concept of fitness
Questions and Answers A Guide to Fitness and Wellness 4th Edition
Gary Liguori │ Sandra Carroll-Cobb
©McGraw-Hill Education. All rights reserved. Authorized only for instructor use in the classroom. No reproduction or further distribution permitted without the prior written consent of McGraw-Hill Education.
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CHAPTER 1
Introduction to Health, Wellness, and Fitness
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COMING UP IN THIS CHAPTER
Define health, wellness, and fitness
Examine the dimensions of wellness
Survey the major health challenges affecting Americans, as well as their underlying causes and risk factors
Identify key healthy-lifestyle behaviors
Assess your personal wellness status
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Evolving Definitions of Health, 1
Question: I haven’t been sick in over a year. Can I rate myself as healthy?
There are no universally accepted definitions
Health comes from the Old English word hoelth
“A state of being sound and whole”
WHO definition: emphasizes idea that health is more than just the absence of disease
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Evolving Definitions of Health, 2
Health: a condition with multiple dimensions that falls on a continuum from negative to positive
Negative: illness and premature death
Positive: capacity to enjoy life and withstand life’s challenges
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FIGURE 1-1 THE HEALTH CONTINUUM
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Actively Working Toward Wellness
Question: Are health and wellness the same?
Wellness: more personalized concept than health
Key characteristics of wellness:
Clearly defined dimensions
Active process
Individual responsibility and choice are critical components
Reflects the status of one’s perceptions of one’s own health and well-being
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Discovering Dimensions of Wellness, 1
Question: Can you be physically unfit but still be happy and social at the same time?
©AP Images/Eugene Hoshiko
Six dimensions in our wellness:
Physical
Emotional
Intellectual
Social
Spiritual
Environmental
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Discovering Dimensions of Wellness, 2
PHYSICAL WELLNESS
The complete physical condition and functioning of the body
Both the visible aspects, such as how fit one looks, and those that are not, such as blood pressure and bone density
Reflected in your ability to accomplish your daily activities and to care for yourself
Regular physical activity and healthy eating are the foundation behaviors of physical wellness, but they are just a beginning
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Discovering Dimensions of Wellness, 3
Ask yourself these questions:
Do I get enough sleep?
Do I use alcohol and drugs responsibly?
Do I make intentional and responsible sexual choices?
Do I use sunscreen?
Do I practice safe driving?
Do I manage injuries and illnesses appropriately, practice self-care, and seek medical assistance when necessary?
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Discovering Dimensions of Wellness, 4
Physical fitness: the ability to carry out daily tasks with vigor and alertness, without undue fatigue, and with ample energy to enjoy leisure-time pursuits and respond to emergencies
Closely relates to wellness and quality of life, but also has measurable components
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Discovering Dimensions of Wellness, 5
For physical wellness, one should strive for a fitness level that meets one’s goals for daily functioning and recreational pursuits
Physical fitness usually requires exercise: planned, structured, repetitive body movements
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FIGURE 1-2 THE RISK OF DYING PREMATURELY DECLINES AS PEOPLE BECOME PHYSICALLY ACTIVE
©mikkelwilliam/iStock/Getty Images RF
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Discovering Dimensions of Wellness, 6
EMOTIONAL WELLNESS
Your ability to manage and express emotions in constructive and appropriate ways
Being aware of your thoughts and feelings
Monitoring your reactions
Recognizing strengths and limitations
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Discovering Dimensions of Wellness, 7
Qualities associated with emotional wellness:
Optimism
Enthusiasm
Trust
Self-confidence
Self-acceptance
Resiliency
Self-esteem
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Discovering Dimensions of Wellness, 8
INTELLECTUAL WELLNESS
Your ability to think logically and solve problems in order to meet life’s challenges successfully
An active and engaged mind
People who enjoy a high level of intellectual wellness are creative, open to new ideas, and motivated to learn new information and new skills
Actively seek ways to challenge their minds and pursue intellectual growth
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Discovering Dimensions of Wellness, 9
SOCIAL WELLNESS
Your ability to develop and maintain positive, healthy, satisfying interpersonal relationships and appropriate support networks
Family
Friends
Community
©PeopleImages/DigitalVision/Getty Images RF
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Discovering Dimensions of Wellness, 10
SPIRITUAL WELLNESS
Having a set of guiding beliefs, principles, or values that provide meaning and direction in life
Compassion, forgiveness, altruism, tolerance, and capacity for love
Spirituality expressed in many different ways: organized religion, meditation, arts, volunteerism
Sometimes considered a controversial part of wellness models, but essential to overall well-being
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Discovering Dimensions of Wellness, 11
ENVIRONMENTAL WELLNESS
Your wellness and the condition and livability of your surroundings are interdependent
Your own wellness depends on your surroundings
The environment can support your wellness or detract from it
©Brand X Pictures/PunchStock/Getty Images RF
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Discovering Dimensions of Wellness, 12
OTHER WELLNESS DIMENSIONS
Financial wellness
Appropriate management of financial resources, a task that typically requires self-discipline and critical thinking skills
Occupational wellness
Satisfaction, fulfillment, and enrichment obtained through work
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Integrating the Dimensions: Recognizing the Connections and Striving for Balance
Question: If you change your behavior for fitness, will that help other areas of your life too?
