Intro-Wellness 2010 Notes

8/13/2019 Intro-Wellness 2010 Notes

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Lecture Outline

Leading Causes of Death in US Advances in Public Health Modern Concept of Health

Definition of Health

Six Dimensions of Wellness Factors that Influence Wellness Wellness & Salutogenesis Benefits of Laughter

Human Genome and Health & Quality of Life


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Leading Causes of Death the in the U.S.


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Actual Causes of Death the in the U.S.


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Public Health Achievements of the20 th CenturyAdvances in Public Health


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What is Wellness?

The ability to live life fully with vitality and meaning

A state of complete mental, physical and social well-being, not merely the absence of disease or infirmary

Determined by the d e c i s i o n s you make about how youlive your life


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Who Stays Well & Why?

Antonovsky (1979) salus Salutogenesis

He wanted to focus his model on hea l th rather thanon disease

Model stems from work with refugees (WWII) Self of coherence: comprehensibility, manageability,

meaningfulness

http://www.holistichealthm.com/2010/02/salutogenesis-salutogenic-model.html


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Six Dimensions of Wellness


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The Six Dimensions of Wellness I

Physical wellnessEmotional wellnessIntellectual wellness

Spiritual wellnessInterpersonal / Social wellnessEnvironmental wellness

Ideally you strive for complete B A L A N C E in all ofthese facets


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Six Dimensions of Wellness II

Physical Emotional


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Reward System Associated with Humor


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Therapeutic Benefits of Laughter

Laughter has been shown to:

Berk & Tan, 1996, Loma Linda University of CA


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Factors that Influence Wellness

HeredityEnvironment

Behavior Example: Heart disease


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Interaction of Behavior and EnvironmentalFactors

Breast cancer Genes associated with a womans risk only explain a

small proportion

Obesity Survey data from 1999-2000: 65% of adults in US are

overweight; 31% are obese quality of life, risk of disease

Diabetes

60% increased incidence among Americans since 1990 Not due to sudden change in our genes, but to obesity, poor

dietary choices, lack of physical activity, smoking


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What We Have Learned from Mapping

the Human Genome

E r r o r s in genes 3000-4000 hereditary conditions Sickle- cell disease, Huntingtons disease, cystic fibrosis

A l t e red genes Heart disease, cancer, stroke, diabetes an individuals risk

Disease results from interaction of many genes withenvironmental and behavioral factors


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Using the human genome to improve

health and quality of life

Personalized risk assessment

PharmacogenomicsGene therapy


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Effects of GDNF Infusions in ParkinsonsDisease Patients

Gill et al., 2003


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Limitations of Human Genome

Because disease results from interaction of manygenes with environmental and behavioral factors

More difficult to develop tests and therapies fordisorders with complex causes


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Ethical Issues


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Summary

Wellness incorporates physical, emotional, intellectual, spiritual,social, and environmental dimensions

Heredity, environment, health care play a role in wellness anddisease

Behavior can mitigate disease.

Lifestyle changes, improving the environment can affect yourhealth

Documents

Intro-Wellness 2010 Notes