlap between health inequities and lack of interventions so the first and second are almost the same thing. The influence of covid-19 was the most interesting but they just shrugged and said, "We don't really know much bout that".
What's hard to understand here? Older generations are showering themselves with money to wash away their problems while the younger generation is poor and suffer from unaddressed health issues.
https://cdn.jamanetwork.com/ama/content_public/journal/cardi...
[1] https://jamanetwork.com/journals/jamacardiology/fullarticle/...
Of course, Covid itself also increased mortality in an already vulnerable population.
Basically, we need more data past 2021 to understand the trend.
Exercise may have ticked up since walking became much more common. People were “locked down” at least in the US for like a bad winter season.
Maybe diet was a problem (too much sourdough carbs)
But if it’s not COVID, I would look at isolation. Perhaps the young deaths were especially isolated, and we have all suffered from the epidemic of loneliness over the last half decade.
Commuting that isn't walking/biking.*
Australians are only 4% less obese and 4% less overweight than Americans. However the percentage of Australians that are morbidly obese (BMI over 35) is 9.4%, and for Americans that's 18% - so the obese people in America are more likely to be really obese. Alternatively it could be to do with Americans being less likely to go to the doctor or have operations done due to higher healthcare costs.
When I first started travelling to Australia in 2000, I was amazed by how small all the food was. Plates where tiny, drinks were 1/3 the size of North American (except beer).
Australia has caught up, and serving sizes have increased to near North American sizes. I wonder what affect this will have on Australian life expectancy in the next decade.
Heart failure is exceedingly rare.
Heart failure is not the same as coronary artery disease (I.e. what people typically think of when they think of people who get heart attacks). While it can be related.
Hypertension, diabetes, etc can all contribute to heart failure.
Never mind, there were cheap and effective drugs available that were more effective anyway, but emergency approval for a vaccine required that there was no alternatives available. Hence The demonization of anything other than the vaccine.
I'm not saying fluvoxamine is bad or anything. By all means use it if you lack access to the vaccine. The FDA isn't dictating what Brazil can do. The point of the vaccine was to get us to a place where we can go back to our normal lives while avoiding the usual catastrophic circumstances that accompany a pandemic.
I tend to think it might be the uptick in use of amphetamines. Millineials and late genx were the first to use them in wide scale with a 2.5 increase and a second derivative maxima in 2012, the same time heart failures began dramatically increasing.
I don’t want to put words in your mouth, I’d like for you to expand on your two sentences.
There are lots of analogs. At a population scale it seems reasonable.