CHAPTER 02 · 44 SOURCE ENTRIES

Preventing Chronic Decline

不要慢慢死

[← 回总目录](../README.md) 本节只收两类慢性风险:一类对总死亡率影响大,一类证据硬。条目按性价比从高到低排。有几条标了「随机试验」,意思是把人随机分成两组来比,这种结果最可信。其余数字都来自只跟踪记录、不做分组的研究。这类研究算出的 HR、RR 等风险比里混着两种干扰:这些人本来就不一样,有人是先病了才这么做。所以这些数字只说明方向和大概多大,不代表照做就能降这么多。 本节条目按主题分成下面几块,括号里是条号。 **烟、酒、槟榔**:戒烟越早越好(第 1 条),家里和车里不抽烟(第 2 条),戒烟先去拿药(第 3 条),定一个戒烟日(第 4 条),去戒烟门诊或打 12320(

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02-001

Quitting smoking, the earlier the better

戒烟,越早越好

On average, smokers live more than 10 years less than non-smokers. Quitting before age 40 eliminates roughly 90% of the extra death risk caused by continued smoking. The earlier you quit, the more years you gain.

Open the low-ROI detour

Move “Quitting smoking, the earlier the better” to Future Me's calendar

One more exception feels free because the bill arrives outside the current scene.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-002

Don’t smoke at home or in the car, and don’t let guests smoke indoors

别在家里和车里抽烟,也别让客人在家里抽

Around 600,000 people worldwide die each year from secondhand smoke exposure; nearly 30% of those are children. Long‑term exposure to secondhand smoke raises the risk of hypertension, heart disease, and stroke by roughly 30% compared to non‑exposed individuals. Smoke inhaled at home is even more harmful than smoke encountered outside.

Open the low-ROI detour

Move “Don’t smoke at home or in the car, and don’t let guests smoke indoors” to Future Me's calendar

I can spend longer deciding whether to start than the small action would take.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-003

Don’t rely solely on willpower to quit smoking — get medication first: success rates more than double

戒烟别光靠忍,先去拿药:成功率能翻一倍多

Relying on sheer willpower alone rarely works for most smokers. People taking varenicline are more than twice as likely to succeed compared to those taking a placebo. Those using nicotine replacement products also have a 50% higher success rate than non-medication users. Combining patches with gum or lozenges further boosts success rates by roughly 20%.

Open the low-ROI detour

Move “Don’t rely solely on willpower to quit smoking — get medication first: success rates more than double” to Future Me's calendar

The routine already works until the day the source says it may not.

Today I keep a little money, a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-004

Pick a quit date and stop smoking on that day — don’t taper gradually

定一个戒烟日,到那天一次停掉,别先慢慢减

Many people try to cut back a little each day until they reach zero. Yet after six months, only 15.5% of those who gradually reduced their intake stayed smoke‑free, compared with 22% of people who set a quit date and stopped all at once. So it’s better to pick a date and quit completely on that day.

Open the low-ROI detour

Move “Pick a quit date and stop smoking on that day — don’t taper gradually” to Future Me's calendar

There is no immediate alarm, so the sensible choice can wait for a less busy week.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-005

Visit a smoking cessation clinic or call 12320 to find local services

去戒烟门诊,或者打 12320 问当地有没有戒烟服务

Medications and regular follow-up support from professionals are two distinct components that work best together. People who take medication while receiving dedicated follow-up have nearly twice the quit rate of those who only receive brief advice. Phone support also helps: those who proactively call the smoking cessation helpline see their success rate rise by 20–30% compared to others.

Open the low-ROI detour

Move “Visit a smoking cessation clinic or call 12320 to find local services” to Future Me's calendar

Future Me has a clearer calendar, more patience, and apparently the same responsibilities.

