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AIBU to think poor health in later life is a UK problem?

340 replies

BePunnyLilacCrow · 27/04/2026 14:15

https://www.bbc.co.uk/news/articles/c20q07w3gl9o

I just read an article about healthy life expectancy in the UK, and I find it quite sad that we are basically at the bottom of the list among the world’s richest countries. Even the US is better than the UK on average??

Life expectancy in the UK is:

Men: ~79-80 years
Women: ~83-84 years

BUT

Men spend about 19–20 years in poorer health
Women spend about 22–23 years in poorer health

I know that the UK has relatively good overall life expectancy, but that mainly means we are keeping people alive for longer. Unfortunately, those extra years are often not spent in good health. These facts are not true for wealthier parts of the UK, but even the more affluent areas still tend to have lower healthy life expectancy than many average European countries. I am curious what
people think about the contributing factors? I think:

• Weaker family/social connections (I seriously think this is a big one)
• Obviously diet + high consumption of UPFs
• Low every day
activity (again, loneliness contributes to this esp. for the elderly)

There are many reasons, but in my opinion these contribute a lot. Especially weak social life I see in the UK compared to most countries I’ve lived/been to. For example something as simple as cooking together with people, or for family gatherings etc can have a huge impact on how people eat, because you are encouraged more to home cook food in that way, rather than just get a greasy takeaway or eat out, or just get a rubbish supermarket ready meals most people have etc.

This post is not about judging anyone’s lifestyle choices. But I think we should all be concerned about this because there is no point in living longer if it’s spent in illness. And I’m saying this as someone under 30.

What do you think? How can we improve these measures and live a better life in the UK?

Stock photo shows a person sittting on the floor of a yoga studio while practising meditation with others in the background.

UK healthy life expectancy falls by two years in past decade

Poor housing, obesity and the effects of deprivation have been suggested as underlying cause.

https://www.bbc.co.uk/news/articles/c20q07w3gl9o

OP posts:
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5
RawBloomers · 27/04/2026 17:12

Inequality and poor nutrition are major drivers. Not just the high fat, high salt, high UPF aspect but also prenatal nutrition, low breastfeeding rates, poor infant nutrition and abysmal child nutrition. This is down, in part, to the UK's recovery from WWII which, even as class barriers and inequality dropped meant Britain struggled to a much greater extent as other OECD countries recovered. And it had a lasting impact on UK food culture across the board, increasing acceptance of cheap, low quality processed foods. But then the resurgence of inequality saw the gains in food quality that have been made since the 80s entirely miss the least well off.

We have massive cultural issues from the last 40 years (ingrained over the preceding centuries) as gains that could have improved the long term quality of life were spunked up the wall on short term hedonism. This stemmed in large part from Thatcher's policies in the 80s, which were then cemented into place by Blair's glossy pretenses at equality (which mainly just papered over massive structural inequality by borrowing from the future).

We've failed to invest in the NHS adequately and so have lots of people whose health could be better and require less investment at the tail end of life now needing significant care. And we seem to baulk at analysis that would bring more fairness or economic utility to how its money is spent.

WildGarden · 27/04/2026 17:12

Obesity
1980s: 7%
1990s: 15%.
2000s: 25%

2022/2024, 29%

EasternStandard · 27/04/2026 17:12

PansyPapers · 27/04/2026 17:10

Stressful lives, sometimes very much so.
Long working hours.
Women doing the double shift.
Lack of outdoor amenities eg lack of swimmers pools.
England’s huge cities lacking outdoor space.
Living longer (but not healthier)

A tradition of cheaper processed food, especially from the industrial revolution and post – war. Even though now our supermarkets stock fantastic food, often better than anything you find on the continent!

The weather
Philistinism
Laziness (most of us can be guilty of that)
Poor housing, people squashed together.
A fair amount of general poverty. Living standards have actually fallen since the early 2000s.

I’m in a city and really the parks are full of people running. It’s probably easier to do a running commute too.

dizzydizzydizzy · 27/04/2026 17:12

NHS on its knees, especially for anything to do with mental health, an obesogenic environment coupled with a total lack of understanding on what constitutes a good diet, poor quality housing, huge income and cost disparities, the pandemic, many people do not have access to places to exercise.

