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In general most people pay close attention to auto maintenance. Whether the concern is tires, brakes, transmission, or windshield status, people make sure that their cars do what they need them to do. People count on their cars to perform effectively. No one wants a surprise, especially in a critical situation. But in stark contrast, people often give much less consideration to their own physical functioning and capacity than they do to several critical performance factors related to their own automobiles.

The metaphor of machine upkeep standing in for health maintenance is commonplace but apt. To prove the point, most of us allow our physical conditioning to deteriorate far beyond that which we would ever tolerate relative to our cars or even our power lawnmowers. The immediate consequences of such neglect are the developed world epidemic in diabetes, the United States–based epidemic in obesity, and the ongoing high levels of cardiovascular disease worldwide.

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