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Bienestar y malestar ¿Es igual a salud y enfermedad? | Carlos Barclay | TEDxBariloche


[Music]

[Applause]

what it means to be healthy or to be

healthy

the world health organization

defined as the complete state of

psychic and social physical well-being and

not only as the absence of

disease

we doctors as well as

patients in general we settle for

the second part of the definition is the

absence of disease we have no fever

we have no pain we are healthy but what

there is the first part that there is of

complete welfare state

to that I want we can aspire in this

talk I’m going to talk about wellness and

upset on many occasions and

I want to define what I’m talking about

He related welfare with three

characteristics that have to do with

the happy

they have to do with satisfaction with

the life that we are leading has to

see with positivity and optimism

that is experienced in the person who

feels and it shows in those around him what

notice that person

what characteristics do you have in general

good mood in general energy interest

tolerance a sense of openness

that leads towards generosity towards

empathy and on the other side when

we say upset

we all recognize because these states

they oscillate in us but we have

different leveling points

there are people that we can level in a

highest state of wellness with ozil

actions but with a substrate that

gives us that support and other people who

we can be in a more state

constant discomfort and what is translated

in discontent negativity we see everything

negative in dissatisfaction with life

that we are carrying as you can see

those people are really irritable

they are complaining they have bad vibes if they have

to individualism to share little and

more behaviors

today home are this we call in

general people with bad wave

I want to join this as how can

impact on health

today we know if there is no doubt about

this is that what we think and the

emotions and thoughts impact

about our body and our body

answer manyas sending signals to

up on a path continues

bidirectional all the time I ask them

put in that place that is

recognize what I’m going to tell you

how can this these states

subjective well-being discomfort can

have an impact on something macro touch it

can touch material such as diseases and

in different organs of our body

let’s start with the discomfort the

upset people who have greater

degree of discomfort as people with

major depression or bipolar disorder or

generalized anxiety disorders or

something that is so common

today in the world that is high levels of

stress

clearly he gets sick more and life in

less time

this about living paradoxically in a hurry

shortens our life

On the other hand this we intuit it is not

It is necessary for me to show you the papers

with the figures that goes with the welfare

I was very curious about the study

called the study the nuns published

in 2001 that religious a group

of religious in the United States

they committed to donate their brain when

they died to be studied for the

Alzheimer’s disease to them when a

an average age of 22 years is

He decided to write a story of his life

how they had lived and what they planned

for the future and someone very bright

it occurred to him to compare what they had

written with what had happened 60 years

then in terms of health and

disease and they found they found

a very high correlation between those that

projected optimism that

they projected all the features

of well-being had lived

languages ​​and they had gotten sick less

subsequent studies that there are many with

better methodology go in this line

clearly welfare is associated with

health as we intuited

one wonders from the medical what

are the ways such as

mechanisms by which to feel good

makes us healthier in the long run and we

longer ago there is a way that is

indirectly and again put yourself in the

place when we feel bad when

we feel that malaise in quotation marks that

we make

we eat fat salt sugar we sit down

we do sap and we do not go running

we smoke more we drink more alcohol we

we isolate when we are good when

we are full see this that overflows

moszy that we do in general we

we hook with the salads the fruits

vegetables

we worry because if you have a lot

salt or little salt how many calories has

a sausage and so on etc. and so on

and we went running and we called to leave

to chat with our friends do

programs together that we do all the

weather

those I’m not going to enlighten you that

this is the background after the

overweight of problems

cardiovascular events associated with

sedentary lifestyle with high cholesterol

high sugar et cetera etcetera

etcetera that’s what it is before

what the cardiologist is seeing

later when you cholesterol

there is a newer way that is a

direct way and what can be that way

direct say when we are good

apart from the habits that happen more than

more happens to us and things happen

tremendously interesting at least

for me there are parameters

cardiovascular diseases that are modified low

the heart rate lowers the pressure

arterial increases the vagal tone that is a

health parameter that does not now

I can explain extensively change the in

issues in immunity

they have to do with what when we are

bad and we have that discomfort

we activate an inflammatory pathway that is

the background of many diseases by

example the disease but claire

atherosclerotic and also makes us

more vulnerable to infections and there are

one way the third way

and remember these three because I’m going to

return to the end that the way

neuroendocrine us with what

we think or what we feel almost always

automatic and non-conscious way

we shoot behaviors we shoot a way

biological our body which is the way

that made us survive throughout the

story when we were being run by a lion a

tiger we shoot the hormones

of stress adrenaline and cortisol because

we had to climb I have to run

because they ate us today

ancestral mechanism from the origin of

the humanity that made us survive

pathetically modern man what

can activate chronically

prolonged does not lower it when we’re

sitting looking at the lake thinking

ruminating many times in

unconscious or when it does not brake a

red light and we have many cars

ahead, that’s what we do

today every day that is logical

think that it has repercussions on the

Health

what repercussions does it have on health

for example , it alters our mood

clearly that background makes us

more irritable there is clearly associated

with major depression and with

generalized anxiety disorder that

happens at the cognitive level we accelerate the

cognitive impairment

if we are losing attention we were going

losing the memory and we’re leaving

deteriorating cognitively at the level

cardiovascular first cause of death

in the world

acb myocardial infarction

if associated that answer with these two

elements that happens at the level of

infections that is my specialty makes

one time I read a job that

it looked exquisite

a researcher called sheldon

cohen than in volunteers who

approached knowing that they were going to

participate in this type of study they

They gave a few droplets for the nose that

had in rhinovirus that is the

most frequent virus that does not produce the

common cold turns out that it was put

the droplets and not all were infected and

