Wellness is a choice of lifestyle
marked by a balance of mind, body and spirit. It is a complex interaction that
leads to quality of life. The term ‘quality
of life’ (QoL) refers to the satisfaction of people with their lives, their
physical, mental, social and emotional health and the nature of the environment
in which they are living. Wellness is multidimensional and a holistic approach
to personal health. Wellness is lifelong process of balancing physical, mental
and social wellbeing and their interaction with the environment. Health literacy is important for a
person to manage his health and prevent disease. Health literacy is defined as
the degree to which individuals have the capacity to obtain, process and
understand basic health information
and services needed to make appropriate health decisions (U.S Department of
Health and Human Services, USDHHS 2010). The World Health Organization (WHO
1947, 2009) introduced a holistic definition
of health as “a state of complete physical, mental and social well-being
and not merely the absence of disease or infirmity.” Our health and well –being
are the outcomes of the constant interaction between the several natural
dimensions of life and wellness. Wellness is a holistic approach by which one
can achieve and maintain optimal health. Wellness is a full integration of
physical, mental and spiritual well-being. The term fitness is sometimes used interchangeably with health or wellness.
The scope of fitness includes
health-related, skill-related and physiological components (USDHHS, 2000).
Definition
According to the National
Wellness Institute (2007), “wellness is an active process through which people
become aware of, and make choices toward, more successful existence.”
According to Dunn (1959),
“wellness is a state of health which comprises an overall sense of wellbeing
and sees a person as consisting body, mind and spirit.”
Renger and co-authors (2000)
defined wellness as consisting of physical, emotional, social, intellectual,
and spiritual dimensions, and added environmental wellness to recognize the
important impact of one’s surroundings.
Myers and Sweeney (2005) defined
wellness as a way of life aimed at optimal health and well-being in which an
individual integrates body, mind and spirit so as to live more fully within the
human and natural context. Ideally, it is an optimal state of health and
well-being that each individual is capable of achieving in all domains of his
or her life (Myers, Sweeney and Witmer, 2001).
Adams (2003) has defined four
main principles of wellness: 1) wellness is multi-dimensional; 2) wellness
research and practice should be oriented toward identifying causes of wellness
rather than causes of illness; 3) wellness is about balance; and 4) wellness is
relative, subjective, and perceptual.
Wellness dimensions
Wellness is commonly viewed as
having 7 dimensions or essential life areas such as physical, emotional, intellectual,
social, spiritual, environmental and occupational.
Physical wellness –refers to wellness of the physical body. It is considered
as an integral part of everyday wellness. Physical wellness encourages regular
physical activities, proper nutrition and health care such as exercise or
sports and personal hygiene. This type of physical activity discourages
dependence on tobacco, alcohol and other drugs. Good nutrition is important for
a health body and mind. Science has clearly determined that a lack of physical
activity is detrimental to health. Physical wellness encompasses maintenance of
cardiovascular fitness, flexibility and strength. A regular weekly programme of
walking, jogging, cycling, aerobics, swimming, strength training and stretching
exercises helps improve or maintain physical fitness.
Emotional wellness – reflects our ability to appropriately control
and express our emotions. Emotional wellness helps us to cope and comfortable
with our emotions. Emotional wellness implies the ability to express emotions
appropriately, adjust to change, cope with stress in a healthy way, and enjoy
life despite its occasional disappointments and frustrations. Emotional
wellness involves attending to our own thoughts and feelings, monitoring our
reactions and identifying obstacles to emotional stability. Emotional awareness
and acceptance help diminish the emotional intensity of the situation and
increase one’s ability to handle a situation productively.
Intellectual wellness – is the utilization of human resources and
learning resources to expand knowledge and improve skills. It refers to one’s
ability to analyse, synthesize and act on new information. Intellectual
wellness refers to active participation in scholastic, cultural and community
activities. Intellectual wellness represents a commitment to lifelong learning,
an effort to share knowledge with others and development of skills and abilities
to achieve a more satisfying life.
Social/ interpersonal wellness – involves interacting with people
and the environment and having satisfying relationships. The social environment
is created by the interaction of people and their relationships with one
another. It involves developing
friendships, healthy sexual behaviours, the ability to interact comfortably
with others generally works for harmony in personal and community environments.
Social wellness means you have friends with whom you discuss your problems and
with whom you spend time. Social wellness involves not only a concern for the
individual, but an interest in humanity as a whole.
Environmental/aesthetic wellness – Environment is an essential
dimension of wellness. Research shows that our health and well-being are
influenced by everything around us, whether in the built or natural world. Safe
air, land and water are fundamental to a healthy community environment. The
environment can have a significant impact on levels of physical activity, and
on physical and emotional health and well-being.
