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    Pillar 2 of 3

    Lifestyle: the four daily levers that matter most

    Decades of evidence (NHG, WHO) point to four daily factors that explain most modifiable health risk. None of them alone defines someone — but together, and combined with biomarkers, they predict who needs attention.

    The four core factors

    Preventa scores these the way Dutch primary care does: isolated cases are usually fine; combinations and severity trigger follow-up.

    • Smoking — the single largest avoidable risk
    • Alcohol — pattern and weekly load
    • Physical activity — minutes per week vs. WHO targets
    • Diet — fruit, vegetable and ultra-processed intake

    How lifestyle amplifies biomarker risk

    Lifestyle factors rarely cause one isolated problem. They amplify the silent conditions already developing — for example, smoking compounds cardiovascular risk on top of cholesterol, and inactivity compounds metabolic risk on top of glucose.

    What good follow-up looks like

    Recommendations are personalised, prescriptive and rank-ordered. We never throw the whole list at someone — only the top priorities that will move the needle for them.

    Educational content only. Personalised recommendations appear in the report after testing.