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Contents vii
Determinants of Muscular Fitness Gains 165 Aging and Physical Activity 217
Types of Muscular Exercise 167 Aging and Performance 217
Principles of Resistance Training 168 Department of Health and Human Services (DHHS) Physical
Progressive Overload 168 Activity Guidelines for the Older Adult 218
Specificity 168 Does Exercise Increase Life Span? 219
Recovery 168 Exercise and Chronic Health Conditions 219
Guidelines for Developing Muscular Fitness 168 Arthritis 219
Asthma 220
Sequence 168
Diabetes Mellitus 220
Form 169
Hypertension 221
Rest Between Sets 169
Osteoporosis 222
Muscle Balance 169
Back strengthening 223
Breathing 169
Frequently Asked Questions 224
Speed of Movement 169
Summary 224
Resistance Training Programs 170
Internet Resources 225
Weight Training 170
How to Begin and Progress 172 Lab Activity 7-1 Exploring Special Exercise Considerations
How to Shape and Tone Without Weights 173 Challenge 227
Elastic Resistance 175
Frequently Asked Questions 176
CHAPTER Preventing Common
Summary 176
Injuries and Caring for
Internet Resources 177 8 the Lower Back 229
Lab Activity 6-1 Weight Training Experience 179
Injury Prevention 230
Lab Activity 6-2 Abdominal and Core Strengthening
Workout 185 Overuse 230
Footwear 232
Lab Activity 6-3 Body Weight Workout for Hips, Thighs, and Weakness and Inflexibility 232
Upper Body 189 Mechanics 233
Lab Activity 6-4 Stability Ball Workout 193 Treatment for Common Injuries 234
Lab Activity 6-5 Elastic Band Workout 197 When to Seek Medical Help 234
P.O.L.I.C.E 234
Heat and Pain Relievers 235
Getting Back into Action 236
CHAPTER Exploring Common Injuries 236
Special Exercise
7 Considerations 201
Ankle Sprain 236
Blisters 236
Bursitis 237
Chafing 237
Similarities and Differences in Men’s and Women’s Heel Spur 237
Exercise Performance 202 Iliotibial Band Syndrome 237
Females and Exercise 202 Muscle Cramp 237
Males and Exercise 206 Muscle Soreness 238
Exercise Addiction 206 Muscle Strain 238
Patellofemoral Syndrome 238
Exercise and Disease Resistance 207
Plantar Fasciitis 239
Environmental Considerations 207 Shin Splints 239
Exercising in the Cold 207 Side Stitch 240
Exercising in the Heat 209 Stress Fracture 240
Water: Are Americans Dehydrated? 212 Tendinopathy 240
Drugs Affecting Physical Performance 213 Care of the Lower Back 241
Anabolic-Androgenic Steroids (AAS) 213 Ways to Avoid Lower-Back Pain 241
Amphetamines 214 Back Tips for Sitting, Standing, and Driving 242
Diuretics 214 Lower-Back Injuries 244
Caffeine 214 Core Exercises for Lower-Back Health 244
viii A Wellness Way of Life
Impact of Cardiovascular Disease (CVD) 254 Lab Activity 10-2 Becoming Stress-Resistant and
Hardy 313
Coronary Heart Disease (CHD)/Coronary Artery
Disease (CAD) 255 Lab Activity 10-3 Time Management 315
Stroke (Brain Attack) 257
Risk Factors 259
CHAPTER
Primary Risk Factors (Controllable) 259 Eating for
Primary Risk Factors (Uncontrollable) 270
Secondary Risk Factors (All Controllable) 272
Treatment for Blocked Coronary Arteries 274
11 Wellness 319
Changing Times 320
Drug Therapy 274
Angioplasty (or Balloon Angioplasty) 274 Nutrition Basics 322
Coronary Bypass Surgery 274 Carbohydrates 322
The Future . . . Focus on Lifestyle 274 Proteins 325
Mind and Body Connection 275 Fats 325
Vitamins 328
Frequently Asked Questions 276
Minerals 328
Summary 276 Water 330
Internet Resources 277 Dietary Guidelines 331
Lab Activity 9-1 Are You at Risk for Heart Disease? 279 MyPlate 331
DASH Eating Plan 331
Lab Activity 9-2 Evaluation of “Are You at Risk for Heart
Mediterranean-Style Diet 331
Disease?” 281
Phytochemicals and Antioxidants:
