The Life Ahead Model:  What Is It?  What Does It Do?
 

       Developing a More Accurate Forecast of Life Ahead: Life Ahead is a comprehensive engineering computer model of how our lifestyle habits determine the health and life of our human body. A dedicated following of the health advice we receive today might extend our longevity of that body by 6 to 7 years.  This is important progress. But existing computer models of health that are masses of dubious statistical equations may not help us do any better.  Life Ahead with its more advanced technology often can show a usual US person how to obtain 15 more likely good and healthful years from simple and acceptable actions that most of us can conveniently take.   

        Typical Health Establishment advice today says.  "Cut down on fat;  Eat so many fruits and vegetables each day; eat so many grams of fiber;  Exercise 30 minutes every day."  This can be good advice. But it only goes part of the way toward obtaining best benefits from our habits.  Different fats can reduce or increase our health risk. Different fruits and vegetables have vastly different amounts of the biochemical nutrients that a specific body needs.  30 minutes per day of exercise can do us little or much benefit.  Advice on amounts of foods to eat usually does not recognize that healthful amounts can vary nearly three fold for small women and large men. 

        Our diets alone can determine 10 years difference in our likely healthy life.  Research now shows that the health of our diets is determined mostly by the amounts of at least 23 now verified nutrient amounts we eat.  These include the many different fats, vitamins, minerals, antioxidants and other nutrients we consume.   Virtually no one today knows the amounts of these 23 key nutrients in foods that they now eat, or what amounts of them are needed for best health.  As a generality, fruits and vegetables are best in vitamins and antioxidants.  But when we study this further, a 1/2 melon has 100 mg of Vitamin C, but a peach has only a far lower 6 mg  Brussel sprouts  have 48 mg of Vitamin C but carrots have only 6 mg.   50-60% of the fat in a hamburger can be the harmful saturated type, but only 20% of that in fish and 10% of that in walnuts is harmful.  You can be seriously mislead if you assume that simply taking so many portions of fruit and vegetables each day will supply the antioxidants that you need.  Or that just so many grams of Fat will protect you or any such other simplistic rules as the diet pyramid will keep you at best health. People have had no really useful way for knowing how much all important fiber or lycopene they now eat, and have had virtually no knowledge of what inexpensive diet supplements they need to take that might provide them another five years of healthy life.  

       Yet the proper selection of just a few foods and some diet supplements usually can correct most of the usual deficiencies in these diet nutrients at modest cost. The occasional use of the Life Ahead Model may be today's only practically useful way for showing people how to move conveniently and acceptably toward an optimum diet regime for best future health.  Life Ahead also guides you to an exercise program that can provide you five more years of protection, as based on the author's book "Cardiofitness Can Save Your Life" published in 2009.

       What a Computation in Life Ahead Will Tell You:   A Demo Option in the program will permit you to display a Life Ahead result for men and women of any age for 11 different sample diets without having to make any usually required entry   To learn your  own results from a program entry you must first enter some required and some optional information on your life habits into the program.  Once this is done, an entry of your usual diet will develop from Life Ahead a vast amount of health information on your likely future life.  This includes:

1. Your healthy life expectancy from present age and your risk of heart disease and cancer in a next ten years

2. Your healthy life expectancy and risks of these diseases if all health habits are changed this year to Life Ahead best recommended health habits.  The advantage for good vs. present habits.

A typical person may gain 15 more years, and reduce risk of heart disease ten fold and risk of cancer five fold.  A person observing today's usual expert health advice may get a much lesser 8 more years of healthy life and reduce major disease risk by a lesser 3 more times..

3.  The "Get More Well-Days" display on the Main Results Display will show what you need to do to get these benefits, and shows your potential benefit from each action.  Other options on the Main Results Display are:

4.  The "Diet Display" will show how 16 of your key diet nutrients compare with optimum values for health and show the likely gain for revising each to optimum.  Further options here provides extensive advice on how to bring each diet nutrient to best values with foods and/or supplements.

5. The "Health Value a Food" option can develop a sophisticated estimate of the effect on potential future health and life of permanently adding or subtracting one or more portions of any of 380 included individual foods to the potential health value of your included diet.  Life Ahead provides what is believed to be a first method for scientifically accomplishing this.

6.  The "Value Supplements" option can measure the contribution to healthy days ahead for adding or subtracting any nominal amount of up to 13 different nutrient diet supplements to any entered practical diet.  These include popular vitamins, minerals and other non-prescription nutrients, taken either as singles or in multiples.