Today I keep a little money, a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-006

Only consider e‑cigarettes if you’ve already tried quitting; non‑smokers should avoid them

已经戒不掉再考虑电子烟,本来不吸烟的人别碰

Switching to nicotine‑containing e‑cigarettes helps roughly 60% more people quit smoking than nicotine patches — this finding is quite reliable. However, e‑cigarettes are not harmless; long‑term safety data remain limited. For people who have never smoked, there is absolutely no benefit to using them.

Open the low-ROI detour

Move “Only consider e‑cigarettes if you’ve already tried quitting; non‑smokers should avoid them” to Future Me's calendar

If I do not open the notes, no new task has technically appeared.

Today I keep a little money, a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-007

Not drinking sugary drinks — even switching to sugar-free ones doesn’t help

不喝含糖饮料,换成无糖的也不算解决

People who drink more than two sugary drinks per day have about a 20% higher chance of dying during the same period compared to those who rarely drink them. Those who consume one to two per day still face a roughly 10% higher risk. Switching to sugar-free versions brings no benefit: individuals drinking two or more sugar-free drinks daily actually have a 25% higher risk of death.

Open the low-ROI detour

Move “Not drinking sugary drinks — even switching to sugar-free ones doesn’t help” to Future Me's calendar

One more exception feels free because the bill arrives outside the current scene.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-008

Not chewing betel nut

不嚼槟榔

People who chew betel nut have roughly a 20% higher chance of dying during the same period compared to non-chewers. Their risk of developing diabetes and metabolic syndrome is nearly 50% higher. Additional risks for oral and esophageal cancer also apply.

Open the low-ROI detour

Move “Not chewing betel nut” to Future Me's calendar

I can spend longer deciding whether to start than the small action would take.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-009

Switch household salt to low‑sodium (potassium‑rich) salt

把家里的食盐换成低钠盐(钾盐)

For people who have had a stroke or are over 60 with hypertension, switching to low‑sodium salt can lower their chance of dying within five years by about 12% and the risk of another stroke by roughly 14%.

Open the low-ROI detour

Move “Switch household salt to low‑sodium (potassium‑rich) salt” to Future Me's calendar

The routine already works until the day the source says it may not.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
02-010

Brush teeth thoroughly and floss daily; replace missing teeth promptly

认真刷牙,每天清一次牙缝,缺牙及时补

People who floss daily have roughly a 10% lower chance of dying over the same period. For elderly individuals with no natural teeth, the risk of death is about 90% higher. Those with fewer than 20 natural teeth face roughly double the risk.

Open the low-ROI detour

Move “Brush teeth thoroughly and floss daily; replace missing teeth promptly” to Future Me's calendar

There is no immediate alarm, so the sensible choice can wait for a less busy week.

Today I keep a little money, a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-011

Walking 7,000–8,000 steps per day, or accumulating 150–300 minutes of brisk walking each week

每天走到 7000–8000 步,或者每周累计快走 150–300 分钟

People who walk roughly 7,800 steps daily have a mortality risk roughly 45% lower than those walking only 3,500 steps. The same pattern holds when measured by time: those who engage in 150–300 minutes of brisk walking weekly face about 30% lower risk than inactive individuals. Beyond a certain threshold, further increases bring little extra benefit; for people over 60, 6,000–8,000 steps per day is sufficient. Meeting either step target is enough.

Open the low-ROI detour

Move “Walking 7,000–8,000 steps per day, or accumulating 150–300 minutes of brisk walking each week” to Future Me's calendar

Future Me has a clearer calendar, more patience, and apparently the same responsibilities.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-012

People with hypertension and high cholesterol should take their medication regularly as prescribed; never stop on their own.

有高血压、高血脂就按医嘱规律吃药,别自行停

For every 10 mmHg drop in blood pressure, mortality decreases by roughly 13%, while stroke risk drops by about 27%. Each 1.0 mmol/L reduction in LDL cholesterol achieved by statins lowers mortality by roughly 10%. Those who take their medication as directed have a 30% to 45% lower risk of death compared to those who frequently miss doses.

