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Systematic activities to prevent or cure health problems and promote good health in humans are undertaken by health care providers. Applications with regard to animal health are covered by the veterinary sciences. The term “healthy” is also widely used in the context of many types of non-living organizations and their impacts for the benefit of humans, such as in the sense of healthy communities, healthy cities or healthy environments. In addition to health care interventions and a person’s surroundings, a number of other factors are known to influence the health status of individuals, including their background, lifestyle, and economic, social conditions and spirituality; these are referred to as “determinants of health.” Studies have shown that high levels of stress can affect human health.[16]
Jump up ^ Björk J, Albin M, Grahn P, Jacobsson H, Ardö J, Wadbro J, Ostergren PO (2008). “Recreational Values of the Natural Environment in Relation to Neighborhood Satisfaction, Physical Activity, Obesity and Well being” (PDF). Journal of Epidemiology & Community Health. 62 (4): e2. doi:10.1136/jech.2007.062414. PMID 18365329.
Jump up ^ Harris AH, Thoresen CE (2005). “Volunteering is Associated with Delayed Mortality in Older People: Analysis of the Longitudinal Study of Aging” (PDF). Journal of Health Psychology. 10 (6): 739–52. doi:10.1177/1359105305057310. PMID 16176953. Archived from the original (PDF) on 2011-07-22.
Maintaining an optimal level of wellness is absolutely crucial to live a higher quality life. Wellness matters. Wellness matters because everything we do and every emotion we feel relates to our well-being. In turn, our well-being directly affects our actions and emotions. It’s an ongoing circle. Therefore, it is important for everyone to achieve optimal wellness in order to subdue stress, reduce the risk of illness and ensure positive interactions.
The maintenance and promotion of health is achieved through different combination of physical, mental, and social well-being, together sometimes referred to as the “health triangle.”[26][27] The WHO’s 1986 Ottawa Charter for Health Promotion further stated that health is not just a state, but also “a resource for everyday life, not the objective of living. Health is a positive concept emphasizing social and personal resources, as well as physical capacities.”[28]
Financial Wellness involves the process of learning how to successfully manage financial expenses. Money plays a critical role in our lives and not having enough of it impacts health as well as academic performance. Financial stress is repeatedly found to be a common source of stress, anxiety and fear for college students.
Many teens suffer from mental health issues in response to the pressures of society and social problems they encounter. Some of the key mental health issues seen in teens are: depression, eating disorders, and drug abuse. There are many ways to prevent these health issues from occurring such as communicating well with a teen suffering from mental health issues. Mental health can be treated and be attentive to teens’ behavior.[41]
Jump up ^ “OECD.StatExtracts, Health, Non-Medical Determinants of Health, Body weight, Obese population, self-reported and measured, Total population” (Online Statistics). OECD’s iLibrary. 2013. Retrieved 2013-12-13.
The notions behind the term share the same roots as the alternative medicine movement, in 19th-century movements in the US and Europe that sought to optimize health and to consider the whole person, like New Thought, Christian Science, and Lebensreform.[2][3]
Spiritual wellness allows you to develop a set of values that help you seek meaning and purpose. Spirituality can be represented in many ways, for example, through relaxation or religion. But being spiritually well means knowing which resources to use to cope with issues that come up in everyday life.
The vision for Buddha Belly Yoga and Wellness is to create a heart-centered and bonded community. Buddha Belly’s deepest desire is to be a haven that connects like minded people. These connections will enable us to stimulate our growth, support each other, share the love, awaken us to who we truly are, and be opened to new ways of challenging our edge.
Physical wellness relates to maintaining a healthy body and seeking care when needed. Physical health is attained through exercise, eating well, getting enough sleep and paying attention to the signs of illness and getting help when needed.
A dementia diagnosis can be an overwhelming experience for both patients and their families. Dementia Advice through Health Link, helps ease the stress by providing compassionate advice about living with dementia.
This section has an unclear citation style. The references used may be made clearer with a different or consistent style of citation and footnoting. (March 2014) (Learn how and when to remove this template message)
A number of types of health issues are common around the globe. Disease is one of the most common. According to GlobalIssues.org, approximately 36 million people die each year from non-communicable (not contagious) disease including cardiovascular disease, cancer, diabetes and chronic lung disease (Shah, 2014).