To improve wellness, you must integrate all the dimensions of wellness with the personal choices that affect your health and well-being
Don’t focus on a few dimensions and neglect the others
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FIGURE 1-3 WELLNESS INTEGRATOR
©VGstockstudio/Shutterstock.com RF
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Measures of Health and Wellness, 1
Question: By what standards is health measured?
There is no single best measure of health
How long do people live?
How well do they live?
What do they die from?
What are the rates of specific diseases and injuries?
How much money is spent on health care?
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Measures of Health and Wellness, 2
Question: What are the chances of living to 100?
Life expectancy: the average number of years people born in a given year are expected to live
It depends on your age, location, and current health status
Life expectancy has increased dramatically
U.S. ranked 42nd overall in life expectancy
Why do people live longer than they used to?
Vaccinations, hygiene, less tobacco use, vehicle safety
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Measures of Health and Wellness, 3
Question: Why do women usually live longer than men?
In the developed world, women live 5 to 10 years longer
Behavioral and biological factors:
Men practice more risky behaviors
Higher accidents, assaults, and suicide rates in men
Women develop heart disease later in life
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Measures of Health and Wellness, 4
Question: Do you have to be super healthy to live longer?
QUALITY OF LIFE
Superior health helps, but it does not guarantee longevity—that is, a long life
The goal is not only more years but more healthy years
Years of healthy life
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FIGURE 1-4 QUALITY OF LIFE AMONG AMERICANS: UNHEALTHY DAYS DURING A 30-DAY PERIOD
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The National Healthy People Initiative
Question: Has there been any substantial improvement in physical health in the past few years in the United States, or are we all just getting less and less healthy?
Healthy People 2020
Four overarching goals:
Attain high-quality, longer lives
Achieve health equity
Create healthy social and physical environments
Promote quality of life and healthy development and behaviors across all life stages
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Leading Causes of Death, 1
Question: How does the United States compare to other countries in terms of diseases?
In developing nations, people die from diseases and conditions related to lack of necessities and public health measures
In the United States, the primary causes of death are linked to lifestyles
Most deaths in developed countries are due to noncommunicable disease (not caused by pathogens, and not contagious)
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FIGURE 1-5 CAUSES OF DEATH IN DEVELOPED AND DEVELOPING REGIONS OF THE WORLD
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Leading Causes of Death, 2
Question: It seems as if everyone has some kind of cancer. Is cancer now the leading cause of death for Americans?
Cancer is the leading cause of death for many age groups, but heart disease is still the number-one killer of Americans
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Leading Causes of Death, 3
Question: What is the leading cause of death for young adults like most college students?
