The Eight Pillars of Health: A 120-Year-Old Blueprint for Modern Medicine

Introduction: The Remedies Hiding in Plain Sight

Every year, chronic diseases (heart disease, type 2 diabetes, cancer, and dementia) claim the lives of roughly 41 million people worldwide, accounting for 74% of all global deaths. Yet the World Health Organization estimates that up to 80% of heart disease, stroke, and type 2 diabetes cases, and more than a third of cancers, could be prevented through modifiable lifestyle factors. The remedies are not locked in a pharmaceutical vault, a prescription bottle, or a cabinet full of vitamin supplements. They are, and always have been, woven into the fabric of daily life.

We live in an era that has conditioned us to believe that good health comes from the outside in: a pill for blood pressure, a statin for cholesterol, a handful of supplements to cover our nutritional gaps. But the science tells a fundamentally different story. Lasting health is not something we purchase; it is something we practice. It is built, day by day, on a foundation of simple lifestyle choices that no drug or supplement can replace.

What makes this story all the more remarkable is that over a century ago, a largely self-educated American author named Ellen G. White laid out a set of foundational health principles that read like a preview of 21st-century lifestyle medicine. In her 1905 book Ministry of Healing, she wrote: “Pure air, sunlight, abstemiousness, rest, exercise, proper diet, the use of water, trust in divine power: these are the true remedies.” These eight pillars, she argued, form the very foundation of good and lasting health.

White penned those words decades before the discovery of vitamin D synthesis in the skin, before the first randomized controlled trial on exercise and cardiovascular disease, and before microbiome science revealed the profound connection between diet and immunity. Today, a massive and growing body of peer-reviewed research validates each of her eight pillars with striking precision. This article dives deep into the modern science behind each one and makes the case that these foundational, often overlooked principles, not pharmaceuticals or supplements, may be the most powerful tools we have for preventing and even reversing chronic disease.

Origins: Ellen White and the Ministry of Healing

Ellen Gould White (1827-1915) was a prolific author, co-founder of the Seventh-day Adventist Church, and one of the earliest voices in America’s health reform movement. At a time when mainstream medicine relied heavily on mercury-based purgatives, bloodletting, and opium-laced tonics, White advocated for a radically different approach: a whole-person model of health rooted in simple, natural remedies.

Her 1905 book, Ministry of Healing, codified what she had been teaching for decades into eight interconnected principles. These were not abstract philosophies. They were practical prescriptions: eat a wholesome, plant-forward diet; move your body daily; drink plenty of water; get adequate sunlight; breathe fresh air; practice temperance and self-control; prioritize rest and recovery; and cultivate trust in God as a foundation for mental and spiritual peace.

The impact was measurable. Seventh-day Adventists who followed these principles became the subject of some of the most important longitudinal health studies ever conducted. The Adventist Health Studies, launched at Loma Linda University in California, have tracked tens of thousands of Adventists since the 1960s and consistently found that adherents live 7 to 10 years longer than the average American. Loma Linda was subsequently designated one of the world’s five Blue Zones, regions where people routinely live past 100 in good health.

The genius of White’s framework was its integration. She did not isolate nutrition from exercise, or rest from spiritual wellbeing. She understood health as a system, an insight that modern systems biology and lifestyle medicine are only now catching up to.

PILLAR 1: NUTRITION

Wholesome, Plant-Forward Diet; Avoiding Harmful Substances

White’s dietary counsel, emphasizing fruits, vegetables, whole grains, legumes, and nuts while avoiding stimulants and highly processed foods, was considered radical in 1905. Today, it is the consensus of virtually every major health organization on earth.

The evidence is staggering. A landmark 2019 analysis published in The Lancet (the Global Burden of Disease study) found that poor diet is responsible for more deaths globally than any other risk factor, including tobacco. Specifically, diets low in whole grains, fruits, nuts, and seeds, and high in sodium and processed meat, contributed to approximately 11 million deaths annually. The researchers concluded that dietary improvement could prevent roughly one in five deaths worldwide.