7.  The "Exercise/Fitness"  option will help you explore the amounts of different types of exercise needed to gain health potential years from good cardio and other exercise.

8. The "Weight" option will let you compute a likely change in your Life Outlook for changing your body weight to a different number of pounds.  Note that reducing weight below ideal can be harmful to  health.

9.  Life Ahead will for the "List All Diseases" display an individuals risk of the 18 most important major diseases and death for each life outlook during a next selected period. This can guide a person to take extra steps to protect from his or her most likely future health problems.

10. Life Ahead displays your probable long range weight from every practical diet entered as foods are added or subtracted from it.  This can guide you to develop diets what should help manage your long range weight. If desired, you can learn easily the number of calories you eat every day. The program uniquely recognizes the somewhat differing body weight obtained from carbohydrate and protein calories.   

11. The "Change Other Factors " option permits you to explore the effect of changing a variety of other health actions valued by Life Ahead. 

12. For those with a family disease history, the health actions best for protecting from specific diseases are shown for "Heart Disease", types of "Cancer", "Diabetes", "Alzheimer's" and "Macular Degeneration."

        A major weakness in past diet programs for health has been the difficulty of diet entry.. Users usually must browse through thousands of foods to find ones matching their actual foods. Entry of a meal typically can take an impractical tiresome hour of time and the available food values are mostly for commercial  preparations, not the foods usually used in homes.   Life Ahead solves this with averaged nutrient values for just 380 foods that provide 95+% of what people actually eat.  With a search function and a little practice a day's diet can be entered into Life Ahead in a relatively few minutes.  The program can enter a weekly diet if wanted in easily practical time, and develop nutrients from often used recipes that can simplify entry further. 

      What the Life Ahead Model  Is:  Life Ahead starts with a real representation of the health life of an average man and women in the US population.  This includes a tabulation of average amounts of each of the 19 largest causes of disease and death for every age from 10 to 110. These values are taken from the US government vital statistics tables and other similar respected sources.  Life Ahead thus starts with a real model of US life.  Other Life Models are mostly equations of ratios that can have little relation to any actual reality.

      Tables are next prepared for the average major health risk factors of men and women at ages 18 to 90.  These factors include height, weight, blood pressures, cholesterol, LDL, HDL, exercise, cardiofitness and cigarette smoking. These values are based on published US Department of Health values for our population.  This provides us a real-world model of how major diseases and major health risk factors progress at each year of age in the US population. 

      A next need was the development of most accurate known risk factors relationships for changes in rates  of disease and death  that depend on our life style.  Life Ahead now includes 134 of these factors that can contribute to how healthy and how long we will live. These risk factors include the above nine major health risk factors, the 23 different diet nutrients we need to eat, the exercise we do, our family history of different diseases, and the potential benefit of other health actions that most of us should be observing.  The Life Ahead has been advancing now for more than 30 years via 3 major updates. Each factor in the Model involved a review of all published research found on the wellness effect of the factor on risk of different diseases and death.  Each risk factor in Life Ahead thus is felt to provide a state-of-art best available relationship for long range health.

       How Life Ahead Reflects what Really Happens to our Health:   Research on the benefits of our habits usually report that doing something such as exercise or taking a vitamin "Reduced risk of a disease by some percent." The inference is that doing this reduces this risk immediately. This rarely happens. Most of our life style habits develop benefits gradually over times that can range from near immediate to a near lifetime.  Our largest studies show that first occurrences of lung cancer from require about 25 years of continued smoking. It can take up to 15 years after smoking is stopped for the risk of smoking to disappear. Other cancer usually develops over similar long periods of time.  Life Ahead mirrors this reality. 

        Heart diseases develop mostly from the atherosclerosis that clogs arteries. Taking dietary supplements such as Vitamin E or other antioxidants reduces this clogging by only about 3% for each year they are taken.  It takes 10 to 20 years of taking this nutrient before a really substantial reduction in risk of heart disease from many of these diet factors can be measured.  Taking aspirin that changes the clotting tendency of blood may develop benefit more immediately, and exercise may develop much of its benefit after about a year.  But these benefits can disappear over different times after it is stopped.  Life Ahead computes its results year by year for life and reflects properly how much benefit each new action contributes to health during each further year of life

       How Life Ahead  Computes its Results:  The program develops three complete computations of lifetime year by year risk of 19 disease, death and life expectancy  groups for each age of life.  The first is a verification outlook that is done periodically to be sure the program is producing correct results.  This outlook computes the program's key disease, death and expectancy values for the US average population at average population risk factors and rechecks these results against the US population values published by the US Department of Health.  The program has commonly forecast the US Vital Statistics values for life expectancy within one to two years at widely different ages. This confirms that the program is producing correct real world results.  The program now computes this average population outlook as Diet option #1 when in the demo mode for men and women.

