Wellness Means Work
by Therman Evans, MD
Genesis 2:15
states, " God took the man and put him into the Garden of Eden to dress
it and to keep it." This is the first work order command from God to
humans, "to dress and keep the garden." This represents
a command to do the work necessary to keep the garden a garden. In other
words, if the right kind and amount of work are not done, the garden will
no longer be a garden. Everything will be growing everywhere. In a real
sense, "the garden" represents our lives, careers, communities, homes,
families and our individual bodies. God's first command to us is to take
care of all "gardens" in which he has placed us, and for which he has given
us responsibility.
The most fundamental garden in which
we have been placed is our body. The human body is, as far as we know,
the most amazing creation ever. The 206 bones, 632 muscles, 75,000 miles
of blood vessels, 35 million gastric juice producing glands in the lining
of the stomach, the 2 million (1 million per kidney) water filtrating nephrons
in our kidneys, the 600 million oxygen exchanging alveoli in our lungs,
the 2 million sweat glands in our skin and the 50-75 trillion cells that
are estimated to comprise the whole body, are all testimony to the magnificence
of the human body. And this is only a fraction of the whole story.
Clearly the human body is a garden
of life. A garden must be dressed and kept in order to be a garden. We
must take care of this garden called the human body. This means we must
do the work of wellness. This means physical fitness. Physical fitness
boils down to two things, exercise and nutrition. If practiced regularly,
exercise and nutrition will maximize the physical fitness of the body.
First let's look at exercise. The
human body was not made for sitting down. It was not
made for the sedentary lifestyles
that we now enjoy. It was made for moving. It was made for mobility, maneuverability,
flexibility, strength and precision. All of these things are enhanced to
the degree that we exercise. Regular and consistent exercise maintains
the body's ability to do what it was intended to do. It has both internal
and external implications and ramifications. From an external perspective,
exercise contributes to the body's form, strength and flexibility. From
an internal perspective, exercise contributes to the body's endurance,
effective and efficient function and weight management. There are three
elements comprising adequate exercise. They are stretching, lifting (resistance
or muscle building) and aerobics (repetitive movement of the large muscle
groups that builds the body's ability to perform consistently without interruption,
e.g. jogging, walking, swimming, cycling, jumping rope, step aerobics,
dance aerobics). Each exercise session should include at least two of the
above trilogy. You may decide to alternate days on which you emphasize
aerobics or lifting, but stretching should go along with both
Aerobic exercise makes several contributions
to the health and fitness of the body. As such, it is very important. It
builds cardiovascular strength, burns calories, enhances muscle tone effectiveness
and efficiency, enhances the body's effective utilization of blood sugar,
makes the heart more effective and efficient and helps to lower blood pressure.
Aerobic exercise should be done at least 3-4 times a week. I prefer every
other day ideally. Each session should last between 40 minutes and an hour,
but the same benefit could be achieved with a session lasting on half as
long. Find some aerobic exercise that is suitable for and consistent with
your lifestyle. Any one of them that works for you is fine. The important
thing is to do it. Consistency is key. Exercising every now and then is
not healthy. Not only will you not receive the many wonderful benefits
of exercise, but you will also run the risk of injury. There are many aerobic
exercises to select from: walking, step aerobics, skipping rope, jogging,
cycling (stationary & mobile), swimming, dance aerobics, all represent
what I would define as the first tier or best aerobic type exercises. I
define them as best because:
-
they are least expensive
-
you don't need to join a fitness club
-
they are easy to do
-
maximum benefit is derived when they
are consistently done.
The second tier of aerobic type exercise
includes activities of a more competitive team oriented nature. They are
fun, but do not provide the same level of aerobic conditioning as the first
tier exercises. They include the following: tennis, basketball, table tennis,
touch or flag football, softball, baseball, soccer and others of this type.
The team oriented second tier activities are more start and stop in their
movement. There are occasional periods of just standing around with no
movement or activity at all. Whereas the first tier type are consistent
in their movement until the exercise activity is completed.