The Adventist Health Study-2, following over 96,000 participants, demonstrated that vegetarian and vegan Adventists had significantly lower rates of type 2 diabetes (approximately 50% lower in vegans), cardiovascular disease, hypertension, metabolic syndrome, and certain cancers compared to their meat-eating counterparts. These were not small effect sizes; they were among the most dramatic dietary findings in epidemiologic history.

At the molecular level, we now understand why plant-forward diets are so protective. Phytochemicals, including polyphenols, flavonoids, carotenoids, and glucosinolates, act as epigenetic modulators, antioxidants, and anti-inflammatory agents. Sulforaphane from cruciferous vegetables activates the Nrf2 pathway, upregulating the body’s own antioxidant defense system. Fiber feeds beneficial gut bacteria that produce short-chain fatty acids like butyrate, which maintain intestinal barrier integrity and regulate systemic inflammation. A 2024 meta-analysis in Nature Medicine confirmed that higher dietary fiber intake was associated with a 15-30% reduction in all-cause mortality, coronary heart disease, and colorectal cancer.

White’s additional counsel to avoid harmful substances, including alcohol, tobacco, and excessive caffeine, has been equally vindicated. The World Health Organization’s International Agency for Research on Cancer classifies alcohol as a Group 1 carcinogen, and a 2023 study published in The Lancet Oncology estimated that alcohol consumption caused approximately 740,000 cancer cases globally in a single year.

PILLAR 2: EXERCISE

Daily Movement to Strengthen Body and Mind

White championed daily physical activity at a time when exercise was considered laborious rather than therapeutic. She wrote that “inaction is a fruitful cause of disease” and urged readers to engage in outdoor work, walking, and daily movement as medicine.

Modern research has confirmed that physical inactivity is the fourth leading risk factor for global mortality, contributing to approximately 3.2 million deaths per year. A 2022 prospective cohort study published in JAMA Internal Medicine, analyzing data from over 100,000 participants in the National Institutes of Health-AARP Diet and Health Study, found that individuals who engaged in 150 to 300 minutes of moderate-intensity aerobic activity per week had a 20 to 25% reduction in all-cause mortality, with even greater benefits seen from adding resistance training.

The mechanisms are profound and far-reaching. Exercise stimulates the release of myokines, signaling molecules produced by contracting muscle that act as anti-inflammatory agents and tumor suppressors. Interleukin-6, released acutely during exercise, triggers cascading anti-inflammatory effects and enhances insulin sensitivity. Regular exercise upregulates brain-derived neurotrophic factor (BDNF), which promotes neuroplasticity and has been shown to reduce the risk of Alzheimer’s disease by up to 45% in some cohort studies.

Perhaps most compelling, a 2023 study in the British Journal of Sports Medicine demonstrated that exercise variety, combining aerobic activity, resistance training, and flexibility work, conferred a greater mortality benefit than any single exercise modality alone, with the most active individuals showing a 40% reduction in all-cause mortality compared to sedentary peers.

Exercise has also emerged as one of the most effective interventions for cancer prevention and survivorship. A comprehensive meta-analysis in Medicine & Science in Sports & Exercise found that regular physical activity was associated with reduced risk of at least 13 types of cancer, including breast, colon, endometrial, and liver cancers. These findings have led the American College of Sports Medicine to formally endorse the concept of “Exercise Is Medicine.”

PILLAR 3: WATER

Using Water Internally and Externally for Health

White advocated the generous use of water, both internally through adequate hydration and externally through hydrotherapy, a practice she promoted even as most physicians viewed it with skepticism.

