Health
Global Life Expectancy Rebounds to Pre-Pandemic Levels, But Deep Inequalities Persist
Global life expectancy has returned to its pre-pandemic level, but researchers warn that stark regional inequalities and rising chronic illnesses continue to threaten public health worldwide.
According to a new study published in The Lancet, average life expectancy reached 73.8 years in 2023 — a significant recovery from the sharp decline seen during the COVID-19 pandemic, when the average dropped to 71.7 years in 2021. The virus, which became the world’s leading cause of death in 2020, had fallen to 20th place by 2023, behind chronic diseases such as heart disease, stroke, and diabetes, as well as Alzheimer’s and neonatal disorders.
While the rebound marks a return to pre-pandemic health levels, the study highlights a growing divide between countries. Researchers from the Institute for Health Metrics and Evaluation (IHME) at the University of Washington, who led the analysis, said chronic illnesses now account for nearly two-thirds of deaths and disability globally. They warned that without urgent action to tackle preventable risk factors like obesity, smoking, and air pollution, millions of lives could continue to be lost unnecessarily.
“The rapid growth in the world’s ageing population and evolving risk factors have ushered in a new era of global health challenges,” said Dr. Christopher Murray, IHME director and lead author of the study. “This should be a wake-up call for governments to respond swiftly and strategically to the disturbing trends that are reshaping public health needs.”
The study examined data on 375 diseases and 88 risk factors across 204 countries and territories from 1990 to 2023. In Europe, the researchers analyzed five major nations — France, Germany, Italy, Spain, and the United Kingdom — where heart disease remained the leading cause of death in 2023, except in France, where lung cancer topped the list. Life expectancy in these countries ranged from 80.9 years in Germany to 83.2 years in Spain, well above the global average.
However, the researchers also noted worrying patterns in other regions. Death rates among teenagers and young adults have increased in North and Latin America, driven by suicide, substance abuse, and alcohol-related causes. In sub-Saharan Africa, infectious diseases and accidents remain leading killers.
The findings underline the urgent need for renewed focus on health equity, prevention, and early intervention. Despite the global recovery from COVID-19, the report concludes, the world now faces a new set of complex, interlinked health challenges that demand immediate attention from policymakers and health leaders.
Health
World Cup Emotion Can Strain the Heart, Cardiologists Warn Fans at Risk
As the World Cup begins, medical experts are cautioning football fans with underlying heart conditions that the emotional intensity of matches can place unexpected strain on the cardiovascular system.
Cardiologists say that the excitement, tension, and anxiety generated during high-stakes games can trigger physical reactions similar to intense exercise, raising heart rate, blood pressure, and stress hormones.
“Intense emotions, whether positive or negative, can act as ‘precipitating risk factors’ for cardiovascular events such as heart attack,” said Paola Santalucia, a cardiologist and board member of the European Heart Network.
She explained that moments of extreme excitement, such as a decisive penalty shootout or a last-minute goal, may pose risks for people already living with heart disease. Those with additional risk factors, including hypertension, obesity, or smoking habits, are also advised to be cautious during emotionally charged matches.
Research using wearable devices has shown that during major football events, some fans experience heart rates climbing as high as 150 beats per minute. That level is comparable to sprinting and reflects how strongly the body reacts to emotional stress.
A study examining supporters during the 2025 German Cup final found that even watching from home can significantly affect physiological responses. “They still had an increase in heart rate that compares to walking, even though they didn’t walk,” said Christian Deutscher, professor of sports economics at Bielefeld University and co-author of the study.
He noted that the most intense reactions often occur not during goals themselves, but during moments of uncertainty such as VAR checks, penalty shootouts, or shots striking the post. These unpredictable situations, he said, are what drive the strongest emotional and physical responses among fans.
Deutscher also pointed out that stadium spectators may experience even greater strain due to environmental factors such as heat and alcohol consumption.
However, experts emphasize that football itself is not inherently dangerous. Instead, it is the body’s natural response to excitement that can create temporary stress.
“The adrenergic stimulation is at its max: extreme high blood pressure, high heart rate, and adrenaline, cortisol, skyrocketing,” said Dan Atar, professor of cardiology at Oslo University Hospital. In rare cases, he added, this surge can contribute to the rupture of arterial plaque in vulnerable individuals, potentially leading to a heart attack.
Atar stressed that such events can occur in everyday situations as well, including physical exertion like shoveling snow. “It is in no way dangerous to watch a football game,” he said. “All this is physiologic. It’s not dangerous to be excited.”
Still, he acknowledged that combining emotional stress with alcohol, heat, and pre-existing conditions can increase risk for some viewers.
Doctors advise those at higher risk to continue prescribed medications, limit alcohol intake, avoid smoking, and watch for warning signs such as chest pain or irregular heartbeat.
“The key message is not to avoid enjoying the match, but to do so with moderation and awareness,” Santalucia said.
Health
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Health
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