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Monday, 6 March 2017

The Facts about Health and Wellness

The Facts about Health and Wellness


      When polled about important social values, 99 percent of adults in the United States identified “being in good health” as one of their major concerns. Two other concerns expressed most often were good family life and good selfimage. The one percent who did not identify good health as an important concern had no opinion on any social issues. Among those polled, none felt that good health was unimportant. Results of surveys in Canada and other Western nations show similar commitments to good health.



     Reducing health disparities among adults over 18 is a major national health goal. We have some distance to go in accomplishing this goal because health varies widely depending on income, gender, age, and family origin. Self-ratings of health have been shown to be good general indicators of health status. When asked to rate health as excellent, good, fair, or poor, more than a few adults indicated that their health was only fair or poor (see Figure 1). It is evident that many more people in poor or near-poor income groups are considered to be fair or poor in health as opposed to good or excellent. African Americans and Hispanics are more often classified as fair or poor in health than white non-Hispanics. Minority women are also likely to be classified as fair or poor in health. Though not indicated in Figure 1, there is good evidence that older adults are especially likely to report poor health and wellness. An important national health goal is to increase the number of healthy days people have each month.


Over 50 years ago, the World Health Organization defined health as being more than freedom from illness, disease, and debilitating conditions. In recent years, public health experts Concept 1 Health, Wellness, Fitness, and Healthy Lifestyles: An Introduction 3 Health Health is optimal well-being that contributes to quality of life. It is more than freedom from disease and illness, though freedom from disease is important to good health. Optimal health includes high-level mental, social, emotional, spiritual, and physical wellness within the limits of one’s heredity and personal abilities. Healthy days A self-rating
of the number of days (per week or month) a person considers himself or herself to be in good or better than good health.


   Many illnesses are curable and may have only a temporary effect on health. Others, such as diabetes, are not curable but can be managed with proper eating, physical activity, and sound medical supervision. It should be noted that those possessing manageable conditions may be more at risk for other health problems, so proper management is essential. For example, unmanaged diabetes is associated with high risk for heart disease and other health problems.





    Death, disease, illness, and debilitating conditions are negative components that detract from optimal health. Death is the ultimate opposite of optimal health. Disease, illness, and debilitating conditions obviously detract from optimal health. Wellness has been recognized as the positive component of optimal health as evidenced by a sense of well-being reflected in optimal functioning, a good quality of life, meaningful work, and a contribution to society (see Figure 4). Wellness allows the expansion of one’s potential to live and work effectively and to make a significant contribution to society. Health and


     The dimensions of health and wellness include the emotional (mental), intellectual, physical, social, and spiritual. Figure 5 illustrates the importance of each dimension to total wellness. Throughout this book, references will be made to these wellness dimensions (see Table 1) to help reinforce their importance. 
Wellness reflects how one feels about life as well as one’s ability to function effectively. 
A positive total outlook on life is essential to wellness and each of the wellness dimensions. A “well” person is satisfied in his/her work, is spiritually fulfilled, enjoys leisure time, is physically fit, is socially involved, and has a positive emotional-mental outlook. This person is happy and fulfilled. Many experts believe that a positive total outlook is a key to wellness (see Table 2). The way one perceives each of the dimensions of wellness affects total outlook. Researchersuse the term selfperceptions to describe these feelings. Many researchers believe that self-perceptions about wellness are more important than actual ability. For example, a person who has an important job may find less meaning and job satisfaction than another person with a much less important job. Apparently, one of the important factors for a person who has achieved high-level wellness and a positive life’s outlook is the ability to reward himself/herself. Some people, however, seem unable to give themselves credit for their life’s experiences. The development of a system that allows a person to positively perceive the self is important. Of course, the adoption of positive lifestyles that encourage improved self-perceptions is also important. The questionnaire in the Lab 1A will help you assess your selfperceptions of the various wellness dimensions. For optimal wellness, it would be important to find positive feelings about each dimension.