GingerBeverage · 27/04/2026 17:11

Itsmetheflamingo · 27/04/2026 14:44

But isn’t this simplistic? What possible factor could be applicable to the uk that isn’t applicable in the rest of the word? This risks falling into a “Briton’s people are all fat and thick and lonely” and if only we had fresh markets and family dinners like the French all would be good. And that’s just not the case.

I asked the same thing because the other countries doing badly are NL, Canada, Germany, US.

www.mumsnet.com/talk/_chat/5522305-people-in-uk-spend-fewer-years-in-good-health-than-a-decade-ago-study-finds?reply=151947667&utm_campaign=reply&utm_medium=share

PansyPapers · 27/04/2026 17:10

Stressful lives, sometimes very much so.
Long working hours.
Women doing the double shift.
Lack of outdoor amenities eg lack of swimmers pools.
England’s huge cities lacking outdoor space.
Living longer (but not healthier)

A tradition of cheaper processed food, especially from the industrial revolution and post – war. Even though now our supermarkets stock fantastic food, often better than anything you find on the continent!

The weather
Philistinism
Laziness (most of us can be guilty of that)
Poor housing, people squashed together.
A fair amount of general poverty. Living standards have actually fallen since the early 2000s.

mbosnz · 27/04/2026 17:10

I think physical environment has a bigger impact than we sometimes factor in. Poor air quality. Poor water quality. Less green spaces encouraging movement, play, and the ability to destress and wind down for free. Not enough pavements for road safe walking, and cycle safe roads for free mobility, and encouraging less car usage. Poor quality social housing that is cold, damp, poorly ventilated and mouldy.

bestcatlife · 27/04/2026 17:10

Oh and don’t forget the many health problems coming down the line from children being brought up in temporary accommodations (hotel rooms, b&bs..)

Krautie · 27/04/2026 17:10

I live in Germany where we have the highest expenditure on health care in the EU and we are only one notch higher than the UK.

Carla786 · 27/04/2026 17:10

circusrunaways · 27/04/2026 17:07

@Carla786 but will that offset financial stress? They aren’t having dc so that might help!

It might...some will probably have DC in the end. I'm Gen Z and plan to have 2. Most of my friends want kids, too. Improvement of economy would probably mean some people consider it more - this tough spot surely can't last forever..

circusrunaways · 27/04/2026 17:09

@AprilMizzel I think it’s much more complicated than just diet.

AprilMizzel · 27/04/2026 17:08

circusrunaways · 27/04/2026 17:00

What’s scary if today’s over 50s are unhealthy despite better pensions, more homeowners, lower pension age etc what on earth are generations under them going to be like!

Some condition are already hitting at younger ages - bowel cancer is one and diets often blamed but recent research shown there may be a change in some E. coli strains producing toxins cause it and that's looks like it may be behind the increase in under 50s bowel cancer.

Carla786 · 27/04/2026 17:07

Badbadbunny · 27/04/2026 16:13

I think the fractured nature of society/households/family is a big part of it.

In the UK, I get the feeling that kids move away to more distant universities in larger numbers than some other countries where they either don't go to Uni (better local alternative further education options) or go to a more local uni meaning they can continue to live at home.

Then, we come to decent jobs, and the centralisation of so many jobs in London and the immediate vicinity in the South East meaning so many people having to leave their home towns to get a decent job, especially if they live in rural areas or the regions.

It leaves entire communities run down, with elderly people having few or no close relatives, so no one to care for them or advocate for them, fewer local amenities, etc.

Personally, I think we need a massive drive to rejuvenate all the rural areas and regions and finally start to create a movement away from London (and not just to another big city like Manchester or Birmingham). We need to inject life back into the forgotten towns and cities and thus in turn, improve facilities and amenities like parks, recreation, hospitals etc.

This!!

ineededanewnameitsbeentoolong · 27/04/2026 17:07

Poor diet, glorification of being overweight, little exercise and a non-existent health service … its not a surprise!

circusrunaways · 27/04/2026 17:07

@Carla786 but will that offset financial stress? They aren’t having dc so that might help!