Open the low-ROI detour

Move “People with hypertension and high cholesterol should take their medication regularly as prescribed; never stop on their own.” to Future Me's calendar

If I do not open the notes, no new task has technically appeared.

Today I keep a little money, a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-013

Getting about 7 hours of sleep each night with a consistent schedule

每晚睡 7 小时左右,作息固定

People who regularly get less than 7 hours of sleep have roughly a 10% higher chance of dying over time. The more irregular their schedule, the greater the risk. Those with the most regular sleep patterns enjoy a 20%–50% lower mortality risk compared to those with the least regular patterns. In other words, how consistent your sleep schedule is matters more than the total number of hours you sleep.

Open the low-ROI detour

Move “Getting about 7 hours of sleep each night with a consistent schedule” to Future Me's calendar

One more exception feels free because the bill arrives outside the current scene.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-014

Playing racket sports three times a week for 45 minutes each session

常打网球、羽毛球、乒乓球这类球拍类运动

People who regularly play tennis, badminton, or table tennis have about half the risk of dying during the same period compared to non-players. Their risk of dying from cardiovascular causes is roughly 56% lower. Swimmers enjoy a similar benefit, with a 28% lower risk. No significant difference was observed between runners and soccer players in this data set.

Open the low-ROI detour

Move “Playing racket sports three times a week for 45 minutes each session” to Future Me's calendar

I can spend longer deciding whether to start than the small action would take.

Today I keep a little money, a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-015

Accumulating brief bouts of strenuous activity like stair climbing or brisk walking to total 4–5 minutes per day

把爬楼梯、快走赶路这类零碎的用力活动攒到每天四五分钟

For individuals who do not exercise regularly, performing just three 1–2 minute bouts of strenuous activity each day can reduce their overall risk of death by roughly 40% compared to those who do none at all. Their risk of dying from cardiovascular causes also drops by nearly half. Such strenuous activities include stair climbing and brisk walking.

Open the low-ROI detour

Move “Accumulating brief bouts of strenuous activity like stair climbing or brisk walking to total 4–5 minutes per day” to Future Me's calendar

The routine already works until the day the source says it may not.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-016

30–60 minutes of strength training per week

每周做 30–60 分钟力量训练

People who engage in 30–60 minutes of strength training each week have a 10–20% lower risk of dying during that period compared to those who don’t train at all. Training beyond this amount won’t bring any extra benefit. Combining strength training with aerobic exercise yields the best results.

Open the low-ROI detour

Move “30–60 minutes of strength training per week” to Future Me's calendar

There is no immediate alarm, so the sensible choice can wait for a less busy week.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-017

Don’t sit for too long at a time — get up and move every now and then

别连着坐太久,隔一阵起身动一动

People who sit the longest have a 2.6 times higher chance of dying during the same period compared to those who sit the least. Sitting continuously for long stretches adds extra risk on top of that. However, if you get 60–75 minutes of moderate-intensity activity each day, this extra risk from prolonged sitting is largely offset.

Open the low-ROI detour

Move “Don’t sit for too long at a time — get up and move every now and then” to Future Me's calendar

Future Me has a clearer calendar, more patience, and apparently the same responsibilities.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-018

Eat less processed meat (ham, bacon, sausages, luncheon meat)

少吃加工肉(火腿、培根、香肠、午餐肉)

People who eat the most ham, bacon, sausages, and similar processed meats have a roughly 20% higher chance of dying during the same period compared to those who eat the least. For every extra serving of processed meat consumed daily, that risk rises by another 20%.

Open the low-ROI detour

Move “Eat less processed meat (ham, bacon, sausages, luncheon meat)” to Future Me's calendar

If I do not open the notes, no new task has technically appeared.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-019

Drink less or no alcohol

少喝或不喝酒

After consuming 100 g of pure alcohol per week, the more one drinks, the earlier they tend to die. 100 g of pure alcohol is roughly equivalent to 2.5 L of beer. At age 40, people who drink 100–200 g per week lose about half a year of life expectancy; those drinking 200–350 g lose 1–2 years; and those drinking over 350 g lose 4–5 years. Overall, the healthiest amount to consume is none at all.