Lab Activity 9-3 Lifestyle Scenario: Critical Thinking 283 Disease Fighters 333
Lab Activity 9-4 Are You at Risk for Type 2 Diabetes? 285 Nutritional Supplements 333
Making Positive Changes 334
Nutrition Labeling 335
CHAPTER Eating Out 337
Coping with
10
Special Nutritional Considerations 338
12 Weight 349
5. Maintain a Healthy Weight 394
Secondary Risk Factors for Cancer 395
Exposure to Some Viral Infections 395
Understanding Body Composition 351
Exposure to Radiation, Workplace Hazards, and Certain
Overweight Versus Obesity 352
Chemicals 395
Location of Fat 353
Risks Associated with Obesity 354 Early Detection 395
What Causes Obesity? 355 Common Cancers 396
The Energy Balance Equation 355 Breast Cancer 396
Heredity 356 Colon and Rectal Cancer 396
Metabolism 357 Lung Cancer 397
What About “Dieting”? 358 Prostate Cancer 397
Weight Cycling 359 Skin Cancer 397
Reliable Weight-Loss Programs 359 Testicular Cancer 399
Lifetime Weight Management: Staying Lean Uterine and Cervical Cancer 399
in Fattening Times 361 Coping with Cancer 400
(1) Food Management 361 Frequently Asked Questions 402
(2) Emotional Management 364
Summary 402
(3) Exercise Management 364
Gaining Weight: A Healthy Plan for Adding Pounds 368 Internet Resources 403
Culture and Weight 368 Lab Activity 13-1 What Is Your Cancer Risk? 405
There She Is . . . Miss Unrealistic America 368 Lab Activity 13-2 Lunch Box Guidelines 407
Men Are Joining In 369
Eating Disorders 369
Bulimia Nervosa 370
Anorexia Nervosa 370 CHAPTER Understanding
Binge Eating Disorder 371
Substance Abuse and
Other Specified Feeding and Eating Disorders (OSFED) 371
What Can Be Done? 372
14 Addictive Behavior 409
Frequently Asked Questions 373
Summary 374 Addiction 410
© Hero/Corbis/Glow Images
xi
HIGHLIGHTS OF THE
ELEVENTH EDITION
xii
Highlights of the Eleventh Edition xiii
✔ Illustrations and instructions for “Flexibility Exercises ✔ New Table 10-4: Quiz to Identify Your Type A,
for Basic Fitness” moved to Lab Activity 5-2 Angry/Hostile, Hot Reactor Behavior (former table
✔ Illustrations and instructions for “Desk Stretches” reduced from two sections into one)
moved to Lab Activity 5-3 ✔ Significantly revised section on “Improve Your
Quality of Sleep”
Chapter 6: Developing Muscular Fitness ✔ Updated and revised section on “mindfulness meditation”
✔ Weight machine and free weight exercises and ✔ New Lab Activity 10-3 on time management
descriptions moved to Lab Activity 6-1 ✔ New “Think About It” on sleep aids
✔ Abdominal and core strengthening exercises and ✔ Frequently Asked Questions include information on
descriptions moved to Lab Activity 6-2 stress-reduction apps for smartphones
✔ New Lab Activity 6-3: Body Weight Exercises for
Hips, Thighs, and Upper Body Chapter 11: Eating for Wellness
✔ Illustrations and instructions for stability ball ✔ Coverage of new 2015–2020 Dietary Guidelines
exercises moved to Lab Activity 6-4 for Americans
✔ Illustrations and instructions for elastic resistance ✔ Expanded information on added sugars
exercises moved to Lab Activity 6-5 ✔ New information on the dangers of processed meats
✔ Revised Frequently Asked Questions include mention ✔ Updated information on nutrition labeling of
of new smartphone apps for developing muscular fitness restaurant and fast-food meals
ACKNOWLEDGMENTS
We are thankful to the instructors who reviewed the previ-
®
McGraw-Hill Create is a self-service website that allows ous edition of A Wellness Way of Life and offered helpful
you to create customized course materials using McGraw- suggestions for improvement. Their knowledge and insights
Hill Education’s comprehensive, cross-disciplinary content are reflected throughout the pages of this book.