Spiritual wellness – is to possess a set of guiding beliefs,
principles or values that give meaning and purpose to one’s life. Spiritual wellness means working to achieve
spiritual potential and find harmony in living. The spiritually well person
focuses on the positive aspects of life and finding solutions to negative
feelings from the organized religions. Many people find meaning and purpose in
their lives on their own through nature, art, meditation or community service.
Occupational/ vocational wellness –involves creating a healthy and
supportive work environment which recognizes personal satisfaction and
enrichment in one’s life through work. It's better to develop functional,
transferable skills through structured involvement opportunities than to remain
inactive and uninvolved. It's better to
choose a career which is consistent with our personal values interests and
beliefs than to select one that is unrewarding to us.
Life style diseases and global wellness
Chronic diseases are the leading
causes of death throughout the world. Globally, of the 58 million deaths in 2005,
approximately 35 million was as a result of chronic diseases. Deaths from
chronic diseases are expected to increase by 17% over the next 10 years from 35
million to 41 million. Only 20% of chronic disease deaths occur in high income
countries- while 80% occur in low and middle income countries, where most of
the world population lives (WHO 2005). Chronic diseases are responsible for seven out
of every 10 deaths in the United States, killing more than 1.7 million
Americans every year. Reports from the United States estimate that the
population – attributable risk of physical inactivity is responsible for 12 %
of type 2 diabetes and 22% of coronary heart disease as well as significant
shares of other poor health conditions. The estimate on Indian population in 2005
reported that chronic diseases accounted for almost 53% of all deaths and 44%
of disability – adjusted life years (DALYs).In economically developed countries
such as Japan, the United States, Australia and most of Europe, nearly 50% of
the chronic disease burden is associated with 5 risk factors: tobacco use, high
blood pressure, alcohol use, high cholesterol and overweight. But in the
developing countries, deaths from chronic disease result from different risk
factors: underweight, unsafe sex (causing HIV/AIDS), unsafe water and
sanitation and indoor smoke from pollution.
Many chronic diseases could be prevented, frequently manageable through
simple lifestyle changes. The chronic disease
threat can be easily overcome by using the existing scientific knowledge.
Effective wellness strategy
Stress management - Prolonged stress has an undeniable adverse
effect on health. It can — and does — lead to illness. The ability to reduce
and/or counter stress is critical in dealing with behavioural health problems,
as well in promoting health and wellness. Yoga, meditation and deep breathing
help reduce stress levels. It is advised to avoid over use of alcohol,
caffeine, energy drinks, high sugar foods and stimulant drugs. It
is said by an unknown author that “The best cure for the body is to quiet the
mind.”
Physical activity- Exercise and other
forms of physical activity not only help maintain a healthy weight, but also
help improve overall health and behavioural health — and reduce stress. John F.Kennedy said, “Physical fitness is
not only one of the most important keys to a healthy body, it is the basis of
dynamic and creative intellectual activity.”
Healthy nutrition- The quality and the balance of food in our diet
has enormous impact on our health. Developing personal eating habits that
promote better health is important for everyone, especially people who have health
problems like diabetes, heart disease, and high blood pressure. During some
chronic illnesses, eating healthy becomes vital to prevention and recovery.John Lubbock said, “Health is much more dependent on our habits and
nutrition than on medicine.”
Restful sleep- The human body needs at
least 8 hours of sleep each day to function at optimal levels, to repair and
recharge. Long-term sleep deprivation is associated with many illnesses,
including high blood pressure, heart attack, stroke, obesity, and behavioural
health problems. Thomas Dekker said, “Sleep
is that golden chain that ties health and our bodies together.”
Community network and service - “Service to others” and “support network” are two sides of the same coin. We all need connectedness to survive. Service to others and support networks play a major role in initiating and sustaining personal wellness. Pearl S. Buck said, “To serve is beautiful, but only if it is done with joy and a whole heart and a free mind.”
Positive mental attitude- Personal hope that one’s life can be
better encourages happiness and a sense of wellbeing. In fact, research has
found that heart patients with optimistic recovery expectations are 30% less
likely to die over the next 15 years than less optimistic patients, regardless
of disease severity. Peter Sampson said,
“What really makes you healthy in life is your mental attitude. If it affects
you in a positive way, it’s worth it.”
A sense of meaning and purpose- Many people develop a sense of
meaning and purpose through spirituality, ultimately converging a person’s
beliefs and values. Patricia Ryan
Madson said, “A life of meaning and value is achieved through purposeful action.”
Summary
Wellness is an active, lifelong
process of becoming aware of choices and making decisions toward a more
balanced and fulfilling life. Wellness places responsibility on the individual;
it becomes a matter of self-evaluation and self – assessment. Wellness involves
continually learning and making changes to enhance one’s state of wellness. Wellness
is understood as a total person’s approach towards improving the quality of one’s
health. It is acknowledged that wellness
is characterised by optimal physical health as well as psychological and social
well-being and not by the mere absence of illness.
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