healthy100

One hundred things
that actually make you
live healthier.

Ranked by how much each one moves health across a whole population, not by what sells supplements. Every single item carries the sources it came from, linked, so you can open them and check us.

or just read the list, it is right below
Things
100
Sources linked
248
Grade A evidence
64 of 100
Data sent anywhere
none

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Pick the time you have and get something doable from the hundred. Anything beats nothing.

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Ranked by population health impact. 100 things, highest impact first.

  1. 1TobaccoStop smoking with supportQuitting tobacco sharply lowers the risks of heart disease, lung disease and cancer.Quitting smoking can add up to 10 years to life expectancy (CDC, 2024)ABig commitment
    +10 years potential life expectancy gain, up to this amountquitting smoking versus continuing

    Why it matters

    Stopping smoke exposure lets blood vessels and lungs recover and reduces ongoing damage that can lead to cancer. CDC reports that quitting can add as much as 10 years to life expectancy, with benefits at any age.

    How to do it

    1. Make a quit plan with a local stop smoking service or quitline.
    2. Ask a pharmacist or clinician about nicotine replacement, varenicline or bupropion.
    3. Combine medication with counseling to manage cravings and triggers.
    4. If you return to smoking, use what you learned to restart your plan.

    If pregnant, discuss the safest cessation options with your maternity team before using medication.

    Sources

    Own page for this item
  2. 2MovementBuild a weekly aerobic habitRegular activity supports your heart, blood sugar and ability to keep doing everyday things.Insufficiently active adults have a 20% to 30% higher risk of death (WHO, 2024)ASome effort

    Why it matters

    Activity that raises your breathing rate improves heart and lung function and helps prevent cardiovascular disease and diabetes. WHO reports that people who are insufficiently active have a 20% to 30% higher risk of death than people who are sufficiently active. The guideline is 150 to 300 minutes of moderate activity each week, or an equivalent amount of vigorous activity, and some activity is useful even before you reach that range.

    How to do it

    1. Choose an activity you can repeat, such as brisk walking, cycling or swimming.
    2. Start with a manageable session and gradually add time across the week.
    3. At a moderate pace you can talk, but singing is difficult.
    4. Put sessions in your calendar and count active travel toward your total.
    5. Plan sessions on the days you can reliably protect and work toward the weekly total rather than a perfect daily streak.

    If a health condition limits activity, ask a clinician which type and amount suits you.

    Sources

    Own page for this item
  3. 3Heart healthCheck and follow up blood pressureFinding and controlling high blood pressure helps prevent strokes, heart disease and kidney damage.About 600 million adults with high blood pressure (44%) do not know they have it (WHO, 2025)AQuick win
    44 of every 100 adults with high blood pressure who do not know they have itShare of all adults with hypertension worldwide (WHO)

    Why it matters

    High blood pressure usually has no symptoms while it damages blood vessels and organs, and WHO estimates that 44% of adults who have it are unaware. Screening opens the door to effective treatment, but a measurement alone does not reduce risk. The USPSTF recommends yearly checks from age 40 or earlier when risk is higher, with readings outside the clinic to confirm a diagnosis.

    How to do it

    1. Arrange a blood pressure check and keep a copy of the result; in England the NHS Health Check covers ages 40 to 74 every 5 years.
    2. Use a validated upper arm device and sit quietly for 5 minutes before measurement.
    3. If a clinic reading is high, ask about home or ambulatory monitoring to confirm it.
    4. Agree on follow-up and treatment with your clinician if pressure stays high.

    A clinician should confirm persistent high readings and set treatment targets. Pregnancy needs its own blood pressure care plan.

    Sources

    Own page for this item
  4. 4AlcoholDrink less alcoholReducing alcohol lowers exposure to a cause of cancer, liver disease and dependence.2.6 million deaths worldwide attributed to alcohol in 2019 (WHO, 2024)ASome effort

    Why it matters

    Alcohol and its breakdown products can damage the body, and even low consumption carries some risk. WHO attributed 2.6 million deaths worldwide in 2019 to alcohol, a population burden rather than an estimate of your personal risk. Less drinking means less exposure, and avoiding alcohol removes alcohol exposure entirely.

    How to do it

    1. Track what you drink, including the size and strength of each serving.
    2. Replace routine drinks with alcohol free alternatives.
    3. If you are not dependent, plan days without alcohol and reduce the amount on drinking days.
    4. Avoid alcohol during pregnancy; if you do not drink, there is no health reason to start.

    If you have withdrawal symptoms or may be dependent, get clinical help before suddenly stopping alcohol.

    Sources

    Own page for this item
  5. 5Dietary patternBuild Mediterranean style mealsA pattern of plant foods, olive oil and fish can help prevent cardiovascular disease.Mediterranean programs: 17 fewer deaths per 1,000 over 5 years at intermediate cardiovascular risk (BMJ, 2023)ASome effort
    17 fewer deaths over 5 years at intermediate cardiovascular risk per 1,000 peopleMediterranean programs versus minimal advice

    Why it matters

    This pattern combines fiber rich foods with unsaturated fats and fewer heavily processed meats. A trial review estimated 17 fewer deaths per 1,000 people over five years at intermediate cardiovascular risk with Mediterranean programs versus minimal advice. Some programs included extra support or other interventions, so this is not a guaranteed benefit from diet alone for every adult.

    How to do it

    1. Build meals around vegetables, beans and whole grains.
    2. Use olive or rapeseed oil in place of butter for everyday cooking.
    3. Include nuts and fish if suitable for you.
    4. Plan several repeatable meals using affordable local ingredients.
    Own page for this item
  6. 6StrengthTrain your major muscles twice weeklyStronger muscles help preserve everyday function as you age.Muscle strengthening on at least 2 days per week (CDC, 2023)ASome effort
    at least 2 days/week recommended minimum frequency of major muscle strengtheningadult weekly activity guidance

    Why it matters

    Resistance exercise makes muscles work harder than usual, improving strength and endurance. Strength work helps maintain everyday function and slows age related muscle and bone loss. Guidelines recommend training all major muscle groups on at least two days each week.

    How to do it

    1. Use weights, resistance bands or your body weight.
    2. Include movements for legs, hips, back, abdomen, chest, shoulders and arms.
    3. Choose resistance that makes the last repetitions challenging while you keep control.
    4. Start gradually and increase resistance when the current level becomes easy.

    Ask a physiotherapist for adaptations if pain, injury or a health condition limits your movement.

    Sources

    Own page for this item
  7. 7Mental healthGet help early for depression or anxietyTreatment for depression and anxiety works, yet most people who need it never receive any.Only about 1 in 4 people with anxiety disorders receives treatment (WHO, 2026)ASome effort

    Why it matters

    Low mood, loss of interest or constant worry becomes a health problem when it lasts and starts interfering with work, relationships and ordinary tasks. Talking therapy and, where appropriate, medication both help, and NICE matches the treatment to how severe the problem is and what you prefer. WHO reports that only about 1 in 4 people with anxiety disorders receive treatment, and names the barriers: not knowing it is treatable, too little investment in services, too few trained providers and stigma. The gap is about access, not about treatment failing. The same route covers obsessive compulsive symptoms and the aftermath of trauma, which have their own effective therapies.

    How to do it

    1. Write down what has changed in your mood, sleep, interest and daily functioning, and how long it has been going on.
    2. Book a primary care or mental health appointment and take those notes with you.
    3. Ask for the therapy that fits: cognitive behavioural therapy for depression or anxiety, exposure and response prevention for obsessive compulsive symptoms, trauma focused CBT or EMDR after trauma.
    4. Agree when progress will be reviewed, and never stop medication on your own.
    5. Once you feel better, note your early warning signs and agree with your clinician what continued treatment keeps you well.

    Ask for help sooner if symptoms are severe. If you might act on thoughts of suicide or cannot keep yourself safe, contact local emergency or crisis services now.

    Own page for this item
  8. 8SaltUse less salt across the dayLower sodium intake helps lower blood pressure and cardiovascular risk.Less than 5 g of salt daily from all sources (WHO, 2026)ASome effort
    at most 5 g/day adult total salt intake, stay below this amountWHO guidance, including salt already in food

    Why it matters

    Excess sodium raises blood pressure, which damages blood vessels over time. WHO's current adult target is less than 5 g of salt per day, counting salt already in food. Reducing salty sauces and packaged foods often matters more than removing the salt shaker.

    How to do it

    1. Compare salt or sodium labels on similar foods.
    2. Use herbs, spices, garlic or lemon to flavor meals.
    3. Choose lower salt stock, sauces and canned foods.
    4. Taste food before adding salt and reduce added salt gradually.

    Potassium based salt substitutes need clinical advice if you have kidney disease or take medicines that raise potassium.

    Sources

    Own page for this item
  9. 9SleepMake room for enough sleepEnough sleep supports attention, metabolism and heart health.At least 7 hours daily for adults aged 18 to 60 (CDC, 2024)ASome effort
    at least 7 hours/day recommended minimum sleep for adults aged 18 to 60CDC recommendation for this adult age group

    Why it matters

    Sleep supports the processes that keep you alert and your metabolism working well. CDC recommends at least seven hours for adults aged 18 to 60, seven to nine at 61 to 64, and seven to eight at 65 and older. Individual needs vary, so persistent tiredness deserves attention even when your hours look adequate.

    How to do it

    1. Work backward from your waking time to reserve enough time for sleep.
    2. Move optional late activities earlier when they repeatedly cut sleep short.
    3. Notice both sleep duration and how rested you feel during the day.

    Talk to a clinician about persistent daytime sleepiness or difficulty sleeping despite enough opportunity.

    Sources

    Own page for this item
  10. 10Road safetyBuckle up and drive attentivelySeat belts, full attention and unimpaired driving reduce the risk of a fatal or disabling crash.Seat belts can reduce death risk among vehicle occupants by up to 50% (WHO, 2026)AQuick win

    Why it matters

    Seat belts keep people restrained and reduce impact injuries during a crash. WHO reports that wearing one can reduce the risk of death among vehicle occupants by up to 50%, and that correct motorcycle helmet use reduces the risk of death in a crash by more than 6 times. CDC reports that nine people a day are killed in US crashes involving a distracted driver, so attention, sobriety and speed all matter before a crash ever happens.

    How to do it

    1. Wear a correctly positioned seat belt on every trip, including in taxis and rear seats, and secure children in a restraint suitable for their size and age.
    2. Set navigation before moving and put the phone out of reach.
    3. Arrange an unimpaired driver or another way home if alcohol, other substances or medicines affect your driving.
    4. Keep within speed limits and slow further when conditions require it.
    5. On a bike or motorbike, wear a correctly fitted certified helmet and fasten the straps every time.

    Ask a pharmacist whether a medicine impairs driving, and avoid driving while affected.

    Sources

    Own page for this item
  11. 11Heart healthCheck cholesterol and heart riskA cholesterol result is useful when it leads to a plan based on your overall risk of heart attack and stroke.About 28% fewer cardiovascular events with statins in adults at increased risk (USPSTF, 2022)AQuick win
    28% lower cardiovascular events in adults at increased riskStatin treatment versus placebo or no statin; not the effect of testing

    Why it matters

    Cholesterol helps identify people who could benefit from prevention before a first cardiovascular event. A USPSTF review found that statins reduced combined cardiovascular events by about 28% in adults with increased risk, with an absolute reduction of 1.28 percentage points over 1 to 6 years. That is a treatment effect, so testing needs to be followed by an individual risk discussion.

    How to do it

    1. Ask whether a cholesterol blood test is due and agree on repeat testing based on your risk.
    2. Bring your blood pressure results and family history of early heart disease to the review.
    3. Review overall cardiovascular risk using a local clinical tool, and ask about the once in adulthood Lp(a) test in the 2026 ACC/AHA guidance.
    4. If treatment is recommended, discuss likely absolute benefit, side effects and follow-up.

    A cholesterol test does not automatically mean you need medicine. Pregnancy, very high cholesterol and established heart disease need individualized care.

    Own page for this item
  12. 12Plant foodsEat more vegetables and whole fruitA varied daily supply of produce provides fiber and nutrients that support long term health.At least 400 g of fruit and vegetables daily (WHO, 2026)AQuick win
    at least 400 g/day adult fruit and vegetable intake, at least this amountWHO daily minimum

    Why it matters

    Vegetables and fruit supply fiber and essential micronutrients as part of a diet that helps protect against chronic disease. WHO's 2026 guidance sets a minimum of 400 g daily for adults.

    How to do it

    1. Add vegetables to both lunch and dinner.
    2. Keep whole fruit ready for a snack or dessert.
    3. Use frozen or canned produce without added sugar or excess salt when it is easier.
    4. Aim for variety; potatoes do not count toward the NHS fruit and vegetable target.

    Sources

    Own page for this item
  13. 13Plant foodsBuild up your daily fiberFiber supports bowel regularity and is linked to lower risks of several chronic diseases.Aim for 30 g of fiber daily (NHS, 2026)ASome effort
    at least 30 g/day adult dietary fiber intake targetNHS adult daily guidance

    Why it matters

    Fiber helps food move through the bowel, and different foods provide different types. A large review found better cholesterol and blood pressure results in trials, alongside lower disease and mortality rates in cohorts. The NHS adult target is 30 g daily, reached through a variety of foods.

    How to do it

    1. Check labels to learn which everyday foods provide fiber.
    2. Add beans, vegetables, fruit and nuts across the day.
    3. Keep edible skins on potatoes and fruit after washing.
    4. Increase fiber gradually and drink enough fluid.

    If you have a bowel narrowing or have been prescribed a low fiber diet, ask your clinician before increasing fiber.

    Own page for this item
  14. 14DrinksReplace sugary drinks with waterReplacing sweetened drinks reduces free sugar exposure and supports metabolic and dental health.Each extra daily sugary drink serving linked to 13% higher type 2 diabetes risk (BMJ, 2015)BQuick win
    13% higher type 2 diabetes incidence, observational associationper additional daily sugary drink serving, adjusted for adiposity

    Why it matters

    Sugary drinks deliver substantial sugar with little nutritional value. A meta analysis linked each additional daily serving to 13% higher type 2 diabetes incidence after accounting for body fat. This association supports making water the default, but does not prove that one swap cuts your risk by that amount.

    How to do it

    1. Swap a routine soda, sweetened tea or energy drink for water.
    2. Order coffee or tea without sugar or syrup.
    3. Keep cold water or unsweetened sparkling water easy to reach.
    4. Check the whole container's label, since a bottle may hold several servings.
    Own page for this item
  15. 15Cancer screeningComplete bowel cancer screeningRegular screening can find bowel cancer earlier and remove some growths before they become cancer.Begin average risk screening at age 45 (USPSTF, 2021)ASome effort
    from 45 years of age US starting age for average risk bowel cancer screeningUSPSTF recommendation; local screening ages differ

    Why it matters

    Some bowel cancers develop from polyps that screening can detect and remove. The 2021 USPSTF recommendation starts screening at age 45 for adults at average risk. Different tests have different schedules, and an abnormal stool test needs a colonoscopy to complete the process.

