![Page 1: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/1.jpg)
„Lebensstil“ im Wandel der Zeiten„Lebensstil“ im Wandel der Zeiten„Lebensstil“ im Wandel der Zeiten„Lebensstil“ im Wandel der Zeiten
Dr. med. Viktor Jörgens, Mainz, 8.2.2014Dr. med. Viktor Jörgens, Mainz, 8.2.2014Dr. med. Viktor Jörgens, Mainz, 8.2.2014Dr. med. Viktor Jörgens, Mainz, 8.2.2014
![Page 2: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/2.jpg)
Dr. Christian Wilhelm Hufeland
* 1762 Langensalza Ɨ 1836 Berlin
1783 Dr. med. in Göttingen
1791 Hofmedikus in Weimar
Behandelte Herzog Karl August, Goethe, Schiller, Herder und Wieland
1793-1801 Professor in Jena
1801 Ruf nach Berlin
![Page 3: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/3.jpg)
Dr. Christian Wilhelm Hufeland
* 1762 Langensalza Ɨ 1836 Berlin
1783 Dr. med. in Göttingen
1791 Hofmedikus in Weimar
Behandelte Herzog Karl August, Goethe, Schiller, Herder und Wieland
1793-1801 Professor in Jena
1801 Ruf nach Berlin
![Page 4: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/4.jpg)
1801 Berufung nach BerlinLeitung der Charité
Hofarzt der Königlichen Familie, begleitete sie nach Tilsit.
Pro Tag bis zu 30 Hausbesuche –für Mittellose gratis
Hufeland führte die Pockenschutzimpfung ein.
„Früh verbraucht starben fast zu allen Zeiten immer nur die unbekannten Armen, denen es trotz größter Leistungen für die herrschenden Klassen sogar am täglichen Brot fehlte.“
Dr. Christian Wilhelm Hufeland
![Page 5: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/5.jpg)
Dr. Christian Wilhelm Hufeland
![Page 6: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/6.jpg)
Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 Years of Age.
Jha P et al. N Engl J Med 2013;368:341-350.
Überlebenswahrscheinlichkeit von Rauchern und Nichtrauchern. Adjustiert für Alter, Alkoholkonsum, Sozialstatus und BMI.
![Page 7: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/7.jpg)
Risks of Death for Participants Who Continued to Smoke and for Those Who Quit Smoking According to Age at the Time of Cessation.
Jha P et al. N Engl J Med 2013;368:341-350.
![Page 8: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/8.jpg)
Bewegung ist gesund
„Wer stark gesund und jung bleiben will,
sei mäßig, übe den Körper, atme reine Luft“
„Gehen ist des Menschen beste Medizin.“
Hippokrates von Kos (460 ?-377 ?)
![Page 9: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/9.jpg)
„Wer stark gesund und jung bleiben will,
sei mäßig, übe den Körper, atme reine Luft“
„Gehen ist des Menschen beste Medizin.“
Hippokrates von Kos (460 ?-377 ?)
Bewegung ist gesund
![Page 10: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/10.jpg)
„The most important element of all in the
treatment of myocardial disease is
graduated exercise, not on the level, but
on hills of various grades.
The distance walked each day is marked
off and is gradually lengthened. In this
way the heart is systematically exercised
and strengthened.“
Sir William Osler
The principles and practise of medicine
7th Edition 1911
![Page 11: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/11.jpg)
Auch gar nichts zu verschreiben, ist zuweilen eine vortreffliche Medizin
Hippokrates von Kos (460 ?-377 ?) vor Christus
Behandlung ohne Medikamente
![Page 12: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/12.jpg)
Cumulative Incidence of Diabetes According to Study Group.
Diabetes Prevention Program Research Group. N Engl J Med 2002;346:393-403.
DPP: Ohne Medikament mit „Lifestyle-Therapie“ besse res Ergebnis
![Page 13: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/13.jpg)
The Look AHEAD Research Group. N Engl J Med 2013;369:145-154.
Massive Intervention bringt nicht mehr als konventi onelle
![Page 14: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/14.jpg)
Schulungsprogramme
![Page 15: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/15.jpg)
Hazard Ratios for All-Cause Mortality among Participants with Incident Type 2 Diabetes, According to Body-Mass Index (BMI) Shortly before Diagnosis of Type 2 Diabetes.
Tobias DK et al. N Engl J Med 2014;370:233-244.
Hazard Ratios for All-Cause Mortality among Particip ants with Incident Type 2 Diabetes, According to Body-Mass Index (BMI) Shortly before Diagnosis of Type 2 Diabetes.
![Page 16: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/16.jpg)
Geboren 20.8.1786
Erstbeschreiber und Namensgeber
des Cholesterins,
starb im Alter von 103 Jahren 1889
Cholesterin: Michel Eugène Chevreul
![Page 17: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/17.jpg)
1974 –
Olivenöl verboten
![Page 18: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/18.jpg)
2003 – Kongress über das Thema, wie gesund u. a. Olivenöl ist
![Page 19: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/19.jpg)
Bernard ShawThe Doctors
Dilemma
No doctor seems able to advise what to eat any better than his grandmother or the nearest quack.
