Those who believe the worldly life interactions (vyavahaar) to be the real/true; developed high blood pressure, heart attacks and other such ailments. And those who believe it to be false, they became fat. Those living on both the shores, became lost wanderers. Although living the worldly life, ‘we’ are non-attached (vitaraag, the enlightened one).
I told Ella Mae Cheeks Johnson, then age 105, that she was the only person over 80 who I'd ever met who never referred to her physical infirmities or health problems. To which she replied, "I have my difficulties; I do not rejoice in them.