RT Journal A1 Moreno M, Pearson TA T1 The quality of lifestyle and the quality of life: Comment on “lifestyle factors on the risks of ischemic and hemorrhagic stroke” JF Archives of Internal Medicine JO Archives of Internal Medicine YR 2011 FD November 14 VO 171 IS 20 SP 1819 OP 1820 DO 10.1001/archinternmed.2011.442 UL http://dx.doi.org/10.1001/archinternmed.2011.442 AB Clinical and public health professionals committed to the prevention of heart disease and stroke have long had an “image” problem. Purveyors of goods and services now recognized as part of unhealthy lifestyles have long appealingly marketed themselves using terms like “zesty” (for high sodium content), “rich” (for high saturated fat), “satisfying” for cigarettes laden with tar and nicotine, and so on. Various campaigns to improve the US diet, increase physical activity, reduce exposure to tobacco smoke, and encourage other healthy lifestyles have been met with endless jokes and cartoons, lampooning efforts to reduce risky lifestyle behaviors as an attack on an admirable quality of life. At the same time, the preventive cardiology community may not have been optimally effective in a campaign of fear and loathing in conveying the contributions of heart disease and stroke to a very poor quality of life as a motivation to adopt healthy lifestyles and, if necessary, the importance of adhering to treatment regimes to reduce cardiovascular risk.