    How to do it

    1. Check your national programme: the EU recommends FIT screening at ages 50 to 74, and US guidance starts at 45.
    2. Choose a recommended test you can complete, such as yearly FIT or colonoscopy every 10 years in the US.
    3. Return the stool sample promptly or complete the preparation for your booked procedure.
    4. Arrange the recommended follow-up after any abnormal result and record the next due date.

    Family history, prior polyps or bowel inflammation can mean earlier testing. Bleeding or persistent bowel changes need assessment rather than waiting for screening; ages 76 to 85 require an individual decision.

    Sources

    Own page for this item
  16. 16Plant foodsChoose whole grains more oftenReplacing refined grains adds fiber and is associated with better cardiovascular health.Highest versus lowest whole grain intake linked to 16% lower mortality (Circulation, 2016)BQuick win
    16% lower all-cause mortality, observational associationhighest versus lowest whole grain intake

    Why it matters

    Whole grains retain more of the grain's fiber and nutrients. A meta analysis found 16% lower mortality among people with the highest versus lowest whole grain intake. These were observational comparisons and cannot prove that the grain swap alone caused the difference.

    How to do it

    1. Try oats or a cereal made mainly from whole grains.
    2. Swap some white bread, rice or pasta for whole grain versions.
    3. Look for whole wheat or another whole grain near the start of the ingredient list.
    4. Make the switch gradually if you prefer a mix of textures.

    With coeliac disease, choose gluten free whole grains such as brown rice and certified gluten free oats.

    Own page for this item
  17. 17MovementBreak up long spells of sittingReplacing some sitting with movement adds activity across your day.Most sedentary quarter of adults: 2.6 times the death rate of the least sedentary (BMJ, 2019)AQuick win

    Why it matters

    Long periods of sedentary time are associated with higher risks of cardiovascular disease and diabetes. In a harmonised analysis of eight accelerometer studies, adults in the most sedentary quarter had about 2.6 times the death rate of the least sedentary quarter, an observational comparison rather than a trial. WHO advises limiting sedentary time and NHS guidance recommends interrupting long periods without movement, but no single break interval has been proven to guarantee protection.

    How to do it

    1. Stand up and move between work tasks or episodes of television.
    2. Walk during calls when practical.
    3. Use a reminder if hours regularly pass without movement.
    4. If standing is difficult, choose comfortable seated movement or an adapted activity.
    Own page for this item
  18. 18Dietary fatsSwap butter for unsaturated oilsReplacing saturated fats can lower the risk of cardiovascular events.Reducing saturated fat cut combined cardiovascular events by 17% in trials (Cochrane, 2020)AQuick win
    17% lower combined cardiovascular events in trialsreduced saturated fat versus higher intake or usual diet

    Why it matters

    Saturated fat raises LDL cholesterol, which contributes to artery disease. Long term trials in a Cochrane review found 17% fewer combined cardiovascular events after reducing saturated fat, with little clear effect on mortality. Replacing it with unsaturated fats is more useful than simply adding oil to the same meals.

    How to do it

    1. Use rapeseed, olive, sunflower or soybean oil in place of butter, ghee or lard.
    2. Choose nuts, seeds or avocado as alternatives to some foods rich in saturated fat.
    3. Compare labels on spreads and prepared foods for saturated fat.
    Own page for this item
  19. 19EmergenciesKnow stroke and heart attack signsSpotting the signs and calling an ambulance in the first minutes protects brain and heart muscle.Clot-busting stroke medicine is given within 4.5 hours of symptoms starting; clot removal up to 24 hours for some (NICE, 2022)AQuick win

    Why it matters

    Stroke and heart attack destroy tissue minute by minute. CDC says every minute counts in a stroke, and UK NICE guidance gives clot-busting medicine within 4.5 hours of symptoms starting and clot removal for selected people up to 24 hours, so never wait to see whether it passes or assume it is too late. The chances of surviving a heart attack are also better the sooner emergency treatment begins. Knowing the signs and calling an ambulance, instead of driving yourself or waiting, is what makes early treatment possible.

    How to do it

    1. Learn FAST for stroke: face drooping, arm weakness, speech difficulty, time to call for help. CDC adds sudden balance or vision changes.
    2. Learn heart attack signs: chest pressure or pain, pain spreading to jaw, neck, back, arms or shoulders, shortness of breath, cold sweat, feeling faint.
    3. Know that unusual tiredness, nausea or vomiting are also heart attack signs, and that women are more likely to have these.
    4. Call your emergency number straight away: 999 in the UK, 911 in the US, 112 anywhere in the EU. Do not drive yourself.
    5. Note the time symptoms started, and call even if stroke signs have already stopped within the last 24 hours.

    This item is about acting fast, not treating anything yourself. Follow the emergency operator's instructions, and do not assume aspirin advice from another country applies to you.

    Own page for this item
  20. 20MovementBuild up your daily stepsA higher daily step count is linked with better health, with benefits below 10,000 steps.7,000 versus 2,000 steps daily: 47% lower mortality risk in cohorts (The Lancet Public Health, 2025)BQuick win
    47% lower all-cause mortality risk during follow-up, observational association7,000 versus 2,000 daily steps in cohorts

    Why it matters

    Walking is an accessible way to add movement throughout the day. A 2025 review found that 7,000 versus 2,000 steps per day was associated with a 47% lower relative risk of death during follow up. These observational data cannot prove that adding steps causes that full reduction or establish a compulsory target.

    How to do it

    1. Use a phone, pedometer or familiar route to learn your usual activity level.
    2. Add a short walk to a routine you already have.
    3. Build toward a level you can sustain instead of treating 10,000 as a pass or fail test.
    4. Count short trips and errands as well as deliberate walks.

    Adapt walking to your mobility and symptoms; step counts do not capture all useful forms of activity.

    Own page for this item
  21. 21ConnectionMake time for people you trustRegular, supportive contact eases loneliness, which WHO now links to hundreds of thousands of deaths a year.WHO estimates loneliness causes 871 000 deaths each year (WHO, 2025)BSome effort

    Why it matters

    Supportive relationships give you belonging and practical help when life gets hard. WHO estimates that loneliness causes 871 000 deaths each year, and that about 1 in 6 people worldwide, 15.8%, feel lonely. Those are population figures describing the size of the problem, not a promise that a set number of visits changes your own risk.

    How to do it

    1. Arrange a regular call or visit with someone whose company you actually enjoy.
    2. Join a recurring local group built around an interest you already have.
    3. Tell someone you trust when you need company or practical help.
    4. If loneliness persists, ask a community service or health professional what support exists near you.

    Sources

    Own page for this item
  22. 22Healthy weightWork toward a weight that supports youIf excess weight affects your health, modest sustained loss can improve blood pressure and blood sugar.Even 5% weight loss can improve health when weight is above a healthy range (CDC, 2025)ABig commitment

    Why it matters

    CDC notes that even a 5% weight reduction can improve health when weight is above a healthy range. Physical activity supports weight management and provides benefits even when the scale changes little. BMI is only one indicator, so goals should reflect your health, function and circumstances.

    How to do it

    1. If weight is affecting your health, agree on a realistic goal with a qualified professional.
    2. Build repeatable activity into your week and protect time for sleep.
    3. Review progress over time using how you feel and function as well as weight.
    4. Seek structured support if your current approach is not helping.

    Do not pursue intentional weight loss during pregnancy without specialist direction; seek tailored advice with frailty, an eating disorder history or unexplained weight change.

    Sources

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  23. 23Plant foodsMake beans and lentils regular staplesPulses provide fiber and protein and can modestly lower LDL cholesterol.Pulse rich diets lowered LDL cholesterol by 0.17 mmol/L in trials (CMAJ, 2014)AQuick win

    Why it matters

    Beans, lentils, chickpeas and dried peas offer an inexpensive alternative to some meat meals. In trials, diets providing about a daily serving of pulses lowered LDL cholesterol by an average of 0.17 mmol/L versus comparison diets. The studies measured a risk factor, not a demonstrated reduction in heart attacks.

    How to do it

    1. Add canned beans or lentils to a soup, salad or curry.
    2. Replace part of the meat in a familiar recipe with cooked pulses.
    3. Start with small portions and increase as tolerated.
    4. Choose no added salt versions or rinse canned pulses.
    Own page for this item
  24. 24Protein foodsMake processed meat an occasional foodEating less bacon, ham and sausage reduces exposure to a cause of bowel cancer.Each 50 g of processed meat daily linked to about 18% higher bowel cancer risk (WHO IARC, 2015)AQuick win
    18% higher bowel cancer risk, approximate relative associationper additional 50 g of processed meat eaten daily

    Why it matters

    Processed meat is classified by IARC as carcinogenic to humans, with the strongest evidence for bowel cancer. Its 2015 assessment estimated about 18% higher relative bowel cancer risk per 50 g eaten daily. That is a relative increase, not an extra 18 percentage points, and the 2026 WHO update retains the cancer classification.

    How to do it

    1. Replace some bacon, sausage or ham meals with beans, eggs or fish.
    2. Try hummus or leftover unprocessed poultry in sandwiches.
    3. Check ingredients: preserved chicken or turkey deli meats can also be processed meat.
    Own page for this item
  25. 25EnvironmentReduce exposure to polluted airChecking air quality and filtering smoky indoor air can reduce the particles you breathe.WHO estimated 4.2 million premature deaths from outdoor air pollution in 2019 (WHO, 2024)BSome effort

    Why it matters

    Fine particles can reach deep into the lungs and contribute to heart disease, stroke and lung disease. WHO estimated 4.2 million premature deaths worldwide from outdoor air pollution in 2019. That is a population burden estimate, not the number of deaths an air cleaner can prevent; cleaner air also requires wider policy changes.

    How to do it

    1. Check your local air quality alerts, particularly during smoke events.
    2. When smoke makes outdoor air unhealthy, follow public health advice and spend time in a cleaner indoor space.
    3. Use a portable air cleaner sized for the room that does not generate ozone, and run it consistently.
    4. Keep smoke out when outdoor air is poor, reduce indoor particle sources such as candles, and ventilate when outdoor air improves.
    5. During wildfire smoke, use a suitable HVAC filter if the system supports it and follow evacuation advice.

    Ask for a smoke action plan if you have heart or lung disease. Do not keep a home dangerously hot to exclude smoke; move to a cooled space with cleaner air when needed.

    Own page for this item
  26. 26Cancer screeningKeep cervical screening up to dateHPV testing and cervical cell tests can find precancerous changes that can be treated before cancer develops.Routine cervical screening every 5 years in England (NHS, 2025)ASome effort
    every 5 years between screens routine cervical screening interval in EnglandRoutine recall after an appropriate negative HPV result; exceptions apply

    Why it matters

    Persistent infection with certain HPV types can cause cervical cancer. Screening detects the infection or cell changes before symptoms, allowing follow-up and treatment. England now generally invites people with a cervix aged 25 to 64 every 5 years after appropriate negative HPV results; the current final USPSTF guideline uses different ages and test options.

    How to do it

    1. If you have a cervix, check your last result and the due date in your local screening programme.
    2. In England, follow your invitation; earlier recall may be needed after HPV or a previous abnormal result.
    3. In the US, the 2018 final USPSTF guideline uses cytology every 3 years at ages 21 to 29, with additional options at ages 30 to 65.
    4. Attend follow-up after an abnormal result, even if you feel well or have received HPV vaccination.

    Eligibility depends on having a cervix and your previous results. A removed cervix, past precancer, immune suppression, pregnancy or symptoms can change the plan; tell the screening service.

    Sources

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  27. 27Oral healthBrush with fluoride and clean gapsConsistent tooth cleaning helps prevent decay, gum disease and avoidable dental pain.Brush for about 2 minutes each time (NHS, 2025)AQuick win
    about 2 minutes per brushing recommended toothbrushing durationAbout 2 minutes each time, twice daily

    Why it matters

    Plaque builds up on teeth and around the gums, causing decay and inflammation. Fluoride toothpaste helps protect teeth, and cleaning between them reaches places a brush misses. NHS guidance recommends brushing twice daily for about 2 minutes and choosing dental recall intervals according to risk.

    How to do it

    1. Brush every tooth surface for about 2 minutes twice daily, including before bed.
    2. Use toothpaste with at least 1,350 ppm fluoride; spit out excess without rinsing immediately.
    3. Clean between teeth daily with appropriately sized interdental brushes or floss.
    4. Agree on your next dental checkup with your dentist; healthy adults do not all need six monthly visits.

    Persistent bleeding, toothache, swelling or a mouth change needs dental assessment. Ask for cleaning advice around implants, braces or gum disease.

    Sources

    Own page for this item
  28. 28Food safetyPrepare and store food safelyClean handling, adequate cooking and prompt refrigeration prevent foodborne illness.Cook poultry and reheat leftovers to 165 F, which is about 74 C (CDC, 2025)ASome effort

    Why it matters

    Cooking destroys many harmful germs, while separating raw foods prevents them reaching food that is ready to eat. Cold storage slows growth after preparation. CDC specifies an internal temperature of 165 F, about 74 C, for poultry and reheated leftovers.

    How to do it

    1. Wash hands and utensils, and keep raw meat separate from foods ready to eat.
    2. Use a food thermometer: poultry and leftovers should reach 165 F, about 74 C; follow food specific guidance for other foods.
    3. Refrigerate perishables within two hours, or one hour above 90 F, about 32 C.
    4. Keep the fridge at 40 F, about 4 C, or colder and thaw foods in the fridge rather than on the counter.
    5. Choose pasteurized milk and dairy, reading labels carefully when buying direct from a farm.

    If you are pregnant, 65 or older, or have weakened immunity, extra food precautions apply: avoid unpasteurized milk and cheese, and heat brie, camembert, blue cheese, queso fresco and deli meats until steaming hot. Many pasteurized soft cheeses, like mozzarella or cottage cheese, are fine. Ask your clinician or maternity team.

    Sources

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  29. 29Plant foodsSnack on unsalted nutsNuts provide unsaturated fats and fiber and are linked to lower cardiovascular risk.An extra 28 g of nuts daily linked to 21% lower cardiovascular disease risk (BMC Medicine, 2016)BQuick win
    21% lower cardiovascular disease risk, observational associationper additional 28 g of nuts eaten daily

    Why it matters

    Nuts can replace snacks that provide more salt or free sugar. A cohort meta analysis associated an extra 28 g daily with 21% lower cardiovascular disease risk. Other habits could explain part of this association, so it is not a predicted benefit for an individual.