Lifeomars · 27/04/2026 17:06

I'm an older person and one of the things that stops me going out and about as much as I would like to is the fact that the area I live in is so awful. It is a litter and fly tipping strewn dump with street drinking and open drug dealing going on. Very few people put their wheelie bins away so the narrow streets are actually quite hazardous to walk down if you have poor vision, moblity problems or are a parent pushing a buggy. I live reasonably close to two green spaces but to get there and back I have to walk past so much rubbish that it just makes me depressed so I don't often bother. I don't like inviting people round as even though my home is ok I am embarrassed by the area I live in. Moving is not a finacial option. I am sure that living in a decent area adds to a person's healthy years but I am not sure how this would be proved as there are so many other variables to factor in such as consuming less healthy food, , smoking, and alcohol comsumption which tend to be higher in more economically deprived places.

Carla786 · 27/04/2026 17:06

Bloozie · 27/04/2026 16:00

This is very true. I am a dog owner and this winter just gone was an absolute SLOG. Bare minimum exercise for all of us, to avoid growing gills. I live in a gorgeous part of the world with miles of open moorland to explore. Don't go anywhere near it for 7 months of the year as it just sucks your wellies off.

I get this but has the weather got worse? People were healthier before.

And by this logic, the coldest countries would have the fattest and unhealthiest populations - is this the case?

circusrunaways · 27/04/2026 17:05

A 40 hour working week still leaves us with 128 hours to exercise, eat well, sleep, socialise and do whatever else we need to do. It's hardly like we're pushed for time

I think this is too simplistic, I’m trying to fit in more exercise but finding it so tough. I already get up 5:45, don’t work p/t, juggle pick ups and drop offs with DH. I had planned to reduce my hours but finances are tight now.

Carla786 · 27/04/2026 17:05

circusrunaways · 27/04/2026 17:00

What’s scary if today’s over 50s are unhealthy despite better pensions, more homeowners, lower pension age etc what on earth are generations under them going to be like!

To be fair Gen Z smoke and drink less and many eat well.

Carla786 · 27/04/2026 17:04

2dogsandabudgie · 27/04/2026 17:01

I wonder if we had to pay for our health care whether people would take better care of themselves.

Is it because we take the NHS for granted that we take our health for granted too?

Does that work in the US??

Euro models are what we should have imo.

AprilMizzel · 27/04/2026 17:04

TheKittenswithMittens · 27/04/2026 16:44

Back in the 60s and70s, adults joined clubs around their hobbies/interests, be it amateur dramatics or showing roses or pigeon racing.

There was also much more evening classes to meet people and gain new skills. They seem to have completely gone.

IL do a lot of socilaising - some of that is going to the pub but pub closures have hit their area quite hard. So while the alchol consumption probably wasn't great for health the social side was/ is there for them but declining.

Carla786 · 27/04/2026 17:04

StandingDeskDisco · 27/04/2026 16:09

That requires:
Knowing how to cook this kind of stuff.
Buying and using the stuff in time - which requires forward planning. If you are working random shifts at your employer's whim, that broccoli may go off in the fridge before you have the energy to cook it in a meal.

A loaf of Asda white bread is 74p and a tub of marge is 95p. That might be breakfast for a week for a family, but is utter crap.
A frozen pizza is 1.65 and two garlic bread loaves 85p. All carbs and fat, but it will fill the family and be quick and easy, a complete meal in two packets, no need to peel and chop veg, or handle multiple pans and multiple ingredients with fiddly timings to get it all cooked at the same time.

Don't under-estimate the effects of depression and exhaustion.

I partly agree but if you choose to have kids, you HAVE to try. I understand people falling into despair, and our government is disgraceful. But when you have dependent kids, you can't just feed them crap. Previous generations had war and other serious problems but still cooked etc

2dogsandabudgie · 27/04/2026 17:01

BePunnyLilacCrow · 27/04/2026 14:29

It’s not fair to compare the poorer countries to the UK as there is a huge gap between us and them in many aspects.

But we can compare ourselves to other rich countries and we are doing far worse than them. So we must be doing something wrong, and I think it makes it a UK problem.

I wonder if we had to pay for our health care whether people would take better care of themselves.

Is it because we take the NHS for granted that we take our health for granted too?

bestcatlife · 27/04/2026 17:01

Yes it’s a UK problem (if we’re referring to Europe) old, mouldy damp housing, low wages, soaring rents, inadequate welfare system, inadequate health service.. I mean need I go on?

circusrunaways · 27/04/2026 17:00

What’s scary if today’s over 50s are unhealthy despite better pensions, more homeowners, lower pension age etc what on earth are generations under them going to be like!

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