       The program then computes two complete new life profiles for the individual:  First is a present user outlook at past and present habits.  The program user's risk factors are used to construct a life profile for the user that differs from the average US population values. For example, if a persons cholesterol had been 20 % lower or 20% higher than that of the US population the profile rate of likely heart disease of the person would be adjusted accordingly lower or higher in accord with the reduction or increase  in risk of disease associated with his different cholesterol. Dozens of a user's risk factors usually will differ from the US population values and need adjustment.  The result will be a serious and sophisticated forecast of the user's lifetime health outlook with  present habits.

       The second new life profile assumes that a complete change to better habits would take place at present age.  These better habit vales all are set by what is felt to be state-of-art habit values for lowest risk of disease. The effect of the new and lower risk factors would be factored into risks stepwise for factors such as atherosclerosis and cancer for which results are time-dependent.  A comparison of the results for better habits and those for present habits provides a direct measure of the potential reduction in risk of major disease and likely increase in years of healthy life.  Most of the extensive above results 1 through  11 are then derived from comparisons of these life profiles for present and good habits.

      How Does Life Ahead Forecast such Larger Benefits for Good Habits than have been Cited in the Past?  Our Health Establishment develops conclusions at an incredibly slow pace.  When I started a review of the health value of exercise in the mid 1970's experts had been arguing strenuously for 20 years that "Exercise is not proved.  It is a minor health factor at best ."  I found an incredible 50 scientific studies had then been published.  All but an insignificant one or two showed exercise to be of major importance to health. Researchers usually are in no hurry to reach conclusions.   Nearly every research paper starts with a justification as "We need his research because past results are inconsistent"  and ends with "We now need more research"  They must say this  because the reviewers of their papers are other researchers working in the same area and who want to keep doing more research too. No one then seemed to have really reviewed adequately the research we had on exercise, and many experts seemed knowledgeable of only a few most recent studies.

       The Life Ahead project has scoured the health literature for every verified health risk found for each of 17 included major causes of death for most of two decades. The word "Verified" was defined as health factor that was at perhaps a 90% likely level and that would convince a usual health interested person to take action.  A least 3 good confirming studies without contrary findings or potential harm and done on actual people were a required minimum for a health factor inclusion in Life Ahead.  A causal basis was sought for each risk wherever possible, and some of the key risks are verified by more research than has been involved in any other review published.  For example 331 research studies were reviewed in establishing the effect of antioxidants and major diseases; 100 research study data sets were used in defining the effect of exercise and fitness on heart disease and cancer; and 90 research studies were involved in valuing Vitamin E and its effect on heart disease and cancer. (Despite recent invalid contrary information on this vitamin, 93% of all 90 actual research study sets showed a likely benefit for Vitamin E.)  Results of about 60 of these studies of health risk factors  are posted on the Life Ahead Web Site,  www.lifeahead.net  

       Factors as fish oil and Vitamin D that are getting much discussion today were included accurately in Life Ahead a decade ago. Life Ahead simply can be far ahead of the usual health advice that reaches the press without continuing controversy. . The program does not include health factors that derive from just biochemistry or animals.  There is no claim that any health factor might not be found incorrect at some time in the future.  Our knowledge never reaches a 100% level.  But a prudent person's best approach to maintaining health will be to act on what is most likely at any point in time. Advising this "most very likely" has been the objective of Life Ahead.

       Please Try Life Ahead Out.  Download the program  It is entirely free. I ask only that you tell me about your reaction and any problems you find.  First run the "Demo" option at your age and select "Typical US Diet".  This represents typical US men and women who do not smoke and use no dietary supplements.  Then restart the program and enter your own habits and factors into the several following Entry Screens when asked.  Ask your doctor's nurse for your cholesterol values and blood pressure if needed.  Average values will be assumed if you skip entries, so the more actual entries you make, the more accurate will be the forecast of results.  You always can go back and add entries later.

 Good Luck and Best Wishes

Author:   

     Forrest H. Blanding                        forrestx@cox.net