and digital products. You can even access third-party c ontent Kelly J. Adam
such as readings, articles, cases, videos, and more. Big Sandy Community & Technical College
• Select and arrange content to fit your course scope and Bruce Billingsley
sequence St. Ambrose University
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http://www.mcgrawhillcreate.com. Ball State University
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Jefferson Community College
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McGraw-Hill Campus is a groundbreaking service that University of Wisconsin–La Crosse
puts world-class digital learning resources just a click away Matthew R. Martin
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access the entire library of McGraw-Hill instructional re- Jessica K. Meany
sources and services, including eBooks, test banks, Power- Worcester State University
Point slides, animations and learning objects—from any Jacquelyn Yvonne Thomas
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and Tegrity, a fully automated lecture capture solution. Ball State University
A very generous thank you goes to the dedicated Ball State
University Physical Fitness and Wellness faculty for their
INSTRUCTOR RESOURCES vigorous commitment to quality teaching.
We dedicate this eleventh edition to the students past,
Instructor resources, which can be accessed through the Li- present, and future. We wish you a lifetime of wellness.
brary Tab in Connect, include a Test Bank and PowerPoint
presentations for each chapter. The PowerPoint presenta- Gwen Robbins
tions include alt descriptions for images as needed for stu- Debbie Powers
dents who are visually impaired. Sharon Burgess
xv
LIST OF LAB ACTIVITIES
Lab Activity 1-1: Healthy Lifestyle: A Self-Assessment Lab Activity 5-1: 5-Minute Dynamic Warm-Up Session
Lab Activity 1-2: Assessing Your Wellness Lab Activity 5-2: Introductory Flexibility Session
Lab Activity 1-3: Societal Norms: The Unwritten Codes Lab Activity 5-3: Seated Stretching Session
Hatha Yoga Workout: Sun Salutation
Lab Activity 5-4:
Lab Activity 2-1: Identify Your S.M.A.R.T. Goal (or Salute to the Sun)
Lab Activity 4-1: Calculate Your Target Heart Rate (THR) Range
Evaluation of the Life Event Stress Test and
Lab Activity 10-1:
Using a Pedometer: “How Many Steps
Lab Activity 4-2: Relaxation
Do I Take?”
Lab Activity 10-2: Becoming Stress-Resistant and Hardy
Lab Activity 4-3: Exercise Across the U.S.A.
Lab Activity 10-3: Time Management
“I Have No Time . . .”: Overcoming Obstacles
Lab Activity 4-4:
to Exercise
Lab Activity 4-5: Cardiorespiratory Exercise Log Sheet Lab Activity 11-1: What’s on Your Plate?
xvi
List of Lab Activities xvii
Lab Activity 12-1: Estimating Your Daily Caloric Need Lab Activity 14-4: Alcohol/Substance-Abuse Harm Reduction
Lab Activity 12-2: Estimating Your Basal Metabolic Rate (BMR) Lab Activity 14-5: Tobacco-Use Values Clarification and Critical
Lab Activity 12-3: Analyzing Your Food and Exercise Habits Thinking
Lab Activity 12-4: Weight Management Plan Lab Activity 14-6: Addiction: Part of Your Lifestyle?
Lab Activity 13-1: What Is Your Cancer Risk? Lab Activity 15-2: Discussing Safer Sex
Lab Activity 13-2: Lunch Box Guidelines Lab Activity 15-3: STI Discussion
Connect-Only
Lab Activity 13-3: Self-Test on Cancer Lab Activity 16-1: Look to the Future
Lab Activity 16-2: Ideas for Changes and Improvements
Lab Activity 14-1: Alcohol Use: High-Risk vs. Low-Risk Lab Activity 16-3: The Environment: “One Person’s Trash . . .”
Lab Activity 14-2: What Is the Alcohol Culture on Your Campus? Lab Activity 16-4: Health Fraud Detection
Lab Activity 14-3: Substance-Abuse Values Clarification and
Critical Thinking
Understanding Wellness 1
STUDY QUESTIONS
You will have successfully mastered this
chapter if you can answer the following:
“ ”
© Joaquin Palting/Getty Images
1
2 A Wellness Way of Life
A
s Rob lay in the coronary care unit, his eyes surveyed the various allow ourselves to be bused and trucked, elevated and escalated, and
tubes and wires connected to his tired body. The nightmare of then wonder why we get fat and are out of shape. This so-called good
the past 24 hours was over, but the pain and confusion lingered. life has created sedentary living, changes in eating habits (fast foods,
“How can this be? I’m only 49 years old. How could I have had a increased fats and sweets, processed foods), stress, alcohol and drug
heart attack? What if I die? What about my wife? My son? My daugh- abuse, and obesity. Although social scientists predicted in the 1960s
ter? I’ve just become a grandpa. I was given a big promotion at work. that technology would create a future of abundant leisure time, in
Why now?” Rob’s mind drifted. actuality, most of us face an unrelenting pace of increased expecta-
“But I’m an athlete! Well, I was an athlete back in high school. tions and demands. With iPads, iPhones, and other technology, we are
Once I started college, there was no time for sports or exercise. “wired” 24 hours a day. Chronic hurrying has created chronic stress.
