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Lifestyle — Effect Sizes That Match Drugs

5-minute read 30 XP in app 6 cards

Not all lifestyle advice moves the needle

"Eat healthy, exercise more" is true and useless. What actually moves cardiovascular risk by a measurable amount is a short list of specific levers with published effect sizes. Stack the big ones and your risk reduction matches a statin without a prescription pad.

Fact

Zone 2 cardio — 3 hours/week

Three to four hours of moderate (conversational pace) aerobic work per week reduces CVD mortality by ~30% independent of other factors. This is the single biggest-effect lifestyle lever. Your current resting HR of {restingHr} is one of the metrics that tracks it.

Fact

Mediterranean diet pattern

PREDIMED randomised 7,447 high-risk people to a Mediterranean diet vs a low-fat control. The Mediterranean arm reduced major cardiovascular events by 30%. The diet isn't magic — it's olive oil as the primary fat, fish regularly, vegetables + legumes every day, minimal processed food.

Fact

Sleep — the silent risk factor

Chronic sleep under 6 hours/night raises CVD mortality by ~20%. Untreated sleep apnoea at least doubles event risk. These aren't marginal numbers. Sleep is arguably a cardiovascular drug. Screen for apnoea if you snore, have hypertension, or feel unrefreshed.

Try in app

Stack them

Drag each lifestyle lever from highest to lowest effect size on CVD risk.

This step is interactive — open the Thier app to try it.

Takeaway

Key Takeaway

Zone 2 cardio, Mediterranean eating, and consistent sleep aren't soft advice — they each independently move CVD mortality by 20–30%. Stack all three and you're rivalling moderate-intensity statin therapy without the prescription.