    How to do it

    1. Keep a small handful of unsalted nuts available for snacks.
    2. Add chopped nuts to oats or salads.
    3. Choose nuts or nut butter without added sugar where possible.

    Avoid nuts that trigger an allergy; choose other suitable foods with a clinician or dietitian if needed.

    Own page for this item
  30. 30VaccinationReview your COVID vaccinationAn updated vaccine can add protection against severe COVID, particularly for older adults and people at higher risk.45% estimated protection against COVID hospitalization in adults 65+, 2024 to 2025 VISION data (CDC MMWR, 2025)BQuick win
    45% lower COVID hospitalization, immunocompetent adults 65+, VISION 2024 to 2025Seasonal dose 7 to 119 days earlier versus no dose that season

    Why it matters

    A CDC study estimated 45% protection against COVID hospitalization in immunocompetent adults aged 65 and older in the VISION network during the first 7 to 119 days after a 2024 to 2025 dose, compared with no dose that season. That historical estimate does not predict the exact protection of a newer vaccine. CDC's September 23, 2026 clinical guidance recommends a 2026 to 2027 vaccine for all adults aged 18 and older, with product and dose decisions made with a healthcare professional.

    How to do it

    1. Check the current national offer; CDC's September 2026 guidance recommends the 2026 to 2027 vaccine for all US adults.
    2. Review your age, health conditions, prior doses and recent infection with a vaccinator.
    3. Discuss the expected benefit and timing, especially if you are 65 or older or pregnant.
    4. Record the vaccination and the next dose date; CDC recommends 2 doses in this season for adults aged 65 and older.

    A vaccinator should check immune status, prior myocarditis and product eligibility. Some uses in current CDC guidance are outside FDA labeling, so individual advice matters.

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  31. 31VaccinationGet your seasonal flu vaccineSeasonal vaccination lowers the chance of flu and can prevent serious illness, especially in higher risk adults.About 40% lower flu hospitalization risk in older adults in a review of 2010 to 2015 seasons (CDC, 2026)AQuick win
    40% lower flu hospitalization in older adults, review of 2010 to 2015 seasonsVaccinated versus unvaccinated older adults; varies by season

    Why it matters

    Flu can cause pneumonia and worsen existing health conditions. A review cited by CDC found about 40% lower flu hospitalization risk in older adults across the 2010 to 2015 seasons. Protection varies with the season, the vaccine match and the person, which is why a fresh seasonal vaccination matters.

    How to do it

    1. Check the current local flu vaccination offer before the season starts.
    2. Book a vaccine suited to your age and health.
    3. If you are 65 or older, ask which vaccine is preferred for your age group.
    4. Tell the vaccinator if you are pregnant, immunocompromised or had a serious vaccine reaction.

    The nasal spray is unsuitable during pregnancy and for some medical conditions. A vaccinator can advise on product choice and timing.

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  32. 32SleepAct on gasping or pauses in sleepRecognizing sleep apnea symptoms can lead to help for disrupted breathing and poor sleep.Discuss snoring, gasping or breathing pauses with a healthcare provider (NHLBI, NIH, 2025)AQuick win

    Why it matters

    Sleep apnea repeatedly interrupts breathing and can reduce oxygen during sleep. Loud snoring with gasping, observed pauses or daytime sleepiness deserves attention. NIH links untreated sleep apnea with serious health problems; symptoms require assessment rather than a diagnosis from a phone or watch.

    How to do it

    1. Notice gasping, frequent loud snoring or sleepiness that persists despite enough time in bed.
    2. Mention observed breathing pauses and daytime symptoms to a clinician.
    3. If you have a bed partner, include what they have noticed.

    A clinician may recommend a sleep study; this item concerns symptoms, not routine screening of people without symptoms. Do not drive if you feel very sleepy.

    Sources

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  33. 33VaccinationComplete HPV vaccinationVaccination prevents new HPV infections that can later cause cervical and several other cancers.HPV vaccination could prevent more than 90% of cancers caused by HPV (CDC, 2024)AQuick win

    Why it matters

    Some HPV infections persist and eventually cause cancer. CDC estimates vaccination could prevent more than 90% of cancers caused by HPV, but it does not treat an existing infection. The greatest benefit comes before exposure; catch-up vaccination is recommended through age 26 in the US.

    How to do it

    1. Find your vaccine record and check whether the HPV series is complete.
    2. If unvaccinated or incompletely vaccinated through age 26, arrange catch-up under CDC guidance or your local programme.
    3. At ages 27 to 45, discuss likely benefit with a clinician rather than assuming routine vaccination is needed.
    4. Complete the dose schedule for your age at the first dose and immune status.

    Postpone HPV vaccination during pregnancy. Vaccination does not replace cervical screening; adults over 26 generally have less benefit.

    Sources

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  34. 34Protein foodsEat fish regularly, including oily fishFish supplies protein and nutrients, while oily fish provides fats that support heart health.At least 2 portions of fish weekly (NHS, 2026)AQuick win
    at least 2 portions/week weekly fish intake, at least this amountNHS guidance, including one oily fish portion

    Why it matters

    Oily fish such as salmon and sardines supplies long chain omega 3 fats. The NHS recommends at least two portions of fish weekly, including an oily variety. This is a food recommendation and does not establish that fish oil capsules provide the same benefits.

    How to do it

    1. Plan fish meals during the week, including salmon, sardines or trout.
    2. Choose baked, steamed or grilled fish more often than battered fish.
    3. Use canned or frozen fish when convenient.
    4. If pregnant, follow local advice on mercury and other fish contaminants.

    Avoid fish you are allergic to. If you are pregnant, trying for a baby, or 16 or under, avoid shark, swordfish and marlin; limit tuna if pregnant or trying. Girls and women who have not been through the menopause should have no more than 2 portions of oily fish a week.

    Sources

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  35. 35Sexual healthUse protection and get STI testsProtection and appropriate testing help prevent infections and find those that have no symptoms.Sexually active women under 25 should be tested for gonorrhea and chlamydia every year (CDC, 2026)AQuick win

    Why it matters

    Many sexually transmitted infections cause no early symptoms and spread unnoticed; CDC states that most STIs have no signs or symptoms. Condoms reduce transmission risk, while testing makes treatment and partner care possible. CDC recommends yearly gonorrhea and chlamydia testing for sexually active women under 25, and testing early in every pregnancy for syphilis, HIV, hepatitis B and hepatitis C.

    How to do it

    1. Use condoms correctly throughout sex when there is a risk of infection.
    2. Discuss STI testing with a clinician, including which sites need samples based on the kinds of sex you have.
    3. If you are a sexually active woman under 25, ask for yearly gonorrhea and chlamydia testing.
    4. If a test is positive, complete treatment and follow advice on partner care and when sex can resume.
    5. During pregnancy, arrange the recommended infection tests early in antenatal care.

    Condoms do not eliminate every STI risk. Symptoms, pregnancy or a recent possible HIV exposure need prompt clinical advice; testing timing matters.

    Sources

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  36. 36Food choicesReplace some ultra processed foodsSimple food swaps can reduce excess salt, free sugars and unhealthy fats.Greater ultra processed food intake linked to 21% higher mortality, with low certainty (BMJ, 2024)BSome effort
    21% higher all-cause mortality association, low certaintygreater versus lower ultra processed food exposure

    Why it matters

    Many ultra processed products make it easy to consume more salt, sugar and unhealthy fats while displacing other foods. An umbrella review linked greater consumption with 21% higher mortality, but rated that evidence low certainty. The association does not prove that processing itself caused the difference or that every packaged food is harmful.

    How to do it

    1. Replace one frequent packaged snack with fruit, nuts or plain yogurt.
    2. Keep simple meal ingredients available, such as beans and frozen vegetables.
    3. Compare products for salt, sugar and fiber as well as processing.
    4. Keep useful options such as canned beans and fortified foods; packaging alone does not determine nutritional quality.
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  37. 37Cancer screeningBook mammograms when eligibleScreening mammograms can find breast cancer before symptoms and reduce the chance of dying from it.Mammograms every 2 years at ages 40 to 74 (USPSTF, 2024)ASome effort
    every 2 years between screens US mammography interval for average risk women aged 40 to 74USPSTF schedule; local programmes and higher risk pathways differ

    Why it matters

    Mammography can find cancers while treatment is more effective. The USPSTF changed its guidance in 2024 to screening every other year from ages 40 to 74. Screening can also cause false alarms and detect cancers that would never have caused harm, so benefits and harms both matter.

    How to do it

    1. Check when your next screening mammogram is due.
    2. Use your local programme: the US schedule is every 2 years at ages 40 to 74, the NHS invites every 3 years from 50 to 71, and the EU recommends ages 50 to 69.
    3. Tell the service about previous breast cancer, chest radiation or a strong family history.
    4. Complete any requested follow-up imaging or biopsy.

    A new lump, nipple change or other symptom needs prompt assessment even after a normal mammogram. Higher risk and age 75 or older require an individualized plan. Trans and non-binary people may also be eligible depending on anatomy and hormone treatment; ask your GP or screening service.

    Sources

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  38. 38SleepSeek effective help for insomniaA structured insomnia programme can help you fall asleep and stay asleep.A typical insomnia therapy programme lasts 6 to 8 weeks (NHLBI, NIH, 2022)ASome effort

    Why it matters

    For persistent insomnia, cognitive behavioral therapy for insomnia changes the habits and patterns that keep sleep difficult. NIH describes it as the usual first treatment option, typically delivered over six to eight weeks. It addresses the sleep problem directly rather than relying on general sleep tips alone.

    How to do it

    1. Tell a clinician if sleep problems last for months or interfere with daily life.
    2. Ask specifically about cognitive behavioral therapy for insomnia.
    3. Choose an available format, such as in person, telephone or a supported online programme.

    Use professional guidance for sleep restriction components; do not sharply reduce time in bed on your own.

    Sources

    Own page for this item
  39. 39VaccinationCheck your routine vaccine recordClosing gaps in routine vaccination prevents infections that can cause severe illness or lasting harm.US schedule: tetanus and diphtheria boosters every 10 years after the primary series (CDC, 2025)AQuick win
    every 10 years between boosters US tetanus and diphtheria routine booster intervalAfter a completed primary series; wounds and pregnancy can change timing

    Why it matters

    Protection may be missing because childhood doses were missed or boosters became due. CDC recommends tetanus and diphtheria boosters every 10 years after a completed primary series, with Tdap included. Measles immunity and hepatitis B vaccination also deserve a record check; the US hepatitis B recommendation includes adults aged 19 to 59.

    How to do it

    1. Gather your records and ask a clinician or pharmacist to identify missing doses.
    2. Check whether you have had Tdap and when your next tetanus and diphtheria booster is due.
    3. Review hepatitis B vaccination, especially if you are 19 to 59 or have ongoing exposure risk.
    4. Ask about MMR catch-up if you lack evidence of immunity.
    5. If pregnant, ask about Tdap during each pregnancy and which vaccines should wait.

    MMR is not given during pregnancy and can be unsuitable with immune suppression. Wounds may require earlier tetanus protection; missing primary doses need a catch-up series.

    Sources

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  40. 40BalancePractise balance as you get olderBalance and functional exercise help older adults avoid falls.Balance and functional exercise: 24% lower rate of falls in older adults (Cochrane, 2019)ASome effort
    24% lower rate of falls in community-dwelling older adultsbalance and functional exercise versus control in trials

    Why it matters

    Balance practice trains the control needed to stay steady during everyday movement. In trials involving older adults living in the community, balance and functional exercise reduced the rate of falls by 24%. This is a reduction in the number of falls over time, not a guarantee that nobody will fall.

    How to do it

    1. Practise near a solid support, or join a supervised balance class.
    2. Include controlled weight shifts, stepping and getting up from a chair.
    3. Combine balance and strength work on at least three days weekly, as WHO recommends for older adults.

    If you have fallen, feel unsteady or have dizziness, ask for a tailored exercise plan before practising unsupported.

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  41. 41Protein foodsSwap some red meat for plant proteinModerating red meat intake can improve dietary quality and may lower bowel cancer risk.Reduce high red and processed meat intake to 70 g daily on average (NHS, 2024)BSome effort
    at most 70 g/day average combined red and processed meat intake after reductionNHS advice for people eating more than 90 g daily, cooked weight

    Why it matters

    Red meat supplies useful nutrients, but higher intakes are linked with bowel cancer and other chronic disease. Evidence for causation is less certain than for processed meat. The NHS advises people eating over 90 g of red and processed meat daily to reduce their combined average to 70 g, using cooked weights.

    How to do it

    1. Use beans or lentils for some meals that would otherwise contain beef, pork or lamb.
    2. Make meat a smaller part of stews and sauces.
    3. If your intake is high, compare cooked portions with the NHS combined daily limit.

    If reducing meat during pregnancy or with iron deficiency, ask how to meet iron and B12 needs.

    Sources

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  42. 42ScreeningCheck whether diabetes testing is dueTesting can uncover diabetes or prediabetes early enough to arrange care and prevent complications.Screen ages 35 to 70 with overweight or obesity (USPSTF, 2021)AQuick win

    Why it matters

    Blood glucose can be high before symptoms appear. The 2021 USPSTF recommendation covers adults aged 35 to 70 with overweight or obesity, followed by effective prevention when prediabetes is found. Screening itself has not clearly reduced mortality in trials, so its value depends on the care that follows.

    How to do it

    1. Ask about HbA1c or fasting blood glucose if you meet the screening criteria.
    2. Tell your clinician about diabetes in close relatives or diabetes during a past pregnancy.
    3. Ask whether an abnormal result needs a repeat test before a diagnosis.
    4. If results are normal, discuss when to repeat testing; about 3 years is reasonable for the USPSTF group.

    Symptoms, pregnancy and higher inherited risk need a separate testing plan. HbA1c can be misleading with some blood conditions.

    Sources

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  43. 43SleepKeep a steady sleep scheduleConsistent sleep timing helps keep your body clock on track.Keep weekday and weekend sleep timing within about 1 hour (NHLBI, NIH, 2022)BQuick win
    at most 1 hour advised approximate maximum difference in sleep timingweekday versus weekend sleep timing

    Why it matters

    Your body clock responds to repeated patterns of sleep and waking. In a large cohort, more regular sleep was associated with lower mortality, but the study does not show that changing your schedule extends life. NIH advises keeping workday and weekend sleep timing within about an hour.

    How to do it

    1. Choose waking and bedtime windows that fit your usual responsibilities.
    2. Keep weekend changes modest when you can.
    3. If your schedule drifts, adjust it gradually while preserving enough sleep.