then the study that differentiated

those who got infected from those who did not

infected and this what shows if

look at vertical colds in

horizontal in this case stress to

older three seniors cold clearly

look at that curve

look at the second number of contacts

social networks with fewer contacts

social infections plus infections and finally

notice that it is a dream, although those who

They slept less than five hours what

they slept less than six hours a day

if each of these associated elements

also to depression and feeling

of solitude increased between two and three

times the possibility that it

sick these patients I do not see it in

the office the studies

immunologically and I can not find anything

macro but this is happening that is not

measurable with our macro tools

the person is not feeling as well as

we come to these states

obviously this is this is the way

biological that how do we get to this

situation that stabilization in

predominantly in welfare or

predominantly upset with the

vagaries of life as always

yes obviously there are many causes and

terms

these multifactorial complex like the

reality that we try to

understand a simplistic way

we have the genetic load that has

importance and equipment has to do in

where they raised us as they raised us with

violence with abuse the mental health of

our parents made us bullying in

the school does not and then there are factors

social factors that have to do with

public health and with the economy

with the policy that is that of the

distribution of wealth and income

per capita the access that the

education and health

the degree of violence and discrimination

what’s in the society where I live

all that makes up a combo of which

is our pattern if we are

attuned to the well-being or the

upset about that is always I find

very appropriate the metaphor of the seed

is the seed with genetics with its

potential and the ingredients depend

that we put inside the causes and

conditions as expressed

can be expressed with light and shine is

the concept of flourishing in the

positive psychology or we can not

wither go gradually ruining

throughout life

there is a sentence that is sententious and

stronger than I’ll tell you now but

I find myself tremendously motivated

now it’s a phrase from a writer who

call chas vukovic who said

we are born for geniuses and they bury us

idiots

so what are the solutions one

Once we know this, I propose

four goals that are not mine what

says richard davidson a specialist in

neuroscience center director

healthy mind in wisconsin says a

healthy mind has four

characteristics that I can measure in

the resonance in different with different

elements that is attentive

yes I am attentive to what is

happening I am in the present

recent studies very commented in the

medical field show that almost 50%

of time we are on autopilot

we are not living what we are

doing and when they interrogate us when

we were and two and they ask us how

you felt when it was has been the

most of the people answer me

I felt bad was not good that other

three characteristics one mind

healthy is positive

a healthy mind is resilient is

able to recover quickly from the

contrasts of life and finally a

Healthy mind is more empathetic

tends to compassion and finally

ideal

in the face of pro-social actions

the novelty is that these four

characteristics there is evidence that

they can be cultivable

we are not condemned to always finish

worse to say but I am like that

I am like that and now everything changes all the

weather

we can also change to

from the discoveries of the

neuroplasticity that we can generate

new connections and develop new

cells in our brain and starting

of epigenetics that our genes are

express or shut off

according to the stimuli that you

we put this is cultivable like going to

gym like in the gym of the mind

and that is associated with well-being that other

things can help us being of

simple

the abc diet the diet has

fundamental importance not only

for weight and aesthetics but for the

heart for our brain and for

our humor as they show works

recent from australia and new zealand

what other things exercise the

exercise is phenomenal because the

Exercise not only has an effect

cardiovascular but also on

our brain and it makes us release the

hormones and neurotransmitters that do not

you generate well-being

anyone who has done sport

recognizes how you feel after

have left to run and studies

Recent shows show that going for a run

presence of water mirrors as they are

privileged in this place in better

still if the dream the dream is key

for our life a lot of effects

about health

also about humor and also about

the infections

this I told him that at least there

have to sleep six hours around the world

you are seeing that people every time

sleep less in Argentina 55 percent

of the population sleep less than six

hours

well this is the situation with this

é a special paragraph for other things

that maybe less known than

They are related to

other elements that we do well

social relations the music that’s why

that is being rescued as the

music therapy for certain certain

pathologies and a great for raffo for

body mind practices

practically body like tai chi

like yoga as different practices

meditative I wonder why it is

have been doing for more than 2,500 years in

the world because it does well because

modify biological correlates has

impact on each one in greater or lesser

degree of what I told you before

about the cardiovascular aspect

on the inflammatory aspect and on the

neuroendocrine aspect this idea

positive shows this that I want to show

something that impacts

this is bp antibody titers

can flu vaccine in the controls

and in the meditators notice the

difference of the curves that is

statistically significant

and this is shingles vaccine

against herpes zoster in practitioners

and not practitioners of tai chi that is to say

I want to take you to this correlate

biological that is what is happening

in the world we are wrong

yes yes I show you data of the world there

300 million people in the world with

diagnosis of depression

8 percent of the world’s population

have depression or disorder

generalized anxiety in Argentina

two drugs like alprazolam and

clonazepan are among the ten most

sold with prescription at no Argentina

listened in social areas

you are stressed you are anxious because

do not stick a clonazepan if that does not

it’s fine no it’s not the way it’s the

short way but it’s not the way of

good final results then this

it has to be taken as a policy of

public health what has to do with

what I told him about society

et cetera etcetera but we have a

individual travel and in and in the era

of the anthropocene if the human being was

able to modify the planet

to such an extent to modify the climate as

do not

we can know this to try

modify the paradigm that is

getting sick of how we are living

then he invited them to leave the

discomfort swirl

I invite you to walk towards wellness

and the utopias as I wished oscar wilde

they are progress are realized utopias

then let’s go towards that which is a

decision in a moment is a decision

that we have to execute and it ‘s a

developable skill and maybe

we can live more wisely and die

wisely

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[Music]

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