top of page
Writer's pictureSaneka Chakravarty, MD, FACC

Understanding disability : The first step in prevention

Updated: Aug 8, 2023

Gauging the true impact of a disease on lives lost isn't always as clear-cut as it seems. A more comprehensive perspective often emerges when we consider the concept of disability adjusted life years (DALY).

DALY takes into account the years of healthy living marred by disability, offering a more holistic assessment.

The ripple effect of a major disability can cast a shadow over the tapestry of one's existence.

An individual's quality of life is woven from several threads, as outlined by the European Commission:

- Material living conditions

- Main activity or productivity

- Health

- Education

- Social interactions and leisure

- Economic and physical security

- Basic rights and governance

- Natural and living environment

- Overall life experience

Diminished health can unravel productivity, income, leisure pursuits, economic stability, living surroundings, and more. Picture the 50-year-old who survives a heart attack but is left with incapacitating heart failure. Though basic daily tasks can still be managed, frequent hospital visits and doctor appointments render full-time work unfeasible. Activities that once brought joy, like biking and golfing, now seem out of reach due to breathlessness. This doesn't only impact him but casts a shadow over his family as well.

Startlingly, one in four adults in the United States grapple with some form of disability.

Here's a glimpse into some enlightening statistics to further illuminate the narrative. While some trends inspire optimism, others underscore the need for action:

👍 From 1995 to 2005, the USA witnessed a consistent decline in disability adjusted life years (DALY), mainly attributed to advancements in public health initiatives.

👍 The major drop stemmed from fewer premature deaths.

👎 Yet, years lived with disability remained stagnant, underscoring an area that demands focused attention.

As of 2020, heart disease (#1) and cancer (#2) held their grip on the leading causes of death, with COVID claiming the #3 spot.

Exploring the top contributors to disability adjusted life years in the United States, the lineup in 2015 looked like this: mental health disorders and substance abuse (#1), cancer (#2), heart disease (#3).

Remarkably, for men, heart diseases weighed heaviest, while mental health disorders bore a heavier burden for women.

This mosaic of statistics underscores the vital interconnectedness of physical and mental health. Delve into my other articles to unravel the powerful role lifestyle plays in staving off disease and preserving wellbeing.

Sources for further exploration:

Recent Posts

See All

Comments


bottom of page