What does it mean when we use words such as success healthy and wellness in terms of aging

Wellness is much more than your physical health. It’s a practical, holistic philosophy that encourages a lifestyle that enhances the body, mind and spirit. Research on healthy aging shows that seniors who embrace wellness as part of everyday life receive significant benefits.

What Is Wellness?

The National Institute of Wellness (NIW) puts it this way: “Wellness is an active process through which people become aware of, and make choices toward, a more successful existence.”

  • It’s an active process – which means it takes time and intentionality.
  • It needs awareness – which means paying attention to the different aspects of your life.
  • It requires choices – which means you’re in the driver’s seat.

The Dimensions of Wellness

Because humans are multifaceted creatures, wellness looks at different dimensions of life that are interconnected. When all dimensions function well, so does the human.

There are six key dimensions of wellness as defined by Dr. Bill Hetler, NIW:

  • Emotional: Showing awareness and acceptance of your feelings, as well as the ability to express them in a healthy way. This includes how positively you feel about yourself and your life, the ability to manage your feelings, coping with stress and realistically assessing your limitations.
  • Physical: Understanding your body and its relationship to nutrition and physical activity. As you might expect, it involves eating well, and building strength, flexibility and endurance in safe ways. But it’s also about taking responsibility for your health, paying attention to your body’s warning signs and seeking medical help when necessary.
  • Intellectual: Expanding your knowledge and skills through creative, stimulating mental activities. Think about ways you pursue personal interests, develop your intellectual curiosity, stay on top of current issues and ideas, and challenge yourself.
  • Occupational: Contributing your unique skills and gifts to work that is rewarding and meaningful to you. It can mean working at a job, but it also means developing new skills, volunteering, mentoring, teaching or coaching others.
  • Spiritual: Recognizing the search for meaning and purpose, developing an appreciation for life and the world around you, and letting your actions become more consistent with your values and beliefs. Some people follow specific religious practices, while others lean toward a more general pursuit of harmony and self-awareness.
  • Social: Contributing to your community and environment and recognizing the interdependence of people and nature. This is about making choices to build better personal relationships, a better living space and a better community.

The Importance of Wellness for Healthy Seniors

Achieving wellness is a common sense goal for anyone. But are there particular benefits for seniors? Absolutely.

A long-term study by the MacArthur Foundation found that 70 percent of physical aging and approximately 50 percent of mental aging is determined by lifestyle choices we make every day. Continued research into senior wellness activities confirms those findings and shows how the dimensions of wellness could be keys to a longer life.

  • A Yale study on aging and retirement found that seniors with a positive view of their lives lived an average of 7.5 years longer than those with more negative views.
  • Older adults who are physically active have lower mortality rates, higher levels of functional and cognitive health, and are less likely to have heart disease or Type 2 diabetes.
  • Memory function in seniors is improved by regularly doing tasks that require active engagement and that are challenging – like learning a new skill.
  • Volunteering as a senior is associated with health benefits such as enhanced cognition, delayed physical disability, reduced risk of hypertension, lower mortality and an improved sense of well-being.
  • Religious and spiritual involvement is associated with higher levels of well-being, lower rates of hypertension, fewer strokes and less pain from illnesses. One study estimates that religious involvement prolongs life by about 7 years.
  • An active social life is associated with better cardiovascular outcomes, greater immunity to infectious disease, less risk of depression and a longer life.

Wellness Check

Just like you need to get your blood pressure and heart rate checked periodically, it’s important you check your level of wellness. Ask yourself questions that will help you see what areas you’re doing well in – and where you’re not. The only tricky part? Being honest with yourself.

Emotional Wellness

  • Am I satisfied with how my life is turning out?
  • How well do I manage my stress levels?
  • Am I happy and content most days?

Physical Wellness

  • Do I eat healthful, nutritious food?
  • What kinds of physical activities do I participate in? How often?
  • Am I as healthy as other people my age?

Intellectual Wellness

  • How often do I try to learn new things?
  • What do I do to stay mentally stimulated?
  • Do I attend cultural or educational events regularly?