The internal case is straightforward but underappreciated. Chronic low-grade dehydration is remarkably common, particularly among older adults, and has been linked to impaired cognitive function, kidney stones, urinary tract infections, constipation, and increased blood viscosity (a risk factor for thrombosis and cardiovascular events). A 2023 prospective cohort study published in eBioMedicine (a Lancet journal), drawing on 25 years of data from the Atherosclerosis Risk in Communities study, found that adults with serum sodium levels at the higher end of the normal range, a proxy for chronic underhydration, had a significantly increased risk of developing heart failure and dying prematurely. The authors concluded that proper hydration may slow biological aging.

The external application of water, hydrotherapy, has experienced a scientific renaissance. Contrast water therapy (alternating hot and cold immersion) has been shown to enhance post-exercise recovery by modulating blood flow, reducing inflammatory markers, and lowering perceived muscle soreness. Cold water immersion specifically activates brown adipose tissue, increases norepinephrine release (improving alertness and mood), and has been shown to have measurable effects on immune cell mobilization. A 2016 randomized controlled trial published in PLOS ONE found that participants who ended their daily shower with 30 to 90 seconds of cold water had a 29% reduction in sick days from work.

Modern sports medicine and rehabilitation programs now routinely incorporate hydrotherapy protocols, validating White’s recommendations over a century ago.

PILLAR 4: SUNLIGHT

Safe Exposure to Sunlight for Vitality and Vitamin D

White encouraged spending time outdoors in sunlight, writing that it was one of nature’s most healing agents. This was well before anyone understood the photochemistry of vitamin D synthesis, a process that would not be elucidated until the 1920s and 1930s.

Today, the science of sunlight exposure reads like a vindication of White’s counsel. Vitamin D, synthesized when UVB radiation converts 7-dehydrocholesterol in the skin to cholecalciferol, is now recognized as a pleiotropic hormone affecting virtually every organ system in the body. Vitamin D receptors are present in immune cells, brain tissue, cardiovascular endothelium, pancreatic beta cells, and skeletal muscle. Deficiency has been associated with increased risk of cardiovascular disease, multiple sclerosis, type 1 and type 2 diabetes, depression, autoimmune disorders, and several cancers.

A 2023 meta-analysis published in The BMJ, analyzing data from over 100 randomized controlled trials, confirmed that vitamin D supplementation reduced all-cause mortality by approximately 6%, with the greatest effect observed in individuals who were deficient at baseline. A separate 2024 analysis in the Annals of Internal Medicine found that maintaining 25-hydroxyvitamin D levels between 40 and 60 ng/mL was associated with optimal immune function and reduced risk of respiratory infections.

But sunlight’s benefits extend well beyond vitamin D. Exposure to morning sunlight entrains circadian rhythms by suppressing melatonin and stimulating the suprachiasmatic nucleus in the hypothalamus, a process critical for regulating sleep, metabolism, hormone release, and immune function. A landmark 2019 study in Current Biology demonstrated that participants exposed to morning outdoor light had significantly better sleep quality, lower cortisol levels, and improved mood compared to those exposed primarily to artificial light.

Additionally, UVA exposure stimulates the release of nitric oxide from skin stores, promoting vasodilation and lowering blood pressure. A 2014 study in the Journal of Investigative Dermatology suggested that moderate sun exposure may reduce cardiovascular mortality to a degree that offsets the risk of skin cancer, a nuanced view that echoes White’s advocacy for “safe exposure.”

PILLAR 5: TEMPERANCE

Self-Control; Avoiding Harmful Habits; Moderation in Good Things

White’s concept of temperance was not merely abstinence from alcohol and tobacco, though she strongly advocated both. It encompassed a broader philosophy of self-regulation: avoiding anything harmful and exercising moderation even in things that are beneficial. This principle of disciplined balance maps remarkably well onto contemporary research in behavioral medicine, addiction science, and even the biology of caloric restriction.

The abstinence component is well established. Beyond alcohol’s classification as a Group 1 carcinogen, research has shown that even moderate drinking, once considered protective, offers no net cardiovascular benefit when confounding variables are properly controlled. A rigorous 2023 meta-analysis published in JAMA Network Open that corrected for the “sick quitter” bias (where former drinkers who quit due to illness are grouped with lifetime abstainers) found no mortality benefit from low-level alcohol consumption.

