The Columbus Dispatch

Do you know your reason for being?

- Salvatore Lacagnina Special to Fort Myers News-press USA TODAY NETWORK – FLORIDA

“Ikigai” is the Japanese word which roughly translates into your reason for being or a sense of purpose. It’s the reason you jump out of bed in the morning.

A recent article of mine focused on the importance of the brain in relation to the other vital organs in the body. It highlighte­d the multitude of functions of the brain in comparison to other organs, and since there is no ability (yet) to transplant a brain, we must protect and preserve it.

Another function of the brain is its ability to think about and determine one’s ikigai. This, I believe, is a fundamenta­l question we all should think about and attempt to answer. In Dr. Sanjay Gupta’s book “Keep Sharp,” he discusses the health benefits of having a sense of purpose, a reason to get out of bed in the morning. According to Dr. Gupta, dozens of studies have shown that people who have a sense of purpose in their lives are less likely to develop health problems such as cognitive impairment, Alzheimer’s disease, heart disease and strokes. They also are more likely to live longer than people without a sense of purpose.

A Journal of the American Medical Associatio­n study (JAMA Psychiatry 74, no.10 (Oct 2017): 1039-1045.) revealed that people with a strong sense of purpose tended to retain grip strength and walking speed as they aged; and these two skills have been associated with better health and greater longevity. These are indicators of how quickly a person is aging. There seems to be a correlatio­n between how fast you can walk and how fast you are aging. Another predictor of health is the ability to get up from the floor without using your hands to prop yourself up.

Now getting back to your ikigai. It seems that with purpose comes motivation, not only to do certain things outside of oneself, but also to remain physically active and take better care of one’s health. In addition to keeping the body healthy, being physically active also keeps the brain healthy. The brain is very resilient and in the past, scientists believed that we were born with a finite number of brain cells, but we know now that this is not true. The term for regenerati­on of the brain is neuroplast­icity. Research shows that having a sense of purpose helps preserve cognitive function and also decreases the risk of depression, memory decline, stroke, and dementia (Stroke 46, no. 4 (April 2015): 1071- 1076).

According to the research in Dr. Gupta’s book, in 2018, a Global Council on Brain Health reported that “optimism

was among some of the most important elements of mental well-being alongside things such as self-acceptance, vitality and positive relationsh­ips.” When you have a sense of purpose, you focus without distractio­n and behave in a way which has been described as being in the flow.

During my 27 years in the field of medicine I have asked many people, “Why are you here?” More often than not they answer, “I don’t know.” Given the research detailed above and much more extensivel­y in Dr. Gupta’s book, it’s apparent that we all need to think about this question and try to come up with an answer because our physical and mental health might depend on it.

Understand­ing your ikigai defines your sense of purpose, drives motivation, makes you more eager to get out of bed in the morning, increases optimism, decreases the risk for depression and possible other brain ailments, gets you in the flow (in the groove), and improves physical as well as mental health. Set aside time to be quiet, mindful and see if you can define your ikigai. This might help you to understand your life more clearly and how this sense of purpose not only influences your but also those around you.

By living our ikigai, we can leave a legacy which hopefully would have made the world a better place.

For more informatio­n on this and other health care topics visit drsallifes­tylemed.com and check out “Grow Up without Getting old!”

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