Although the WHO definition of health ala been widely accepted for decades, some researchers objected to the concept of fitness "complete"; some researchers also found these definitions are less practical. In 1986, at the Ottawa Charter for Health Promotion, WHO offers the following context to the definition of health:
To achieve a fit state of physical, mental, and social well, an individual or group must be able to identify and to realize aspirations, satisfy needs, and to change or else face environment. Therefore, health is seen as a resource for everyday life.
The emphasis on health as a resource that enables us to further look at health as an active process rather than as a steady state. This also applies to a closely related concept, namely fitness (wellness). Most public health authorities view fitness as a state when we realize our fullest potential as individuals and as members of our community. But others view fitness as a process of determining the active choice to achieve optimal health. People who are high fitness level it is always a decision that upholds health in various areas of their lives. On the other hand, low levels of fitness caused by bad decisions that increase the risk of illness, injury, disability, and premature death.

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