 Emotional Health—A person with emotional health is (1) free from emotional-mental illnesses or debilitating conditions such as clinical depression and (2) possesses emotional wellness. The goals for the nation’s health refer to mental rather than emotional health and wellness. In this book, mental health and wellness are considered to be the same as emotional health and wellness.
Emotional wellness—Emotional wellness is a person’s ability to cope with daily circumstances and to deal with personal feelings in a positive, optimistic, and constructive manner. A person with emotional wellness is generally characterized as happy, as opposed to depressed.
Intellectual health—A person with intellectual health is free from illnesses that invade the brain and other systems that allow learning. A person with intellectual health also possesses intellectual wellness.
Intellectual wellness—Intellectual wellness is a person’s ability to learn and to use information to enhance the quality of daily living and optimal functioning. A person with intellectual wellness is generally characterized as informed, as opposed to ignorant. Physical health—A person with physical health is free from illnesses that affect the physiological systems of the body such as the heart, the nervous system, etc. A person with physical health possesses an adequate level of physical fitness and physical wellness.
Physical wellness—Physical wellness is a person’s ability to function effectively in meeting the demands of the day’s work and to use free time effectively. Physical wellness includes good physical fitness and the possession of useful motor skills. A person with physical wellness is generally characterized as fit versus unfit.
Social health—A person with social health is free from illnesses or conditions that severely limit functioning in society, including antisocial pathologies.
Social wellness—Social wellness is a person’s ability to successfully interact with others and to establish meaningful relationships that enhance the quality of life for all people involved in the interaction (including self). A person with social wellness is generally characterized as involved as opposed to lonely.
Spiritual health—Spiritual health is the one component of health that is totally comprised of the wellness dimension; for this reason, spiritual health is considered to be synonymous with spiritual wellness.
Spiritual wellness—A person’s ability to establish a values system and act on the system of beliefs, as well as to establish and carry out meaningful and constructive lifetime goals. Spiritual wellness is often based on a belief in a force greater than the individual that helps one contribute to an improved quality of life for all people. A person with spiritual wellness is generally characterized as fulfilled as opposed to unfulfilled.
  


Wellness:   Wellness is the integration of many different components (mental, social, emotional, spiritual, and physical) that expand one’s potential to live (quality of life) and work effectively and to make a significant contribution to society. Wellness reflects how one feels (a sense of well-being) about life as well as one’s ability to function effectively. Wellness, as opposed to illness (a negative), is sometimes described as the positive component of good health.

       Quality of Life    A term used to describe wellness. An individual with quality of life can enjoyably do the activities of life with little or no limitation and can function independently. Individual quality of life requires a pleasant and supportive community. Activity days A self-rating of the number of days (per week or month) a person feels that he/she can perform usual daily activities successfully and in good health. Illness Illness is the ill feeling and/or symptoms associated with a disease or circumstances that upset homeostasis. Lifestyles Lifestyles are patterns of behavior or ways an individual typically lives.


   The segmented pictures of health and wellness shown in Figure 5 and Table 2 are used only to illustrate the multidimensional nature of health and wellness. In reality, health, nd its positive component (wellness), is an integrated state of being that is best depicted as many threads that can be woven together to produce a larger, integrated fabric. Each specific dimension relates to each of the others and overlaps all others. The overlap is so frequent and so great that the specific contribution of each thread is almost indistinguishable when looking at the total (Figure 6). The total is clearly greater than the sum of the parts. 
and its positive component (wellness), is an integrated state of being that is best depicted as many threads that can be woven together to produce a larger, integrated fabric. Each specific dimension relates to each of the others and overlaps all others. The overlap is so frequent and so great that the specific contribution of each thread is almost indistinguishable when looking at the total (Figure 6). The total is clearly greater than the sum of the parts.



 Each individual is different from all others. Health and wellness depend on each person’s individual characteristics. Making comparisons to other people on specific individual characteristics may produce feelings of inadequacy that detract from one’s profile of total health and wellness. Each of us has personal limitations and personal strengths. Focusing on strengths and learning to accommodate weaknesses are essential keys to optimal health and wellness. It is possible to possess wellness while being ill or possessing a debilitating condition. All people can benefit from enhanced wellness. Wellness and an improved quality of life are possible for everyone, regardless of disease states. Evidence is accumulating to indicate that people with a positive outlook are better able to resist the progress of disease and illness than those with a negative outlook. Thinking positive thoughts has been associated with enhanced results from various medical treatments and better results from surgical procedures. Because self-perceptions are important to wellness, positive perceptions of self are especially important to the wellness of people with disease, illness, and disability. The concepts of wellness and optimal health must be considered in light of one’s heredity and personal disabilities and disease states. Figure 7 illustrates the fact that the most desirable condition is buoyant health (a) including freedom from illness and a high level of wellness. However, a person with a physical illness but who possesses a good wellness (b) has a better overall health status than a person with no illness but poor wellness (c).


