Think of a goal that you never achieved, without too much regret. Now think of one you have pursued tirelessly, despite obstacles, adversities, and situational challenges. What was the difference between these two goals?

I don’t know you, and I don’t know your story, but I’m ready to bet that goal #2 had a lot more meaning for you than goal #1.

Over the years, I have interviewed numerous individuals who have done what 95% of people can’t do: lost a significant amount of weight and, against all odds, kept it off. “What was your motivation?” I ask. The answer is never about fitting in, looking good, or feeling sexy. It’s always about having the energy to play with kids or grandkids, living longer to be around for their loved ones, or having been scared of losing it all to a heart attack after doing something as simple as going up a flight of stairs or tying a shoe.

Purpose is a huge driver of the way we think, respond, and feel. It motivates us to accomplish feats we’d never consider otherwise. While it used to be deemed a overly soft topic for C-suite conversation up until a few years ago, today an increasing number of executives are turning their attention towards its importance and cultivation.

If you are trying to help anyone improve their health, what role have you given to purpose in your wellness offering? Whether you are a coach working with individuals looking to get in shape, a worksite wellness coordinator looking to get participants engaged, or a parent trying to teach health skills to teens, including purpose will lead to the outcomes most other techniques fail to generate.

Victor StrecherRecently, I shared insights concerning how a purposeful “why” contributes to employee participation in a wellness offering. This week, I’d like to share the broad lines of a conversation I’ve shared with Victor Strecher, PhD and Professor of Health Behavior & Health Education at the University of Michigan, on the health benefits of leading a purposeful life. 

Disease Prevention

According to Strecher, various studies show that the tendency to derive meaning from life’s experiences and to cultivate a sense of intentionality protects against Alzheimer’s and stroke, and it may extend to other diseases as well. “The basic idea is that it somehow provides functional resilience in the face of multiple diseases,” says Patricia Boyle, PhD, a neuropsychologist whose primary interest is the prevention of age-related cognitive and functional decline.

Looking at the Blue Zones, the six or seven areas around the world with the highest percentage of centenarians ever recorded in history, that general resilience to disease comes to life. Not only do these centenarians achieve remarkable longevity, but also enviable vitality, with high energy and a striking absence of disease. Having a higher sense of purpose is one of 9 things these centenarians do differently.

Improve Habits

There is evidence that finding meaning is associated with reduced cortisol. High cortisol is associated with insomnia, high-sugar high-fat food cravings, and feelings of irritability and impatience. In our book, Smarts and Stamina: The Busy Person’s Guide to Optimal Health and Performance, Kathryn and I show that reducing cortisol helps improve sleep, food, and mood habits, which in turn benefit exercise intentions and implementations.

But there is more, according to Strecher. “In a study of 154 participants with cocaine dependence, purpose in life predicted ability to avoid relapse to any use of cocaine and alcohol in the 6 months after treatment.” Wow!

Increase Longevity

Purpose is like the root system of a tree

The example of the centenarians living in the Blue Zones described above already illustrates that having a sense of purpose can benefit our longevity (up to 7 years of extra life expectancy, according to research). We also know that better habits and decreased substance abuse lead to a longer life. I asked Strecher if he had more evidence on that, and his answer was affirmative. “In a study of 1361 older adults, participants with a strong sense of purpose were less likely to die over the study follow-up period than those who did not. And while we don’t have exact statistics on it, purpose may also be a predictor of survival under dire circumstances. Viktor Frankl shared that in the concentration camps of World War II, as long as the detainees could find meaning in their situation, they could also find ways to hold on and preserve their lives. But loss of purpose led to a certain death.” Ouch!

Asking Why

“Why?” is a question most people don’t like because in general, it makes us feel defensive. Coaches are trained to ask “What?” questions instead, turning “Why did you do this?” into “How well did this serve you?” But we shouldn’t shy away from why altogether. Turns out, why is very relevant when it comes to health improvement.

Strecher summarizes it well. “What’s the point of high energy and living a long time if we think life sucks? When we have purpose, we want to be at our best so we can better serve that mission. Purpose is akin to the root system of a tree, grounding and feeding the whole organism so it can flourish and thrive, no matter what the exterior conditions are.”  

Sources:

Boyle, P.A. et al (2012). Effect of Purpose in Life on the Relation Between Alzheimer Disease Pathologic Changes on Cognitive Function in Advanced AgeArch Gen Psychiatry. 69(5):499-506

Buettner D. (2008). The Blue Zones, Second Edition: 9 Lessons for Living Longer From the People Who’ve Lived the Longest. Washington, DC: National Geographic Society.

Costandi, M. (2014). A Purposeful Life is a Healthier Life. Dana Foundation.

Cruess, D.G. et al (2000). Cognitive Behavioral Stress Management Reduces Serum Cortisol by Enhancing Benefit Finding Among Women Being Treated for Early Stage Breast Cancer. Psychosomatic Medicine. 62: 304-308.

Dement, W. (2000). The Promise of Sleep: A Pioneer in Sleep Medicine Explores the Vital Connection Between Health, Happiness, and a Good Night’s Sleep. New York: Random House.

Johnson, S., Paiva, A., Cummins, C., et al. (2007). Transtheoretical Model-based Multiple Behavior Intervention for Weight Management: Effectiveness on a population basis. Preventive Medicine. Abstract.

Kim, E.S., Sun, J.K., Park, N. & Peterson, C. (2013). Purpose in life and reduced incidence of stroke in older adults: The Health and Retirement Study. In Journal of Psychosomatic Research. 74, 427-432.

Kim, E.S. et al. (2012). Purpose in life and reduced risk of myocardial infarction among older U.S. adults with coronary heart disease: a two-year follow-up. Journal of Behavioral Medicine. Abstract.

Krause, N. (2009). Meaning in Life and Mortality. Journal of Gerontology: Social Sciences, 64B(4), 517–527. 

Martin, R.A., MacKinnon, S., Johnson, J., Rohsenow, D.J. (2011). Purpose in life predicts treatment outcome among adult cocaine abusers in treatment. Journal of Substance Abuse Treatment. 40, 183–188.

Neighmond, P. (2014). People Who Feel They Have a Purpose in Life Live Longer. National Public Radio.

Ryff, C.D., Singer, B.H., Love, D.G. (2004). Positive health: connecting well-being with biology. Philosophical Transactions of the Royal Society, 359, 1383-1394.

Shaar, M.-J. & Britton, K. (2011). Smarts and Stamina: The Busy Person’s Guide to Optimal Health and Performance. Philadelphia, PA: Positive Psychology Press.

Somer, E. (1999). Food & Mood: The Complete Guide to Eating Well and Feeling Your Best, Second Edition, Second Edition. New York: Holt Paperbacks.

Strecher, V. J. (2013). On Purpose: Lessons in Life and Health From the Frog, Dung Beetle, and Julia. Dung Beetle Press.