In addition to cardiovascular strength,
endurance and fitness, aerobic exercise burns calories. In this capacity,
it serves to keep down and manage your weight. There is only one way to
lose weight. That is, to take in fewer, or burn up more calories. The more
regular and consistent your aerobic activity is, the more calories you
will consume. Just in case you want to do some figuring, 3500 calories
equals one pound. If you want to lose one pound you must burn up 3500 calories.
The best way to achieve this is through aerobic exercise.
One of the most pervasive and biggest
challenges facing people in this society is weight management. It is an
ongoing challenge. It is something that literally millions of people are
struggling with. It is an issue that is particularly relevant to the African-American
population.
Substantial numbers (estimated between
30-40 percent and higher) of African-American women are significantly overweight.
Very important to the process of losing weight is it must be done gradually.
The second part of the trilogy of
fitness is weight lifting or muscle building. Whether you are male or female
you should do some weight lifting. Building muscle is important for a number
of reasons. First of all, it increases your strength. This makes it possible
for you to do things with the appropriate amount of ease and facility.
If you keep your muscle strength up, you are better able to take care of
yourself throughout your later years even until your transition into life
beyond this one. People who are in their sixth, seventh, eighth and even
ninth decade benefit from the weight lifting aspect of fitness. Indeed,
as you age, this aspect of fitness becomes increasingly important because
of the loss of muscle tissue. Do not attempt to begin lifting by lifting
weights that Mr. and Mrs. Universe lift. Begin with very light weights.
It doesn't matter if it is one pound, three pounds, five pounds,
ten or twenty pounds. The important thing is beginning where you can easily
do five to ten repetitions on each side more than once. Then gradually
increase the weights over time. Once again, the important thing here is
to be consistent. It does not take long to lose the fitness level strength
that you have worked hard to gain. If you miss exercise for a week your
fitness level will begin to substantially drop off. This is especially
the case as you get in your later decades.
Exercise means work. It means effort.
It means you must move your body. It requires energy. When you decide to
start exercising, you must get started and keep going. It
is important to work through those feelings of procrastination. It is important
to challenge yourself and strengthen your will by overcoming your feeling
to remain inactive. There are a few things that pay off like an investment
in exercise. One hour every other day is four hours a week. That translates
into just over two percent of 168 hours available to you over the course
of a seven-day week. This two- percent of your life spent exercising has
more of an impact on the remaining 98 percent than any other single thing
you do.
The last component of the trilogy
of fitness is stretching. Stretching has been mentioned along with aerobic
and weight lifting exercise. After age 30, tendons and ligaments begin
to stiffen, shorten and tighten up. Not to pay attention to this is to
increase the likelihood of injury both during aerobic and weight lifting
exercise. Therefore, taking the time to stretch both at the beginning of
and conclusion of your exercise routine is very important. Not only will
you be more likely to avoid injury, but you will also perform better. So,
stretch. Stretching is the main architect of flexibility. Flexibility is
vital to your ability to move your limbs and joints to meet requirements
of an active life. Stretching builds strength as well. It strengthens muscles
opposing the stretch. So, through stretching, both flexibility
and muscle strengthening are achieved.
Nutrition is the other major aspect
of fitness. It has been said that we are what we eat. Nutrition obviously
is important to health and fitness. Indeed nutrition is related to at least
six out of the ten leading causes of death in America. My general rule
of thumb regarding nutrition is to emphasize fruits and vegetables. Personally,
I have been a vegetarian for over twenty years and believe that this fact
has contributed substantially to my overall health and well being. Fruits
and vegetables are rich in fiber, bulk, vitamins A, C E (potent
antioxidants) and phytochemicals (potent cancer fighting substances). These
points alone are sufficient for a very high recommendation for emphasis
in our diets. You should make every effort to consume six to eight fruit
and vegetable servings each day. This may seem like a lot but it sounds
more difficult than it is. It means keeping fruit around to snack on in
between meals and to make a part of the meal itself. It means including
at least two servings of vegetables at both your afternoon and evening
meals. Keep fruit in the house. Especially fruit that is in season. Take
fruit on long trips. Take fruit to work for lunch. As you can see, the
servings will quickly add up if you make fruits and vegetables a part of
your daily living.