    Unfortunately, some individuals and groups have tried to identify wellness with products and services that promise benefits that cannot be documented. Because “well-being” is a subjective feeling that is hard to document, it is easy for quacks to make claims of improved wellness for their product or service without facts to back them up. Holistic health is a term that is similarly abused. Optimal health includes many areas, thus the term holistic (total) is appropriate. In fact, the word health originates from a root word meaning “wholeness.” Unfortunately, many quacks include their questionable health practices under this guise of “holistic health.” Care should be used when considering services and products that make claims of wellness and/or holistic health to be sure that they are legitimate. Facts about Physical Fitness Physical fitness is a multidimensional state of being. Physical fitness's the body’s ability to function efficiently and effectively. It is a state of being that consists of at least five health-related and six skill-related, physical fitness components, each of which contributes to total quality of life. Physical fitness is associated with a person’s ability to work effectively, enjoy leisure time, be healthy, resist hypo kinetic diseases, and meet emergency situations. It is related to, but different from, health and wellness. Although the development of physical fitness is the result of many things, optimal physical fitness is not possible without regular physical activity.
The health-related components of physical fitness are directly associated with good health.
The five components of health-related physical fitness are body composition, cardiovascular fitness, flexibility, muscular endurance, and strength (see Table 3). Each health related fitness characteristic has a direct relationship to good health and reduced risk of hypokinetic disease. 

Body composition— The relative percentage of muscle, fat, bone, and other tissues that comprise the body. A fit person has a relatively low, but not too low, percentage of body fat (body fatness).



      Physical fitness is the body’s ability to function efficiently and effectively. It consists of health-related physical fitness and skill related physical fitness, which have at least 11 different components, each of which contributes to total quality of life. Physical fitness also includes metabolic fitness (see page 9). Physical fitness is associated with a person’s ability to work effectively, enjoy leisure time, be healthy, resist hypo kinetic diseases, and meet emergency situations. It is related to, but different from health, wellness, and the psychological, sociological, emotional, and spiritual components of fitness. Although the development of physical fitness is the result of many things, optimal physical fitness is not possible without regular exercise.

1.Body composition— The relative percentage of muscle, fat, bone, and other tissues that comprise the body. A fit person has a relatively low, but not too low, percentage of body fat (body fatness).
2.Muscular Endurance— The ability of the muscles to repeatedly exert themselves. A fit person can repeat movements for a long period without undue fatigue.

3. Strength—The ability of the muscles to exert an external force or to lift a heavy weight. A fit person can do work or play that involves exerting force, such as lifting or controlling one’s own body weight.

4.Cardiovascular fitness—The ability of the heart, blood vessels, blood, and respiratory system to supply fuel and oxygen to the muscles and the ability of the muscles to utilize fuel to allow sustained exercise. A fit person can persist in physical activity for relatively long periods without undue stress.

5.Flexibility—The range of motion available in a joint. It is affected by muscle length, joint structure, and other factors. A fit person can move the body joints through a full range of motion in work and in play
Agility—The ability to rapidly and accurately change the direction of the movement of the entire body in space. Skiing and wrestling are examples of act
Power—The ability to transfer energy into force at a fast rate. Throwing the discus and putting the shot are activities that require considerable power.
Balance—The maintenance of equilibrium while stationary or while moving. Water skiing, performing on the balance beam, or working as a riveter on a high-rise building are activities that require exceptional balance.
Reaction time—The time elapsed between stimulation and the beginning of reaction to that stimulation. Driving a racing car and starting a sprint race require good reaction time.

Coordination—The ability to use the senses with the body parts to perform motor tasks smoothly and accurately. Juggling, hitting a golf ball, batting a baseball, or kicking a ball are examples of activities requiring good coordination.
Speed—The ability to perform a movement in a short period of time. A runner on a track team or a wide receiver on a football team needs good foot and leg speed.



