For me, these are directly connected. I firmly believe that a positive outlook is related to a positive feeling about one's self. I was always a great athlete even into my 40s, probably due to the fact that I was a bit of a "nut" as it were. I used to drive to the beach in the dead of winter and do sprints on the frozen sand. Now, I'm struggling to retain that old glory at my age (51). I am starting to gain some weight due to an issue with my neck which is keeping me away from the gym. I've gone from a solid 205 to a washed out 220. I was in great shape up until February when things started to go south on me. I still hike my mountains and rely on it for spiritual and physical revival. Sitting around doing nothing has never been my m.o. and I feel it's starting to drag me down mentally.