Obesity in America
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Transcript Obesity in America
Obesity in America
A Growing Epidemic
Workplace Strategies
and Solutions
Janine V. Kyrillos, MD
Director, Preventive Health Care Program
Medical Coordinator, Weight Management Program
Thomas Jefferson University
215-955-6180
[email protected]
Sponsored by Health Advocate, Inc.
Overview
1/3 of U.S. population is obese
2/3 of U.S. population is overweight or obese
74% Increase over 10 year period
Costs U.S. companies $13 billion/year
Employers have important roles in addressing this
epidemic
Outline
Obesity: scope of problem
Contribution to rising healthcare costs
What is obesity?
Role in chronic disease, disability
Workplace strategies and trends
Questions/discussion
Websites/resources
Obesity on the Map
Obesity Has a Hefty Price Tag
~$117 billion in 2000 ($61 billion
direct and $56 billion indirect)
6-10% of U.S. health care spending
Health costs >30% higher than
normal weight individuals
More on the Bottom Line
Costs companies >$13 billion annually
More than twice as many sick days
Disability, workers compensation
Self esteem, emotional factors affect productivity
Costs of accommodations, chairs, keyboards
Definitions of Obesity
Classification
Underweight
BMI (kg/m2)
< 18.5
Comorbidity Risk
Low*
Normal range
18.5 to 24.9
Average
Overweight
25.0 to 29.9
Increased
Obese class 1
30.0 to 34.9
Moderate
Obese class 2
35.0 to 39.9
Severe
Obese class 3
(Morbidly obese)
40.0
Very severe
*risk of other clinical problems increased
Calculate your own BMI: http://www.nhlbisupport.com/bmi/
Apples and Pears
Waist circumference is tied to cardiovascular risk
Tipping Point:
Men: >40 inches
Women: >35 inches
Obesity Major Player in
Many Diseases
Diabetes
Coronary artery disease
Peripheral artery disease
Stroke
Hypertension
Hyperlipidemia
Arthritis
Obstructive sleep apnea
Pulmonary disease
PCOS/infertility
Dysmenorrhea
Pregnancy complications
Gallbladder disease
GERD
Skin infections
Urinary incontinence
Depression
Eating disorders
Social stigma
Cancers: breast, endometrial,
colon, prostate, gallbladder,
kidney, esophagus…
Increase in all causes mortality
Natural Selection?
Energy Balance
Helping Shift the
Balance of Energy
Lifestyle modification
Mindful eating
Exercise
Healthy self-talk
Diets
Medication
Surgery
An Informed Approach
Recognize as chronic disease
Responsibility exists at many levels
Prevention as individual and society
Can make impact in workplace
Why Workplace Solutions?
Workplace can be part of the problem
Employees willing to pay for it
An ideal opportunity for social reinforcement
Workplace Solutions:
A Range of Options
Education
Community resources
Getting involved
Inexpensive approaches
Education Strategies:
A Simple Way to Start
Employee newsletter
Informational e-mails
Bulletin boards
Include:
– Calories burned from common
activities
– Mindful eating tips
– Local walking/bike trails
– Upcoming fitness activities/events
Small Changes
Each Day Add Up…
Diet over regular soda, 1 can.......15 pounds/year
1 Candy bar/day...........................26 pounds/year
Skim milk over whole, 1cup..........7 pounds/year
1Tbs mustard instead of mayo.......9 pounds/year
2 Scoops ice cream/day................33 pounds/year
Apple juice, 8oz cup.....................12 pounds/year
Orange juice, 8oz cup...................10 pounds/year
2 Beers/day....................................31 pounds/year
Workplace Involvement
Pays Off
Scheduling physical breaks during the day
Onsite wellness centers, exercise/walking trails
Stress management programs
Encourage walking/biking to/from work and
during breaks
Memberships or discounts to health clubs
Walking clubs, weight loss competitions
Inexpensive Approaches
for Better Nutrition
Offering healthier food choices at reasonable
prices
Provide nutritional info in cafeteria
Provide healthier snacks at meetings and other
employee events
Provide bottled water and healthier items in
vending machines
Create a Healthy
Work Environment
Encourage employees to use stairways
Discourage employees from eating at their desks
Support physical activity breaks during the workday
Offer alternative work schedules
Have a weekly casual day
Provide enough time for lunch so employees can walk or
use the gym and don’t eat in a rush
Additional Strategies
Wellness programs with onsite or online wellness
coaches are effective
Incentives
Ongoing reminders through newsletters, posters,
speakers
Weight management support groups
Partner with
Community Resources
Health fairs
Onsite employee meetings with Overeaters
Anonymous or Weight Watchers
Local speakers or
personal trainers
Walk-a-thons, bike-athons
Real Experiences
CDC
Highmark Inc.
North Carolina Department of Health and Human
Services
http://www.eatsmartmovemorenc.com/
NEAT!
NEAT
Change Is Not Instantaneous
Questions?
Helpful Websites
Centers for Disease Control
http://www.cdc.gov/nccdphp/dnpa/obesity/index.htm
The Center for Mindful Eating
http://www.tcme.org/
USDA Food Pyramid
http://www.mypyramid.gov/
Weight-Control Information Network
http://www.win.niddk.nih.gov/index.htm
Yale University Rudd Center for Food Policy & Obesity
http://www.yaleruddcenter.org/index.html
Other sites:
http://www.nutrition.gov/
http://www.smallstep.gov
Order your FREE Obesity White Paper
and Checklist for Workplace Strategies
Call:
1-866-385-8033, prompt 2
(toll-free)
Email:
[email protected]