    A rigid schedule should not mean accepting chronic sleep deprivation; get help if work or a sleep disorder makes adequate sleep difficult.

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  44. 44MovementWalk or cycle for short journeysActive travel makes heart healthy movement part of something you already do.Cycle commuting: 19% lower heart disease risk in a Chinese cohort (Journal of the American Heart Association, 2019)BSome effort
    19% lower ischemic heart disease risk, observational associationcycle versus nonactive commuters in a Chinese cohort

    Why it matters

    Walking or cycling for transport builds activity into a repeatable routine. In a Chinese cohort, cycle commuters had a 19% lower relative risk of ischemic heart disease than nonactive commuters. This is an observational association and may partly reflect differences beyond the commute itself.

    How to do it

    1. Choose a short regular trip you could walk or cycle.
    2. Start with part of the route if the full journey is too far.
    3. Make the equipment you need easy to access before leaving.

    Choose routes and activity levels suited to local conditions and your abilities.

    Sources

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  45. 45ScreeningGet tested once for HIV and hep COne test can find an infection that has no symptoms for years, and both are now very treatable.Current tablets cure more than 95% of hepatitis C infections (WHO, 2026)AQuick win

    Why it matters

    HIV and hepatitis C can go for years without symptoms while they quietly damage health and can pass to other people. WHO reports that among people infected with hepatitis C between 2015 and 2024, only 36% knew their diagnosis, while current tablets cure more than 95% of infections. Testing is the only way to find out, and finding out is what makes treatment possible.

    How to do it

    1. Ask for a hepatitis C test at least once if you are 18 or older, which is what CDC recommends for every adult.
    2. Check whether you have ever had an HIV test; the USPSTF recommends screening at least once between ages 15 and 65.
    3. In pregnancy, ask for HIV and hepatitis C testing early in antenatal care.
    4. Ask about repeat testing if you have an ongoing risk of exposure.
    5. If a result is positive, start care promptly: hepatitis C is usually curable and HIV treatment is highly effective.

    A positive result needs clinical confirmation and care, and testing is confidential. Treatment for both infections is now very effective, so a result is a starting point rather than a verdict.

    Sources

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  46. 46SugarCut back on free sugarsReducing free sugars and frequent sweet snacks helps protect teeth.No more than 30 g of free sugars daily for adults (NHS, 2023)AQuick win
    at most 30 g/day adult free sugar intake, no more than this amountNHS adult upper limit, not total sugars

    Why it matters

    Free sugars include added sugar, honey, syrups and the sugars released into juice. They feed the processes that cause tooth decay, especially with frequent exposure. The NHS adult guideline is no more than 30 g daily, distinct from the sugars naturally present in intact fruit and milk.

    How to do it

    1. Remember that unsweetened fruit juice, honey and syrups all count as free sugars.
    2. Choose plain yogurt and add whole fruit.
    3. Keep sweets and dried fruit to mealtimes rather than frequent snacks.
    4. Compare similar products using labels and ingredient lists.

    Sources

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  47. 47Brain healthTreat hearing loss that affects youHearing care makes conversation possible again and may help protect thinking as you age.Removing hearing loss could in theory prevent about 7% of dementia cases (WHO, via NCBI Bookshelf, 2026)BSome effort

    Why it matters

    Making speech easier to hear supports conversation, work and staying involved with people. WHO's 2026 dementia guidelines note that if hearing loss were eliminated at population level, about 7% of dementia cases could in theory be prevented, and they now make a conditional recommendation, on low certainty evidence, that hearing aids may be offered to adults with hearing loss to reduce the risk of cognitive decline. In the ACHIEVE trial the overall result was neutral; only the higher risk subgroup showed 48% less cognitive change over three years. About one in five people has some form of hearing loss, and prevalence rises with age.

    How to do it

    1. Arrange a hearing assessment if you struggle to follow conversation or keep turning the volume up.
    2. Talk through suitable hearing aids and your own communication goals with an audiology professional.
    3. Wear fitted devices regularly, and go back for adjustment if comfort or clarity is poor.

    Sudden hearing loss, hearing that gets worse over a few days or weeks, or hearing loss with earache or discharge needs an urgent appointment. Treat hearing aids as treatment for hearing loss, with realistic expectations about any effect on thinking.

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  48. 48Infection preventionWash your hands at key momentsSoap and water help stop germs spreading from hands to your mouth, eyes and other people.Handwashing can prevent about 30% of diarrhea related sicknesses and about 20% of respiratory infections (CDC, 2024)AQuick win

    Why it matters

    Hands transfer germs after toilet use, contact with illness and handling contaminated surfaces. CDC estimates handwashing can prevent about 30% of diarrheal illnesses. The benefit comes from washing at useful times and covering the whole hand, rather than repeatedly disinfecting everything around you.

    How to do it

    1. Wash before preparing or eating food, after the toilet and after changing nappies.
    2. Also wash after blowing your nose and when caring for someone with vomiting or diarrhea.
    3. Use soap and running water, scrub all hand surfaces for at least 20 seconds, then rinse and dry.
    4. If soap and water are unavailable, use sanitizer with at least 60% alcohol; choose soap and water when hands are visibly dirty.

    Sources

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  49. 49Work lifeReduce chronically long workweeksSustained 55 hour weeks carry a measurable stroke and heart risk, and leave no room to recover.35% higher stroke risk at 55 or more hours a week versus 35 to 40 (WHO and ILO, 2021)BBig commitment
    35% higher stroke risk, observational associationWorking 55 or more hours/week vs 35 to 40

    Why it matters

    Long weeks create continuous strain and crowd out everything outside work. WHO and ILO found that working 55 hours or more a week is associated with 35% higher stroke risk and 17% higher risk of dying from ischaemic heart disease, compared with 35 to 40 hours, and they attribute roughly 745 000 deaths a year to the exposure. These are comparisons between exposure groups, not proof that cutting your hours reverses risk by the same amount. Changing workload usually needs your employer, not just willpower.

    How to do it

    1. Track your actual working time for two weeks, including work done at home.
    2. If long weeks are routine, raise priorities, staffing or workload with your manager or worker representative.
    3. Agree explicit finishing times and availability where your circumstances allow.

    If work pressure is affecting your health, discuss support and possible adjustments with a clinician or occupational health service.

    Sources

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  50. 50Targeted nutrientsEat more potassium rich foodsMore potassium from food helps lower blood pressure when your kidneys handle potassium normally.Adults should get at least 3,510 mg of potassium a day (WHO, 2013)AQuick win
    at least 3,510 mg/day adult dietary potassium intake, WHO minimum where appropriateWHO population guidance, excluding impaired potassium excretion

    Why it matters

    Potassium works against the effect of sodium on blood pressure. In trials pooled for WHO, higher potassium intake lowered systolic blood pressure by about 3.5 mmHg, an effect seen in people with raised blood pressure rather than in people whose pressure was already normal. The same review linked higher intake with 24% lower stroke risk in cohort studies, which is an association rather than a proven effect.

    How to do it

    1. Build meals around beans, peas and lentils, among the richest food sources.
    2. Add vegetables such as spinach, cabbage and parsley, and fruit such as bananas.
    3. Choose less processed versions of staples, since processing reduces potassium in many foods.
    4. Get potassium from food rather than supplements unless a clinician advises otherwise.

    Kidney disease, or medicines that raise potassium such as ACE inhibitors, ARBs and potassium sparing diuretics, make extra potassium unsafe without clinical advice.

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  51. 51Medicine safetyReview and store medicines safelyClear instructions, a current medicine list and safe storage can prevent avoidable medication harm.More than 1.5 million US emergency visits yearly involve adverse drug events (CDC, 2024)AQuick win

    Why it matters

    Medicines can cause harm through side effects, interactions, dosing mistakes or accidental ingestion. CDC reports more than 1.5 million US emergency visits each year from adverse drug events. Not all are preventable, but reviewing use and keeping medicines out of children's reach address important avoidable risks.

    How to do it

    1. Keep an up to date list of prescriptions, nonprescription medicines and supplements.
    2. Review the list with a pharmacist or clinician, especially when something is added or changed.
    3. Follow the label, use the supplied measuring device for liquid doses, and ask about unclear instructions.
    4. Store medicines and supplements out of children's sight and reach, relock safety caps, and include visitors' bags in your routine.
    5. Keep any recommended monitoring appointments and blood tests.

    Do not stop prescribed medicines without discussing it. Suspected poisoning or a serious reaction needs prompt help from local emergency or poison services.

    Sources

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  52. 52MobilityMove to help persistent back painA tailored exercise programme can ease ongoing nonspecific lower back pain.Chronic back pain trials: about 15 points less pain on a 100 point scale (Cochrane, 2021)ASome effort

    Why it matters

    Exercise can improve muscle function and help restore everyday movement when back pain persists. A Cochrane review found about 15 points less pain on a 100 point scale after roughly three months compared with no treatment, usual care or placebo. Benefits over other active treatments were smaller.

    How to do it

    1. For ongoing pain, agree on suitable exercises with a physiotherapist or clinician.
    2. Keep comfortable everyday activity in your routine.
    3. Build exercise gradually and review a plan that consistently worsens symptoms.

    Call emergency services or go to A&E for back pain with new bladder or bowel changes, numbness around the genitals or anus, or weakness or numbness in both legs.

    Sources

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  53. 53Home safetyRemove trip and slip hazardsA safer home can reduce falls, especially for older adults who have already fallen or need daily support.About 38% fewer falls with home hazard programmes in older adults at higher risk (Cochrane, 2023)ASome effort
    38% lower rate of falls in older adults selected for higher fall riskHome hazard reduction programmes versus control; not a checklist alone

    Why it matters

    Loose rugs, poor lighting and missing handrails can turn a small loss of balance into a fall. A 2023 Cochrane review found that home hazard reduction programmes reduced the rate of falls by about 38% in older adults selected for higher risk. The same benefit was not established for unselected older adults, and evidence for reducing serious injuries was limited.

    How to do it

    1. Clear walking routes and secure or remove loose rugs and cables.
    2. Improve lighting on stairs and routes to the bathroom.
    3. Fit sturdy handrails and appropriate bathroom grab bars.
    4. If you have fallen or need help with daily activities, ask about a professional home safety assessment.
    5. Tell a clinician about dizziness, falls or medicines that could affect balance.

    Repeated falls, fainting or new unsteadiness need assessment. The study result came from targeted programmes, not simply receiving a checklist.

    Sources

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  54. 54ScreeningCheck whether a bone scan is dueIdentifying osteoporosis can lead to treatment that lowers fracture risk and protects independence.Screen women from age 65 for osteoporosis (USPSTF, 2025)AQuick win
    from 65 years of age US routine osteoporosis screening starting age for womenUSPSTF recommendation; earlier assessment for higher risk women

    Why it matters

    Osteoporosis weakens bones, often without symptoms until a fracture occurs. In 2025 the USPSTF reaffirmed screening for women aged 65 and older and for younger postmenopausal women at increased risk. A DXA scan and clinical risk assessment help decide whether treatment is worthwhile.

    How to do it

    1. If you are a woman aged 65 or older, ask about osteoporosis screening.
    2. Ask earlier after menopause if you have low body weight, a parent with hip fracture or other risk factors.
    3. Bring details of previous fractures and medicines, especially prolonged steroid treatment.
    4. Review the scan and fracture risk together with a clinician, then agree on any treatment and follow-up.

    Prior fragility fractures, steroid use and other bone diseases require clinical assessment rather than routine screening rules. Evidence is insufficient for universal screening in men; individual risk still matters.

    Sources

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  55. 55EnvironmentProtect your skin from UVShade, clothing and sunscreen reduce UV damage to skin and eyes.Use sun protection when the UV index is 3 or higher (WHO, 2022)AQuick win
    from 3 UV index UV index threshold for using sun protectionProtect skin when the UV index reaches 3 or higher

    Why it matters

    UV radiation damages skin cells and is the main cause of skin cancer. WHO recommends sun protection when the UV index reaches 3, rather than using temperature as a guide. Sunburn in childhood and adolescence also contributes to cancer risk later in life.

    How to do it

    1. Check the local UV index before spending time outside.
    2. Use shade, covering clothing, a wide brimmed hat and sunglasses with UV protection.
    3. Apply sunscreen with SPF 30 or higher and good UVA protection to uncovered skin.
    4. Reapply at least every 2 hours and after swimming or heavy sweating, following the label.
    5. Keep children protected and avoid tanning beds.

    Ask a clinician about extra protection if a medicine increases sun sensitivity or you have had skin cancer. Sunscreen does not make unlimited exposure safe.

    Sources

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  56. 56VaccinationReview vaccines offered from age 50Shingles, pneumococcal and RSV vaccines prevent illnesses that hit harder as you get older.Shingrix was 97% effective against shingles in adults aged 50 to 69 with healthy immune systems (CDC, 2025)AQuick win
    97% lower shingles in adults aged 50 to 69 with healthy immune systemsShingrix versus placebo in trials; not efficacy of RSV or pneumococcal vaccines

    Why it matters

    Three vaccines target illnesses that become more dangerous later in life. In adults aged 50 to 69 with healthy immune systems, Shingrix was 97% effective at preventing shingles in the studies CDC summarizes. CDC recommends pneumococcal vaccination from age 50, and a single RSV dose for everyone from 75 or from 50 with risk factors for severe illness.

    How to do it

    1. Bring your vaccination record to a clinician or pharmacist and ask what you are missing.
    2. Ask about shingles vaccination from age 50, or from 19 with qualifying immune suppression, and book the second dose 2 to 6 months later.
    3. Ask about pneumococcal vaccination from age 50 under CDC guidance, or earlier with qualifying conditions.
    4. Ask about RSV vaccination from 75, or at ages 50 to 74 with risk factors; it is a single dose rather than an annual one.
    5. Check what your own country's programme offers, since schedules differ.

    A clinician should check previous doses, immune suppression and other risk factors. For the shingles vaccine only, wait if you are pregnant or currently have shingles. RSV vaccination in pregnancy is a separate pathway at 32 to 36 weeks to protect the baby, so ask your maternity team. These vaccines do not prevent every cause of pneumonia.

    Sources

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  57. 57Cancer screeningCheck lung screening eligibilityFor eligible people with a substantial smoking history, screening CT scans can reduce lung cancer deaths.About 3 fewer lung cancer deaths per 1,000 screened in the NLST versus chest X-rays (NIH NCI, 2014)ASome effort
    3 fewer lung cancer deaths over about 6.5 years in the NLST per 1,000 peopleLow dose CT versus chest X-rays in high risk adults aged 55 to 74

    Why it matters

    Low dose CT can detect lung cancers while they are more treatable. In the NLST, screening produced about 3 fewer lung cancer deaths per 1,000 people than chest X-rays over an average of 6.5 years. The trial involved heavy current or former smokers aged 55 to 74, while the 2021 USPSTF eligibility criteria are broader.