Started smoking, too. Figured I’d stop when the deadlines subsided, Life has gotten out of balance for many. As Mahatma Gandhi once
but the stresses never ended. Drank too much, too; partied a lot. Still said, “There is more to life than increasing its speed.”
like a couple of drinks to end the day. I always thought I’d lose those The harsh truth is that a high percentage of disease and disabil-
extra 30 pounds—always next year, always a New Year’s resolution. ity affecting the American people is preventable, a consequence of
Diet? Too busy. Vending machines, hot dog stands, snacks in front of unwise behavior and lifestyle choices. As obesity rates continue to
the TV, fast food. No time. Too much to do. Money to make. A lot of increase, health officials predict that obesity will soon surpass tobacco
stress. Can’t stop now. There’ll be time later.” as the leading contributor to premature death in the United States.
Rob’s mind drifted back to his room. He could faintly hear his Instead of infectious diseases, we now die of chronic diseases—
doctor’s voice—”Stop smoking . . . Change in lifestyle . . . More fruits diseases that develop over many years and are heavily influenced
and vegetables . . . Start exercising . . . Cholesterol is 280 . . . Break by lifestyle. Examples of chronic diseases are heart disease, cancer,
old habits.” Rob thought, “How I wish I could turn back the clock!” stroke, type 2 diabetes, atherosclerosis, obesity, and osteoporosis.
This story is too common in the United States. More than half Chronic diseases account for 70 percent of all deaths in the United
of all deaths in this country are attributed to coronary heart disease States, and 1 out of every 2 adults has at least one chronic illness.
and stroke. Although most heart attacks occur after middle age, many If you are like most young people, you underestimate your
people are afflicted far too young. Table 1-1 lists the leading causes of future risk of chronic diseases. Studies show that many young adults
death in the United States. One hundred years ago the leading causes already possess several risk factors that can lead to these lifestyle
of death were infectious diseases, such as tuberculosis, polio, diph- diseases. Underestimation of your risk is of substantial concern
theria, pneumonia, and influenza, and various diseases of infancy. because action should be an outcome of your health knowledge.
Advances in medicine, the discovery of antibiotics, and improved After all, the truly educated individual understands cause and effect.
sanitation diminished the incidence of these ravaging diseases and Nevertheless, many young adults are much more interested in the
increased the average life span. Through scientific discovery, technol- present than the future. Good health is often taken for granted until it
ogy, industrial growth, and automation, the entire American lifestyle is lost. You make choices every day that either increase or decrease
has changed. We use remote controls to change television channels your risk for developing chronic diseases.
and open garage doors. Appliances wash our clothes, dishes, and This chapter introduces you to the concept of high-level wellness.
teeth. We ride vehicles to work, to school, and even while playing golf. You will see that wellness living and healthy lifestyle interventions that
“Surfing the Net” is much more popular than surfing the ocean. We begin early in life can shape your health destiny and lead to a vibrant life.
HEALTHY LIFE EXPECTANCY In contrast, the United States spends more than twice as
much for health care than any other nation. Yet we are among
AND THE COSTS the sickest in the world! As chronic diseases rob more Ameri-
cans of their lives or their quality of life, they also wreaking
Life expectancy in the United States is 78.8 years (76.4 for
havoc on our nation’s economy. National health care expen-
men and 81.1 for women). Life expectancy is not the same
ditures in the United States are $3 trillion ($9,255 per person)
as healthy life expectancy. Healthy life expectancy is the
and are rising every year. Seventy-five percent of this spend-
number of years a person is expected to live in good health.