Open the low-ROI detour

Move “Drink less or no alcohol” to Future Me's calendar

One more exception feels free because the bill arrives outside the current scene.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-020

People who drink daily and experience tremors and palpitations when they stop should not try to quit on their own

每天都喝酒、一停就手抖心慌的人,别自己硬戒

Individuals who consume large amounts of alcohol every day can suffer from withdrawal symptoms when they suddenly stop. Mild cases involve tremors, sweating, palpitations, and insomnia; severe cases may lead to seizures or delirium tremens — a life‑threatening emergency. A nationwide Norwegian health registry follow-up found that those who had experienced delirium tremens had an 8% annual mortality rate thereafter. If you wish to quit, consult a doctor first and describe exactly how much you drink each day.

Open the low-ROI detour

Move “People who drink daily and experience tremors and palpitations when they stop should not try to quit on their own” to Future Me's calendar

I can spend longer deciding whether to start than the small action would take.

Today I keep a little money, a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-021

To drink less, first tally how much you drink each week, then chat briefly with a doctor.

想少喝酒,先把一周喝了多少数出来,再找医生聊几分钟

A doctor can spend a few minutes reviewing your weekly alcohol intake, explaining the associated risks, and helping you set a realistic goal. After a year, people following this approach typically cut their weekly consumption by about 20 grams of pure alcohol — roughly equivalent to half a liter of beer. Longer consultations do not bring any additional benefits. For those already struggling with heavy drinking, two medications have been proven effective abroad: roughly one in twelve treated individuals stops drinking excessively after treatment.

Open the low-ROI detour

Move “To drink less, first tally how much you drink each week, then chat briefly with a doctor.” to Future Me's calendar

The routine already works until the day the source says it may not.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-022

Eating a small handful of nuts daily

每天吃一小把坚果

People who regularly eat nuts have roughly 20% lower mortality rates than those who don’t. Even eating nuts just once a week yields a 10% reduction in risk. The greatest benefit is seen when intake reaches a daily handful.

Open the low-ROI detour

Move “Eating a small handful of nuts daily” to Future Me's calendar

There is no immediate alarm, so the sensible choice can wait for a less busy week.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
02-023

Swapping some red meat for fish or poultry

把一部分红肉换成鱼和禽肉

Eating two extra servings of processed or red meat each week raises the risk of death by roughly 3% compared to normal intake. Switching to the same amount of fish or poultry eliminates this increase. Within this section, this effect is relatively minor; it’s an easy swap worth making without much effort.

Open the low-ROI detour

Move “Swapping some red meat for fish or poultry” to Future Me's calendar

Future Me has a clearer calendar, more patience, and apparently the same responsibilities.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-024

Swap some refined rice and flour for whole grains

把一部分精米白面换成全谷物

People who eat an extra 90 g of whole grains daily have a roughly 17% lower risk of dying during the same period. That amount equals about three servings. The risk continues to drop when intake rises to around 200 g per day.

Open the low-ROI detour

Move “Swap some refined rice and flour for whole grains” to Future Me's calendar

If I do not open the notes, no new task has technically appeared.

Today I keep a little money, a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-025

Drinking tea more than three times a week

每周喝三次以上茶

People who regularly drink tea have a roughly 15% lower chance of dying during the same period. Starting at age 50, they can expect to live 1.26 years longer on average, and 1.41 extra years without developing any cardiovascular diseases.

Open the low-ROI detour

Move “Drinking tea more than three times a week” to Future Me's calendar

One more exception feels free because the bill arrives outside the current scene.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
02-026

Drinking three to four cups of coffee daily, without sugar or cream

每天喝三到四杯咖啡,不加糖不加奶盖

People who drink three to four cups of coffee each day have a roughly 17% lower chance of dying during the same period compared to those who don’t drink coffee at all.

