Arts, Health, Life, Psychology

Understanding well-being

WELLBEING

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THE phrase, “state of well-being” is often loosely bandied about, but what does this phrase actually mean? It is a rather nebulous phrase, which many interpret as synonymous with welfare or level of happiness, state of physical or mental health or degree of satisfaction with life.

Perhaps all these factors do form part of what we mean by this term, but not necessarily so. For example, let us speculate upon Andrea Bocelli, the renowned Italian tenor who became blind at the age of twelve. Must his level of positive well-being be significantly compromised because of his physical infirmity? There is every possibility that Bocelli might enjoy an extremely high level of positive well-being despite his lack of sight, since estimation of one’s well being is a highly subjective phenomenon.

As the author Antoine de Saint-Exupéry perspicaciously implies in a 1943 story entitled, Le Petit Prince, it is what we think of ourselves that counts and determines our state of well-being. However, what we think of ourselves, for good or ill, can be greatly influenced by what others think of us:

I have no right, by anything I do or say, to demean a human being in his own eyes. What matters is not what I think of him; it is what he thinks of himself.

Objective measures of well-being

We can attempt to measure welfare or well-being in accordance with objective measures, such as where a person may be located on various scales – be they economic, social, psychological, physical or even spiritual – but none of these actually capture the reality of well-being as experienced by the individual.

Practitioners often come into contact with many people who ostensibly have no business not to enjoy high levels of positive well-being, status, good health, loving relationships, interesting careers and so much more. And yet, such people are known to suffer from depression, anger, addictions, eating disorders and anxiety, as well as other mental health afflictions. Clearly, then, objective measures alone do not provide an accurate assessment for an individual’s state of well-being.

Positive well-being is about meeting our expectations

It is generally accepted that being adequately fed, watered, housed and exercised, along with being gainfully employed and well-educated, as well as having good physical health, are all components that facilitate positive well-being, but they are far from the whole story.

Well-being is primarily concerned with the degree to which our expectations, dreams and aspirations are met, and these are totally unique to each individual. Many of our attitudes are a direct result of our “nurturing” and this, along with our own aptitudes and personality – our “nature” – mingle together to form ideals of what success looks like for each of us.

Culture influences our sense of well-being

Depending upon our cultural heritage we might favour a collective or individualistic approach to life (or maybe a combination of the two), and this will colour our estimation of personal well-being. In a strictly collectivist society, blending into the group and not drawing attention to oneself generates feelings of acceptance, belonging and comfort. Even if the price paid is conceding to a high degree of conformity to group expectations, this will still work towards affording a sense of positive well-being for the majority who have been socialised in this manner.

We are not all equally malleable in continuing to society’s conventions

There are mavericks in every society, where the personal imperative outstrips that of the social; these highly autonomous individuals buck the trend and follow their own course of action, often at their own peril. Not to follow their own star would lead to considerable inner conflict and result in a state of negative well-being. Many of this ilk find themselves “damned if they do and damned if they don’t” in subscribing to normative behaviour.

These people, by not conforming, invite society’s disapproval or, by conceding to society’s expectations, they feel that they have not been true to themselves and experience dissonance. Dissonance is a state of mental conflict when you experience contradictory emotions and beliefs. In the not-too-distant-past, working women who wished to pursue their career after having children faced this dilemma.

Individualistic society

In fiercely individualistic societies, being indistinguishable from the pack tends to promote negative well-being, since leadership, power and talent differentiate an individual from the herd, attracting kudos and admiration. Individualistic socialisation demands that we stand out from the crowd if we are to feel good about ourselves and enjoy positive well-being. This pressure can be seen in cultures that emphasise educational attainment, and prestigious institutions can foster individualism to an even higher level.

Collectivist vs. individualistic

The powerful impact of nurturing and socialisation, resulting in the inculcation of society’s expectations, mores and values, can be seen in the contrast between collectivist and individualistic societies. Public shame has a far greater negative impact on well-being in Japan, a collectivist society, than it has in contemporary Europe, which favours a more individualistic approach. One only has to look at the number of disgraced European officials who have bounced back into public life, subsequent to their humiliation and ruination. In contrast, a number of Japanese politicians and business leaders have accepted personal responsibility for their government’s or organisation’s shortcomings in the last decade, often resigning their positions. Today, in European society, people tolerate a variety of responses. Some applaud the manifestation of honour and integrity which resignation signals, while others praise the resilience of those who insist upon remaining in post.