ing is for patients with chronic diseases. Despite public health
This number is obtained by subtracting years spent in poor
promotion, smoking alone costs our society billions annually
health from overall life expectancy. The World Health
in health care costs and lost productivity (and causes more
Organization (WHO) calculates healthy life expectancy in
than 480,000 premature deaths). Cardiovascular diseases cost
194 countries. The United States ranks twenty-ninth in the
more than $440 billion annually, and the financial burden of
world using this measurement, with an average of 70 years
obesity rivals that of smoking. Excessive drinking costs the
of healthy life expectancy. Singapore ranks number one
United States $223.5 billion in lost workplace productivity,
(76 years), and Japan is number two (75 years).
health care expenses, law enforcement, and motor vehicle
The ranking of the United States is surprisingly low in
crash costs. In fact, for the first time in history, experts predict
light of its status as a country with one of the best medical
a decline in life expectancy in the United States in the twenty-
care systems in the world. The WHO report indicates that
first century due to the rising prevalence of obesity. During
Americans die earlier and spend more time disabled than do
the past several years, expenditures for prescription drugs
people in most other advanced countries. Several factors are
have grown at a faster rate than has any other type of health
cited in the WHO report to explain why the United States
cost. Unfortunately, not enough of the health care expendi-
ranks relatively low among wealthy nations:
tures go toward prevention. America is terrific at expensive,
1. Some groups, such as American Indians, rural African heroic care but very poor at low-cost preventive care! Health
Americans, and the inner-city poor, have extremely advocate Dr. Andrew Weil concurs that a radical transforma-
poor health that is more characteristic of a poor tion from disease intervention to disease prevention is the
developing country than of a rich industrialized one. only way to make health care cost effective.
2. The HIV epidemic causes a higher proportion of This burden will continue to grow as the population ages.
death and disability in the United States than in other According to government statistics, as much as two-thirds of
developed countries. disability and death up to age 65 would be preventable in
3. The United States is one of the leading countries for whole or in part if we applied what we know about the effects
cancers because of the high incidence of tobacco use. of lifestyle on premature illness and death. You may be think-
4. The United States has a high incidence of coronary ing “but we all have to die sometime!” Of course that is true.
heart disease.
5. The United States has a fairly high level of violence,
especially homicides, compared with other industrial-
ized countries.
But we are born to last nearly 100 years, and not meant to Environmental Conditions
suffer from chronic diseases in our 40s and 50s. Former U.S. Home, work, and community environments sometimes
surgeon general C. Everett Koop states, “We are in an era of present us not only with barriers to active lifestyles but also
self-induced premature deaths.” with toxic hazards. Environmental pollutants, chemical con-
taminants, radon, occupational hazards, and tobacco smoke
Determinants of Health and Longevity all have the potential for triggering cellular changes.
As a result of the curative focus of our health care system, a
Medical Care
majority of our health care dollars are spent on procedures
for patching people up after the damage has been done. Despite the expensive and stunning feats of our medical
Because billions of dollars are spent to treat the results of care system, the contribution of medical treatment to over-
bad eating and drinking habits, sedentary living, stress, and all gains in the function and quality of life has been limited
smoking, our system probably should be renamed “sickness in recent years. Whereas the introduction of antibiotics and
care” rather than “health care.” Because of the medical pro- improved sanitation in the early 1900s increased our life
cedures, drugs, and technologies currently available, many span by more than 60 percent, modern-day medical treat-
people have become complacent about their health habits. ments and technologies have had far less dramatic impact.
They think they can be “bailed out” by medical science.
A range of factors underlie one’s susceptibility and Lifestyle Behaviors
predisposition to ill health. (See Figure 1-1.) Rather than In the United States, lifestyle behaviors represent the single
working independently, all of these factors interact. It is most controllable influence over our health prospects. The
important to understand how these factors work in combina- daily choices we make with respect to diet, physical activity,
tions and affect each other. Nevertheless, the largest contrib- stress management, tobacco and alcohol use, sexual practices,
uting factor is lifestyle behaviors. and safety issues are the most important determinants of well-
being. It has been well documented that the top four lifestyle
Heredity behaviors that contribute to premature deaths in the United
Predisposition to health or disease begins at conception. States are
Each of us has cellular codes that dictate our size, shape, 1. Tobacco use
personality, and biological limits. However, our hereditary 2. Poor diet
tendencies are strongly affected by other determinants, such 3. Lack of exercise
as social circumstances and behavioral choices. 4. Alcohol abuse
Social Circumstances These are often designated as the “actual” causes of death in
Powerful influences on our health are derived from circum- contrast to the “leading” causes of death listed in Table 1-1.
stances such as education, income, housing, employment, As people learn more about the effect of behavioral factors,
poverty, crime, and other community forces. we hope they will accept personal responsibility for making
changes in their lifestyle and find joy in discovering how much
power they truly have in determining their health destiny.