Prolonged psychological stress may negatively impact health, and has been cited as a factor in cognitive impairment with aging, depressive illness, and expression of disease.[60] Stress management is the application of methods to either reduce stress or increase tolerance to stress. Relaxation techniques are physical methods used to relieve stress. Psychological methods include cognitive therapy, meditation, and positive thinking, which work by reducing response to stress. Improving relevant skills, such as problem solving and time management skills, reduces uncertainty and builds confidence, which also reduces the reaction to stress-causing situations where those skills are applicable.
Jump up ^ Garrido M; González-Flores D; Marchena AM; Propr E; García-Parra J; Barriga C; Rodríguez A.B. (2013). “A lycopene-enriched virgin olive oil enhances antioxidant status in humans”. Journal of the Science of Food and Agriculture. 93 (8): 1820–6. doi:10.1002/jsfa.5972. PMID 23225211.
Jump up ^ World Health Organization (2005). Promoting Mental Health: Concepts, Emerging evidence, Practice: A report of the World Health Organization, Department of Mental Health and Substance Abuse in collaboration with the Victorian Health Promotion Foundation and the University of Melbourne. World Health Organization. Geneva.
Jump up ^ Andreyeva, Tatiana; Chaloupka, Frank J.; Brownell, Kelly D. (2011). “Estimating the potential of taxes on sugar-sweetened beverages to reduce consumption and generate revenue”. Preventive Medicine. 52 (6): 413–416. doi:10.1016/j.ypmed.2011.03.013.
As hope fades that Metro Vancouver’s housing crisis will end anytime soon, counsellors say they are helping more clients tackle the shame and misery that comes from sleeping in rodent-infested basement suites or staying with abusive partners while struggling to find a better home. Clients are identifying housing as having a major impact on their […]
The focus of public health interventions is to prevent and manage diseases, injuries and other health conditions through surveillance of cases and the promotion of healthy behavior, communities, and (in aspects relevant to human health) environments. Its aim is to prevent health problems from happening or re-occurring by implementing educational programs, developing policies, administering services and conducting research.[53] In many cases, treating a disease or controlling a pathogen can be vital to preventing it in others, such as during an outbreak. Vaccination programs and distribution of condoms to prevent the spread of communicable diseases are examples of common preventive public health measures, as are educational campaigns to promote vaccination and the use of condoms (including overcoming resistance to such).
Occupational wellness is about enjoying your occupational endeavors and appreciating your contributions. This dimension of wellness encourages personal satisfaction and enrichment in one’s life through work.
Since the late 1970s, the federal Healthy People Initiative has been a visible component of the United States’ approach to improving population health.[12][13] In each decade, a new version of Healthy People is issued,[14] featuring updated goals and identifying topic areas and quantifiable objectives for health improvement during the succeeding ten years, with assessment at that point of progress or lack thereof. Progress has been limited to many objectives, leading to concerns about the effectiveness of Healthy People in shaping outcomes in the context of a decentralized and uncoordinated US health system. Healthy People 2020 gives more prominence to health promotion and preventive approaches and adds a substantive focus on the importance of addressing social determinants of health. A new expanded digital interface facilitates use and dissemination rather than bulky printed books as produced in the past. The impact of these changes to Healthy People will be determined in the coming years.[15]
EDMONTON – Nine cases of gastro-intestinal illness (seven in Edmonton and two in Calgary) potentially linked to consumption of raw oysters from British Columbia are under investigation prompting Alberta Health Services (AHS) to remind all Albertans of the risk of illness associated with consumption of raw shellfish, and important precautions to protect themselves.
MacEwan University Sport and Wellness is your home recreation facility located in downtown Edmonton, Alberta in the Christenson Family Centre for Sport and Wellness. Our accredited fitness and aquatic facility hosts a large fitness area featuring two drop weight areas, half racks, Olympic lifting platforms, strength and cardio machines; a six-lane 25-metre pool with teach area and a 40-person hot tub; a beautiful three-court gymnasium; steam rooms; and fitness and spin studios.
The mission of Student Health and Counseling Services is to enhance the physical and mental health of students in order to help them achieve academic success, personal development and lifelong wellness by providing an integrated program of quality, accessible, cost sensitive and confidential healthcare services, tailored to their unique and diverse needs and to assist the University community, through consultation and education, to develop a healthy campus environment consistent with UC Davis “Principles of Community”.
