Friday 9 May 2014

About Health/Wellness

     Health is the level of functional or metabolic efficiency of a living organism. In humans, it is the general condition of a person's mind and body, usually meaning to be free from illness, injury or pain (as in "good health" or "healthy").    World Health Organization defined Health as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. 
     Wellness is much more than just a state of physical health. It also encompasses emotional stability, clear thinking, the ability to love, create, embrace change, exercise intuition and experience a continuing sense of spirituality.  It has been accepted that health can be divided into two broad aspects - physical and mental health.

Physical Health

     In humans, physical health means a good body health, which is healthy because of regular physical activity (exercise), good nutrition, and adequate rest.  Physical health relates to anything concerning our bodies as physical entities. Physical health has been the basis for active living campaigns and the many nutrition drives that have swept the industrialized world.

     Another term for physical health is physical wellbeing. Physical wellbeing is defined as something a person can achieve by developing all health-related components of his/her lifestyle.

 Fitness reflects a person's cardiorespiratory endurance, muscular strength, flexibility, and body composition. Other contributors to physical wellbeing may include proper nutrition, bodyweight management, abstaining from drug abuse, avoiding alcohol abuse, responsible sexual behavior (sexual health), hygiene, and getting the right amount of sleep.  Physical health can be divided into two seperate entities: Sturctural Health and Chemical Health.

Structural Health - this refers to sound bones, muscles, organs etc. That the structures in the body are performing the functions they were made for properly. Structural health is associated with a person's height/weight ratio, their BMI (body mass index), their resting pulse rate (heart rate), and recovery time after doing exercise.

Chemical Health - good chemical health means that the chemicals in the person's body are correct, that tissues contain the right balance of nutrients, etc., and there are no toxic chemicals.  We may inhale or swallow natural and synthetic chemicals; they can also get into our body through skin. In most cases, the body can break these chemicals down or excrete them, so that there is no risk of toxic overload. Some chemicals can harm or destroy cells and tissues, while others may affect genetic material directly, which can increase the risk of developing cancer.

Mental Health


     Mental health refers to people's cognitive and emotional well-being. A person who enjoys good mental health does not have a mental disorder. According to WHO, mental health is "a state of well-being in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community".

     Mental health also includes the ability to enjoy life, the ability to bounce back from adversity, the ability to achieve balance (moderation), the ability to be flexible and adapt, the ability to feel safe and secure, and self-actualization (making the best of what you have).


Determinants of Health

     The health of individual people and their communities are affected by a wide range of contributory factors. People's good or bad health is determined by their environment and situations - what is happening and what has happened to them, as stated by WHO. WHO says that the following factors probably have a bigger impact on our health than access and use of health care services:

  1.     Where we live
  2.     The state of our environment
  3.     Genetics
  4.     Our income
  5.     Our education level
  6.     Our relationship with friends and family.

WHO Opined the main determinants to health are:

  •     Our economy and society ("The social and economic environment")
  •     Where we live, what is physically around us ("The physical environment")
  •     What we are and what we do ("The person's individual characteristics and behaviors").
     As our good health depends on the context of our lives, praising or criticizing people for their good or bad health is wrong. Most of the factors that contribute towards our good or bad health are out of our control. According to WHO, these factors (determinants), include the following, among others:

  • Socioeconomic Status - the higher a person's socioeconomic status is, the more likely he/she is to enjoy good health. The link is a clear one. Socioeconomic status affects all members of the family, including newborn babies. Australian researchers found that women of lower socioeconomic status are less likely to breastfeed their newborn babies - a factor which will have an impact on the health of the baby just as he/she enters the world. A South Korean study revealed a clear link between low socioeconomic status and heart attack and stroke risk.


  •  Education - people with lower levels of education generally have a higher risk of experiencing poorer health. Their levels of stress will most likely be higher, compared to people with higher academic qualifications. A person with a high level of education will probably have greater self-esteem.  A study carried out by researchers at Northwestern University Feinberg School of Medicine, Chicago, found that elderly people who had a higher level of health literacy were more likely to live longer.  Another study from San Francisco VA Medical Center found that literacy at less than a ninth-grade level almost doubles the five-year risk of mortality among elderly people.

  • Physical Environment - if your water is clean and safe, the air you breathe is pure, your workplace is healthy, your house is comfortable and safe, you are more likely to enjoy good health compared to somebody whose water supply is not clean and safe, the air he/she breathes is contaminated, the workplace is unhealthy, etc.     A studies found that just an hour of sniffing car exhaust fumes induces a stress response in the brain's activity.  Another study carried out, found that chronic lead poisoning, caused in part by the ingestion of contaminated dirt, affects hundreds of thousands more children in the United States than the acute lead poisoning associated with imported toys or jewelry.

  • Job Prospects and Employment Conditions - if you have a job, statistics show you are more likely to enjoy better health than people who are unemployed. If you have some control over your working conditions your health will benefit too. Researchers at State University of New York at Albany found that workers who lost their job through no fault of their own were twice as likely as continuously employed workers to report over the next 18 months that they developed a new illness, such as high blood pressure, diabetes or heart disease.

  • Support from People Around  - if you have family support, as well as support from friends and your community your chances of enjoying good health are far greater than somebody who has none of these things. A team from the University of Washington found that strong family support, not peer support, is protective in reducing future suicidal behavior among young adults when they have experienced depression or have attempted suicide.