Occupational Wellness

  • Do I share my knowledge or experience with others?
  • How often do I volunteer or go to work?
  • Am I bored, or do I use my time wisely?

Spiritual Wellness

  • How often do I meditate, reflect or pray?
  • Do I have a well-defined sense of purpose and meaning?
  • Do I feel in harmony with the world around me?

Social Wellness

  • How often do I socialize with a consistent group of friends?
  • Are my family relationships a source of satisfaction for me?
  • Do I invite friends or family to my home at least once a month?

So what does wellness really mean as you age? It means you’re not done. It means that, whether you are on your own or are part of a senior living community with a wellness program, you can find ways to nurture every aspect of yourself. And that can help you get healthier, be happier and enjoy life more fully.

Sources:

  • National Institute of Wellness
  • Successful Aging. John W. Rowe, M.D., & Robert L. Kahn, Ph.D., Dell Publishing, 1998.
  • To Live longer, Accentuate the Positive. Psychiatry Online, 2002.
  • Physical Activity, World Health Organization Fact Sheet.
  • The Impact of Sustained Engagement on Cognitive Function in Older Adults: The Synapse Project. Psychological Science, Vol. 25(1), 2014.
  • Productivity & Engagement in Aging America: The Role of Volunteerism. Daedalus, Spring 2015.
  • Spirituality and Aging. Medscape, 2010.
  • The Role of Social Networks in Adult Health. Health Psychology, 2014.

  • Aging is a socially constructed phenomenon, influenced by culture, societal expectations, as well as socio-demographic characteristics and individual experiences.

  • To “succeed” in aging, however, it takes more than positive attitudes: social and environmental factors also contribute to the possibility of aging in good health.

  • Your definition of successful aging must include elements that matter to you.

"Successful aging" has become an important concept to describe the quality of aging.(1) Despite a growing literature on this topic, there is no standard definition of successful aging. It is increasingly seen from a holistic point of view. It may refer to the capacity to maintain good physical health, while also referring to the social and psychological adaptation processes in later life. In this blog post, we explore how some older adults have defined successful aging.

What research tells us

A recent systematic review of 22 studies examined how older adults define "successful aging".(2) Although older adults are not a homogeneous group (since gender, culture or state of health can influence perceptions), 12 themes emerged from the literature:

1. Maintaining meaningful relationships and social interactions with family and friends, as well as engage in their community and have access to resources and support.
2. Maintaining and cultivate a positive attitude to maintain emotional well-being.
3. Being healthy to stay independent for as long as possible.
4. Having a financial safety net to meet basic needs, cover living costs, have access to health insurance and get the care they need.
5. Accepting (and adapting to) physical changes associated with aging, and be opened to use assistive devices or gradually adjust activities.
6. Being engaged to stay active (for example, volunteering or pursuing hobbies).
7. Developing spirituality to improve well-being, give meaning to life and prepare to the later stage of life with serenity.
8. Having support from social policies favorable to aging, such as access to quality health care, free or affordable, access to work, government pensions, access to meals or housekeeping services.
9. Being autonomous and independent to maintain some freedom and continue to perform daily tasks without assistance, as well as to take care of yourself without depending on others.
10. Maintaining good cognitive health to stay alert, reduce memory loss, maintain mental activity and an active mind.
11. Staying physically active to delay old age or simply to be able to maintain a social or professional life.
12. Having a "good" death, ideally in the comfort of your own home, surrounded by family members.

What matters to you?

You may have a different perspective on "successful aging", whether you are an older adult, a caregiver, or a family member contemplating the later stage of life. It is never too early to plan ahead and have conversations about your values, wishes and beliefs related to aging.  Your definition of successful aging must include elements that matter to you.(3)

  1. Urtamo A, Jyväkorpi SK, Strandberg TE. Definitions of successful ageing: A brief review of a multidimensional concept. Acta Biomed. 2019;90(2): 359-363.

  2. Teater B, Chonody JM. How do older adults define successful aging? A scoping review. International Journal of Aging and Human Development. 2020;91(4): 599-625.

  3. Bowling A, Dieppe P. What is successful ageing and who should define it?. British Medical Journal. 2005;331(7531): 1548-1551.

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