The important thing to keep in mind is that societal attitudes are constantly changing and evolving. Many people do get stuck in a time warp and hold on to childish perceptions about themselves and feelings, such as shame, which negatively impact their well-being. It is advisable to constantly reassess your perceptions of experiences and work out if the view you are holding is in line with your current values and beliefs. Often when you go through this process you will recognise that you are carrying parental, peer or societal attitudes that are not in tune with your own moral compass, and which therefore need to be updated.

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Health, Medical, Science

Health: Blood Pressure

HYPERTENSION

high-blood-pressure-stat-2019

As blood circulates through the body, it exerts varying degrees of force on artery walls; this is known as blood pressure. According to the World Health Organisation, between 10 and 30 per cent of people throughout the world have blood pressure that is too high – or hypertension. In its early stages, high blood pressure is symptomless, so many people do not realise they have a potentially life-threatening disease. If the condition goes unchecked, it will damage the heart and blood vessels and can lead to a stroke, heart attack and other serious consequences.

In about 5 per cent of cases, there’s an underlying cause for high blood pressure; for example, a narrowed kidney artery, pregnancy, an adrenal gland disorder or a drug side effect. Most often, however, there is no identifiable cause, and this is referred to as primary, or essential, hypertension.

Blood pressure rises when the body’s smallest arteries, narrow or constrict, requiring the heart to beat more forcefully in order to pump blood through them. Increased blood volume, often caused by the body’s tendency to retain excessive salt and fluids, raises blood pressure; so do high levels of adrenaline and other hormones that constrict blood vessels.

With age, blood pressure rises somewhat; no one fully understands precisely what leads to hypertension, although a combination of factors, especially salt intake, seems to be involved. It tends to run in families, so inherited susceptibility is suspected. Obesity is known to increase risk. Stress prompts a surge in adrenal hormones and a temporary rise in blood pressure; some researchers believe that constant stress may play a role in developing hypertension. Other contributors include smoking, excessive alcohol and a generally sedentary lifestyle.

Proper control of high blood pressure and cholesterol can halve the risk of heart attacks. It seems that the death rates from different forms of cardiovascular disease, have been steadily declining since the 1960s, thanks largely to lifestyle changes and improvements in hypertension treatment.

Diet and hypertension

Diet plays a role in both prevention and treatment of high blood pressure. Simple things can help to keep your blood pressure in check.

Limit your salt intake. A high-salt diet also contributes to the condition in people who have a genetic tendency to retain sodium. In these individuals, restriction of salt, from an early age, reduces the risk of developing hypertension. A portion of the population, including older people and people with diabetes, appear to be particularly sensitive to sodium and may benefit significantly from eating low-salt foods. Experts agree that most people should aim to consume no more than 6g of salt each day. The best way to reduce intake is to avoid adding salt, and to avoid processed foods, which are usually loaded with sodium. Check labels carefully – look for the term ‘sodium’ to find hidden salt. It may be a good idea to switch to a potassium-based salt substitute, as potassium lowers blood pressure.

Keep your weight down. Being even slightly overweight contributes to hypertension; losing excess weight is often all that is needed to return blood pressure to normal. Even a modest weight loss will cause a drop in blood pressure.

Eat less fat. A high-fat diet not only leads to weight gain but may also contribute to high blood pressure. Limit fat intake to 30 per cent or less of total calories, with 10 per cent or less coming from saturated fats. This means cutting back on butter and margarine; reading food labels to check the saturated fat content; switching to skimmed milk and other low-fat dairy products; choosing lean cuts of meat and grilling instead of frying.

Reduce alcohol and caffeine consumption. Although a glass of wine or other alcoholic drink daily seems to reduce the chance of a heart attack, consuming more than this will negate any benefit and may increase the risk of hypertension. Too much caffeine can also raise blood pressure. Older adults with hypertension may be more sensitive to the effects of caffeine and should limit their intake.

Boost your mineral intake. Some nutrients may protect against high blood pressure. Potassium, an electrolyte that helps to maintain the body’s balance of salt and fluids, helps to ensure normal blood pressure. Potassium is found in fruit (especially bananas) and vegetables, dairy products, beans and pulses.

A few US studies have linked calcium deficiency to hypertension and have suggested that increased intake of low-fat dairy products may be beneficial.

Get more garlic. Other research appears to suggest that garlic can help to lower blood pressure. The amount of garlic necessary to lower blood pressure, however, can cause other problems, especially unpleasant breath and body odour. Although garlic is available in odourless pills, it is not known if these pills produce the same benefits as eating real garlic.

Other lifestyle changes

While a proper diet is instrumental in maintaining normal blood pressure, it should be combined with other lifestyle changes. One of the most important is regular aerobic exercise, which lowers blood pressure by conditioning the heart to work more efficiently. If you smoke, you should give up, because nicotine raises blood pressure. Giving up smoking can reduce blood pressure markedly – apart from the other health benefits.