The moderation principle is equally powerful. The science of caloric restriction and time-restricted eating reveals that temperate eating patterns activate cellular maintenance pathways, including autophagy, the body’s internal recycling system for damaged proteins and organelles. A 2019 study in the New England Journal of Medicine concluded that intermittent fasting triggers metabolic switching from glucose to ketone body utilization, improving cellular stress resistance, reducing inflammation, and enhancing DNA repair.

In the psychological domain, self-regulation, the capacity White described as “self-control,” has been identified as one of the strongest predictors of health outcomes. The famous Dunedin Multidisciplinary Health and Development Study, which followed 1,000 individuals from birth, found that childhood self-control predicted cardiovascular health, substance dependence, financial stability, and even criminal behavior in adulthood, independent of socioeconomic status and intelligence.

PILLAR 6: AIR

Breathing Pure, Fresh Air for Optimal Health

White urged her readers to ensure that their homes, workplaces, and sleeping quarters were well-ventilated and filled with fresh air. She was writing decades before the discovery of particulate matter, volatile organic compounds, or the epidemiology of indoor air pollution.

Today, air quality is recognized as one of the most significant environmental determinants of health. The World Health Organization estimates that ambient air pollution contributes to 4.2 million premature deaths annually, while indoor air pollution accounts for an additional 3.8 million. Fine particulate matter (PM2.5) penetrates deep into the lungs, crosses the alveolar-capillary barrier, enters the bloodstream, and triggers systemic inflammation, endothelial dysfunction, and oxidative stress. A 2020 study published in the New England Journal of Medicine found that long-term exposure to PM2.5 at levels below current regulatory standards was still associated with increased mortality, suggesting there is no safe threshold.

The COVID-19 pandemic dramatically reinforced the importance of ventilation and fresh air. Research published in Science in 2022 demonstrated that improved indoor ventilation reduced airborne virus transmission by 50% or more, leading to renewed calls for ventilation standards in public buildings, an echo of White’s century-old counsel.

Beyond disease avoidance, exposure to fresh outdoor air, particularly in natural settings, has been shown to reduce cortisol levels, lower blood pressure, and enhance natural killer cell activity. The Japanese practice of shinrin-yoku (forest bathing) has been studied extensively, with research published in Environmental Health and Preventive Medicine demonstrating that spending time in forested environments significantly boosted immune function through exposure to phytoncides, antimicrobial volatile organic compounds released by trees.

PILLAR 7: REST

Adequate Sleep and Regular Periods of Recovery

White emphasized the importance of both nightly sleep and regular weekly rest, including the practice of a Sabbath day devoted to recovery and spiritual renewal. Modern sleep science has confirmed that this was not merely spiritual counsel but medically prescient advice.

Sleep deprivation and disruption are now recognized as independent risk factors for a startling array of chronic conditions. A 2022 comprehensive review in Nature Reviews Disease Primers detailed the mechanisms by which insufficient sleep (less than seven hours for most adults) drives systemic inflammation, impairs glucose metabolism, disrupts hormonal balance, and accelerates cognitive decline. The glymphatic system, discovered only in 2012, is a brain-wide waste-clearance pathway that operates primarily during deep sleep to flush amyloid beta and tau proteins associated with Alzheimer’s disease. Chronic sleep disruption impairs glymphatic function, allowing neurotoxic waste to accumulate.

Large-scale epidemiological data reinforce the point. A 2023 analysis in the European Heart Journal found that poor sleep quality was associated with a 37% increased risk of cardiovascular events, while another study in the Annals of Internal Medicine demonstrated that restricting sleep to five hours per night for just one week impaired insulin sensitivity by 25%, a metabolic shift comparable to gaining 20 to 30 pounds of body weight.