The top causes of death in this age group are accidents, assault (homicide), and suicide
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TABLE 1-1 LEADING CAUSES OF DEATH IN THE UNITED STATES, ALL AGES
| RANK | CAUSE | NUMBER OF DEATHS | PERCENTAGE OF ALL DEATHS |
| 1 | Heart disease | 614,348 | 23.4% |
| 2 | Cancer | 591,699 | 22.5% |
| 3 | Chronic lower respiratory diseases | 147,101 | 5.6% |
| 4 | Accidents (unintentional injuries) | 136,053 | 5.2% |
| 5 | Stroke | 133,103 | 5.1% |
| 6 | Alzheimer’s disease | 93,541 | 3.6% |
| 7 | Diabetes | 76,488 | 2.9% |
| 8 | Influenza and pneumonia | 55,227 | 2.1% |
| 9 | Kidney disease | 48,146 | 1.8% |
| 10 | Suicide | 42,773 | 1.6% |
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FIGURE 1-6 LEADING CAUSES OF DEATH AMONG YOUNG ADULTS
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Leading Causes of Death, 4
Question: What can be done to decrease the leading causes of death?
We must understand risk factors--factors that increase your susceptibility for the development, onset, or progression of a disease or injury
Some can be changed (smoking); others can’t (age)
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Leading Causes of Death, 5
Question: How many people die from obesity?
Obesity is an important underlying cause of many chronic diseases
Ranked near the top of actual causes of death in the United States
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TABLE 1-2 ACTUAL CAUSES OF DEATH AMONG AMERICANS
| CAUSE | NUMBER OF DEATHS PER YEAR | PERCENTAGE OF TOTAL DEATHS PER YEAR |
| Tobacco | 440,000 | 18.1% |
| Obesity (poor diet and inactivity) | 112,000 | 4.6% |
| Alcohol consumption | 85,000 | 3.5% |
| Microbial agents | 75,000 | 3.1% |
| Toxic agents | 55,000 | 2.3% |
| Motor vehicles | 43,000 | 1.8% |
| Firearms | 29,000 | 1.2% |
| Sexual behavior | 20,000 | 0.8% |
| Illicit drug use | 17,000 | 0.7% |
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Health and Wellness On Campus
Question: What are the main health and wellness concerns of college students?
Back pain and allergies top the list among college students
Most health problems for college students aren’t of the chronic variety
There is much room for improvement, in multiple wellness dimensions
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FIGURE 1-7 MOST COMMON HEALTH PROBLEMS REPORTED BY COLLEGE STUDENTS
©Corbis/VCG/Getty Images RF
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TABLE 1-3 ACADEMIC IMPACT OF SELECTED HEALTH PROBLEMS
| PERCENTAGE OF STUDENTS REPORTING AN ACADEMIC IMPACT | |
| Stress | 31.8% |
| Anxiety | 23.2% |
| Sleep difficulties | 20.7% |
| Depression | 15.4% |
| Cold/flu/sore throat | 14.5% |
| Concern for a troubled friend or family member | 11.0% |
| Relationship difficulties | 9.4% |
| Attention-deficit/ hyperactivity disorder (ADHD) | 5.1% |
| Sinus infection/ear infection/bronchitis/strep throat | 4.7% |
| Alcohol use | 3.5% |
*Academic impacts include a lower grade on an exam or important project; a lower grade in a course; an incomplete or dropping a course; or a significant disruption in thesis, dissertation, research, or practicum work.
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Behavior Choices That Influence Wellness, 1
Question: What basic things should I do every day or every week for a healthy lifestyle?
Be physically active
Choose a healthy diet
Maintain a healthy weight
Avoid tobacco in all forms
Manage stress and get adequate sleep
Limit alcohol consumption
Avoid risky behaviors
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Behavior Choices That Influence Wellness, 2
Limit exposure to radiation and toxins
Practice good self-care
Seek appropriate medical care
Apply critical thinking skills as a health consumer
Cultivate relationships and social support
Nourish your spiritual side
Have fun!
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FIGURE 1-8 FACTORS THAT INFLUENCE HEALTH AND WELLNESS STATUS
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Other Factors That Influence Wellness
Question: Is my health mostly dependent on my genes and family history?
Genes are just one factor in disease risk and overall health status
Biology
Social and economic factors
Public policies and interventions
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Wellness: What Do You Want for Yourself—Now and in the Future?
Question: What does it feel like to be well?
Energy, vitality, curiosity, empowerment, enjoyment—a high quality of life
How do you rate your own levels of health and wellness today?
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