    How to do it

    1. Calculate your pack years: average packs per day multiplied by years smoked.
    2. Discuss yearly low dose CT if you are 50 to 80 with at least 20 pack years and currently smoke or quit within the past 15 years.
    3. Review false alarms, radiation and your ability to undergo treatment before deciding.
    4. Use a screening programme that will arrange follow-up of any concerning finding.
    5. In the EU there is no single agreed programme yet: the 2022 Council Recommendation asks countries to explore low dose CT for people at high risk.

    Age and smoking status alone do not establish eligibility. A clinician must check pack years, time since quitting and fitness for treatment; national criteria differ.

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  58. 58StressPractise a simple stress skillA few minutes of slow breathing, practised regularly, measurably lowers how stressed people feel.Breathwork lowered self reported stress by 0.35 standard deviations (Scientific Reports, via PMC, 2023)BQuick win

    Why it matters

    Stress keeps your body braced and your attention stuck on threats. A meta analysis of 12 randomised trials in 785 adults found breathwork lowered self reported stress by 0.35 standard deviations compared with controls, a small to medium effect, with similar results for anxiety and low mood. The trials were small and at moderate risk of bias, so treat this as a useful everyday skill rather than a treatment. Nothing here changes long term disease risk by a known amount.

    How to do it

    1. Try slow, comfortable breathing: breathe in gently, counting to about five if that helps, then out the same way, for about five minutes, without forcing it.
    2. Or work through the body gradually, tensing and releasing each muscle group.
    3. Practise in a calm moment so the skill is already familiar when pressure arrives.
    4. Pair it with one practical step on a stressor you can actually change.

    If an exercise increases distress, stop and try another approach. Seek professional support when stress keeps disrupting daily life.

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  59. 59Targeted nutrientsTake folic acid before pregnancyIf pregnancy is possible, folic acid helps prevent serious defects of the developing brain and spine.400 to 800 micrograms of folic acid daily if pregnancy is possible (USPSTF, 2023)AQuick win

    Why it matters

    The neural tube develops very early, often before someone knows they are pregnant. The USPSTF recommends a daily supplement containing 400 to 800 micrograms for people who could become pregnant. Starting before conception is important because food alone may not provide the recommended amount.

    How to do it

    1. If pregnancy is possible, choose a daily supplement in the recommended range.
    2. Start before you conceive, ideally 3 months before, and continue through early pregnancy.
    3. Follow local maternity guidance, such as the NHS advice to continue through the first 12 weeks.
    4. Check prenatal supplement labels to avoid doubling up unintentionally.

    Previous neural tube defects, certain medicines or other risk factors may require a different dose prescribed by a clinician.

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  60. 60EnvironmentMake a plan for very hot daysCooling, hydration and a practical heat plan help prevent heat illness and worsening heart or kidney problems.About 489,000 heat related deaths yearly worldwide, estimated for 2000 to 2019 (WHO, 2026)AQuick win

    Why it matters

    Extreme heat makes the body work harder to maintain a safe temperature. WHO reports an estimated 489,000 heat related deaths per year worldwide in studies covering 2000 to 2019. This describes the scale of the hazard, while individual risk depends on exposure, age, illness, medicines and access to cooling.

    How to do it

    1. Follow local heat alerts and identify a cool place you can use if home becomes too hot.
    2. Shift outdoor tasks away from the hottest hours and use shade.
    3. Drink water regularly and use cool showers or wet cloths to cool down.
    4. Check on older people and children, and never leave anyone in a parked vehicle.
    5. Review a heat plan with your clinician if you have a chronic condition or take medicines that affect heat tolerance.

    Ask about safe fluid intake if you have a fluid restriction. Confusion, collapse or suspected heatstroke needs emergency help and immediate cooling; do not stop medicines on your own.

    Sources

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  61. 61VisionGet your eyes checkedAlmost half of vision impairment worldwide could have been prevented or is yet to be treated; a check finds problems early.At least 1 billion people have vision impairment that was preventable or is still unaddressed (WHO, 2026)BQuick win

    Why it matters

    WHO reports that at least 2.2 billion people have a near or distance vision impairment, and that for at least 1 billion of them it could have been prevented or is yet to be addressed. The leading causes, refractive errors and cataract, are both correctable. For conditions such as diabetic retinopathy, WHO says early detection and timely treatment are crucial to avoid irreversible vision loss.

    How to do it

    1. Book a sight test if it has been more than 2 years, or sooner if your optician advises it; 2 years is the usual NHS interval in England and other countries differ.
    2. If you have diabetes, attend diabetic eye screening as well: the NHS invites people with diabetes aged 12 and over every 1 or 2 years.
    3. Treat that screening as separate from an optician appointment, because the NHS says one does not replace the other.
    4. If you are prescribed glasses, wear them; if cataracts are found, talk with your eye specialist about whether and when surgery makes sense for your daily life, including its benefits and risks.
    5. Mention glaucoma in a parent, sibling or child: in England that qualifies you for free tests from age 40.

    Sudden vision loss, new flashes or floaters, eye pain or double vision need urgent assessment rather than a routine appointment. Routine glaucoma screening in adults without symptoms is not established, so bring symptoms and family history to the appointment.

    Sources

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  62. 62Crisis supportAsk directly if someone seems at riskAsking about suicide does not plant the idea, and making means harder to reach saves lives.More than 720 000 people die by suicide every year (WHO, 2025)AQuick win

    Why it matters

    WHO reports that more than 720 000 people die by suicide every year, and that it was the third leading cause of death among 15 to 29 year olds. A review of studies on asking people about suicidal thoughts found that none showed an increase in suicidal ideation afterwards, and that talking about it may reduce distress. WHO's LIVE LIFE guidance lists limiting access to the means of suicide, such as pesticides, firearms and certain medicines, among its key effective interventions.

    How to do it

    1. Ask plainly whether they are thinking about suicide, rather than hinting around it.
    2. Listen without arguing, minimising or rushing to fix it.
    3. Help them contact a crisis line, a clinician or emergency services, and offer to stay while they do.
    4. If you can do it safely, help put time and distance between them and the means of harm: lock up medicines, and ask for any firearm to be removed from the home for now or stored locked and unloaded, with ammunition locked separately. Do not try to take a weapon from them yourself; if they have a firearm within reach and are serious about acting, call emergency services.
    5. Check back in over the following days rather than treating one conversation as the end.

    If someone is in immediate danger, contact local emergency services and stay with them if it is safe for you to do so. This is support, not treatment: professional help is still needed.

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  63. 63StrengthInclude exercise that loads your bonesAppropriate loading helps maintain bone strength as you age.Combine weight bearing, resistance and balance exercise for bone health (NIAMS, NIH, 2023)ASome effort

    Why it matters

    Bones respond to the forces created by supporting your weight and by muscles pulling on them. NIH recommends combining activity on your feet with resistance and balance work for bone health. This complements general fitness, especially if most of your exercise is swimming or cycling.

    How to do it

    1. Include walking, stairs or dancing as your abilities allow.
    2. Keep resistance exercise in your weekly routine.
    3. Choose the amount of impact to match your bone health and physical ability.

    With osteoporosis, a previous fragility fracture or low bone density, ask a clinician which loading and impact are suitable.

    Sources

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  64. 64Targeted nutrientsInclude calcium rich foods dailyEnough dietary calcium helps maintain bones, teeth and normal muscle function.Adults aged 19 to 50 need 1,000 mg of calcium daily (NIH Office of Dietary Supplements, 2023)AQuick win
    about 1,000 mg/day daily calcium requirement for adults aged 19 to 50NIH age-specific reference intake, food and supplements combined

    Why it matters

    Calcium is a structural part of bone and is also needed for nerve and muscle function. NIH recommends 1,000 mg daily for adults aged 19 to 50, with higher requirements for older groups. Meeting needs is useful, but taking more than you need is not established to prevent fractures.

    How to do it

    1. Include milk, yogurt or a calcium fortified alternative if suitable.
    2. Check plant drink labels because calcium fortification varies.
    3. Use other sources such as calcium set tofu, kale or fish with edible bones.
    4. Compare a typical day's intake with your age specific requirement before considering supplements.

    Discuss supplements if food intake is inadequate, especially with kidney disease, kidney stones or medicines that interact with calcium.

    Sources

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  65. 65Addictive behavioursGet help when gambling causes harmEarly support plus real barriers to betting protect mental health, relationships and essential spending.About 1.2% of the world's adults are estimated to have a gambling disorder (WHO, 2024)ASome effort
    1.2 of every 100 estimated adults with a gambling disorder worldwideShare of all adults, not a treatment effect

    Why it matters

    Gambling can drive debt, distress and relationship breakdown. WHO estimates that 1.2% of the world's adult population has a gambling disorder, and that around 11.9% of men and 5.5% of women experience some level of harm from gambling, so harm reaches far beyond diagnosed cases. NICE recommends specialist support, psychological treatment and practical ways to block access to gambling. That population figure describes how common the problem is, not how well treatment works.

    How to do it

    1. Tell a trusted person or a gambling support service as soon as gambling is causing harm.
    2. Use account self exclusion, blocking software and bank payment blocks together, not one at a time.
    3. Get specialist treatment and separate debt advice instead of trying to win losses back.

    Gambling related distress can turn urgent. Seek immediate crisis support if you feel unsafe or have thoughts of suicide.

    Sources

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  66. 66Hearing protectionProtect your ears from loud soundLower volume, shorter exposure and well fitted ear protection help prevent permanent hearing damage.Repeated exposure at 85 dBA or above can damage hearing (NIH NIDCD, 2025)AQuick win

    Why it matters

    Loud sound can damage inner ear hair cells that do not grow back. NIH guidance says long or repeated exposure at or above 85 dBA can cause hearing loss. Louder sounds can cause damage more quickly, so the sound level and time both matter.

    How to do it

    1. Lower headphone and speaker volume before it feels uncomfortable.
    2. Carry earplugs for concerts, power tools and other loud settings.
    3. Fit earplugs or protective earmuffs correctly and wear them throughout the exposure.
    4. Move farther from speakers or machinery and take breaks in a quieter place.

    Ask a hearing professional about persistent ringing or trouble hearing, and about protection suitable for your noise exposure.

    Sources

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  67. 67StressTurn a worry into next stepsWriting a problem down and choosing one workable step is a tested way to lift low mood.Problem solving therapy improved depression by 0.34 standard deviations in low bias trials (European Psychiatry, via PubMed, 2018)AQuick win

    Why it matters

    Problem solving means naming the problem, listing your options, picking one, trying it and reviewing what happened. Across 30 randomised trials with 3530 patients, problem solving therapy improved depression by 0.34 standard deviations in the nine trials at low risk of bias, comparable to other psychotherapies. NICE lists individual problem solving as a depression treatment, usually 6 to 12 sessions, and guided self help materials can use the same method. The structured version was studied, so doing it loosely in your head is not the same thing.

    How to do it

    1. Write the problem in one sentence, as concretely as you can.
    2. Split it into the parts you can change and the parts you cannot.
    3. List several options for one changeable part without judging them yet.
    4. Pick one, decide when you will do it, and do it.
    5. Review what happened, then repeat with the next part.

    If low mood or hopelessness persists, ask a professional about problem solving therapy or another treatment rather than working through it alone.

    Sources

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  68. 68MobilityKeep exercising with knee arthritisAdapted exercise can improve function and may ease knee osteoarthritis pain.Knee arthritis trials: 13.1 points less pain on a 100 point scale versus no treatment, usual care or limited education (Cochrane, 2024)BSome effort

    Why it matters

    Exercise develops the muscles and movement needed to use an arthritic knee. A 2024 Cochrane review found pain 13.1 points better on a 100 point scale compared with no treatment, usual care or limited education. The review treated 12 points as the smallest difference that matters to a person, so the average benefit sits only just above that line and confidence in the estimate was limited.

    How to do it

    1. Ask a physiotherapist or clinician for a plan suited to your knee symptoms.
    2. Combine local muscle strengthening with comfortable general activity.
    3. Increase the workload gradually and discuss a substantial or lasting symptom flare.

    Get clinical advice for a newly swollen, hot or severely painful joint or if a programme makes symptoms persistently worse.

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  69. 69RelationshipsAddress recurring relationship conflictClearer communication and the right support can ease strain at home and protect your wellbeing.Behavioural couples therapy runs 15 to 20 sessions over 5 to 6 months (NICE, 2022)BSome effort

    Why it matters

    Recurring conflict adds to distress and makes it harder to support each other. NHS guidance encourages open communication, listening and boundaries. When relationship problems contribute to depression, NICE recommends considering behavioural couples therapy, delivered over 15 to 20 sessions across 5 to 6 months. None of this means staying in a relationship that is harming you.

    How to do it

    1. Pick a calm time to say how you feel, then listen to the other person's version.
    2. Agree boundaries, and pause a discussion when it gets too heated to be useful.
    3. If the same problems keep returning, ask a clinician or service about appropriate counselling or therapy.

    If there is fear, coercion or abuse, seek confidential specialist support. Joint counselling can be unsafe in that situation.

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  70. 70Targeted nutrientsKeep a reliable iodine sourceAdequate iodine supports thyroid function and is especially important during pregnancy.Adults need 150 micrograms of iodine daily (NIH Office of Dietary Supplements, 2024)AQuick win
    about 150 micrograms/day daily iodine requirement for nonpregnant, nonbreastfeeding adultsNIH adult reference intake

    Why it matters

    The thyroid needs iodine to make hormones that regulate the body and support fetal development. NIH recommends 150 micrograms daily for adults, with higher needs during pregnancy. Iodized salt can help prevent deficiency, but meeting iodine needs should not mean eating more salt.

    How to do it

    1. If you use table salt, choose an iodized version while keeping the amount small.
    2. Include suitable iodine sources such as dairy, eggs or fish.
    3. If avoiding these foods, check whether alternatives are fortified with iodine.
    4. During pregnancy, review iodine sources and prenatal supplement contents with your maternity team.

    Thyroid disease or a prescribed low iodine diet needs individual guidance. Avoid high dose iodine or kelp supplements unless advised.

    Sources

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  71. 71Dietary fatsAvoid industrial trans fatRemoving industrial trans fat reduces an avoidable dietary risk to heart health.More than 278,000 deaths a year are attributed to industrial trans fat (WHO, 2024)AQuick win

    Why it matters

    Trans fat worsens blood cholesterol and contributes to coronary heart disease. WHO attributes more than 278,000 deaths a year globally to industrially produced trans fat and recommends keeping total trans fat intake below 1% of dietary energy. The practical benefit is greatest where these fats are still sold, since many countries now limit them by law.

