8 Realistic Healthy Habits That Make a Huge Difference
- Guest
- Dr. Aditi Nerurkar
- Read time
- ~5 min
- Uploaded
- 17 Aug 2024
- Duration
- 0:45:57
- Views
- 578.2K
KEYPOINTS
- 01
Shop the perimeter of the grocery store
Dr. Aditi Nerurkar, a Harvard physician and stress expert, tells patients to stay on the outer ring of the store. That's where the produce, dairy, whole grains and lean proteins are, while the center aisles in the US are mostly processed and ultra-processed foods. Fruits and vegetables, plus fermented foods like yogurt, kombucha and kefir, support what she calls the gut–brain connection.
- 02
The Mediterranean diet is a way of life, not a diet
She calls it the gold standard: mostly plants, fresh produce, minimally processed foods, whole grains, beans, nuts and olive oil, with less dairy and red meat. She is clear this isn't about living like a monk. Food is pleasure, and a slice of chocolate cake under stress is 'good for your soul.' The problem is when it becomes a nightly habit, like her patient's 11 p.m. cake that started to affect his cholesterol.
- 03
Small swaps add up for the microbiome
Rather than a lifestyle overhaul, she suggests a few forkfuls of sauerkraut on your lunch sandwich or an extra helping of vegetables at dinner. Adding prebiotics and probiotics bit by bit, even if not every meal, strengthens the microbiome over time.
- 04
Lifestyle comes before supplements
Patients bring her bags of supplements. She records them in the chart as she would medications, and she stresses that she believes in conventional medicine. But when someone sleeping four hours and drinking four to eight cups of coffee a day asks for the best burnout supplement, she answers that sleep is a therapeutic intervention: cut the caffeine and move a little. Mel adds that the bigger the problem, often the smaller the solution.
- 05
You are never too old to change
She invokes neuroplasticity, calling the brain a muscle that responds to outside input, and says she has had 80-year-old patients whose behavior changes made all the difference in their stress and burnout. She suggests 'parenting yourself' back to health with the basics you'd give a child: a bedtime, less screen time, good food and daily movement.
- 06
Sitting is harmful in its own right
Beyond the benefits of exercise, she says prolonged sitting itself raises anxiety, stress and burnout. The mechanisms aren't entirely clear; one idea is that you 'stew in your own emotions.' There's no set dose for how often to stand. After a two-hour meeting, get up instead of turning straight to Slack and email.
- 07
Fake your commute so your brain can switch modes
About 85% of employees favor hybrid work, but the old commute did a psychological job: it moved you out of home mode into work mode, and the brain 'loves compartments.' Her fix takes 2–5 minutes. Set up your workstation, get out of pajamas, walk outside, grab a coffee, review the day's meetings and to-dos, then come back and start. If you can, bookend the day the same way instead of rushing straight to daycare or dinner.
- 08
Multitasking is task switching, so monotask with time blocks
She says only about 2% of brains can truly multitask. For everyone else, constant switching weakens memory, productivity and the prefrontal cortex's ability to solve complex problems. Her workaround for four tasks in an hour: spend 5–15 minutes on each with short breaks between, so you make headway on all of them without the switching cost.
- 09
Habits take about eight weeks, but you'll feel it sooner
She gives people a solid three months because they may slip, but says many feel a difference within a week. She encourages a concrete goal framed around your future self, such as 'I want to sleep through the night.' Being fed up is valid motivation too. And because even positive change is a stressor, big overhauls backfire when you're already stressed.
- 10
Chase eudaimonic happiness, not just hedonic
Hedonic happiness, like Netflix binges, fancy cars and designer bags, is a real and needed 'Band-Aid.' But the hedonic treadmill pulls you back to a set point, as with lottery winners. Eudaimonic happiness, built on meaning, purpose and contentment, is the kind she says science links to cellular and genetic changes that hedonic pleasure doesn't produce.
EXAMPLES
- 01
The 800-person sitting study
She cites a study in which the people who sat most had a 112% higher risk of diabetes, 147% higher risk of heart disease, 90% higher risk of death from heart disease and 50% higher risk of death overall. She uses it to back the pop-culture line 'sitting is the new smoking.'
- 02
Ultra-short bursts of activity and cancer risk
She cites research on 1–2 minute bursts: taking the stairs, parking far from the store entrance, running for the bus. She says these were associated with a 40% lower risk of dying from cancer. That's why a hallway or staircase walk still counts.
- 03
Her own burnout and the techno gym
As a resident working 80 hours a week, trained under the motto 'pressure makes diamonds', her 'diamond cracked.' A doctor told her to get a massage and relax, which didn't help. She had a state-of-the-art gym in her basement, but the mirrors, machines and blasting techno made her turn around and never go back. Instead she walked the scenic route home after 30-hour shifts in Philadelphia, starting at 2 minutes and building up.
- 04
Zoom dysmorphia and the camera-off ask
During the pandemic, constantly seeing your own face fed what's been called Zoom dysmorphia, and she says Zoom fatigue is real. Her rule: showing up is enough. When she asks 'do you mind if I turn my camera off?', people often say yes with relief, or suggest a phone call.
- 05
The guitar-playing colleague
Early in her career, a doctor told her on a Thursday that he could only play guitar on weekends, and he hadn't played at all the week before. That conversation inspired her prescription to 'live a lifetime in a day.'
- 06
A study on 10-minute breaks
She describes brain-scan research comparing workers who took no breaks with those who took incremental 10-minute breaks. The break group ended the day with lower stress and better memory, attention and engagement. The researchers called the breaks a reset from cumulative stress.
OTHER RELEVANT
- 01
Walk 10 minutes a day instead of scrolling
She walks daily rather than planning three hour-long gym classes, because a daily habit avoids decision fatigue and the self-efficacy crash of missing sessions. She frames it as mental fitness, not cosmetic abs, which she says has never motivated a stressed patient. Five minutes is fine, and 20 is great.
- 02
Try walking meditation
She hated sitting meditation at first. Walking while focusing on your feet, which have about 30 bones and 100 muscles, gets you out of your head and into your body. Mel, married to a daily sit-down meditator, said it was a relief to hear that walking counts.
- 03
Live a lifetime in a day
Even 2 minutes each: childhood (play and wonder for no reward), work (anything meaningful, paid or not), vacation (let your mind wander), community (a text or quick call, since she says loneliness equals smoking 15 cigarettes a day), solitude (for creativity), and retirement (reflect on what you got done before bed).
- 04
Add strength and balance as you age
She now aims for 30 minutes most days, including resistance training. After nearly falling off a balance board two months ago, she now stands on a wooden one during calls.