Use medications with caution. Non-prescription cold, allergy and diet pills can raise blood pressure. In some women, birth control pills, or hormone replacement therapy, can cause high blood pressure.

Reduce stress. Experts continue to debate the role of stress in hypertension. There is no doubt that stress temporarily raises blood pressure, and some experts think that it may have a long-term effect. Meditation, yoga, biofeedback training, self-hypnosis and other relaxation techniques may help to lower blood pressure. Studies have found that people with pets have lower blood pressure than people who don’t own pets.

Drug therapy. Doctors usually recommend about six months of lifestyle changes to see if mild to moderate hypertension returns to normal levels. If not, drug therapy is often instituted. There are dozens of antihypertensive drugs and doctors can usually find one or a combination that lowers blood pressure with minimal adverse side effects. The most widely used drugs are diuretics, which reduce salt and fluid volume by increasing the flow of urine. Some classes of drugs reduce the heart’s workload by helping to widen the arterioles to increase blood flow; other drugs can slow the pulse.

Check it out

All adults over 40 should have their blood pressure checked annually. Just one blood pressure measurement is, however, insufficient to diagnose hypertension unless the reading is in the severe range. Some people also have ‘white coat’ hypertension, in which their blood pressure rises whenever they are in a doctor’s surgery but is normal at other times. To diagnose hypertension, several measurements are needed – taken at different times and, perhaps, even in different places.

Understanding blood pressure measurements

Blood does not flow through the body in a steady stream; instead, it courses in spurts. Thus, blood pressure is expressed in two numbers, such as 120/80. The higher number indicates the systolic pressure, the peak force when the heart contracts and pumps a small amount of blood into the circulation. The lower number, the diastolic reading, measures pressure exerted when the heart is resting momentarily between beats. The units of blood pressure measurement are millimetres of mercury; basically, this measures how high the pressure of the blood can push a column of mercury in an evacuated tube.

Doctors usually use a stethoscope and a sphygmomanometer to measure blood pressure. The cuff is tightened to stop blood flow, and as pressure is released, they listen for the sounds that indicate systolic and diastolic pressures. If your resting blood pressure is consistently 140/90 or higher, you have high blood pressure. Normal adult blood pressure is defined as below 120/80.

Did you know?

. Current guidelines suggest you should keep your salt intake below 6g per day. Expressed as sodium (the way salt content is often listed on food labels) that means no more than 2.4g a day. To convert sodium to salt, multiply by 2.5.

. According to research that was presented to the American Heart Association in November 2003, eating a half-cup of dry-roasted soya nuts may reduce blood pressure readings as much as some prescription blood pressure medications.

In summary:

Eat plenty of

. Fresh vegetables, fresh and dried fruit, beans, pulses for potassium

. Oily fish for omega-3 fatty acids

. Low-fat dairy products

Limit

. Canned and other processed foods with added salt

. Fatty foods, especially saturated fats

Avoid

. Pickled and very salty foods

. Excessive alcohol and caffeine

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Health, Medical, Research, Science, World Health Organisation

Coronavirus: How much of a risk are we facing?

CORONAVIRUS

CORONAVIRUSES are a type of virus that can trigger respiratory infections, from bad colds to lethal pneumonia. Seven strains are currently known to circulate among humans. These include SARS (Severe Acute Respiratory Syndrome) and MERS (Middle East Respiratory Syndrome). The Wuhan novel coronavirus is a previously unseen strain that originated in central China last month.

The more serious symptoms are typically a fever, cough and breathing problems. Some patients have developed pneumonia, which involves inflammation of the small air sacs in the lungs. Severe lung disease is believed to the cause of at least 25 deaths so far.

Scientists do not yet know if the new virus is as severe or as contagious as SARS. Statistics suggest it kills around 2 per cent of those infected, significantly lower than SARS (10 per cent). If it mutates into a more infectious or lethal strain, the death rate could rise.

Analysis also suggests it may have emerged after viruses found in bats and snakes combined. It is believed that snakes have acted as a ‘reservoir’ that have passed the new virus to humans.

Common sense and basic hygiene, such as washing hands in hot soapy water, will help to protect yourself. Anyone who believes they have been exposed is advised to clean all high-touch surfaces around them, such as counters, doorknobs and phones with a disinfectant. Disinfectants will kill the virus.

Experts are, in general, sceptical about the effectiveness of standard face masks against airborne viruses. But there is evidence they can help people avoid transmitting infection from their hands to their mouths.

The US National Institute of Health has announced it is in the “very preliminary stages” of research to develop a vaccine for the virus.

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