Compass Lifestyle Medicine Evidence-based lifestyle medicine for everyday UK health

Compass Lifestyle Medicine

Evidence-based lifestyle medicine for everyday UK health

Latest Articles

The Pause Between Snorts: A Practical Guide to Sleep Apnoea Assessment
Sleep & Circadian Health

The Pause Between Snorts: A Practical Guide to Sleep Apnoea Assessment

Snoring is common, but witnessed pauses, unrefreshing sleep and daytime sleepiness change the clinical question. This guide explains the STOP-BANG questions in plain English, what a GP referral involves in the NHS, and what to expect from CPAP and mandibular devices.

Before You Buy: Reading Winter Immunity Supplements the Way a Clinician Would
Nutrition & Gut Health

Before You Buy: Reading Winter Immunity Supplements the Way a Clinician Would

Each autumn, UK pharmacies and supermarkets fill their shelves with products promising to fend off colds. This guide separates the modest evidence behind vitamin C, zinc, echinacea and elderberry from the marketing around them, and sets out the everyday factors that do more for immune resilience.

Stillness Under Load: A Measured Place for Isometric Exercise in Blood Pressure Care
Cardiometabolic Health

Stillness Under Load: A Measured Place for Isometric Exercise in Blood Pressure Care

Isometric exercise, from wall sits to handgrip holds, has attracted attention as a small but promising lever for lowering blood pressure. This guide sets out what the evidence can and cannot tell us, who should seek clinical advice first, and how to pair isometric work with home monitoring and usual care.

The Salt You Did Not Add: A Kitchen Audit for Better Blood Pressure
Cardiometabolic Health

The Salt You Did Not Add: A Kitchen Audit for Better Blood Pressure

Most of the salt in a typical British diet never touches the salt cellar. This practical audit walks through the everyday foods that supply it, explains how to read a label in seconds, and sets out a realistic two-week reset for a palate that has quietly adapted to a high-salt baseline.

Beyond the NOVA Number: A Calm Guide to Ultra-Processed Foods in UK Households
Nutrition & Gut Health

Beyond the NOVA Number: A Calm Guide to Ultra-Processed Foods in UK Households

Ultra-processed foods are rarely out of the headlines, but the evidence is more nuanced than the noise suggests. This guide explains what the classification actually captures, what UK shoppers can reasonably conclude, and how clinicians can discuss UPFs without adding to patient anxiety.

The Forties Balance Reserve: A Practical Guide to Staying Steady Before Falls Become the Concern
Movement & Metabolic Health

The Forties Balance Reserve: A Practical Guide to Staying Steady Before Falls Become the Concern

Balance is not only a falls-prevention issue for later life; it is a trainable capacity that begins to decline earlier than many adults realise. This guide explains why midlife is a sensible time to build a balance reserve, offers safe home progressions, and clarifies when unsteadiness deserves a GP or physiotherapy conversation.

Beyond the Winter Sun: A Measured Approach to Vitamin D Supplementation in the UK
Nutrition & Gut Health

Beyond the Winter Sun: A Measured Approach to Vitamin D Supplementation in the UK

As UK daylight shortens, vitamin D advice can quickly become a choice between complacency and overbuying. This clinically grounded guide separates sunlight, diet and supplementation, clarifies who may genuinely need testing, and offers a practical winter decision framework for patients, carers and health professionals.

The Clock Is Not a Prescription: A Measured Guide to Time-Restricted Eating
Cardiometabolic Health

The Clock Is Not a Prescription: A Measured Guide to Time-Restricted Eating

Time-restricted eating is often presented as a simple fix for weight and blood sugar. This guide separates the promising signal from the marketing, and sets out a practical UK decision framework built around breakfast, shift work, family meals and social life.

Half-Lives and Tea Breaks: Finding Your Personal Caffeine Cut-Off
Sleep & Circadian Health

Half-Lives and Tea Breaks: Finding Your Personal Caffeine Cut-Off

Caffeine's effect on sleep depends less on how much you drink than on when you stop. This guide explains the half-life arithmetic behind the afternoon cup, identifies the caffeine hiding in ordinary British kitchens, and sets out a practical way to test your own cut-off without giving up tea or coffee.

