intro-wellness 2010 notes
TRANSCRIPT
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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