In the Middle- and East-European countries the political, economic and social situation changed fundamentally in 1989 and 1990. These alterations are reflected in markers of dietary intake, physical activity and health with a trend similar in Czechia, East Germany, Lithuania and Poland. Thus, the previous increase in energy consumption stopped and was followed by a decline. The increasing preference for a lower level of activity is demonstrated by the number of private cars clearly accelerating its rate of growth after the change. Life expectancy had been increasing during the eighties only slightly. After the change the yearly increase became higher than before. The rate difference is higher in men than in women. Beginning from 1991 the CVD mortality decreased considerably.