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Introduction to Wellness, Fitness, and Lifestyle
Management
Chapter 1
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
Wellness: The New Health Goal
Wellness = optimal health and vitality Dimensions of wellness
Physical wellness Emotional wellness Intellectual wellness Spiritual wellness Interpersonal and social wellness Environmental, or planetary, wellness
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
New Opportunities, New Responsibilities
Infectious diseases, caused by invading microorganisms, were the leading causes of death a century ago
Chronic diseases, caused by a variety of lifestyle and other factors, are the leading causes of death today
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
Leading Causes of Death Overall
Heart Disease Cancer Stroke Chronic lower respiratory diseases
(emphysema, chronic bronchitis) Unintentional injuries (accidents) Diabetes
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
Leading Causes of Death by Age
Ages 15 – 24 Unintentional injuries Homicide Suicide Cancer Heart Disease Congenital defects HIV / AIDS
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
Leading Causes of Death by Age
Ages 25 – 44 Unintentional Injuries Cancer Heart Disease Suicide HIV / AIDs Homocide Chronic Liver Disease
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
National Wellness Goals
U.S. government’s national Healthy People initiative sets goals on 10 - year agendas
Major goals of Healthy People 2010 Increase quality and years of healthy life Eliminate health disparities among
Americans
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
Dimensions of Diversity
Gender Ethnicity Income Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
Behaviors That Contribute to Wellness
Be physically active Choose a healthy diet Maintain a healthy body weight Manage stress effectively Avoid tobacco and drug use and limit
alcohol consumption Protect yourself from disease
and injuryFahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1
© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
Lifestyle and Wellness
More time watching TV = increased risk of obesity and diabetes
Cigarette smoking = increased risk of lung cancer
Low intake of fruits and vegetables = increased risk of heart disease
Few healthy behaviors = increased risk of heart disease
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
Benefits of Physical Activity
Increased endurance, strength, and flexibility
Healthier muscles, bones, and joints Improved body composition More energy Improved ability to cope with stress
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
Benefits of Physical Activity
Reduced risk of dying prematurely from all causes
Reduced risk of developing and / or dying from heart disease, diabetes, high blood pressure, and colon cancer
Reduced anxiety, tension and depression
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
Actual Causes of Death in the United States (per year)
Smoking 435,000
Diet and inactivity** 112,000
Alcohol 85,000
**Calculation of the number of deaths due to poor diet and inactivity (obesity) is an area of ongoing controversy and research.
Sources: Centers for Disease Control and Prevention. 2005. Frequently Asked Questions About Calculating Obesity-Related Risk (http://www.cdc.gov/od/oc/media/pressrel/r050614.htm; retrieved June 28, 2005). Mokdad, A. H., et al. 2004. Actual causes of death in the United States, 2000. Journal of the American Medical Association 291(10): 1238–1245.
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
Actual Causes of Death in the United States (per year)
Microbial agents 75,000
Toxic agents 55,000
Motor vehicles 43,000
Sources: Centers for Disease Control and Prevention. 2005. Frequently Asked Questions About Calculating Obesity-Related Risk (http://www.cdc.gov/od/oc/media/pressrel/r050614.htm; retrieved June 28, 2005). Mokdad, A. H., et al. 2004. Actual causes of death in the United States, 2000. Journal of the American Medical Association 291(10): 1238–1245.
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
Actual Causes of Death in the United States (per year)
Firearms 29,000
Sexual behavior 20,000
Illicit drug use 17,000
Sources: Centers for Disease Control and Prevention. 2005. Frequently Asked Questions About Calculating Obesity-Related Risk (http://www.cdc.gov/od/oc/media/pressrel/r050614.htm; retrieved June 28, 2005). Mokdad, A. H., et al. 2004. Actual causes of death in the United States, 2000. Journal of the American Medical Association 291(10): 1238–1245.
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
Other Factors in Wellness
Heredity Put together a family health history
Environment Health care
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
Evaluating Sources of Health Information
Go to the original source Watch for misleading language Distinguish between individual
research reports and public health advice
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
Evaluating Sources of Health Information
Remember that anecdotes are not facts
Be skeptical and use your common sense
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
Evaluating Sources of Health Information: Internet
What is the source of the information? Who is the author or sponsor
of the site? How often is the site updated? What is the purpose of the page? Does the site promote particular
products or procedures?
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
Evaluating Sources of Health Information: Internet
Are there obvious reasons for bias? What do other sources say about
the topic? Does the site conform to any set of
guidelines or criteria for quality and accuracy?
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
Reaching Wellness Through Lifestyle Management
Getting Started Examine your current health habits Choose a target behavior – an isolated
behavior selected as the object for a behavior change program
Obtain information about your target behavior Find outside help if needed
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
Building Motivation to Change
Examine the pros and cons of change Boost self - efficacy – the belief in
one’s ability to take action Locus of control: internal versus external Visualization and self - talk Role models and buddies
Identify and overcome key barriers to change
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
Enhancing Your Readiness to Change
Precontemplation – no intention of changing behavior
Contemplation – intending to take action within six months
Preparation – planning to take action within a month
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
Enhancing Your Readiness to Change
Action – outwardly changing behavior Maintenance – successful behavior
change for six months or more Termination
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
Create a Behavior Change Plan
1. Monitor your target behavior and gather data using a health journal
2. Analyze the data you collect and identify patterns relating to your target behavior
3. Set realistic, specific goals Break your overall goal into smaller
steps and goals
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
Create a Behavior Change Plan
4. Devise a strategy or plan of action Obtain information and supplies Modify your environment Reward yourself Involve the people around you Plan ahead for challenging situations
5. Make a personal contract
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
Putting Your Plan into Action
Commitment Strategies from behavior change plan Belief that you are the “boss” Change - friendly environment Support Rewards Congratulate yourself
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
Staying With It
Social influences Levels of motivation and commitment Choice of techniques and level
of effort Stress barrier Procrastinating, rationalizing,
and blaming
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.
Being Fit and Well for Life
First attempts may only involve the planning stage
Need to develop certain skills Do not expect to master everything
quickly and with ease
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1© McGraw-Hill Higher Education
Fahey/Insel/Roth, Fit & Well: Core Concepts and Labs in Physical Fitness and Wellness, Chapter 1©2007 McGraw-Hill Higher Education. All rights reserved.