     Hypo means “under” or “too little,” and -kinetic means “movement” or “activity”. Thus, hypo kinetic means “too little activity.” A hypo kinetic disease or condition is one associated with lack of physical activity or too little regular exercise. Examples of such conditions include heart disease, low back pain, adult-onset diabetes, and obesity Possessing a moderate amount of each component of health-related fitness is essential to disease prevention and health promotion, but it is not essential to haveexceptionally high levels of fitness to achieve health benefits. High levels ofhealth-related fitness relate more to performance than health benefits. For example, moderate amounts of strength are necessary to prevent back and posture problems, whereas high levels of strength contribute most to improved performance in activities such as football and jobs involving heavy lifting.

The skill-related components of physical fitness are more associated with performance than good health. The components of skill-related physical fitness are agility, balance, coordination, power, reaction time, and speed (see Table 4). They are called skill-related because people who possess them find it easy to achieve high
levels of performance in motor skills, such as those required in sports and in specific types of jobs. Skill-related fitness is sometimes called sports fitness or motor fitness. There is little doubt that there are other abilities that could be classified as skill-related fitness components. Also, each part of skill-related fitness is multidimensional. For example, coordination could be hand-eye coordination such as batting a ball, foot-eye coordination such as kicking a ball, or any of many other possibilities. The six parts of skill-related fitness identified here are those that are commonly associated with successful sports and work performance. It should be noted that each could be measured in ways other than those presented in this book. Measurements are provided to help the reader understand the nature of total physical fitness and to help the reader make important decisions about lifetime physical activity.



Research studies show that health benefits often occur even without dramatic improvements in traditional health-related physical fitness measures.

Metabolic fitness is a state of being associated with lower risk of many chronic health problems, but not necessarily associated with high performance levels of health-related physical fitness. Examples of nonperformance indicators of reduced risk are lowered blood pressure, lowered fat levels in the blood, and better regulation of bloodsugar. Moderate physical activity has been shown to enhance metabolic fitness. Conventional wisdom classifies body composition as a component of health-related physical fitness, but some consider it to be a part of metabolic fitness because it is a nonperformance measure, and it is highly related to nutrition as well as physical activity. You will learn how to assess your metabolic fitness in subsequent concepts.

Bone integrity is often considered to be a nonperformance measure of fitness. Traditional definitions do not include bone integrity as a part of physical fitness, but some experts feel that it should be. Like metabolic fitness, bone integrity cannot be assessed with performance measures as can most health-related fitness parts. Regardless of whether it is considered as a part of fitness or a component of health, there is little doubt that strong healthy bones are important to optimal health and are associated with regular physical activity and sound diet.

The many components of physical fitness are specific in nature, but are also interrelated. Physical fitness is a combination of several aspects rather than a single characteristic. A fit person possesses at least adequate levels of each of the health-related, skill-related, and metabolic fitness components. People who possess one aspect of physical fitness do not necessarily possess the other aspects. Some relationships exist among different fitness characteristics, but each of the components of physical fitness is separate and different from the others. For example, people who possess exceptional strength do not necessarily have good cardiovascular fitness, and those who have good coordination do not necessarily possess good flexibility. Lab 1B is designed to help you distinguish among the different parts of health-related and skill-related physical fitness. A separate questionnaire helps you estimate your current fitness levels.

Good physical fitness isimportant too, but it is not the same as physical health and wellness. Good physical fitness contributes directly to the physical component of good health and wellness, and indirectly to the other four components. Good fitness has been shown to be associated with reduced risk of chronic diseases such as coronary heart disease and has been shown to reduce the



