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The field of medicine has not traditionally distinguished between someone who is merely "not ill" and someone who is in excellent health and pays attention to the body's special needs. Both types have simply been called "well". In rencent years, however, some health specialists have begun to apply the terms "well" and"wellness" only to those who are actively striving to maintain and improve their health.
對於僅僅是「沒有生病」和身體非常健康、非常注意身體特殊需求的兩種人，傳統醫學並沒有嚴格區分。這兩種人都被簡單定義為「身體健康」。然而近些年來，一些醫學專家開始認為，只有那些主動維持和改善其身體狀態的人才稱得上「身體好」和「健康」。
People who are well are concerned with nutrition and exercise, and they make a point of monitoring their body's condition. Most important, perhaps, people who are well take active responsiblity for matters related to their health. Even people who have aphysical disease or handicap may be "well", in this new sense, if they make an effort to maintain the best possible health they can in the face of their physical limitations.
健康的人非常關注營養均衡以及運動，他們非常重視監控自己的身體狀況。最重要的可能是健康的人主動承擔起改善自己身體狀況的所有責任。在這種意義上，只要他們能在他們現有的身體限制條件下儘可能地保持最好的狀態，即使是一個有著生理疾病或缺陷的人都可能是「健康」的。