Open the low-ROI detour

Move “Drinking three to four cups of coffee daily, without sugar or cream” to Future Me's calendar

I can spend longer deciding whether to start than the small action would take.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
02-027

Eating 5 servings (about 400 g) of fruits and vegetables daily

每天吃够 5 份(约 400 g)水果蔬菜

Consuming an extra 200 g of fruits and vegetables each day lowers the risk of death by roughly 10% during the same period. People who eat 5 servings daily have a mortality risk that is about 13% lower than those eating just 2 servings. Eating more than that does not bring any further reduction in risk.

Open the low-ROI detour

Move “Eating 5 servings (about 400 g) of fruits and vegetables daily” to Future Me's calendar

The routine already works until the day the source says it may not.

Today I keep a little money, a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-028

Eat fewer ultra-processed foods (chips, instant noodles, pastries, ready meals)

少吃超加工食品(薯片、方便面、糕点、速食)

People who consume the most ultra-processed foods have a roughly 20% higher risk of dying during the study period compared to those who eat the least, and a 50% higher risk of dying from cardiovascular disease. However, this evidence is rated as low certainty, so these figures should be interpreted with caution.

Open the low-ROI detour

Move “Eat fewer ultra-processed foods (chips, instant noodles, pastries, ready meals)” to Future Me's calendar

There is no immediate alarm, so the sensible choice can wait for a less busy week.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-029

Switching from coal and wood to electricity or gas for cooking and heating

做饭、取暖不烧煤和柴,换成电或燃气

People who cook with coal or wood face roughly a 10% higher chance of dying over the same period compared to those using electricity or gas. For those who heat their homes with coal or wood, the risk is about 14% higher. Those who have already switched to cleaner fuels have a mortality risk that is 13%–33% lower than those still relying on coal or wood.

Open the low-ROI detour

Move “Switching from coal and wood to electricity or gas for cooking and heating” to Future Me's calendar

Future Me has a clearer calendar, more patience, and apparently the same responsibilities.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
02-030

Let hot drinks cool down before drinking; avoid tea, soup, and coffee that are piping hot

热的东西放一放再喝,不喝滚烫的茶、汤和咖啡

Drinking tea that is extremely hot raises your risk of esophageal cancer by 8 times compared to drinking lukewarm tea. Even “hot” tea doubles that risk. If you drink tea less than two minutes after pouring it, your risk is 5 times higher than if you wait at least four minutes to drink it.

Open the low-ROI detour

Move “Let hot drinks cool down before drinking; avoid tea, soup, and coffee that are piping hot” to Future Me's calendar

If I do not open the notes, no new task has technically appeared.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-031

Getting some sun during the day — don’t stay out of the light all the time

白天出门晒晒太阳,别整天不见光

Women who deliberately avoid sunlight can expect to live 0.6 to 2.1 years less than those who get the most sun exposure. Even non-smokers who avoid the sun tend to have lifespans similar to smokers who get plenty of sun.

Open the low-ROI detour

Move “Getting some sun during the day — don’t stay out of the light all the time” to Future Me's calendar

One more exception feels free because the bill arrives outside the current scene.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
02-032

Keeping BMI between 20–25; losing weight if overweight

把 BMI 控制在 20–25,超重就减

Mortality is lowest when BMI falls within 20–25. At BMI 27.5–30, risk rises by roughly 20%; at 30–35, it increases by about 45%; at 35–40, it nearly doubles. East Asian individuals are especially sensitive to excess weight — for every 5-point rise in BMI, risk climbs by roughly 40%.