Laws and policies such as those prohibiting drunk driving, How are we doing at reaching these goals? By many
those curtailing pollution, and those establishing smoke-free measures, not so hot. Whereas raising childhood vaccination
areas also assist in health promotion. rates, lowering cancer death rates, increasing seat belt use,
Because the preventive aspects of health have become and reducing work injuries show improvement, we are fail-
more publicized, research studies involving diet and exercise ing in the main objectives. Blood pressures, consumption of
often become instant headlines (e.g., Which is better . . . butter healthy foods, obesity rates, and exercise habits are far from
or margarine? Coffee or tea? Protein or carbohydrate?). Some- their recommended national goals.
times the information is reported only partially, resulting in Because of the diversity and varying needs of Ameri-
confusion, contradiction, and even sensationalism. Bewildered cans, reaching each goal is a challenge. (See Diversity
and wary, many Americans reject or ignore many legitimate Issues.) Goals are only dreams without action plans. That
health pronouncements. It is a challenge to recognize legiti- is where federal agencies, state organizations, local com-
mate health pronouncements. Being educated about wellness munities, businesses, schools, families, and YOU enter the
will empower you to make informed decisions and distinguish picture. The health of the nation is improved with coordi-
between legitimate health pronouncements and fads and ille- nated efforts that begin with individual action and personal
gitimate assertions. Regardless of the messages, a majority of responsibility. The federal government is playing a leader-
Americans today continue to be sedentary and overweight. ship role in cultivating a culture of healthier, life-enhancing
Stress levels and blood sugars continue to soar. Though the habits for all Americans, regardless of income, race, sex, or
relationship between lifestyle and health is clear, adopting other status. We must do our part to help.
healthy lifestyle habits can be challenging in our environment One of the purposes of Healthy People 2020 is to moti-
where fast food is everywhere, we ride rather than walk, and vate people to take action. Surveys reveal that since 1990,
we sit rather than play. But the good news is it can be done, young adults aged 18–24 from all racial and ethnic groups
and it does make a difference in health, longevity, and vitality. show a larger increase in several risk behaviors than all other
age groups in the United States. Those risk behaviors are obe-
sity; inactivity; increases in tobacco use among young women;
“The United States cannot effectively address
low vegetable and fruit intake; risky sexual behaviors; and
escalating health-care costs without address- behaviors that contribute to unintentional injuries (i.e., binge
ing the problem of chronic diseases.” drinking, drinking and driving, fighting, dating violence, drug
—CENTERS FOR DISEASE CONTROL AND PREVENTION use, etc.). This is a particular public health concern because
young adulthood is when independent lifelong habits are
established. Young adults, apparently believing they are
Healthy People 2020 immune from risk, are not too far from entering the ages of
Every 10 years the government establishes health goals high chronic disease burden. It is up to each of us to develop
for the nation. Created in the 1970s, Healthy People is a strategies for incorporating healthy habits into our daily lives.
national crusade for health promotion. Its objectives set an Look at the Top 10 “Lifestyle Practices That Enhance Well-
agenda for getting Americans to live longer, healthier lives. ness.” How many of these habits do you practice?
The U.S. Department of Health and Human Services reas- There is nothing extreme or magical in this list. It shifts
sesses these goals every 10 years and issues a report card on the main responsibility for health to the individual rather than
the progress made in the previous decade. Healthy People relegating the individual to a position of passivity amid exces-
2020 is the most recent road map for improving the health of sive surgeries, medications, and medical tests. One physician
all people in the United States. Healthy People 2020 is com- has summarized the issue by stating, “One of my frustrations
mitted to four overarching goals: in medicine was having people come to me expecting way too
much of me and not expecting anything of themselves.”
1. Attain high-quality, longer lives free of preventable To evaluate your personal lifestyle habits, look to
disease, disability, injury, and premature death. Healthy Lifestyle: A Self-Assessment, Lab Activity 1-1.
2. Achieve health equity, eliminate disparities, and
improve the health of all groups.