Public health also takes various actions to limit the health disparities between different areas of the country and, in some cases, the continent or world. One issue is the access of individuals and communities to health care in terms of financial, geographical or socio-cultural constraints to accessing and using services.[54] Applications of the public health system include the areas of maternal and child health, health services administration, emergency response, and prevention and control of infectious and chronic diseases.
Jump up ^ Housman, Jeff; Dorman, Steve (September–October 2005). “The Alameda County Study: A Systematic, Chronological Review” (PDF). American Journal of Health Education. Reston, VA: American Alliance for Health, Physical Education, Recreation and Dance. 36 (5): 302–308. doi:10.1080/19325037.2005.10608200. ISSN 1055-6699. ERIC document number EJ792845. Retrieved 27 December 2011.
Personal health depends partially on the active, passive, and assisted cues people observe and adopt about their own health. These include personal actions for preventing or minimizing the effects of a disease, usually a chronic condition, through integrative care. They also include personal hygiene practices to prevent infection and illness, such as bathing and washing hands with soap; brushing and flossing teeth; storing, preparing and handling food safely; and many others. The information gleaned from personal observations of daily living – such as about sleep patterns, exercise behavior, nutritional intake and environmental features – may be used to inform personal decisions and actions (e.g., “I feel tired in the morning so I am going to try sleeping on a different pillow”), as well as clinical decisions and treatment plans (e.g., a patient who notices his or her shoes are tighter than usual may be having exacerbation of left-sided heart failure, and may require diuretic medication to reduce fluid overload).[57]
Many governments view occupational health as a social challenge and have formed public organizations to ensure the health and safety of workers. Examples of these include the British Health and Safety Executive and in the United States, the National Institute for Occupational Safety and Health, which conducts research on occupational health and safety, and the Occupational Safety and Health Administration, which handles regulation and policy relating to worker safety and health.[63][64][65]
The term was partly inspired by the preamble to the World Health Organization’s 1948 constitution which said: “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.”[1] It was initially brought to use in the US by Halbert L. Dunn, M.D. in the 1950s; Dunn was the chief of the National Office of Vital Statistics and discussed “high-level wellness,” which he defined as “an integrated method of functioning, which is oriented toward maximizing the potential of which the individual is capable.”[1] The term “wellness” was then adopted by John Travis who opened a “Wellness Resource Center” in Mill Valley, California in the mid-1970s, which was seen by mainstream culture as part of the hedonistic culture of Northern California at that time and typical of the Me generation.[1] Travis marketed the center as alternative medicine, opposed to what he said was the disease-oriented approach of medicine.[1] The concept was further popularized by Robert Rodale through Prevention magazine, Bill Hetler, a doctor at University of Wisconsin–Stevens Point, who set up an annual academic conference on wellness, and Tom Dickey, who established the Berkeley Wellness Letter in the 1980s.[1] The term had become accepted as standard usage in the 1990s.[1]
The World Health Organization describes mental health as “a state of well-being in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community”.[37] Mental Health is not just the absence of mental illness.[38]
Jump up ^ World Health Organization. Regional Office for Europe (1984). Health promotion : a discussion document on the concept and principles : summary report of the Working Group on Concept and Principles of Health Promotion, Copenhagen, 9–13 July 1984 (ICP/HSR 602(m01)5 p). Copenhagen: WHO Regional Office for Europe.
In addition to safety risks, many jobs also present risks of disease, illness and other long-term health problems. Among the most common occupational diseases are various forms of pneumoconiosis, including silicosis and coal worker’s pneumoconiosis (black lung disease). Asthma is another respiratory illness that many workers are vulnerable to. Workers may also be vulnerable to skin diseases, including eczema, dermatitis, urticaria, sunburn, and skin cancer.[61][62] Other occupational diseases of concern include carpal tunnel syndrome and lead poisoning.
Jump up ^ “IARC Monographs Programme finds cancer hazards associated with shiftwork, painting and firefighting”. International Agency for Research on Cancer. December 5, 2007. Retrieved November 25, 2015.