    How to do it

    1. Check ingredient lists for partially hydrogenated oils where labels are available.
    2. Choose products made with nonhydrogenated oils.
    3. For unpackaged fried or baked foods, ask which fat is used or choose an alternative.

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  72. 72TobaccoAvoid taking up vapingIf you do not smoke, avoiding vaping prevents unnecessary nicotine dependence and aerosol exposure.People who do not smoke should not start vaping (NHS, 2026)AQuick win

    Why it matters

    Most vapes contain addictive nicotine, and their aerosol can contain harmful substances. CDC and NHS advise people who do not smoke against starting vaping. For someone who smokes, completely switching to a regulated nicotine vape can reduce harm; long term vaping risks remain uncertain.

    How to do it

    1. If you do not smoke, avoid starting nicotine vapes.
    2. If you smoke, get cessation support and make stopping cigarettes the priority.
    3. If vaping helped you stop smoking, plan eventual vaping cessation without returning to cigarettes.

    If pregnant or struggling with nicotine dependence, ask a maternity or cessation professional for help.

    Sources

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  73. 73Home safetyTest smoke and carbon monoxide alarmsWorking alarms provide an early warning of fire or an invisible, potentially fatal gas.More than 400 US deaths and 100,000 emergency visits a year from carbon monoxide poisoning (CDC, 2026)AQuick win

    Why it matters

    Smoke alarms give people time to escape a fire. Carbon monoxide cannot be seen or smelled, and CDC reports that more than 400 Americans die and more than 100,000 visit an emergency department each year from unintentional poisoning not linked to fires. US Fire Administration guidance calls for monthly smoke alarm tests and a new alarm every 10 years.

    How to do it

    1. Install smoke alarms in bedrooms, outside sleeping areas and on every level.
    2. Test smoke alarms monthly and follow the maker's battery and replacement instructions.
    3. Install a battery powered or battery backed carbon monoxide alarm near every sleeping area.
    4. Plan how everyone will get outside and treat an alarm as a reason to leave and call for help.
    5. Use generators only outdoors, more than 20 feet (6 metres) away from windows, doors and vents.

    Possible carbon monoxide exposure requires fresh air and urgent help. An alarm does not replace proper installation and maintenance of fuel burning appliances.

    Sources

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  74. 74StressGet support for money worriesDebt and depression travel together, and free advice early makes the money part manageable.People with unsecured debt had about 2.8 times the odds of depression (Clinical Psychology Review, via PubMed, 2013)BSome effort

    Why it matters

    Money trouble and mental health problems reinforce each other. A meta analysis of 65 studies found people with personal unsecured debt had about 2.8 times the odds of depression, and higher odds of problem drinking and suicide, though the studies cannot prove which came first. NHS guidance is to get free money or debt advice as soon as you can, while keeping emotional support in place. Financial hardship is a situation, not a personal failing.

    How to do it

    1. Put bills, income and debts in one place, with help from someone you trust if that is easier.
    2. Contact a free, reputable debt or benefits advice service in your country.
    3. Ask specifically about emergency help for essentials and about contacting creditors on your behalf.
    4. Tell someone you trust if worry or shame is stopping you from acting.

    Seek mental health care if worry or low mood persists or impairs daily life. Urgent distress or thoughts of suicide need immediate crisis support.

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  75. 75SleepKeep your bedroom dark at nightLight reaching you while you sleep is linked with worse metabolic health.Brightest nights: 53% higher type 2 diabetes risk than the darkest nights (The Lancet Regional Health Europe, 2024)BQuick win
    53% higher type 2 diabetes risk, observational associationbrightest versus darkest nights in a UK Biobank cohort

    Why it matters

    Light can pass through closed eyelids and reach the body clock during sleep. In a UK Biobank study using wrist light sensors, people with the brightest nights had a 53% higher risk of developing type 2 diabetes than people with the darkest nights, and a companion analysis linked brighter nights with higher mortality. A small laboratory study found that one night of ordinary room light during sleep raised heart rate and next morning insulin resistance, which points to a plausible mechanism, though the large studies remain observational.

    How to do it

    1. Turn the television and overhead lights off before you sleep rather than leaving them on.
    2. Use blackout curtains or a sleep mask if street light reaches your bed.
    3. Keep any night light dim, as NIH advises, rather than removing it if you need it.
    4. Move charging phones and bright standby lights out of direct view.

    If you need a light on for safety at night, keep it and choose the dimmest option that works for you.

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  76. 76StressTry a guided mindfulness practiceStructured mindfulness programmes modestly reduce anxiety and low mood for some people.Anxiety improved by 0.38 standard deviations at eight weeks (JAMA Internal Medicine, via PMC, 2014)ASome effort

    Why it matters

    Mindfulness trains attention to come back to present experience with less automatic judgement. A review of randomised trials with active control groups found anxiety improved by 0.38 standard deviations at eight weeks, a small to moderate average effect that faded to 0.22 by three to six months. Structured eight week programmes were studied, so a brief app session cannot be assumed to do the same. Mindfulness has not consistently outperformed established treatments.

    How to do it

    1. Start with a short guided practice from a reputable health service.
    2. Notice a breath, sound or sensation, and return gently when your attention wanders.
    3. If it helps, consider a structured course with a properly trained teacher.

    Mindfulness can sometimes increase anxiety or distress. Stop if that happens, discuss it with a clinician, and keep any existing treatment in place.

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  77. 77MovementTake a short walk after a mealAn after meal walk adds movement and can help manage blood sugar.Adults with type 2 diabetes walking 10 minutes after each meal: 12% lower post meal glucose than one 30 minute daily walk (Diabetologia, 2016)BQuick win
    12% lower post-meal glucose in adults with type 2 diabetes10 minutes after each main meal versus one daily 30 minute walk

    Why it matters

    Activity after eating can help reduce the rise in blood glucose. In a randomised crossover study of 41 adults with type 2 diabetes, walking 10 minutes after each main meal lowered post meal glucose by about 12% compared with one 30 minute walk a day. A meta analysis of 31 short term studies found similar benefits in adults with overweight, obesity or type 2 diabetes. None of this shows that a short walk prevents diabetes or its complications.

    How to do it

    1. Try an easy walk after a meal that fits your schedule.
    2. Use the CDC example of ten minutes after dinner as a starting goal.
    3. Extend the walk gradually if comfortable and keep the routine realistic.

    If you take medicines that can cause low blood sugar, ask your diabetes team how to adjust activity safely.

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  78. 78MovementAdd brief bursts of harder movementShort bursts can add useful activity when a full exercise session is hard to fit in.3 short vigorous bursts a day: 38% to 40% lower mortality in nonexercisers (Nature Medicine, 2022)BQuick win

    Why it matters

    Brisk uphill walking or climbing stairs can briefly make you breathe much harder. In a cohort of 25,241 adults who did not exercise, those averaging three short bursts a day, lasting one or two minutes each, had a 38% to 40% lower risk of death than those with none. This is an observational association, not proof that a few bursts replace the weekly activity guideline.

    How to do it

    1. First build comfort with regular moderate movement.
    2. When appropriate for your fitness, add a short faster segment or a flight of stairs.
    3. Slow down between efforts and build up gradually.

    CDC advises checking with a doctor before starting vigorous activity if you have been inactive, have a disability or have overweight.

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  79. 79DrinksDrink enough fluid through the dayRegular fluids help prevent dehydration and keep the body functioning.6 to 8 cups or glasses of fluid daily (NHS, 2023)AQuick win

    Why it matters

    Dehydration occurs when fluid losses exceed what you take in. The NHS suggests six to eight cups or glasses daily as a general guide, with needs rising in heat, illness, pregnancy or prolonged activity. Water, milk, tea and coffee all contribute, so there is no need to force a fixed amount of plain water.

    How to do it

    1. Keep a drink within reach and drink regularly.
    2. Use pale yellow urine as a rough check that you are drinking enough.
    3. Drink more when fluid losses rise, such as during hot weather.
    4. Choose water often and keep sugary drinks occasional.

    Follow an individualized fluid plan if you have been given a fluid restriction for heart or kidney disease.

    Sources

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  80. 80CaregivingArrange support if you are a carerCaring under strain carries a real health cost, so shared load and planned breaks are not a luxury.Older carers reporting strain had 63% higher mortality over four years (JAMA, via PubMed, 1999)BSome effort
    63% higher mortality over four years, observational associationOlder spousal carers reporting strain vs non-carers

    Why it matters

    Care responsibilities quietly crowd out your own health and social contact. In a prospective cohort of older spouses, those providing care and reporting strain had 63% higher mortality over four years than non carers. NICE recommends tailored emotional support, practical training and regular conversations about taking breaks. What helps depends on your situation, and no specific percentage reduction in carer distress is established.

    How to do it

    1. Tell your health or social care team that you provide unpaid care.
    2. Ask for a review of your own support needs and what practical help exists.
    3. Arrange reliable cover for a break, and agree a backup plan for when it falls through.
    4. Consider a carer group or counselling if you feel isolated or overwhelmed.

    If caring is affecting your own mental or physical health, see your own clinician as well as the team supporting the person you care for.

    Sources

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  81. 81StrengthTrain your pelvic floor for leakagePelvic floor exercise can improve urine leakage, particularly with coughing or exertion.Stress incontinence trials: 56% reported cure with training versus 6% in controls (Cochrane, 2018)ASome effort
    56 of every 100 reported cure of stress urinary incontinence in trialswomen doing pelvic floor training vs 6% in control groups

    Why it matters

    These muscles help support the bladder and control leakage. In small trials of women with stress incontinence, 56% reported cure after training compared with 6% without active treatment. That finding concerns existing leakage and should not be read as a prevention effect for everyone.

    How to do it

    1. If you leak urine with coughing or movement, ask how to find and train the right muscles.
    2. Practise controlled squeezes followed by full relaxation while breathing normally.
    3. Make regular practice part of your routine and review persistent symptoms with a clinician.

    Get pelvic health advice for pain, difficulty emptying your bladder or uncertainty about technique.

    Sources

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  82. 82Home safetyTest your home for radonTesting can reveal an invisible lung cancer risk that a qualified installer can reduce.About 16% higher lung cancer risk per 100 Bq/m3 of long term radon exposure (WHO, 2023)BSome effort
    16% higher lung cancer risk with higher long term radon exposurePer 100 Bq/m3 increase; an exposure association, not a testing benefit

    Why it matters

    Radon is a radioactive gas that can enter buildings from the ground. WHO estimates lung cancer risk rises about 16% for each 100 Bq/m3 increase in long term average radon concentration. Testing identifies exposure; any benefit depends on reducing a high result, and risk is greater in people who smoke.

    How to do it

    1. Ask your local radiation or public health authority about approved home testing.
    2. Use a test kit or qualified tester according to local instructions; longer measurements better reflect average exposure.
    3. Compare the result with your national action level; WHO advises a national reference level no higher than 300 Bq/m3, and arrange professional mitigation if yours is elevated.
    4. Retest after mitigation to confirm the system is working.

    Action levels vary by country and do not mark a completely safe threshold. Use a qualified radon professional to interpret high results and plan mitigation.

    Sources

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  83. 83WellbeingSpend time noticing nearby natureStructured time in green or blue space measurably improves mood and gives attention a rest.Structured nature programmes improved depressive mood by 0.64 standard deviations (SSM Population Health, via PMC, 2021)BQuick win

    Why it matters

    A park, garden or waterside gives attention a calmer place to land. Pooling 16 randomised trials, structured outdoor nature activities improved depressive mood by 0.64 standard deviations and reduced anxiety. The most effective programmes ran 8 to 12 weeks with sessions of 20 to 90 minutes, and many bundled movement or company in, so the effect cannot be credited to nature alone or promised from a single short visit.

    How to do it

    1. Pick a green or blue space you can reach comfortably and go back to it.
    2. The most effective programmes used sessions of 20 to 90 minutes; build towards that if it suits you, and count shorter visits as a real start.
    3. Notice plants, water, sounds and textures deliberately, seated if you prefer.
    4. Try a community garden or a guided nature group if you want it to become regular.

    Nature time supports wellbeing but does not replace care for persistent depression or anxiety.

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  84. 84SubstancesAvoid frequent cannabis useReducing recreational cannabis use lowers exposure to dependence and lung harms.Occasional use, such as 1 day weekly or less, is lower risk (Public Health Agency of Canada, 2018)BSome effort

    Why it matters

    Frequent cannabis use increases the risk of losing control over use, and smoking it can damage lung tissue. Canadian public health guidance says occasional use, one day a week or less, is better than regular use. Not using at all offers the lowest risk, and a less frequent schedule is not a guarantee of safety.

    How to do it

    1. If you do not use cannabis, there is no health reason to start recreational use.
    2. If you do use it, move away from daily use toward less frequent occasions.
    3. Avoid smoking cannabis and avoid products high in THC.
    4. Avoid cannabis during pregnancy, and seek support if reducing use is difficult.

    Discuss prescribed cannabis with its prescriber before changing treatment; seek professional help for dependence or withdrawal.

    Sources

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  85. 85Targeted nutrientsSecure a reliable source of B12B12 prevents deficiency that can damage nerves and cause anemia, especially when intake or absorption is low.Adults need 2.4 micrograms of B12 daily (NIH Office of Dietary Supplements, 2023)AQuick win
    about 2.4 micrograms/day daily B12 requirement for nonpregnant, nonbreastfeeding adultsNIH dietary reference intake, not a deficiency treatment dose

    Why it matters

    B12 supports healthy blood and nerve cells. Adults generally need 2.4 micrograms daily, but vegans need fortified foods or supplements because unfortified plant foods are not reliable sources. NIH also advises adults over 50 to obtain most B12 from fortified foods or supplements because absorption from natural food sources can decline.

    How to do it

    1. If vegan, use foods explicitly fortified with B12 or a reliable supplement.
    2. Check labels on plant drinks, cereals and nutritional yeast rather than assuming they contain B12.
    3. If over 50, review your fortified food or supplement sources.
    4. Ask a pharmacist or clinician about an appropriate supplement schedule if food intake is inadequate.

    The dietary requirement is not a treatment dose. Numbness, balance problems, anemia or malabsorption need clinical assessment.

    Sources

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  86. 86MovementTrack movement and set a small goalSimple feedback can help turn an intention to move into a repeatable habit.Monitor feedback programmes: about 1,235 additional steps per day (BMJ, 2022)BQuick win

    Why it matters

    An activity monitor can show whether a movement plan is happening in daily life. A review of trials found that programmes using monitor feedback increased activity by an amount equivalent to about 1,235 steps per day. The estimate had low certainty and possible publication bias, and buying a device alone is not the same as following a programme.