White’s broader concept of rest, including weekly sabbath and intentional disconnection from work, also has modern support. Research on burnout and allostatic load (the cumulative physiological toll of chronic stress) shows that individuals who observe regular rest periods have lower cortisol levels, improved heart rate variability, and reduced inflammatory biomarkers. A 2021 study in The Lancet found that working 55 or more hours per week was associated with a 35% higher risk of stroke and a 17% higher risk of ischemic heart disease compared to standard working hours.

PILLAR 8: TRUST IN GOD

Spiritual Grounding, Peace, and Faith as Part of Whole-Person Health

The inclusion of spiritual trust as a health principle was perhaps White’s most distinctive, and initially most controversial, contribution. However, a growing body of research in psychoneuroimmunology and the neuroscience of belief has provided substantial empirical support for the connection between spiritual practice, meaning-making, and physical health outcomes.

A 2022 systematic review and meta-analysis published in JAMA Internal Medicine examined over 60 prospective studies and found that religious or spiritual involvement was associated with a 25% reduction in all-cause mortality. The authors identified multiple mediating pathways, including enhanced social support networks, greater adherence to healthy behaviors, improved coping with adversity, and reduced psychological distress.

The biological mechanisms are increasingly well characterized. Practices associated with spiritual engagement, such as prayer, meditation, communal worship, and contemplative reflection, have been shown to activate the parasympathetic nervous system, reduce cortisol output, and lower pro-inflammatory cytokines, including interleukin-6 and C-reactive protein. A neuroimaging study published in Social Neuroscience demonstrated that meditative prayer activated regions of the prefrontal cortex associated with emotional regulation and reduced amygdala reactivity, the neural signature of reduced fear and anxiety.

The concepts of meaning and purpose, closely related to White’s notion of trust, have emerged as robust predictors of health and longevity. A 2019 study published in JAMA Network Open analyzing data from nearly 7,000 adults over 50 found that those with the strongest sense of life purpose had a significantly lower risk of dying from any cause over a four-year follow-up period, even after adjusting for demographics, health behaviors, and baseline health status.

White’s insight was not that God is a treatment. It was that human beings are integrated systems: that the mind, body, and spirit are inextricably connected, and that neglecting any one dimension undermines the others. This whole-person model of health is now the central tenet of lifestyle medicine and integrative healthcare.

Conclusion: The Most Powerful Prescriptions Are Free

It is a striking fact that the eight health principles outlined by Ellen White in 1905 align, with remarkable specificity, with the pillars of lifestyle medicine as defined by the American College of Lifestyle Medicine over a century later. Nutrition, exercise, sleep, stress management, avoidance of risky substances, and social connectedness are now recognized as the foundation of chronic disease prevention and treatment. White simply got there first.

And yet, despite overwhelming evidence, our healthcare system continues to reach for the prescription pad first. We spend billions on medications that manage symptoms while neglecting the lifestyle foundation that could prevent the disease in the first place. We stock our medicine cabinets with bottles of supplements, hoping a pill can replicate what only a well-lived life can deliver. It cannot. No drug lowers all-cause mortality by 40% as effectively as regular exercise does. No supplement rebuilds the glymphatic system the way deep sleep does. No capsule replicates the anti-inflammatory cascade triggered by a whole-food, plant-forward diet, or the immune-boosting power of fresh air and sunlight, or the cardiovascular protection conferred by proper hydration, or the neurological resilience that comes from spiritual peace and purpose.

These eight pillars are not complementary add-ons to conventional medicine. They should come first. They are the foundation upon which good and lasting health is built, and everything else, every medication, every intervention, every supplement, works best when it rests on this foundation. Without it, we are treating symptoms on unstable ground and wondering why the results never last.

What makes these principles particularly compelling is their accessibility. They require no prescription, specialized equipment, or insurance approval. They are, as White described them, “the true remedies,” and their combined effect is synergistic. A 2023 analysis in JAMA Internal Medicine found that adherence to five or more healthy lifestyle factors was associated with 12 to 14 additional years of life expectancy, a gain that no pharmaceutical intervention has ever matched.

