What Community-Based Glocal Comprehensive Assessment Tells Us: Chronoecology Is Far Superior to Evidence-Based Medicine (EBM)

, Germaine Cornelissen2 and Franz Halberg2



(1)
Department of Chronomics & Gerontology, Tokyo Women’s Medical University Medical Center East, Arakawa-ku, Tokyo, Japan

(2)
Halberg Chronobiology Center, University of Minnesota, Minneapolis, MN, USA

 



Abstract

In this chapter, we focus on another field of chronoecology. In the quest for a better medicine, since 2000 we have examined community-dwelling subjects from the viewpoint of a “glocal” (combined global and local) comprehensive assessment in several villages. We applied “chronomics” to detect disease at an early stage by longitudinal follow-ups of clinical and lifestyle data to assess changes in health status. Namely, a variety of cognitive, neurobehavioral, and neuropsychological as well as cardiovascular functions will need to be investigated to more precisely map their chronomes in space and time, i.e., in communities worldwide. Herein, we introduce some of the major findings.


Keyword
ChronoecologyCognitive functionCommunity-based comprehensive medical assessment



9.1 Chronoecology


Recently disclosed facts suggest that organisms evolved on Earth acquired many of the visible and invisible cycles of their habitat and/or of their cosmos. While circadian systems are well documented both time-macroscopically [17] and time-microscopically [13, 812], the temporal organization of physiological function is much more extensive. Humans have developed “clock” genes of the circadian, and probably many other components in the spectral element of chronomes, beyond about-yearly (circannual) and about-weekly (circaseptan) features, as a product of adaptation to, or rather integration with cycles in the cosmos. These resolvable time structures, chronomes, in us have counterparts around us, also consisting of rhythms, trends, and chaos, as is increasingly being recognized.

In this section, we focus on another field of chronoecology in medicine [13]. A variety of cognitive, neurobehavioral, and neuropsychological as well as cardiovascular functions will need to be investigated to more precisely map their chronomes in space and time, i.e., in communities worldwide. Fortunately, we have succeeded in investigating several rural Japanese towns, including Uraus and Tosa (Figs. 9.19.7), but also old towns in the Himalayan valley (Figs. 9.89.10). We have also performed a project on stroke prevention, based on community-based comprehensive medical assessment (CMA), including 7-day/24-hour monitoring of blood pressure as a public service, in Uraus and Tosa, towns in Hokkaido and in Shikoku county, Japan, respectively, according to plans originally made in the city of Roseville, a suburb of St. Paul, Minnesota [14]. Mayor Kaname Yamamoto in Uraus and mayor Takushi Nishimura in Tosa have extended to all residents of their cities an offer of community-based CMA, including 7-day/24-hour blood pressure monitoring, which is the first historic chronome mapping for stroke prevention [1522].

A316677_1_En_9_Fig1_HTML.jpg


Fig. 9.1
Pictures of officials who made the CMA studies of two rural Japanese towns possible


A316677_1_En_9_Fig2_HTML.jpg


Fig. 9.2
A rural scene of Uraus. Top: winter; lower left: spring; lower right: summer (Picture copyright, Mr. Akiho Toshiyuki)


A316677_1_En_9_Fig3_HTML.jpg


Fig. 9.3
Professor Halberg and Professor Cornelissen visited Uraus town and discussed with town mayor, Mr. Kaname Yamamoto, how we should proceed the chronobiological health-watch in November 3, 2006

Only gold members can continue reading. Log In or Register to continue

Stay updated, free articles. Join our Telegram channel

May 23, 2017 | Posted by in CARDIOLOGY | Comments Off on What Community-Based Glocal Comprehensive Assessment Tells Us: Chronoecology Is Far Superior to Evidence-Based Medicine (EBM)

Full access? Get Clinical Tree

Get Clinical Tree app for offline access