Thirty Minutes, Five Numbers: Getting Real Value From the NHS Health Check
Cardiometabolic Health

Thirty Minutes, Five Numbers: Getting Real Value From the NHS Health Check

The NHS Health Check offers most adults in England a cardiovascular risk assessment every five years, yet many people leave with a printout and no clear plan. This guide translates the measurements, sets out what to bring and ask, and shows how to convert a set of numbers into realistic nutrition, movement and sleep actions.

Load, Lift, Repeat: Building Strength and Stability After 65
Movement & Metabolic Health

Load, Lift, Repeat: Building Strength and Stability After 65

Resistance training in later life is about standing, carrying and recovering balance, not gym aesthetics. This practical UK guide covers a progressive home-and-gym menu, safety, protein basics and how to ask for an NHS or community referral.

Counting Units, Reading Cuffs: A Clearer Conversation About Alcohol and Blood Pressure
Cardiometabolic Health

Counting Units, Reading Cuffs: A Clearer Conversation About Alcohol and Blood Pressure

The UK's 14-unit guideline is a population-level message, not a personal blood-pressure target. This clinically informed guide explains the dose-response evidence, common measurement pitfalls and a practical, non-moralising framework for cutting down.

The Numbers Between Visits: A Practical Guide to Home Blood Pressure Monitoring
Movement & Metabolic Health

The Numbers Between Visits: A Practical Guide to Home Blood Pressure Monitoring

Home blood pressure readings can be genuinely useful, but only when the monitor, technique and interpretation are reliable. This guide explains how to measure at home, what UK thresholds mean, and when a reading needs same-day attention.

Tea-Break Triage: Rethinking Biscuits, Crisps and Blood Sugar
Nutrition & Gut Health

Tea-Break Triage: Rethinking Biscuits, Crisps and Blood Sugar

The UK tea break is a reliable source of biscuits, crisps and cake, but it is also an opportunity to steady appetite and post-meal glucose. This practical audit explains how protein, fibre and portion size change the picture, and how to read labels without being taken in by marketing.

After the Plates Are Cleared: Building a Post-Dinner Walking Habit for Type 2 Diabetes Prevention
Movement & Metabolic Health

After the Plates Are Cleared: Building a Post-Dinner Walking Habit for Type 2 Diabetes Prevention

A 20-minute walk after the evening meal is a simple, low-cost behaviour with plausible metabolic benefits. This clinically informed guide examines what the evidence shows, how to adapt the habit to British weather and family life, and how to start safely.

Reading the Aisles: A Practical UK Trolley Guide to Fibre, Gut Health and the Thirty-Gram Target
Nutrition & Gut Health

Reading the Aisles: A Practical UK Trolley Guide to Fibre, Gut Health and the Thirty-Gram Target

Most UK adults fall short of the 30g fibre target, but closing the gap does not require an overhaul. This shelf-by-shelf supermarket guide offers realistic swaps, label-reading tips and budget-conscious meal templates.

The Desk-Breaker's Toolkit: Short Movement Bouts and Metabolic Health at Work
Movement & Metabolic Health

The Desk-Breaker's Toolkit: Short Movement Bouts and Metabolic Health at Work

Brief movement snacks are a practical way to interrupt prolonged sitting, but the evidence is more modest than marketing claims suggest. This guide explains what short bouts can reasonably do for glucose, blood pressure and energy, with eight realistic options for office, home and hybrid work.

When the Kitchen Closes: A Clinically Informed Guide to Evening Meals and Sleep
Sleep & Circadian Health

When the Kitchen Closes: A Clinically Informed Guide to Evening Meals and Sleep

The idea of a 'last bite' cut-off is appealing, but the evidence on meal timing and sleep is more nuanced than rigid rules suggest. This guide separates useful signals from overblown claims and offers practical adaptations for UK households, including shift workers and families who eat later.

Ten Minutes Before Nine: Rethinking Morning Light in the British Winter
Sleep & Circadian Health

Ten Minutes Before Nine: Rethinking Morning Light in the British Winter

Short outdoor light exposure soon after waking is one of the few winter habits with a plausible physiological mechanism behind it. This guide explains what morning daylight does to the body clock, how strong the evidence really is, and how to build a ten-minute routine around a UK winter.

Green Referrals on Trial: Separating Evidence from Enthusiasm in UK Nature Prescribing
Social Prescribing

Green Referrals on Trial: Separating Evidence from Enthusiasm in UK Nature Prescribing

Nature-based social prescribing has moved from the margins of general practice to national policy in England. This analysis examines what the research supports, where claims outrun the data, and the questions patients and clinicians should ask before a green referral is made.