Deutscher Titel: Arzt am ScheidewegErste Aufführungen 1906 London, 1908 Berlin, Druck 1911
![Page 20: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/20.jpg)
Risk ratio und 95% CISTATIN PLACEBO(10269) (10267) STATIN besser STATIN schlechter
LDL (mmol/l)
< 3.0 (116 mg/dl) 602 761
> 3.0 < 3.5 483 655
> 3.5 (135 mg/dl) 957 1190
Gesamt-Cholesterin (mmol/l)
<5.0 (193 mg/dl) 361 476
> 5.0 < 6.0 746 965
> 6.0 (232 mg/dl) 935 1165
ALLE PATIENTEN 2042 2606(19.9%) (25.4%)
24%SE 2.6Reduktion(2P<0.00001)
0.4 0.6 0.8 1.0 1.2 1.4
SimvastinVaskuläres Ereignis gegen frühere Lipidwerte
![Page 21: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/21.jpg)
Keaney JF Jr et al. N Engl J Med 2014;370:275-278.
2014 wieder mal eine Cholesterindebatte:USA Therapie nach Risiko - ESC Therapie mit Zielwert
![Page 22: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/22.jpg)
Um die Gesundheit zu erhalten: nicht bis zur Sättigung essen
Hippokrates von Kos (460 ?-377 ?) vor Christus
Nicht zu viel essen
![Page 23: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/23.jpg)
The survival time of chocolates on hospital wards: covert observational study
Die Überlebenszeit von Schokolade in Krankenhausabteilungen
27 December 2013
8 Packungen Schokolade (mit 258 Stück Schokolade) wurden in 4 Krankenhausabteilungen ausgelegt.
Im Mittel wurden die Schachteln nach 12 Minuten geöffnet.
Die mittlere Überlebenszeit der Schokolade betrug 51 Minuten.
Robert S. Levine, Orthopaedic Surgeon
Wayne State University Bioengineering Center, Trailwood Court, Bingham
Farms, MI USA 48025
© 2014 BMJ Publishing Group Ltd BMJ
![Page 24: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/24.jpg)
Gajendragadkar P R et al. BMJ 2013;347:bmj.f7198
©2013 by British Medical Journal Publishing Group
Can roses really grow on you?
![Page 25: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/25.jpg)
©2013 by British Medical Journal Publishing Group
Or are these more up your street?
Gajendragadkar P R et al. BMJ 2013;347:bmj.f7198
Survived longer
![Page 26: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/26.jpg)
Fig 1 Kaplan-Meier survival curves for Quality Stre et and Roses chocolates across all wards.
Gajendragadkar P R et al. BMJ 2013;347:bmj.f7198
©2013 by British Medical Journal Publishing Group
![Page 27: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/27.jpg)
Fig 2 Bar chart showing number and type of chocolat e consumed by role of staff.
Gajendragadkar P R et al. BMJ 2013;347:bmj.f7198
©2013 by British Medical Journal Publishing Group
![Page 28: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/28.jpg)
Um die Gesundheit zu erhalten: nicht bis zur Sättigung essen und sich vor Anstrengungen nicht scheuen.
Hippokrates von Kos (460 ?-377 ?) vor Christus
Nicht zu viel essen
![Page 29: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/29.jpg)
![Page 30: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/30.jpg)
Ein jeder, dem Dauer und Blüte seines Lebens am Herzen liegt, vermeide den außerehelichen Umgang mit dem anderen Geschlecht und verspare diesen Genuß bis zur Ehe. Dr. C. W. Hufeland
![Page 31: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/31.jpg)
Dr. Christian Wilhelm Hufeland
![Page 32: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/32.jpg)
![Page 33: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/33.jpg)
![Page 34: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/34.jpg)
![Page 35: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/35.jpg)
![Page 36: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/36.jpg)
Figure 2
Source: The Lancet (DOI:10.1016/S0140-6736(13)62247-3)
Terms and Conditions
![Page 37: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/37.jpg)
Figure 3
Source: The Lancet (DOI:10.1016/S0140-6736(13)62247-3)
Terms and Conditions
![Page 38: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/38.jpg)
Seelenruhe, Heiterkeit und Zufriedenheit
sind die Grundlagen allen Glücks, aller
Gesundheit und des langen Lebens.
Dr. Christian Wilhelm Hufeland
![Page 39: „Lebensstil“ im Wandel der Zeiten...Survival Probabilities for Current Smokers and for Those Who Never Smoked among Men and Women 25 to 80 ... The survival time of chocolates on](https://reader033.vdocuments.net/reader033/viewer/2022060905/60a067676f9f141e2d457087/html5/thumbnails/39.jpg)