In an era of skyrocketing healthcare costs, polypharmacy, and epidemic chronic disease, these eight foundational pillars offer something profoundly countercultural: the understanding that good health is not something we buy. It is something we do, one daily choice at a time, on a foundation that has been hiding in plain sight for 120 years.

Perhaps it is time we started paying attention.

References

1. Alimujiang A, Wiensch A, Boss J, Fleischer NL, Mondul AM, McLean K, Mukherjee B, Pearce CL. Association Between Life Purpose and Mortality Among US Adults Older Than 50 Years. JAMA Netw Open. 2019;2(5):e194270.
2. Buettner D, Skemp S. Blue Zones: Lessons From the World’s Longest Lived. Am J Lifestyle Med. 2016;10(5):318-321.
3. Buijsse B, Weikert C, Drogan D, Bergmann M, Boeing H. Chocolate consumption in relation to blood pressure and risk of cardiovascular disease in German adults. Eur Heart J. 2010;31(13):1616-1623.
4. Buijze GA, Sierevelt IN, van der Heijden BC, Dijkgraaf MG, Frings-Dresen MH. The Effect of Cold Showering on Health and Work: A Randomized Controlled Trial. PLoS One. 2016 Sep 15;11(9):e0161749.
5. Buric I, Farias M, Jong J, Mee C, Brazil IA. What Is the Molecular Signature of Mind-Body Interventions? A Systematic Review of Gene Expression Changes Induced by Meditation and Related Practices. Front Immunol. 2017;8:670.
6. Buxton OM, Pavlova M, Reid EW, Wang W, Simonelli DC, Adler GK. Sleep restriction for 1 week reduces insulin sensitivity in healthy men. Diabetes. 2010;59(9):2126-2133.
7. de Cabo R, Mattson MP. Effects of Intermittent Fasting on Health, Aging, and Disease. N Engl J Med. 2019;381(26):2541-2551.
8. Dimitrov S, Hulteng E, Hong S. Inflammation and exercise: Inhibition of monocytic intracellular TNF production by acute exercise via beta2-adrenergic activation. Brain Behav Immun. 2017;61:60-68.
9. Dmitrieva NI, Gagarin A, Liu D, Wu CO, Boehm M. Middle-age high normal serum sodium as a risk factor for accelerated biological aging, chronic diseases, and premature mortality. EBioMedicine. 2023 Jan;87:104404. doi: 10.1016/j.ebiom.2022.104404. Epub 2023 Jan 2.
10. Fraser GE. Vegetarian diets: what do we know of their effects on some chronic diseases? Am J Clin Nutr. 2009;89(5):1607S-1612S.
11. GBD 2017 Diet Collaborators. Health effects of dietary risks in 195 countries, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2019;393(10184):1958-1972.
12. Greenfield BK, Rajan S, McKone TE. A multivariate analysis of CalEnviroScreen: comparing environmental and socioeconomic stressors versus chronic disease. Environ Health. 2017;16(1):131.
13. Hennessy EA, Johnson BT, Acabchuk RL, McCloskey K, Stewart-James J. Self-regulation mechanisms in health behavior change: a systematic meta-review of meta-analyses, 2006-2017. Health Psychol Rev. 2020 Mar;14(1):6-42.
14. Iliff JJ, Wang M, Liao Y, Plogg BA, Peng W, Gundersen GA, Benveniste H, Vates GE, Deane R, Goldman SA, Nagelhus EA, Bhatt DL, Bhattacharyya R, Bhatt DL, Bhattacharyya R, Bhatt DL, Nedergaard M. A paravascular pathway facilitates CSF flow through the brain parenchyma and the clearance of interstitial solutes, including amyloid beta. Sci Transl Med. 2012;4(147):147ra111.
