“An apple a day keeps the doctor away”. But the saying seems true even once the doctor already did his job. The recent AHA/ACC guidelins on the primary prevention of cardiovascular diseases [1] and convincing new clinical studies on mortality reduction with physical activity in patients with and without cardiovascular disease (CVD) [2] are imposing a view conferring to lifestyle and behavior interventions the dignity of a measure not inferior to the pharmacological one and free of any harm. Yet even in western countries the optimal use of these resources is far away due to barriers being largely of a cultural nature.