3. Create social and physical environments that promote Lifestyle behaviors represent the
good health for all. most controllable influence over one’s
4. Promote quality of life, health development, and health. As a result, some employers
healthy behaviors across all life stages. are considering increasing health
insurance premiums for employees
To achieve these lofty goals, specific objectives have been
who smoke, are overweight, or have high blood
targeted for the year 2020 in areas such as chronic diseases, pressure. Other employers are considering paying
environmental health, nutrition and weight status, physical bonuses for those who exercise regularly and
activity, sleep health, injury and violence prevention, and maintain a healthy weight. What is your reaction
social determinants of health, among many others. The spe- to these workplace trends? What are the factors to
cific objectives and reports on progress toward each goal consider in implementing such programs?
can be found at www.healthypeople.gov.
6 A Wellness Way of Life
Sources: Centers for Disease Control and Prevention, Health Disparities and Inequalities Report, 2013; Centers for
Disease Control and Prevention, Health, United States, 2013.
Sec. 8. That all persons in the naval service of the United States,
who have entered said service during the present rebellion, who have
not been credited to the quota of any town, district, ward, or State, by
reason of their being in said service and not enrolled prior to
February twenty-four, eighteen hundred and sixty-four, shall be
enrolled and credited to the quotas of the town, ward, district, or
State, in which they respectively reside, upon satisfactory proof of
their residence made to the Secretary of War.
GUERRILLAS.
After the President had issued his first call, Douglas saw the
danger to which the Capitol was exposed, and he promptly called
upon Lincoln to express his full approval of the call. Knowing his
political value and that of his following Lincoln asked him to dictate
a despatch to the Associated Press, which he did in these words, the
original being left in the possession of Hon. George Ashmun of
Massachusetts:
“April 18, 1861, Senator Douglas, called on the President, and had
an interesting conversation, on the present condition of the country.
The substance of it was, on the part of Mr. Douglas, that while he was
unalterably opposed to the administration in all its political issues,
he was prepared to fully sustain the President, in the exercise of all
his Constitutional functions, to preserve the Union, maintain the
Government, and defend the Federal Capitol. A firm policy and
prompt action was necessary. The Capitol was in danger, and must
be defended at all hazards, and at any expense of men and money.
He spoke of the present and future, without any reference to the
past.”
Douglas followed this with a great speech at Chicago, in which he
uttered a sentence that was soon quoted on nearly every Northern
tongue. It was simply this, “that there now could be but two parties,
patriots and traitors.” It needed nothing more to rally the Douglas
Democrats by the side of the Administration, and in the general
feeling of patriotism awakened not only this class of Democrats, but
many Northern supporters of Breckinridge also enlisted in the Union
armies. The leaders who stood aloof and gave their sympathies to the
South, were stigmatized as “Copperheads,” and these where they
were so impudent as to give expression to their hostility, were as
odious to the mass of Northerners as the Unionists of Tennessee and
North Carolina were to the Secessionists—with this difference—that
the latter were compelled to seek refuge in their mountains, while the
Northern leader who sought to give “aid and comfort to the enemy”
was either placed under arrest by the government or proscribed
politically by his neighbors. Civil war is ever thus. Let us now pass to
The first session of the 37th Congress began July 4, 1861, and
closed Aug. 6. The second began December 2, 1861, and closed July
17, 1862. The third began December 1, 1862 and closed March 4,
1863.
All of these sessions of Congress were really embarrassed by the
number of volunteers offering from the North, and sufficiently rapid
provision could not be made for them. And as illustrative of how
political lines had been broken, it need only be remarked that
Benjamin F. Butler, the leader of the Northern wing of Breckinridge’s
supporters, was commissioned as the first commander of the forces
which Massachusetts sent to the field. New York, Pennsylvania, Ohio
—the great West—all the States, more than met all early
requirements. So rapid were enlistments that no song was as popular
as that beginning with the lines:
“We are coming, Father Abraham,
Six hundred thousand strong.”
The first session of the 37th Congress was a special one, called by
the President. McPherson, in his classification of the membership,
shows the changes in a body made historic, if such a thing can be, not
only by its membership present, but that which had gone or made
itself subject to expulsion by siding with the Confederacy. We quote
the list so concisely and correctly presented:
SENATORS.
REPRESENTATIVES.
MEMORANDUM OF CHANGES.
IN SENATE.
IN HOUSE OF REPRESENTATIVES