In the first decade of the 21th century, the conceptualization of health as an ability opened the door for self-assessments to become the main indicators to judge the performance of efforts aimed at improving human health[17]. It also created the opportunity for every person to feel healthy, even in the presence of multiple chronic diseases, or a terminal condition, and for the re-examination of determinants of health, away from the traditional approach that focuses on the reduction of the prevalence of diseases[18].
Achieving and maintaining health is an ongoing process, shaped by both the evolution of health care knowledge and practices as well as personal strategies and organized interventions for staying healthy.
The environment is often cited as an important factor influencing the health status of individuals. This includes characteristics of the natural environment, the built environment and the social environment. Factors such as clean water and air, adequate housing, and safe communities and roads all have been found to contribute to good health, especially to the health of infants and children.[20][31] Some studies have shown that a lack of neighborhood recreational spaces including natural environment leads to lower levels of personal satisfaction and higher levels of obesity, linked to lower overall health and well being.[32] This suggests that the positive health benefits of natural space in urban neighborhoods should be taken into account in public policy and land use.
Jump up ^ Jonathan, E. Fielding; Shiriki, Kumanyika; Ronald, W. Manderscheid (2013). “A Perspective on the Development of the Healthy People 2020 Framework for Improving U.S. Population Health” (PDF). Public Health Reviews. 35. Archived from the original on 2014-04-02.
Our mission is to create and provide a space for healing to begin. It is a place where you can forget your jam packed schedule, worries and responsibilities and get back in touch with yourself by finding some stillness. It is our hope that each time you leave class or treatment, you find yourself feeling more whole then when you got here.
Public health has been described as “the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals.”[52] It is concerned with threats to the overall health of a community based on population health analysis. The population in question can be as small as a handful of people or as large as all the inhabitants of several continents (for instance, in the case of a pandemic). Public health has many sub-fields, but typically includes the interdisciplinary categories of epidemiology, biostatistics and health services. Environmental health, community health, behavioral health, and occupational health are also important areas of public health.
Do you have a health concern for yourself or a child? Call Health Link by dialing 811 for quick and easy advice from a registered nurse 24/7. They will ask questions, assess symptoms and determine the best care for you.
Jump up ^ Patel, Sanjay R.; Hu, Frank B. (January 17, 2008). “Short sleep duration and weight gain: a systematic review”. Obesity (Silver Spring). 16 (3): 643–653. doi:10.1038/oby.2007.118. PMC 2723045 . PMID 18239586.

Focusing more on lifestyle issues and their relationships with functional health, data from the Alameda County Study suggested that people can improve their health via exercise, enough sleep, maintaining a healthy body weight, limiting alcohol use, and avoiding smoking.[29] Health and illness can co-exist, as even people with multiple chronic diseases or terminal illnesses can consider themselves healthy.[30]
Another health issue that causes death or contributes to other health problems is malnutrition, especially among children. One of the groups malnutrition affects most is young children. Approximately 7.5 million children under the age of 5 die from malnutrition, usually brought on by not having the money to find or make food (Shah, 2014).
An increasing number of studies and reports from different organizations and contexts examine the linkages between health and different factors, including lifestyles, environments, health care organization and health policy, one specific health policy brought into many countries in recent years was the introduction of the sugar tax. Beverage taxes came into light with increasing concerns about obesity, particularly among youth. Sugar-sweetened beverages have become a target of anti-obesity initiatives with increasing evidence of their link to obesity.[23]– such as the 1974 Lalonde report from Canada;[22] the Alameda County Study in California;[24] and the series of World Health Reports of the World Health Organization, which focuses on global health issues including access to health care and improving public health outcomes, especially in developing countries.[25]
Environmental wellness inspires us to live a lifestyle that is respectful of our surroundings. This realm encourages us to live in harmony with the Earth by taking action to protect it. Environmental well-being promotes interaction with nature and your personal environment. Everyone can have a strong environmental conscious simply by raising their awareness.

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  1. The mission of Student Health and Counseling Services is to enhance the physical and mental health of students in order to help them achieve academic success, personal development and lifelong wellness by providing an integrated program of quality, accessible, cost sensitive and confidential healthcare services, tailored to their unique and diverse needs and to assist the University community, through consultation and education, to develop a healthy campus environment consistent with UC Davis “Principles of Community”.