    How to do it

    1. Use an existing phone or simple pedometer if you already have one.
    2. Choose a realistic movement goal based on your starting point.
    3. Review your record regularly and adjust the goal as your routine develops.
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  87. 87SleepGet daylight during your waking dayDaylight helps align your body clock with the time you want to be awake.Morning light shifts the body clock toward earlier sleep timing (CDC NIOSH, 2020)BQuick win

    Why it matters

    Light is a signal that sets your internal clock and supports alertness. For people who sleep at night, morning light tends to move sleep timing earlier, while bright evening light tends to move it later. There is no universal number of outdoor minutes shown to improve longevity.

    How to do it

    1. If you sleep at night, include some outdoor light after waking when practical.
    2. Add an outdoor break during daylight hours.
    3. Fit this around your intended sleep schedule rather than following a fixed clock time.

    If you work nights or have a diagnosed circadian rhythm disorder, seek advice on timing light around your sleep.

    Sources

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  88. 88CultureGo to things that move youPeople who regularly go to concerts, galleries or theatre tend to live longer than people who never do, an association rather than proof.Frequent arts engagement tracked with 31% lower risk of dying (BMJ, via PMC, 2019)BQuick win
    31% lower mortality during follow-up, observational associationFrequent receptive arts attendance vs never, adults aged 50 or older

    Why it matters

    Art, music and theatre give attention something absorbing and usually put you among other people. Following 6710 adults aged 50 and over for 14 years, those who went to museums, galleries, theatre or concerts every few months or more had a 31% lower risk of dying during follow up, and even once or twice a year tracked with 14% lower risk, after adjusting for income, health and social factors. WHO's review of over 3000 studies found the arts have a role in preventing ill health and in treatment. This is observational, so causality cannot be assumed.

    How to do it

    1. Put one thing in the calendar this month: a concert, exhibition, gig, play or local choir.
    2. Use free or low cost options: museum free days, library events, community theatre, church concerts.
    3. Take somebody with you so it doubles as contact with a person you like.
    4. If you enjoy it, go every few months rather than once a year: that is where the larger association sat, though no frequency is proven to extend life.
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  89. 89Mental healthPlan mental health support around birthFor people at raised risk, counselling during pregnancy or after birth prevents a lot of perinatal depression.Preventive counselling was linked to 39% less perinatal depression (USPSTF, 2019)ASome effort
    39% lower perinatal depression in prevention trialsPreventive counselling vs control, predominantly higher-risk participants

    Why it matters

    Pregnancy and the months after birth bring heavy emotional demands. Across prevention trials, USPSTF found counselling was associated with a 39% lower likelihood of perinatal depression, pooled relative risk 0.61, with most trials recruiting people who already had added risk factors. The recommendation covers pregnant and postpartum people at increased risk who do not currently have depression. If symptoms are already there, that needs assessment and treatment, not prevention.

    How to do it

    1. Tell your maternity or primary care team about past depression, current worries and what support you have.
    2. If your risk is raised, ask specifically about preventive cognitive behavioural or interpersonal counselling.
    3. Agree who you contact if your mood worsens during pregnancy or after birth.

    Discuss symptoms and any medication changes with your care team. Hallucinations, severe confusion or thoughts of harming yourself or your baby need immediate emergency help.

    Sources

    Own page for this item
  90. 90SleepDim lights and put screens awayReducing bright evening light can help your body prepare for sleep.Turn off electronic devices at least 30 minutes before bed (CDC, 2024)BQuick win
    at least 30 minutes recommended minimum screen-free time before bedCDC bedtime guidance

    Why it matters

    Bright light near bedtime can delay the internal clock that helps time sleep. CDC recommends switching off electronic devices at least 30 minutes before bed. This is practical sleep guidance, not a demonstrated percentage reduction in disease risk.

    How to do it

    1. Set a reminder to finish screen use before your intended bedtime.
    2. Use gentler lighting as bedtime approaches.
    3. Choose a quiet activity such as reading a printed book.

    Sources

    Own page for this item
  91. 91Brain healthKeep learning something meaningfulLearning keeps your mind engaged and builds confidence, though it is not proven dementia prevention.Cognitive training gave a small cognitive gain, Hedges g 0.25 (WHO, via NCBI Bookshelf, 2026)CSome effort

    Why it matters

    Learning a skill stretches attention and memory and gives you a sense of progress. WHO's 2026 dementia guidelines promote lifelong learning and cognitively stimulating work for everyone, and added a new conditional recommendation that cognitive stimulation may be encouraged, on very low certainty evidence. The tested programmes produced only a small cognitive gain, Hedges g 0.25, and no change in dementia incidence after five years, hazard ratio 1.00. So learn because it is worth doing, not as insurance against dementia.

    How to do it

    1. Pick something you actually find interesting: a language, an instrument, drawing, a craft.
    2. Use a library resource, free course or community class so starting costs nothing.
    3. Keep returning to a challenge that is manageable but not trivial.
    4. Do some of it with other people, which adds contact to the learning.

    New memory difficulties that affect everyday tasks deserve clinical assessment, not just more learning activities.

    Own page for this item
  92. 92Digital habitsChange social media that harms youCutting back lowers depressive symptoms a little, and quitting outright has not been shown to work better than cutting back.Reducing social media use cut depressive symptoms by 0.25 standard deviations (European Journal of Investigation in Health, Psychology and Education, via PMC, 2025)BQuick win

    Why it matters

    Social media can be genuine support or a steady drain. Pooling 10 randomised trials with 1491 adults, limiting or stopping social media use reduced depressive symptoms by 0.25 standard deviations, a small effect, and the samples were mostly people in their twenties. A separate review found therapy based approaches to problem use helped in 5 of 6 studies, against 1 of 5 for time limits and 3 of 12 for full abstinence, but 22 of those 23 studies were rated weak, so this hints that how you use it matters rather than proving it. Evidence does not support a universal adult time cap.

    How to do it

    1. Notice which accounts and habits leave you supported, and which leave you worse off.
    2. Mute the distressing feeds and switch off the notifications that interrupt things you value.
    3. Use messages and calls deliberately to keep the relationships that actually help.
    4. If use feels out of control, discuss it with a mental health professional rather than just deleting apps.

    Do not cut off online support that matters to you. Persistent distress or compulsive use may need professional help.

    Sources

    Own page for this item
  93. 93MovementKeep moving during pregnancySuitable activity helps maintain fitness and lowers gestational diabetes risk.At least 150 minutes of moderate activity weekly in healthy pregnancy (CDC, 2025)ASome effort
    at least 150 min/week recommended minimum moderate activity in healthy pregnancyCDC weekly pregnancy activity guidance

    Why it matters

    Moderate activity helps keep the heart and lungs healthy during an uncomplicated pregnancy. CDC recommends at least 150 minutes per week and reports lower risks of excessive weight gain and gestational diabetes. The plan should adapt as pregnancy progresses and to any medical restrictions.

    How to do it

    1. Ask your maternity team how to adapt your usual movement.
    2. Choose comfortable activity such as walking or swimming.
    3. Use a pace at which you can still hold a conversation.
    4. Build up gently if you were inactive before pregnancy.

    Your maternity clinician should guide activity when there are pregnancy complications or new concerning symptoms.

    Sources

    Own page for this item
  94. 94SleepProtect sleep when you work shiftsPlanning sleep around shifts helps preserve the time your body needs to recover.Increase sleep opportunity and limit shift changes when possible (NHLBI, NIH, 2022)BSome effort

    Why it matters

    Shift work can put working hours in conflict with the internal body clock. NIH advises increasing sleep opportunity, while NIOSH emphasizes recovery time when designing shifts. No single schedule suits everyone or eliminates the health risks of shift work.

    How to do it

    1. If you work shifts, reserve a main sleep period in your schedule.
    2. Use a nap when needed to increase your total sleep opportunity.
    3. Discuss a schedule that protects recovery with your employer; permanent night shifts are not best for everyone.

    Seek clinical help if you cannot sleep adequately or remain excessively sleepy despite protecting time for sleep.

    Sources

    Own page for this item
  95. 95ConnectionGive time to a cause you valueVolunteering brings connection, purpose and a role; volunteers tend to live longer, though healthier people volunteer more.Volunteering was associated with 22% lower mortality in cohort studies (BMC Public Health, via PMC, 2013)BSome effort
    22% lower mortality, observational associationVolunteers vs non-volunteers in cohort studies

    Why it matters

    Helping others builds social ties and gives you something to look forward to. Pooling five cohort studies, volunteering was associated with 22% lower mortality, but healthier and better off people are more likely to volunteer in the first place. Trials have not established a survival benefit, so choose a role for the meaning and the company rather than a promised extra year.

    How to do it

    1. Pick a cause you care about and ask what help they actually need.
    2. Start with a small commitment that fits your energy and other responsibilities.
    3. Check after a month whether it feels rewarding, and scale it back if it has become a strain.
    Own page for this item
  96. 96WellbeingMake room for what matters to youA clear sense of purpose guides daily choices and tracks with lower mortality and fewer cardiac events.A stronger sense of purpose was associated with 17% lower mortality (Psychosomatic Medicine, via PubMed, 2016)BQuick win
    17% lower all-cause mortality, observational associationStronger vs weaker sense of purpose in prospective studies

    Why it matters

    Purpose can come from relationships, creativity, learning or contributing to something beyond yourself. Across 10 prospective studies with 136 265 participants, a stronger sense of purpose was associated with 17% lower all cause mortality and 17% fewer cardiovascular events. That association is not proof that setting goals extends life. WHO's stress guide suggests picking small actions that match your values, especially when circumstances are hard.

    How to do it

    1. Write down what matters to you and how you want to treat yourself and other people.
    2. Choose one small action this week that expresses one of those values.
    3. Give it a real slot in your week, and change the goal when life changes.
    Own page for this item
  97. 97Targeted nutrientsAddress your risk of low vitamin DTargeted vitamin D intake helps prevent deficiency that weakens bones and muscles.Consider 10 micrograms of vitamin D daily in autumn and winter (NHS, 2020)AQuick win
    about 10 micrograms/day vitamin D supplement amount to consider in UK autumn and winterNHS prevention guidance, not treatment of diagnosed deficiency

    Why it matters

    Vitamin D helps the body absorb calcium, and deficiency can cause bone and muscle problems. NHS advice is to consider 10 micrograms daily in the UK during autumn and winter, with year round advice for some risk groups. This is deficiency prevention, not a proven way for everyone to prevent cancer or heart disease.

    How to do it

    1. Check your country's seasonal vitamin D advice.
    2. In the UK, consider a daily supplement during autumn and winter.
    3. If you have little outdoor exposure or other deficiency risks, ask whether year round intake is appropriate.
    4. Check labels so that multiple products do not unintentionally supply large doses.

    A diagnosed deficiency, kidney disease or high calcium requires individual advice. Treatment doses may differ from prevention doses.

    Sources

    Own page for this item
  98. 98ConnectionKeep your groups when work endsGroup memberships you hold onto through retirement track with better quality of life and lower risk of dying.Retirees who lost both group memberships had a 12% risk of death in six years, against 2% who kept both (BMJ Open, via PMC, 2016)CQuick win

    Why it matters

    Retirement quietly removes the groups that work supplied. In an English cohort of retirees, people who had two group memberships before retiring had a 2% risk of death in the first six years if they kept both, 5% if they lost one and 12% if they lost both, and every group lost tracked with roughly 10% lower quality of life six years later. This is one cohort of 424 people and it is observational, so read it as a pattern worth acting on, not a proven effect. WHO recommends group based ways of building social connection.

    How to do it

    1. Before you retire or change jobs, name the groups you would lose and which you want to keep.
    2. Join one group that meets on a fixed schedule, so attendance does not depend on motivation.
    3. Replace a lost work group deliberately: a class, choir, club, sports team or faith group.
    4. If you have already lost them, add one back rather than trying to rebuild everything.
    Own page for this item
  99. 99MobilityKeep your joints moving comfortablyGentle flexibility practice helps maintain the range of movement used in daily life.Practise the gentle flexibility routine at least 2 times weekly (NHS, 2023)BQuick win
    at least 2 times/week recommended minimum practice of the gentle flexibility routineNHS flexibility routine guidance

    Why it matters

    Flexibility work helps joints retain the movement needed for everyday tasks. NHS guidance suggests practising its gentle flexibility routine at least twice weekly. The aim is comfortable movement; evidence does not establish a longevity benefit from stretching alone.

    How to do it

    1. Try gentle neck turns and calf stretches from the NHS routine.
    2. Move only as far as comfortable and build repetitions slowly.
    3. Pair mobility practice with strength and aerobic activity.

    Ask a physiotherapist about persistent joint pain, recent injury or unusually loose joints.

    Sources

    Own page for this item
  100. 100MovementReturn to movement after childbirthA gradual return to activity can support recovery and rebuild fitness after birth.Build toward 120 minutes of moderate to vigorous activity weekly after birth (Canadian Society for Exercise Physiology; British Journal of Sports Medicine, 2025)ASome effort
    at least 120 min/week Canadian target for moderate to vigorous activity in the first year after birth2025 Canadian guidance, built toward as recovery allows

    Why it matters

    After childbirth, comfortable movement can help rebuild fitness while the body heals. The 2025 Canadian guideline recommends gradually working toward at least 120 minutes of moderate to vigorous activity weekly in the first year, adjusted to symptoms and recovery. CDC guidance still uses 150 minutes, so the Canadian recommendation is not a universal replacement.

    How to do it

    1. After an uncomplicated birth, begin gentle walking when you feel ready.
    2. Add activity gradually and include appropriate strength work.
    3. Use recovery and symptoms to guide progress rather than a deadline.
    4. Ask your maternity team before returning to strenuous activity after a complicated birth or caesarean.

    Get individual advice for pain, worsening bleeding, pelvic symptoms or complications; the weekly goal is not an immediate target after delivery.

    Sources

    Own page for this item

How this is ranked

The impact score

Every item gets a score from 0 to 100 for population level impact. It combines how much the thing changes death and disease with how common the gap is. A change with a huge effect that almost nobody needs scores lower than a moderate change that almost everybody needs. The general list is that score, in order.

Evidence grades

  • A Meta-analyses of randomised trials, or a major guideline consensus.
  • B Consistent large cohort studies, some trial evidence.
  • C Emerging or mixed. Worth knowing, not worth betting on.

Source tiers

Tier 1 is WHO, CDC, NIH, NHS, USPSTF, ECDC, a national guideline or Cochrane. Tier 2 is a peer reviewed meta-analysis or large cohort. Tier 3 is a reputable secondary source such as Harvard Health, and it never stands alone. Every item carries at least one Tier 1 source.

