Thanks for joining me for another edition of the SerenityThroughSweat blog. With COVID-19 numbers flaring up in many places around the country, a return to “normal” still seems a ways off. As we all adjust to a new “normal” I wanted to dig in to Quality of life or QOL and Quality Adjusted Life Years or QALY.
Quality of life is a term that gets kicked around they pilot group a lot. It is an extremely broad reaching term with very individualized metrics. I’m it’s most simplistic terms, QOL is the standard of health, comfort, and happiness experienced by an individual or group.
Qualify adjusted life year is an economic term. It is used to quantify disease and treatment in terms of both quantity and quality of life saved. QALY gives us a metric by which we can evaluate decisions about our health and well being for the future.
The two terms have some common ground, but the differences are important. For example QALY is measured on a scale from 0-1. 0 being dead, and 1 being a single year of perfect health. Quality of life on the other hand, encompasses not only health, but happiness and comfort. In other words, you could have a perfect quality adjusted life year (healthy) with lack luster quality of life (stressed, grieving, generally unhappy, etc…)
Covid-19, brings with it some pretty drastic negative consequences, but it also gives us a unique opportunity that otherwise wouldn’t have ever materialized for most of us. The opportunity to completely rewrite our daily routines from scratch while reevaluating our priorities in order to maximize our QOL and our QALYs.
It is easier said than done, and change is never easy especially in times of great uncertainty. The first step is to identify priorities, and realign around them. Ideal QOL is going to look different for everyone because there is no one size fits all for things like happiness and comfort, but health and general well-being is pretty universal. (And a favorite taking point of this particular blog)
Personally, uncertainty around my job status as Covid-19 continues to ravage the travel sector, has thrown my stress levels out of whack. But sleep, diet and exercise (with the exception of a new baby) are largely within my control.
My pre Covid routine included a lot of Jiu Jitsu, but that isn’t an option for me and my family right now. Instead I’ve leaned in to what I do have available, kettlebells, sandbags, running shoes and a jogging stroller. Since I do most of the cooking in the house I can prioritize fresh produce and balanced home cooked meals (most of which are even toddler approved). On the sleep side, Speedy has started to put together reliable seven hour stretches giving me wife and I a chance to recharge.
How much of our pre Covid routine was helping us live a better QOL and have more QALYs? How much of it was adding stress, reducing sleep, limiting options for healthy habits in diet and exercise? I would wager the average American routine pre Covid was way out of balance in those four key factors (stress, sleep, diet, and exercise).
This is a complex issue, and everyone’s situation is different. If you find yourself working multiple jobs to put a roof over your head and food on the table, there are natural challenges to prioritizing well-being. However, a lot of us have significant down time around a 40 hour work week, and even more if we find ourselves working from home when we used to commute, or are working reduced hours.
As a fitness enthusiast I want to always be in shape for whatever challenge may come. As a father of two young boys I want to have as many QALYs as I can, where I can not only be there with them, but push them mentally and physically. As a pilot who has to leave his family behind on a regular basis I’m constantly adjusting to family needs to balance work with QOL.
Your priorities, your ideas on wellness, happiness, and comfort, can be realigned at any time, and there is no time like the present. There is always room for better choices, better QOL, more QALYs, and some SerenityThroughSweat.
Thanks for joining me, stay safe and stay sweaty my friends.