    Do you have a health concern for yourself or a child? Call Health Link by dialing 811 for quick and easy advice from a registered nurse 24/7. They will ask questions, assess symptoms and determine the best care for you.
    Future historians may wonder how we stayed calm in the face of 2017’s global economic and nuclear threats let local drug overdosing, homelessness and, for many, unreachable real-estate prices. They may also conclude that 2018’s perils vastly exceeded those before. For now, though, here are some folk from this column who helped give 2017 its […]
    Though the majority of these health issues are preventable, a major contributor to global ill health is the fact that approximately 1 billion people lack access to health care systems (Shah, 2014). Arguably, the most common and harmful health issue is that a great many people do not have access to quality remedies.[35][36]
    Spiritual wellness allows you to develop a set of values that help you seek meaning and purpose. Spirituality can be represented in many ways, for example, through relaxation or religion. But being spiritually well means knowing which resources to use to cope with issues that come up in everyday life.
    Jump up ^ Stokes, J.; Noren, J.; Shindell, S. (1982-01-01). “Definition of terms and concepts applicable to clinical preventive medicine”. Journal of Community Health. 8 (1): 33–41. doi:10.1007/bf01324395. ISSN 0094-5145. PMID 6764783.

  2. Personal health also depends partially on the social structure of a person’s life. The maintenance of strong social relationships, volunteering, and other social activities have been linked to positive mental health and also increased longevity. One American study among seniors over age 70, found that frequent volunteering was associated with reduced risk of dying compared with older persons who did not volunteer, regardless of physical health status.[58] Another study from Singapore reported that volunteering retirees had significantly better cognitive performance scores, fewer depressive symptoms, and better mental well-being and life satisfaction than non-volunteering retirees.[59]
    Jump up ^ “Creating a Pandemic of Health: Opportunities and Lessons for a University Initiative at the Intersection of Health, Equity, and Innovation | Harvard Public Health Review: A Student Publication”. harvardpublichealthreview.org. Retrieved 2018-01-20.
    Jump up ^ Bos, E.H.; Snippe, E.; de Jonge, P.; Jeronimus, B.F. (2016). “Preserving Subjective Wellbeing in the Face of Psychopathology: Buffering Effects of Personal Strengths and Resources”. PLoS ONE. 11 (3): e0150867. doi:10.1371/journal.pone.0150867. PMID 26963923.

  3. Jump up ^ World Health Organization (2005). Promoting Mental Health: Concepts, Emerging evidence, Practice: A report of the World Health Organization, Department of Mental Health and Substance Abuse in collaboration with the Victorian Health Promotion Foundation and the University of Melbourne. World Health Organization. Geneva.
    Just as there was a shift from viewing disease as a state to thinking of it as a process, the same shift happened in definitions of health. Again, the WHO played a leading role when it fostered the development of the health promotion movement in the 1980s. This brought in a new conception of health, not as a state, but in dynamic terms of resiliency, in other words, as “a resource for living”. 1984 WHO revised the definition of health defined it as “the extent to which an individual or group is able to realize aspirations and satisfy needs and to change or cope with the environment. Health is a resource for everyday life, not the objective of living; it is a positive concept, emphasizing social and personal resources, as well as physical capacities”.[11] Thus, health referred to the ability to maintain homeostasis and recover from insults. Mental, intellectual, emotional and social health referred to a person’s ability to handle stress, to acquire skills, to maintain relationships, all of which form resources for resiliency and independent living.[10]
    This section has an unclear citation style. The references used may be made clearer with a different or consistent style of citation and footnoting. (March 2014) (Learn how and when to remove this template message)
    Health science is the branch of science focused on health. There are two main approaches to health science: the study and research of the body and health-related issues to understand how humans (and animals) function, and the application of that knowledge to improve health and to prevent and cure diseases and other physical and mental impairments. The science builds on many sub-fields, including biology, biochemistry, physics, epidemiology, pharmacology, medical sociology. Applied health sciences endeavor to better understand and improve human health through applications in areas such as health education, biomedical engineering, biotechnology and public health.
    A dementia diagnosis can be an overwhelming experience for both patients and their families. Dementia Advice through Health Link, helps ease the stress by providing compassionate advice about living with dementia.