Check us

Every source on this site is a link. No claim here is meant to be taken on trust: open the source, read the number, and if we got it wrong the source will say so. That is the whole point of building it this way.

How tailoring works

You give a few facts. Each item can carry rules: a hard filter that decides whether it applies to you at all (sometimes a list of alternatives, where any one of them is enough), and boosts that add or subtract points. Your score for an item is its impact score plus every boost that fires. Nothing is hidden: a field you skip fires no rule, and a rule you never see cannot move anything. Here is every rule in the data, exactly as the engine reads it.

Show all personalization rules (127)
ThingWhenPointsReason shown to you
Stop smoking with supportsmoking: currentfilterOutside this group the item sinks to "probably not for you".
Stop smoking with supportsmoking: current+30You smoke, and CDC reports quitting can add up to 10 years to life expectancy
Stop smoking with supportsmoking: current and pregnant+10Quitting also benefits fetal growth and pregnancy outcomes.
Build a weekly aerobic habitactivity: low+18Your activity is below the weekly guideline
Build a weekly aerobic habitactivity: high-30You already move more than the weekly guideline, so this is maintenance for you
Check and follow up blood pressureage 40 or older+8USPSTF recommends yearly screening from age 40
Check and follow up blood pressureBMI 25 or higher+5Overweight increases hypertension risk
Drink less alcoholalcohol: light or heavyfilterOutside this group the item sinks to "probably not for you".
Drink less alcoholalcohol: heavy+15Alcohol harm rises with the amount consumed.
Drink less alcoholpregnant and alcohol: light or heavy+25Alcohol can harm fetal development.
Train your major muscles twice weeklyage 65 or older+12Older adult guidelines include regular strength work
Get help early for depression or anxietyfemale+5WHO: more women are affected by anxiety disorders than men
Get help early for depression or anxietyage 30 or younger+8Anxiety often starts in childhood or adolescence, so early help matters
Make room for enough sleepsleeping 6.9 hours or less+22Your reported sleep is below the adult minimum
Make room for enough sleepsleeping 7 hours or more and sleeping 8 hours or less-25You already sleep within the recommended range for adults
Make room for enough sleepsleeping 8.1 hours or more and sleeping 9 hours or less and age 64 or younger-25You already sleep within the 7 to 9 hour range
Buckle up and drive attentivelydriving+15Seat belts, full attention and sober driving all cut crash risk
Buckle up and drive attentivelykids at home+5Children need restraints suited to their size and age
Check cholesterol and heart riskage 40 or older and age 75 or younger+10USPSTF statin decisions focus on adults aged 40 to 75 with risk factors
Check cholesterol and heart risksmoking: current+7Smoking is a cardiovascular risk factor in statin decisions
Complete bowel cancer screeningage 45 or older and age 75 or younger+18USPSTF recommends routine screening at ages 45 to 75
Complete bowel cancer screeningliving in Europe and age 50 or older and age 74 or younger+8EU recommends FIT screening at ages 50 to 74
Break up long spells of sittinga desk job+15Desk work can create long periods of sitting
Know stroke and heart attack signsage 50 or older+10CDC names age among the factors that raise heart attack risk
Know stroke and heart attack signssmoking: current+8Smoking is one of the three key risk factors CDC names
Build up your daily stepsactivity: low+12A brisk daily walk counts toward the weekly activity guideline
Build up your daily stepsactivity: high-20Your weekly activity already clears the guideline
Make time for people you trustage 24 or younger+10WHO: young people report the highest loneliness rates, 21% say they are lonely
Work toward a weight that supports youBMI 25 or higher and pregnant: falsefilterOutside this group the item sinks to "probably not for you".
Work toward a weight that supports youage 20 or older and BMI 30 or higher+15BMI is in the range CDC classifies as obesity
Reduce exposure to polluted airkids at home+8EPA identifies children as more vulnerable to wildfire smoke
Keep cervical screening up to datefemalefilterOutside this group the item sinks to "probably not for you".
Keep cervical screening up to datefemale and age 25 or older and age 65 or younger+15Within the ages screened by most programmes
Keep cervical screening up to dateliving in Europe and female and age 25 or older and age 64 or younger+5NHS England invites every 5 years at ages 25 to 64
Keep cervical screening up to dateliving in North America and female and age 21 or older and age 65 or younger+5USPSTF recommends screening at ages 21 to 65
Prepare and store food safelypregnant+12Pregnancy increases the risk of serious foodborne illness.
Prepare and store food safelyage 65 or older+12Adults aged 65 and older are more vulnerable to severe food poisoning.
Prepare and store food safelykids at home+10CDC lists children under 5 among the groups at higher risk of serious food poisoning.
Review your COVID vaccinationage 65 or older+20CDC recommends 2 doses this season from age 65
Review your COVID vaccinationpregnant+15CDC identifies pregnancy as a reason vaccination is especially important
Get your seasonal flu vaccineage 65 or older+15Older adults have higher risk and specific vaccine recommendations
Get your seasonal flu vaccinepregnant+18Vaccination during pregnancy protects the parent and young infant
Act on gasping or pauses in sleepmale+8NHLBI lists frequent loud snoring as more common in men
Act on gasping or pauses in sleepage 20 or older and BMI 30 or higher+12Obesity raises the risk of obstructive sleep apnea
Complete HPV vaccinationage 45 or youngerfilterOutside this group the item sinks to "probably not for you".
Complete HPV vaccinationage 18 or older and age 26 or younger+25CDC recommends catch-up through age 26 if not fully vaccinated
Eat fish regularly, including oily fishpregnant+6Fish nutrients support fetal development, with species limits for contaminants.
Use protection and get STI testspregnant+20CDC recommends infection screening early in pregnancy
Use protection and get STI testsfemale and age 24 or younger+12If sexually active, CDC recommends annual chlamydia and gonorrhea testing under 25
Book mammograms when eligiblefemalefilterOutside this group the item sinks to "probably not for you".
Book mammograms when eligiblefemale and age 40 or older and age 74 or younger+18USPSTF recommends a mammogram every 2 years at ages 40 to 74
Book mammograms when eligibleliving in Europe and female and age 50 or older and age 71 or younger+8NHS invites every 3 years from 50 up to the 71st birthday and the EU recommends 50 to 69
Seek effective help for insomnianight or rotating shifts+10NHS lists shift work among the common causes of insomnia
Check your routine vaccine recordpregnant+20CDC recommends Tdap during every pregnancy
Check your routine vaccine recordage 19 or older and age 59 or younger+8CDC recommends hepatitis B vaccination for adults aged 19 to 59
Practise balance as you get olderage 65 or olderfilterOutside this group the item sinks to "probably not for you".
Practise balance as you get olderage 65 or older+30WHO adds balance and functional training from age 65
Check whether diabetes testing is dueage 35 or older and age 70 or younger and BMI 25 or higher+20Meets the age and BMI group recommended for screening
Check whether diabetes testing is dueliving in Europe and age 40 or older and age 74 or younger+8NHS Health Check covers diabetes risk at ages 40 to 74
Walk or cycle for short journeysdriving+12Replacing short car trips is an NHS activity suggestion
Get tested once for HIV and hep Cage 18 or older+12CDC recommends a one time hepatitis C test for all adults 18 and older
Get tested once for HIV and hep Cpregnant+18Testing is recommended during every pregnancy
Get tested once for HIV and hep Cliving in Europe+5ECDC reports 1 in 2 people with HIV in Europe are diagnosed late
Treat hearing loss that affects youage 60 or older+10WHO: about one in five people has hearing loss and prevalence rises with age
Treat hearing loss that affects youage 70 or older and age 84 or younger+12ACHIEVE studied adults aged 70 to 84 who had hearing loss
Wash your hands at key momentskids at home+8Handwashing helps prevent diarrheal illness in children
Reduce chronically long workweeksmale+6WHO and ILO: 72% of the deaths attributed to long hours occurred among men
Reduce chronically long workweeksage 45 or older+8Deaths were concentrated among people who worked long hours between ages 45 and 74
Reduce chronically long workweeksliving in East Asia or Southeast Asia or South Asia or Oceania+6WHO and ILO: the burden is heaviest in the Western Pacific and South East Asia regions
Review and store medicines safelykids at home+15Medicines left within reach cause frequent emergency visits in young children
Remove trip and slip hazardsage 65 or older+18Falls become more common with age; higher risk older adults benefit most
Check whether a bone scan is duefemale and age 65 or older+25USPSTF recommends osteoporosis screening from age 65
Protect your skin from UVhigh UV country+15Higher UV increases skin and eye damage
Protect your skin from UVkids at home+7Excess UV exposure in childhood increases later skin cancer risk
Review vaccines offered from age 50age 50 or older+20CDC recommends shingles and pneumococcal vaccination from age 50
Review vaccines offered from age 50age 75 or older+15CDC also recommends RSV vaccination for everyone aged 75 and older
Check lung screening eligibilityage 50 or older and age 80 or younger and smoking: current or formerfilterOutside this group the item sinks to "probably not for you".
Check lung screening eligibilityage 50 or older and age 80 or younger and smoking: current or former+25Age and smoking history warrant an eligibility check
Take folic acid before pregnancyfemale and age 15 or older and age 50 or youngerfilterOutside this group the item sinks to "probably not for you".
Take folic acid before pregnancypregnant+35Folic acid helps prevent neural tube defects in early pregnancy.
Make a plan for very hot daysage 65 or older+15CDC identifies adults 65 and older as more vulnerable to heat
Make a plan for very hot dayskids at home+8Young children need help staying cool and safe
Get your eyes checkedage 50 or older+10WHO reports most people with vision impairment are over 50
Get your eyes checkedliving in Europe and age 60 or older+6The NHS offers free sight tests from age 60
Ask directly if someone seems at riskage 29 or younger+8WHO: suicide was the third leading cause of death among 15 to 29 year olds
Include exercise that loads your bonesage 65 or older+15NIH advises older adults to include balance and muscle strengthening
Include calcium rich foods dailyfemale and age 51 or older and age 70 or younger+12NIH recommends 1,200 mg daily for women aged 51 to 70.
Include calcium rich foods dailyage 71 or older+12NIH recommends 1,200 mg daily for all adults aged 71 and older.
Get help when gambling causes harmmale+6WHO: about 11.9% of men experience gambling harm, against 5.5% of women
Keep a reliable iodine sourcepregnant+20NIH iodine requirements rise to 220 micrograms daily during pregnancy.
Keep a reliable iodine sourcegave birth in the last year+6If you are breastfeeding, NIH sets a higher iodine requirement: 290 micrograms a day.
Avoid taking up vapingsmoking: never+8Vaping offers no smoking cessation benefit to someone who has never smoked.
Avoid taking up vapingage 24 or younger+10Nicotine can harm brain development, which continues to about age 25.
Avoid taking up vapingpregnant+12CDC advises that people who are pregnant should not use e-cigarettes.
Avoid taking up vapingsmoking: current-25If you smoke, NHS advice is that switching to a regulated nicotine vape is one of the most effective ways to quit.
Keep your bedroom dark at nightnight or rotating shifts+12NIH advises shift workers to block light during daytime sleep
Take a short walk after a mealage 20 or older and BMI 25 or higher+10The glucose studies included adults with overweight or obesity
Add brief bursts of harder movementactivity: low+8Short bouts can help build toward the weekly activity goal
Drink enough fluid through the daypregnant+6Fluid needs can increase during pregnancy.
Drink enough fluid through the dayactivity: high+5Prolonged activity can increase fluid losses.
Arrange support if you are a carerage 65 or older+10The mortality finding comes from spousal carers aged 66 to 96
Train your pelvic floor for leakagefemalefilterOutside this group the item sinks to "probably not for you".
Train your pelvic floor for leakagepregnant+20NHS recommends pelvic floor exercise during pregnancy
Train your pelvic floor for leakagegave birth in the last year+25The 2025 Canadian postpartum guideline recommends daily pelvic floor training
Test your home for radonsmoking: current+15Radon and smoking together create greater lung cancer risk
Avoid frequent cannabis usepregnant+25Canadian guidance advises avoiding cannabis during pregnancy.
Avoid frequent cannabis useage 24 or younger+10Canadian guidance is to postpone first use, and disorder risk is higher for people who start young.
Avoid frequent cannabis usedriving+10Cannabis impairs driving and effects can last up to 12 hours after edibles. Canadian guidance: never drive while impaired.
Secure a reliable source of B12age 51 or older+18After age 50, B12 from fortified foods or supplements is more reliably absorbed.
Secure a reliable source of B12pregnant+10NIH sets a higher B12 requirement in pregnancy, 2.6 micrograms daily.
Secure a reliable source of B12gave birth in the last year+5If you are breastfeeding, NIH sets a higher B12 requirement: 2.8 micrograms a day.
Go to things that move youage 50 or older+10The cohort followed adults aged 50 and over
Plan mental health support around birthfemale and pregnant, or female and gave birth in the last yearfilter, any ofAny one of these is enough. Outside all of them the item sinks to "probably not for you".
Plan mental health support around birthpregnant+30Pregnancy is the window when preventive counselling is offered
Plan mental health support around birthgave birth in the last year+30USPSTF covers the months after birth as well as pregnancy
Change social media that harms youage 30 or younger+8The trials mostly studied adults in their twenties
Keep moving during pregnancypregnantfilterOutside this group the item sinks to "probably not for you".
Keep moving during pregnancypregnant+35Pregnancy guidance recommends regular moderate activity
Protect sleep when you work shiftsnight or rotating shiftsfilterOutside this group the item sinks to "probably not for you".
Protect sleep when you work shiftsnight or rotating shifts+30NIH and NIOSH sleep guidance is written for people working shifts
Address your risk of low vitamin Dage 71 or older+12NIH vitamin D requirements increase from age 71.
Address your risk of low vitamin Dpregnant+10NHS advice to take 10 micrograms of vitamin D daily includes pregnant and breastfeeding women.
Address your risk of low vitamin Dlatitude 50 or higher+15In the UK, the NHS says sunlight from October to early March is not enough to make vitamin D. You live at least as far from the equator as southern England, so check your country's advice.
Keep your groups when work endsage 55 or older+12The cohort followed people through the transition to retirement
Keep your joints moving comfortablyage 65 or older+10Older adult guidelines explicitly include flexibility
Return to movement after childbirthfemale and gave birth in the last yearfilterOutside this group the item sinks to "probably not for you".
Return to movement after childbirthgave birth in the last year+30The guideline covers the first year after giving birth

This is not medical advice. It is a reading list with numbers attached. It cannot know your history, your medication or your risk, and a few items carry a note about when to talk to a clinician first. If something here contradicts what your doctor told you about your own body, your doctor has more information than this website does.

Data last reviewed . Published by Pawel Jozefiak.