Metabolic Fitness Metabolic fitness is a positive state of the physiological systems commonly associated with reduced risk of chronic diseases such as diabetes and heart disease. Metabolic fitness is evidenced by healthy blood fat (lipid) profiles, healthy blood pressure, healthy blood sugar and insulin levels, and other nonperformance measures. This type of fitness shows positive responses to moderate physical activity. Bone Integrity Soundness of the bones associated with high density and absence of symptoms of deterioration. consequences of many debilitating conditions. In addition, good fitness contributes to wellness by helping us look our best, feel good, and enjoy life. Other physical factorscan also influence health and wellness. For example, having good physical skills enhances quality of life by allowing us to participate in enjoyable activities such as tennis, golf, and bowling. While fitness can assist in performing these activities, regular practice is also necessary. Another example is the ability to fight off viral and bacterial infections. While fitness can promote a strong immune system, other physical factors can influence our susceptibility to these and other conditions. For optimal health and wellness it is important to have good physical fitness and physical wellness. It is also important to strive for good emotional (mental), social, spiritual, and intellectual health and wellness. The Facts about Healthy Lifestyles Lifestyle change, more than any other factor, is considered to be the best way of preventing illness and early death in our society. When people in Western society die before the age of 65, it is considered to be early or premature death. Many factors contribute to early death in Western culture. By far the most important is unhealthy lifestyles that contribute to more than one-half of all early deaths. Eleven healthy lifestyles have been identified that are associated with reduced disease risk and increased wellness. As shown in Figure 8, these lifestyles affect health, wellness, and physical fitness. The double-headed arrow between health and wellness and physical fitness illustrate the interaction between these factors. Physical fitness is important to health and wellness development, and vice versa. Others factors, some not as much in your control as healthy lifestyles, also affect your health, fitness, and wellness. These factors include environmental factors (e.g., pollution, contaminants in the workplace), human biology (inherited conditions), and inadequacies in the health-care system, to name but a few.

consequences of many debilitating conditions. In addition, good fitness contributes to wellness by helping uslook our best, feel good, and enjoy life. Other physical factors can also influence health and wellness. For example, having good physical skills enhances quality of life by allowing us to participate in enjoyable activities such as tennis, golf, and bowling. While fitness can assist in performing these activities, regular practice is also necessary. Another example is the ability to fight off viral and bacterial infections. While fitness can promote a strong immune system, other physical factors can influence our susceptibility to these and other conditions. For optimal health and wellness it is important to have good physical fitness and physical wellness. It is also important to strive for good emotional (mental), social, spiritual, and intellectual health and wellness.


Lifestyle change, more than any other factor, is considered to be the best way of preventing illness and early death in our society.

When people in Western society die before the age of 65, it is considered to be early or premature death. Many factors contribute to early death in Western culture. By far the most important is unhealthy lifestyles that contribute to more than one-half of all early deaths. Eleven healthy lifestyles have been identified that are associated with reduced disease risk and increased wellness. As shown in Figure 8, these lifestyles affect health, wellness, and physical fitness. The double-headed arrow between health and wellness and physical fitness illustrate the interaction between these factors. Physical fitness is important to health and wellness development, and vice versa. Others factors, some not as much in your control as healthy lifestyles, also affect your health, fitness, and wellness. These factors include environmental factors (e.g., pollution, contaminants in the workplace), human biology (inherited conditions), and inadequacies in the health-care system, to name but a few.




Just as unhealthy lifestyles are the principal causes of modern-day illnesses such as heart disease, cancer, and diabetes, healthy lifestyles can result in an improved feeling of wellness that is critical to optimal health. In recognizing the importance of “years of healthy life,” the Public Health Service also recognizes what it calls “measures of well-being.” This well-being or wellness is associated with social, mental, spiritual, and physical functioning. Being physically active and eating well are two examples of healthy lifestyles that can improve well-being and add years of quality living. Many of the healthy lifestyles associated with good physical fitness and optimal wellness will be discussed in detail later in this book. The Healthy Lifestyle Questionnaire at the end if this concept gives you the opportunity to assess your current lifestyles. Regular physical activity, sound nutrition, and stress management are considered to be priority healthy lifestyles. Three of the healthy lifestyles listed in Figure 8 are considered to be priority healthy lifestyles. These are regular physical activity (exercise), eating well, and managing stress. There are several reasons for placing priority on these lifestyles. First, they are behaviors that affect the lives of all people. Second, they are lifestyles in which large numbers of people can make improvement. Finally, modest changes in these behaviors can make dramatic improvements in individual and public health. To be sure, the other healthy lifestyles listed in Figure 8 are important. For example people who use tobacco, abuse drugs (including alcohol), or practice unsafe sex can have immediate and dramatic health benefits by changing these behaviors. On the other hand, large segments of the population do not have problems in these areas. Obviously, these people cannot benefit from lifestyle changes in these areas. However, the majority of the population can benefit from increasing their activity level, eating a better diet, and managing personal stress. For example, statistics suggest that modest changes in physical activity patterns and nutrition can prevent more than 200,000 premature death annually. Similarly, learning to manage stresses that all of us face on a daily basis can result in significant reductions in more than a few health problems. Stress has a major impact on drug, alcohol, and smoking behavior so managing stress can help individuals minimize or avoid these behaviors. Many healthy lifestyles will be discussed in this book, but the focus is on the priority healthy lifestyles because virtually all people can achieve positive wellness benefits if they adopt them.

