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What really counts: six numbers and what you can do

Cardiovascular disease and cancer cause more than half of all deaths in Germany. Much depends on a few factors, and small steps can help.

Key points

  • In 2025, around 1 million people died in Germany: about 334,000 from cardiovascular disease and 229,000 from cancer [1].
  • Losing about 5% of body weight can noticeably improve blood pressure, blood sugar and blood fats. The guideline says up to 70% achieve this [2].
  • Waist size, blood pressure, movement and smoking are factors you can work on.

Waist size

Number: More than half of adults are overweight, 53.5% (RKI) [3].

Why it counts: Abdominal fat is more closely linked to cardiovascular disease and diabetes than weight alone. The guideline gives a rule of thumb: waist size should be no more than half your height. At 1.70 m, that means 85 cm. It lists thresholds of 88 cm for women and 102 cm for men [2].

What you can do: Measure your waist at belly-button height once a month and record it in Stoffradar.

Blood pressure

Number: More than one in three adults has high blood pressure, 36.3% [4].

Why it counts: It does not hurt, but you can measure it. Lowering systolic pressure by 10 mmHg is linked to around a quarter fewer strokes [5].

What you can do: Measure it calmly at home, morning and evening, for a few days. Take the readings to your healthcare practice. The threshold at home is slightly lower than in the practice [6].

Type 2 diabetes

Number: Around 6 million adults in Germany have type 2 diabetes, 8.6% [7].

Why it counts: In a large study, risk fell by 58% when people with raised blood sugar lost about 7% of their weight. They also exercised for 150 minutes a week [8]. In another study, 46% returned to normal blood sugar through weight loss. For losses of 15 kg or more, it was 86% [9].

What you can do: Ask about checking blood sugar or HbA1c at your next preventive appointment.

Smoking

Number: Around 131,000 deaths a year are attributed to smoking, one in seven [10].

Why it counts: Quitting helps at any age. After 5 years, the risk of heart disease and stroke is half that of continuing to smoke [10].

What you can do: Support increases your chances. Germany’s free Rauchfrei helpline is 0800 8 31 31 31. More information: rauchfrei-info.de.

Muscles

Number: Weight loss also includes muscle loss. In a large semaglutide study, fat fell by 19.3% and fat-free mass by 9.7% [11].

Why it counts: Large observational studies link regular strength exercise with a 10 to 17% lower risk of death [12].

What you can do: Exercise the major muscle groups twice a week, for example with squats or wall push-ups. Even 30 to 60 minutes a week helps [13].

Movement

Number: Walking about 7,000 steps a day is linked to a 47% lower risk of death than walking 2,000 steps [14].

Why it counts: The largest gain comes at the start.

What you can do: Check today’s step count and add 1,000. WHO recommends 150 to 300 minutes of brisk activity a week [13].

What you can do

  • Pick one factor, not all six at once. Stoffradar helps you record waist size, weight, training and protein in your weight-loss profile.

Written by Marc · last reviewed on 25/10/2026

Sources

  1. Statistisches Bundesamt, Pressemitteilung 363, 09.10.2026
  2. Deutsche Adipositas-Gesellschaft, S3-Leitlinie Prävention und Therapie der Adipositas, Version 5.0, Oktober 2024, AWMF 050-001, Empfehlungen 3.3 und 5.3
  3. RKI, GEDA 2019/2020
  4. RKI, Bluthochdruck Prävalenz
  5. Ettehad et al., Lancet 2016
  6. DGK-Kommentar zur ESC-Leitlinie Bluthochdruck 2024
  7. RKI, Journal of Health Monitoring 2025, Diabetes
  8. Diabetes Prevention Program, NEJM 2002
  9. DiRECT, Lancet 2018
  10. DKFZ, Tabakatlas Deutschland 2025
  11. STEP 1, NEJM 2021
  12. Momma et al., BJSM 2022
  13. WHO, Guidelines on physical activity 2020
  14. Ding et al., Lancet Public Health 2025

Does not replace medical advice.

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