Open the low-ROI detour

Move “Keeping BMI between 20–25; losing weight if overweight” to Future Me's calendar

I can spend longer deciding whether to start than the small action would take.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-033

Eating chili peppers four or more times per week

每周吃四次以上辣椒

People who eat chili peppers four or more times each week have a roughly 23% lower chance of dying during the same period compared to those who rarely consume them; their risk of cardiovascular-related death is also about one-third lower.

Open the low-ROI detour

Move “Eating chili peppers four or more times per week” to Future Me's calendar

The routine already works until the day the source says it may not.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
02-034

Drinking one or two servings of milk or yogurt daily

每天喝一两份奶或酸奶

People who consume two or more servings of milk or yogurt each day have a roughly 17% lower chance of dying during the same period compared to those who do not drink any.

Open the low-ROI detour

Move “Drinking one or two servings of milk or yogurt daily” to Future Me's calendar

There is no immediate alarm, so the sensible choice can wait for a less busy week.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
02-035

Eggs need not be avoided, but don’t eat three or four daily

鸡蛋不用戒,但别每天三四个

Eating an extra half whole egg each day raises the overall mortality risk by roughly 7%. Swapping that half egg for egg whites, fish, poultry, or nuts actually lowers the risk of death across all categories. There’s no need to cut eggs out of your diet, just avoid consuming three or four daily.

Open the low-ROI detour

Move “Eggs need not be avoided, but don’t eat three or four daily” to Future Me's calendar

Future Me has a clearer calendar, more patience, and apparently the same responsibilities.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
02-036

Take baths whenever you can — don’t limit yourself to showers

有条件就泡澡,别只冲淋浴

People who bathe almost daily have roughly 28% lower risk of cardiovascular events and about 46% lower risk of brain hemorrhage compared to those who bathe fewer than twice a week.

Open the low-ROI detour

Move “Take baths whenever you can — don’t limit yourself to showers” to Future Me's calendar

If I do not open the notes, no new task has technically appeared.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
02-037

Keep naps under 30 minutes—no longer than an hour. If you regularly need a one- or two-hour nap to get through the day, it’s time to see a doctor.

把午睡控制在半小时内,别超过一小时,非得睡一两小时才撑得住就去查原因

People who nap for less than an hour show no increase in mortality or chronic disease risk, and their mental clarity actually improves. In contrast, those who nap for over an hour face roughly a 30% higher risk of coronary heart disease, and about a 20% higher risk of diabetes and obesity. So set that alarm and wake up after half an hour. If you find yourself needing a one- or two-hour nap every day just to function, that’s a clear sign you should get a medical check-up.

Open the low-ROI detour

Move “Keep naps under 30 minutes—no longer than an hour. If you regularly need a one- or two-hour nap to get through the day, it’s time to see a doctor.” to Future Me's calendar

One more exception feels free because the bill arrives outside the current scene.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
02-038

Catch up on sleep the night after a sleepless night — don’t wait until the weekend

熬夜之后第二天晚上就补觉,别攒到周末

People who get less sleep than they need and fail to make it up the following night have roughly a 15% higher risk of mortality compared to those with regular sleep patterns. Those who are severely sleep-deprived and still don’t catch up face a 42% higher risk. For people who do make up the lost sleep, no such elevated risk is observed. So, if you stay up late, go to bed early the next night.

Open the low-ROI detour

Move “Catch up on sleep the night after a sleepless night — don’t wait until the weekend” to Future Me's calendar

I can spend longer deciding whether to start than the small action would take.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
02-039

The longer you work night shifts, the higher your cardiovascular risk — switch if you can

上夜班干得越久心血管风险越高,能转岗就趁早转

People who work night shifts develop cardiovascular disease about 13% more often than those who don’t, and cardiovascular deaths rise by roughly 27%. The longer you work nights, the worse it gets: for every additional five night shifts, cardiovascular disease risk climbs another 7%. So, when you weigh the long-term costs, it makes sense to switch shifts early on. As for cancer risk, the evidence linking night shifts to cancer is far weaker than commonly believed.