The change in causes of illness and the new emphasis on fitness, wellness, and healthy lifestyles have resulted in a shift toward prevention and promotion.

Early medicine focused on treatment of disease. Physicians were scarce and were consulted only when illness occurred. A shift toward prevention began with advancements in medical science (e.g., immunizations, antibiotics) and the development of public health efforts (e.g., safe water supplies). Now more than at any other time in history, efforts are being made to promote healthy lifestyles that lead to fitness and wellness. In this text, the emphasis will be on strategies for preventing chronic diseases and promoting fitness and wellness.

Early medicine focused on treatment of disease. Physicians were scarce and were consulted only when illness occurred. A shift toward prevention began with advancements in medical science (e.g., immunizations, antibiotics) and the development of public health efforts (e.g., safe water supplies). Now more than at any other time in history, efforts are being made to promote healthy lifestyles that lead to fitness and wellness. In this text, the emphasis will be on strategies for preventing chronic diseases and promoting fitness and wellness.


The HELP Philosophy: The Facts
The HELP Philosophy
 H = Health
 E = Everyone
 L = Lifetime
 P = personal                                                                                                                              A personal philosophy thatemphasizes Health can lead to behaviors that promote it.

    The H in HELP stands for “health.” One theory that has been extensively tested indicates that people who believe in the benefits of healthy lifestyles are more likely to engage in healthy behaviors. The theory also suggests that people who state intentions to put their beliefs in action are likely to adopt behaviors that lead to health, wellness, and fitness.


    The E in HELP stands for “everyone.” Accepting the fact that anyone can change a behavior or lifestyle means that YOU are included. Nevertheless, many adults feel ineffective in making lifestyle changes. Physical activity is not just for athletes—it is for all people. Eating well is not just for other people—you can do it too. All people can learn stressmanagement techniques. Healthy lifestyles can be practiced by everyone. As noted earlier in this concept, important health goals include eliminating health disparities and promoting “Health for All.” Healthy behaviors are most effective when practiced for a Lifetime. The L in HELP stands for “lifetime.” Young people sometimes feel immortal because the harmful effects of unhealthy lifestyles are often not immediate. As we grow older, we begin to realize that we are not immortal and that unhealthy lifestyles have cumulative negative effects. Starting early in life to emphasize healthy behaviors results in long-term P = Personal
The HELP philosophy can provide a basis for making healthy lifestyle change possible.

    The four-letter acronym illustrated in Table 6 provides a basis for a philosophy that has helped thousands of people adopt healthy lifestyles. Each letter in the word HELPcharacterizes an important part of the philosophy health, wellness, and fitness benefits. One recent study shows that the longer healthy lifestyles are practiced, the greater the beneficial effects. This study also demonstrated that longterm healthy lifestyles can even overcome hereditary predisposition to illness and disease.



   The P in HELP stands for “personal.” No two people are exactly alike. Just as there is no single pill that will cure all illnesses, there is no single lifestyle prescription for good health, wellness, and fitness. It is important for each person to assess personal needs and make lifestyle changes based on those needs.

Self-assessments of lifestyles will help you determine areas in which you may need changes to promote optimal health, wellness, and fitness.
As you begin your study of health, wellness, fitness, and healthy lifestyles, it is wise to make a self-assessment of your current behaviors. The Healthy Lifestyle Questionnairein the lab resource materials will allow you to assess your current lifestyle behaviors to determine if they are contributing positively to your health, wellness, and fitness. Because this questionnaire contains some very personal information, answering all questions honestly will help you get an accurate assessment. As you continue your study, you may want to refer back to this questionnaire to see if your lifestyles have changed. Initial self-assessments of wellness and fitness will provide information for selfcomparison. 

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