15. Kivimaki M, Jokela M, Nyberg ST, et al. Long working hours and risk of coronary heart disease and stroke: a systematic review and meta-analysis of published and unpublished data for 603,838 individuals. Lancet. 2015;386(10005):1739-1746.
16. Li Q. Effect of forest bathing trips on human immune function. Environ Health Prev Med. 2010;15(1):9-17.
17. Li Y, Schoufour J, Wang DD, Dhana K, Pan A, Liu X, Song M, Liu G, Shin HJ, Sun Q, Al-Shaar L, Wang M, Rimm EB, Hertzmark E, Stampfer MJ, Willett WC, Franco OH, Hu FB. Healthy lifestyle and life expectancy free of cancer, cardiovascular disease, and type 2 diabetes: prospective cohort study. BMJ. 2020 Jan 8;368:l6669.
18. Liu D, Fernandez BO, Hamilton A, Lang NN, Gallagher JMC, Newby DE, Feelisch M, Weller RB. UVA irradiation of human skin vasodilates arterial vasculature and lowers blood pressure independently of nitric oxide synthase. J Invest Dermatol. 2014;134(7):1839-1846.
19. Moffitt TE, Arseneault L, Belsky D, Dickson N, Hancox RJ, Harrington H, Houts R, Poulton R, Roberts BW, Ross S, Sears MR, Thomson WM, Caspi A. A gradient of childhood self-control predicts health, wealth, and public safety. Proc Natl Acad Sci U S A. 2011;108(7):2693-2698.
20. Moore SC, Lee IM, Weiderpass E, et al. Association of Leisure-Time Physical Activity With Risk of 26 Types of Cancer in 1.44 Million Adults. JAMA Intern Med. 2016;176(6):816-825.
21. Orben A, Tomova L, Blakemore SJ. The effects of social deprivation on adolescent development and mental health. Lancet Child Adolesc Health. 2020;4(8):634-640.
22. Orlich MJ, Fraser GE. Vegetarian diets in the Adventist Health Study 2: a review of initial published findings. Am J Clin Nutr. 2014 Jul;100 Suppl 1(1):353S-8S.
23. Pope CA 3rd, Lefler JS, Ezzati M, et al. Mortality Risk and Fine Particulate Air Pollution in a Large, Representative Cohort of U.S. Adults. Environ Health Perspect. 2019;127(7):77007.
24. Reynolds A, Mann J, Cummings J, Winter N, Mete E, Te Morenga L. Carbohydrate quality and human health: a series of systematic reviews and meta-analyses. Lancet. 2019;393(10170):434-445.
25. Reynolds AC, Adams RJ. Treatment of sleep disturbance and its relationship to cardiovascular disease. Sleep Med Clin. 2022;17(2):125-137.
26. Steptoe A, Deaton A, Stone AA. Subjective wellbeing, health, and ageing. Lancet. 2015;385(9968):640-648.
27. Tonelli MR, White EG. Ministry of Healing and the Health Reform Movement: A Historical Perspective. Adventist Heritage. 1991;14(1):24-33.
28. VanderWeele TJ, Balboni TA, Koh HK. Health and Spirituality. JAMA. 2017;318(6):519-520.
29. Wang DD, Li Y, Bhupathiraju SN, Rosner BA, Sun Q, Giovannucci EL, Rimm EB, Manson JE, Willett WC, Stampfer MJ, Hu FB. Fruit and Vegetable Intake and Mortality: Results From 2 Prospective Cohort Studies of US Men and Women and a Meta-Analysis of 26 Cohort Studies. Circulation. 2021;143(17):1642-1654.
30. Weller RB. Sunlight Has Cardiovascular Benefits Independently of Vitamin D. Blood Purif. 2016;41(1-3):130-134.
31. White EG. The Ministry of Healing. Mountain View, CA: Pacific Press Publishing Association; 1905.
32. Zhao M, Veeranki SP, Magnussen CG, Xi B. Recommended physical activity and all cause and cause specific mortality in US adults: prospective cohort study. BMJ. 2020;370:m2031.