  • Culture - the traditions and customs of a society and how a family responds to them play an important role in people's health. The impact could be either good or bad for health. The tradition of genital mutilation of women has an impact on infection rates and the mental health of millions of girls and women in many countries. A study published in the Journal of Epidemiology and Community Health found that when young people dress according to the customs of their own ethnic group, they may be less likely to have mental health problems later in life.

  • Genetic Inheritance - people's longevity, general health, and propensity to certain diseases are partly determined by their genetic makeup. Researchers from Vrije Universiteit, Holland, the Medical College of Georgia, USA, and Duke University, USA showed that people's genes play a key role in how they respond both biologically and psychologically to stress in their environment.

  • What We Do and How We Manage - what we eat, our physical activity, whether or not we smoke or drink or take drugs, and how we cope with stress play an important role on our physical and mental well-being.

  • Access and Use of Health Services - a society that has access and uses good quality health services is more likely to enjoy better health than one that doesn't. For example, developed countries that have universal health care services have longer life expectancies for their people compared to developed countries that don't.

  • Gender - men and women are susceptible to some different diseases, conditions and physical experiences, which play a role in our general health. For example, childbirth, ovarian cancer, and cervical cancer, are experienced only by women, while prostate cancer, testicular cancer are only experienced by men.  During wars, more men than women tend to be called up to fight, and subsequently become injured or die. Adult women are more likely to be the physical victims of domestic abuse, compared to adult men. In some societies women are not given the same access to education as men - education is a factor that influences health. Many studies have revealed gender disparities in healthcare services, even in developed countries. 


Maintaining Good Health/Wellness

     Achieving and maintaining health is an ongoing process, it is shaped by both the evolution of health care knowledge and practices as well as personal strategies and organized interventions for staying healthy which is known as Lifestyle Management. Good health / wellness can be achieved and maintained by, proper dieting /nutrition, regular physical and exercise, and self care strategies etc. 

Diet /Nutrition

     An important way to maintain your personal health is to have a healthy diet. A healthy diet includes a variety of plant-based and animal-based foods that provide nutrients to your body. Such nutrients give you energy and keep your body running. Nutrients help build and strengthen bones, muscles, and tendons and also regulate body processes.

     The food guide pyramid is a pyramid-shaped guide of healthy foods divided into sections. Each section shows the recommended intake for each food group (i.e. Protein, Fat, Carbohydrates, and Sugars). Making healthy food choices is important because it can lower your risk of heart disease, developing some types of cancer, and it will contribute to maintaining a healthy weight.

Physical Exercise

     Physical exercise enhances or maintains physical fitness and overall health and wellness. It strengthens muscles and improves the cardiovascular system.  Physical fitness is a general state of health and well-being or specifically the ability to perform aspects of sports or occupations. Physical fitness is generally achieved through correct nutrition, exercise, hygiene and rest. It is a set of attributes or characteristics that people have or achieve that relates to the ability to perform physical activity.

     It is ability for the body to function efficiently and effectively in work and leisure activities, to be healthy, to resist hypokinetic diseases, and to meet emergency situations.

Self-care Strategies

     Personal health depends partially on the active, passive, and assisted cues people observe and adopt about their own health. These include personal actions for preventing or minimizing the effects of a disease, usually a chronic condition, through integrative care. They also include personal hygiene practices to prevent infection and illness, such as bathing and washing hands with soap; brushing and flossing teeth; storing, preparing and handling food safely; and many others. The information gleaned from personal observations of daily living – such as about sleep patterns, exercise behavior, nutritional intake and environmental features – may be used to inform personal decisions and actions

      Personal health also depends partially on the social structure of a person's life. The maintenance of strong social relationships, volunteering, and other social activities have been linked to positive mental health and also increased longevity.  Stress management is the application of methods to either reduce stress or increase tolerance to stress. Relaxation techniques are physical methods used to relieve stress. Psychological methods include cognitive therapy, meditation, and positive thinking, which work by reducing response to stress. Improving relevant skills, such as problem solving and time management skills, reduces uncertainty and builds confidence, which also reduces the reaction to stress-causing situations where those skills are applicable.

     Also, science and public health play greater roles in preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals and improving health based on the principles and procedures developed through the health sciences are provided by practitioners trained in medicine, nursing, nutrition, pharmacy, social work, psychology, occupational therapy, physical therapy and other health care professions.  

    Finally,  better health is central to human happiness and well-being. It also makes an important contribution to economic progress, as healthy populations they live longer, are more productive, and save more (WHO).  Many people do not realize the importance of good health, and even if they do, they may still disregard it.  The necessity of good health is not limited to a particular religion, caste, creed or gender.  Besides healthy food, we also need sufficient sleep, fresh air, and proper physical exercise to keep health.  Your health is you wealth you should safe guard it. 


References


Nordqvist, C. (2014). "What is health? What does good health mean?." Medical News Today. Retrieved from http://www.medicalnewstoday.com/articles/150999.php.

National Health Service (NHS), UK, The Mayo Clinic, Wikipedia, HHS (Department of Health and Human Services USA), NIH (National Institutes of Health, USA).

World Health Organization. WHO definition of Health, Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19–22 June 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948. In Grad, Frank P. (2002). "The Preamble of the Constitution of the World Health Organization". Bulletin of the World Health Organization 80 (12): 982.

Websites

http://en.wikipedia.org/wiki/Health
http://www.humankinetics.com/excerpts/excerpts/the-importance-of-health-fitness-and-wellness
http://www.jiva.com/ayurveda/about-ayurveda/167.html