The pursuit of health: A vitality based perspective.
Study Goal
The researchers aimed to evaluate how walking and other health behaviors contribute to vitality and overall health, proposing an updated definition of health that includes physical and psychological well-being.
Results Summary
The study found that walking and other aerobic activities promote vitality, which enhances resilience, agency, and overall health, initiating a virtuous cycle of positive health behaviors.
Population
Adults, particularly those entering senior years with chronic diseases.
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
aerobic exercise | increase | health | adults | - | shapes good health | #1 |
resistance training | increase | health | adults | - | shapes good health | #2 |
sleep | increase | health | adults | - | shapes good health | #3 |
good diet quality | increase | health | adults | - | shapes good health | #4 |
positive emotions | increase | health | adults | - | shapes good health | #5 |
positive mindsets | increase | health | adults | - | shapes good health | #6 |
purposeful living | increase | health | adults | - | shapes good health | #7 |
social connectivity | increase | health | adults | - | shapes good health | #8 |
walking or other aerobic activities | increase | vitality | patients | - | promotes | #9 |
health-promoting behaviors | increase | level of energy | patients | - | manage | #10 |
vitality assessment and prescription | increase | successful aging | - | - | promote | #11 |
The large number of adults who enter their senior years with a high burden of chronic diseases has led to new metrics designed to promote health pro-activity, such as the calculation of one's "healthspan". These efforts call for re-evaluation as to what is meant by "health". A large body of epidemiologic and clinical investigation identifies that good health is shaped by specific health behaviors (aerobic exercise, resistance training, sleep, and good diet quality) and four psychological determinants (positive emotions, positive mindsets, purposeful living, and social connectivity). In common, each of these determinants produce "vitality", which can be defined as having the pleasing sensation of feeling energetic. Having a strong sense of vitality produces a sense of agency, provides resilience, and serves as a leading indicator of good health. Importantly, vitality can be assessed as a single item "vital sign" in clinical practice and can be promoted by recommending simple steps to patients, such as suggesting that they initiate walking or other aerobic activities. Because health habits and psychological determinants of health are inter-related, moving towards health improvement with simple steps can initiate a "virtuous cycle" of positive health behaviors. An emphasis on vitality can also encourage patients to become more cognizant of their level of energy and manage it through health-promoting behaviors rather than quick fix behaviors. Finally, vitality assessment and prescription can promote more successful aging. In sum, an updated and more clinically useful definition of health recognizes that it is a dynamic entity that is influenced at any time by one's engagement in physical and psychological practices that promote health. Accordingly, an updated definition of health is proposed: good health is characterized by physical and psychological well-being and is associated with vitality.