In addition to the emphasis that
should be placed on eating fruits and vegetables, there are other general
nutritional principles that will help you eat more nutritiously and more
moderately. A. If you are not hungry, don't eat. Never eat because other
people are eating. Develop the will power to say no. People so often buy
food or try food because somebody says it is good. However, they don't
need as much food as they think, and in fact, many times they are working
on managing their weight. Yet, the minute somebody suggests, "Here, try
this," they are first in line to get a piece. And as they are in the process
of buying it or trying it, simultaneously they are rationalizing why this
one piece won't make any difference. The reality is that this "one piece"
won't make a difference. The problem is that this "one piece" is really
the nine millionth piece. Never eat when you're not hungry. This applies
to when you are in the process of eating as well. In other words, whey
you are satisfied, stop eating. Do not continue because the food tastes
good and there is more of it before you. Too many of us too often continue
to eat because of how good something tastes. B. Do not eat so fast. Slow
down. Put your fork down between each bite and chew your food thoroughly
before picking it up again. This will help you eat less and enjoy it more.
C. Cut down, cut back and eliminate where possible, salt, sugar coffee
and alcohol. D. Drink water. Make every effort to consume between six and
eight glasses of water every day. Water helps to keep you hydrated. It
serves to facilitate waste elimination. It is the only food item that we
consume that does not add calories to our diets. E. Eat less meat. Include
more meatless meals in your diet If you do eat meat, try to emphasize fish
and fowl. Be careful about how you prepare them. Roasting, broiling and
baking are the preferred methods of preparation. On occasion, try some
soy bean or tofu type substitutes. Expand your taste bud experiences.
The last point I'd like to make regarding
taking care of your body involves rest. This is a simple point and won't
require much elaboration. It should be obvious that rest is important.
Even God rested. Genesis 2:2 says, "And on the seventh day God ended his
work which he had made; and he rested on the seventh day from all his work
which he had made." Jesus too, rested. The 31st verse of the 6th chapter
of the book of Mark says, "And he (Jesus) said unto them, come ye yourselves
a part into a desert place, and rest a while for there were many coming
and going, and they had no leisure so much as to eat."
Try to get 6-8 hours of sleep each
night. Rest is important to the rejuvenation of your body. It is important
to the health and well being of your body. Without rest, your body will
eventually break down. Get rest.
The body will not take care of itself
automatically. Work must be done. The second law of thermodynamics refers
to a concept called entrophy. This is the universal tendency for order
to breakdown into disorder. Unless order is attended to, it disintegrates
into disorder. Unless, health, wholeness and maximal functioning are maintained,
managed, replenished and upgraded, disorder, disintegration and chaos will
result. Entrophy is reversed by work. Work is the orderly application of
energy. Work must be applied to maintain and/or to restore order, health,
wholeness and maximal functioning. You cannot take care of your body without
doing the work necessary to make it happen. You cannot have someone else
do the work that your body needs. You must do it yourself. Your body is
a community of life. It is a garden of life. It is a garden into which
God has placed you. The command is, "dress and keep the garden." Do the
work necessary to keep the garden healthy, whole and maximally functioning.
Dr. Therman Evans
is a wellness and healthcare specialist in Elkins Park, Pennsylvania. He's
the founder and CEO of WholeLife Associates, Inc., and the former Vice
President and Corporate Medical Director of the CIGNA Corporation; one
of the largest health care companies in America. Dr. Evans is the author
of five booklets called "Prescriptions" and is a fellow of the Philadelphia
College of Physicians. He's also the Assistant Pastor and a member of Morning
Star Community Tabernacle Church in Linden, NJ.
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