    The concept of the “health field,” as distinct from medical care, emerged from the Lalonde report from Canada. The report identified three interdependent fields as key determinants of an individual’s health. These are:[22]
    Many governments view occupational health as a social challenge and have formed public organizations to ensure the health and safety of workers. Examples of these include the British Health and Safety Executive and in the United States, the National Institute for Occupational Safety and Health, which conducts research on occupational health and safety, and the Occupational Safety and Health Administration, which handles regulation and policy relating to worker safety and health.[63][64][65]
    Our mission is to create and provide a space for healing to begin. It is a place where you can forget your jam packed schedule, worries and responsibilities and get back in touch with yourself by finding some stillness. It is our hope that each time you leave class or treatment, you find yourself feeling more whole then when you got here.
    Systematic activities to prevent or cure health problems and promote good health in humans are undertaken by health care providers. Applications with regard to animal health are covered by the veterinary sciences. The term “healthy” is also widely used in the context of many types of non-living organizations and their impacts for the benefit of humans, such as in the sense of healthy communities, healthy cities or healthy environments. In addition to health care interventions and a person’s surroundings, a number of other factors are known to influence the health status of individuals, including their background, lifestyle, and economic, social conditions and spirituality; these are referred to as “determinants of health.” Studies have shown that high levels of stress can affect human health.[16]
    The term was partly inspired by the preamble to the World Health Organization’s 1948 constitution which said: “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.”[1] It was initially brought to use in the US by Halbert L. Dunn, M.D. in the 1950s; Dunn was the chief of the National Office of Vital Statistics and discussed “high-level wellness,” which he defined as “an integrated method of functioning, which is oriented toward maximizing the potential of which the individual is capable.”[1] The term “wellness” was then adopted by John Travis who opened a “Wellness Resource Center” in Mill Valley, California in the mid-1970s, which was seen by mainstream culture as part of the hedonistic culture of Northern California at that time and typical of the Me generation.[1] Travis marketed the center as alternative medicine, opposed to what he said was the disease-oriented approach of medicine.[1] The concept was further popularized by Robert Rodale through Prevention magazine, Bill Hetler, a doctor at University of Wisconsin–Stevens Point, who set up an annual academic conference on wellness, and Tom Dickey, who established the Berkeley Wellness Letter in the 1980s.[1] The term had become accepted as standard usage in the 1990s.[1]

  4. Jump up ^ Pilkington, Stephanie (August 7, 2013). “Causes and consequences of sleep deprivation in hospitalized patients”. Nursing Standard. RCN Publishing. 27 (49): 35–42. doi:10.7748/ns2013.08.27.49.35.e7649. PMID 23924135. Retrieved 25 November 2015.
    Environmental wellness inspires us to live a lifestyle that is respectful of our surroundings. This realm encourages us to live in harmony with the Earth by taking action to protect it. Environmental well-being promotes interaction with nature and your personal environment. Everyone can have a strong environmental conscious simply by raising their awareness.
    Bodily injuries are also a common health issue worldwide. These injuries, including broken bones, fractures, and burns can reduce a person’s quality of life or can cause fatalities including infections that resulted from the injury or the severity injury in general (Moffett, 2013).[34]
    The term was partly inspired by the preamble to the World Health Organization’s 1948 constitution which said: “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.”[1] It was initially brought to use in the US by Halbert L. Dunn, M.D. in the 1950s; Dunn was the chief of the National Office of Vital Statistics and discussed “high-level wellness,” which he defined as “an integrated method of functioning, which is oriented toward maximizing the potential of which the individual is capable.”[1] The term “wellness” was then adopted by John Travis who opened a “Wellness Resource Center” in Mill Valley, California in the mid-1970s, which was seen by mainstream culture as part of the hedonistic culture of Northern California at that time and typical of the Me generation.[1] Travis marketed the center as alternative medicine, opposed to what he said was the disease-oriented approach of medicine.[1] The concept was further popularized by Robert Rodale through Prevention magazine, Bill Hetler, a doctor at University of Wisconsin–Stevens Point, who set up an annual academic conference on wellness, and Tom Dickey, who established the Berkeley Wellness Letter in the 1980s.[1] The term had become accepted as standard usage in the 1990s.[1]

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