Open the low-ROI detour

Move “The longer you work night shifts, the higher your cardiovascular risk — switch if you can” to Future Me's calendar

The routine already works until the day the source says it may not.

Today I keep a little money, a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-040

Buy pre-packaged cooking oil with an SC code; avoid bulk, unregulated homemade peanut oil

买预包装、有 SC 编号的食用油,不买小作坊散装自榨花生油

When peanuts get damp and moldy, they produce aflatoxin, a confirmed human carcinogen that primarily harms the liver. After Guangzhou tightened regulations on small-scale oil producers, the share of local residents who regularly consumed homemade peanut oil and had abnormal liver function fell by roughly 35%. In Guangxi, pregnant women who ate homemade peanut oil faced a nearly 90% higher risk of giving birth to babies with low birth weight, and an 80% higher risk of premature delivery.

Open the low-ROI detour

Move “Buy pre-packaged cooking oil with an SC code; avoid bulk, unregulated homemade peanut oil” to Future Me's calendar

There is no immediate alarm, so the sensible choice can wait for a less busy week.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
02-041

Replacing lard and butter with vegetable oils for cooking: you don’t need to switch oils for health reasons, nor should you expect flaxseed oil to protect your heart

做饭用植物油代替猪油和黄油,不必为了健康换着买油,也别指望亚麻籽油护心

Cutting back on saturated fats like lard and butter and switching to vegetable oils lowers the risk of heart disease and stroke by roughly 17%. However, overall mortality shows no change. There is no evidence that swapping between soybean oil, corn oil, or canola oil makes any difference. Even consuming large amounts of flaxseed oil does not appear to reduce heart disease risk.

Open the low-ROI detour

Move “Replacing lard and butter with vegetable oils for cooking: you don’t need to switch oils for health reasons, nor should you expect flaxseed oil to protect your heart” to Future Me's calendar

Future Me has a clearer calendar, more patience, and apparently the same responsibilities.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-042

Turn on the range hood while stir-frying and deep-frying, from the moment you light the stove until the cooking is done.

炒菜、煎炸时打开抽油烟机,从开火一直开到做完

Non-smoking Chinese women who rarely or never use a range hood while cooking face roughly twice the risk of developing lung cancer compared to those who use one regularly. Living in a kitchen with poor ventilation also raises this risk by about 50%, with the effect being most pronounced among households that burn coal.

Open the low-ROI detour

Move “Turn on the range hood while stir-frying and deep-frying, from the moment you light the stove until the cooking is done.” to Future Me's calendar

If I do not open the notes, no new task has technically appeared.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
02-043

Discuss bothersome menopause symptoms with a clinician; do not self-medicate or use hormones to prevent heart disease

绝经前后潮热盗汗影响到生活,就去妇科评估激素治疗,别硬扛也别自己买药,更别拿它防心脏病

Hormone therapy reduced hot-flash frequency in trials, while some serious risks increased. Long-term trial data did not show an overall mortality benefit, and therapy is not recommended to prevent chronic disease.

Open the low-ROI detour

Move “Discuss bothersome menopause symptoms with a clinician; do not self-medicate or use hormones to prevent heart disease” to Future Me's calendar

One more exception feels free because the bill arrives outside the current scene.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
02-044

Count dog walks as exercise if you already want a dog; do not get one just to live longer

本来就想养狗的,把每天遛狗算进走路量,别为了长寿专门去养狗

Some observational studies associate dog ownership with lower mortality, but better-adjusted studies find little or no difference. The evidence does not show that getting a dog causes longer life.

Open the low-ROI detour

Move “Count dog walks as exercise if you already want a dog; do not get one just to live longer” to Future Me's calendar

I can spend longer deciding whether to start than the small action would take.

Today I keep a little money, a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off

Source snapshot: a994b6a0c90598b0fe15cb837343f438dbf7b95d. Every original stays available in Chinese alongside the English edition.