Transcript Worksite Wellness Annual Initiatives

Stories From the Field:
State Agency Experiences
Community and Worksite Wellness Program
Department of State Health Services
How do you
define fitness?
Fitness
 Sports Focused = Being of an ideal weight
and body composition to accomplish
specific athletic tasks
 Health Focused = Capable of
accomplishing daily tasks of living and
preventing disease or injury
!!! Key Take Home Message !!!
“In American society today, if you
do not make a conscious, concerted
effort to eat less and exercise you
will end up overweight or obese.”
- Brett Spencer, 2013
American Society
So, How Did We Get To This Point?
Socio-Ecological Model
Inventions of the 1990’s
 1990 – First Iteration of the World Wide Web
 1990 – Resurgence of Development of Electric Car
Technology – Clean Air Act Passed
 1993 – Pentium Processor Developed
 1995 – Digital Camera
 1995 – DVD’s
 1995 – Amazon Created
 1995 – eBay Created
Inventions of the 1990’s
 1996 – Universal Serial Bus (USB) Connection Created
 1996 – Dolly – The First Cloned Sheep
 1996 – BackRub Project Began
 1997 – First Toyota Prius Gasoline/Electric Hybrid Released
 1998 – Google is Incorporated
 1998 – First Two Modules of International Space Station are
Joined Together
 1998 – iMac Launched
 1999 – First BlackBerry Device Launched
 1999 – Bluetooth Technology Introduced – Allowed file
sharing without cables = First Remote Browsing
Inventions of the 2000’s









2001
2004
2005
2006
2006
2006
2007
2010
2010
–
–
–
–
–
–
–
–
–
First iPod Launched
Facebook Created
YouTube Created
Wii Launched
PS3 Introduced
Abiocor Artificial Heart Approved by FDA
First iPhone Launched
Xbox 360 Kinect Introduced
First iPad Released
What do all of these
new creations have in
common?
“But……………”
Obesity Trends* Among U.S. Adults
BRFSS, 1990
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults
BRFSS, 1993
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults
BRFSS, 1995
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults
BRFSS, 1997
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
≥20%
Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults
BRFSS, 1999
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
≥20%
Source: Behavioral Risk Factor Surveillance System, CDC.
Obesity Trends* Among U.S. Adults
BRFSS, 2001
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
20%–24%
Source: Behavioral Risk Factor Surveillance System, CDC.
≥25%
Obesity Trends* Among U.S. Adults
BRFSS, 2003
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
20%–24%
Source: Behavioral Risk Factor Surveillance System, CDC.
≥25%
Obesity Trends* Among U.S. Adults
BRFSS, 2005
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
20%–24%
Source: Behavioral Risk Factor Surveillance System, CDC.
25%–29%
≥30%
Obesity Trends* Among U.S. Adults
BRFSS, 2007
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
20%–24%
Source: Behavioral Risk Factor Surveillance System, CDC.
25%–29%
≥30%
Obesity Trends* Among U.S. Adults
BRFSS, 2009
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
20%–24%
Source: Behavioral Risk Factor Surveillance System, CDC.
25%–29%
≥30%
Obesity Trends* Among U.S. Adults
BRFSS, 2010
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
20%–24%
Source: Behavioral Risk Factor Surveillance System, CDC.
25%–29%
≥30%
“And………….”
 Not Only are we becoming overweight and obese, we are
also becoming sick.
 1995
 4.5% of Americans Living with Diabetes
 US Population = 270 Million
 12.1 Million Americans Living with Diabetes
 2010
 8.2% of Americans Living with Diabetes
 US Population = 310 Million
 25.4 Million Americans Living with Diabetes
Why Businesses Care About Diabetes
$1,000,000,000 per Year!
Why People Should
Care About Diabetes
Chronic Disease Pattern
Obesity
Diabetes
Cardiovascular Disease
Kidney (Renal) Disease
Co-Morbidity – Diabetes and….
So What Can We Do to Change
These Trends?
 Go up stream from Obesity – address risk factors
 Improve eating habits and nutrition
 Portion size
 Food selection
 Increase Physical Activity
 Scheduling
 Location
Worksite Wellness Programs
 We are working to make the healthy choice the easy
choice.
 Rather than help people beat the odds, we are working
to change the odds.
Risk Factors for Obesity
 Nutritional Choices
 Lack of Physical Activity
 Sedentary Job or Hobbies
 Busy Schedule
 Stress
 Age
Portion Size
16 oz
32 oz
44 oz
52 oz
64 oz
48 Teaspoons Sugar
Plate Size
Bigger Plates Encourage
Bigger Portions
Most Adults Should Eat
Meal Portions That Fit
on a 9 Inch Plate
Food Selection
 What you eat is important!
Food Selection Recommendations
Food Selection Recommendations
Energy Balance
Food and
Beverage Intake
Physical
Activity
Energy Intake
Energy Expenditure
Energy Balance
Energy In (Food and Beverage)
vs.
Energy Out (Physical Activity)
Physical Activity Recommendations
 No single “Right Answer”
 But Shoot For:
1.
30 Minutes of Physical Activity on At Least 5
Days per Week
2.
1 Hour of Physical Activity on At Least 5 Days
per Week
Busy Schedule
Find Time for Activity Whenever
It Works for You!
 At Work – Walk at Morning Break, Lunch and Afternoon Break
 At Home – Find an Activity to Do Between Work and Dinner –
Other Than Grazing
What is the Best
Exercise/Physical Activity?

The Activity You Enjoy Doing!

Active Recreation
Stress Management
 Manage Time Wisely - Don’t Procrastinate
 Promote stress management benefits such as massage
therapy, tai chi, yoga, vigorous physical activity
 Utilize Employee Assistance Program Services in Times of
Exceptional Stress - financial, parenting, legal, short- term
counseling
 Think Before You React – Give Yourself Some “Cool Down
Time”
 Don’t Smoke!!!
HHS Wellness Policy
 You can find the HHS wellness policy in the HR manual
under Chapter 8 – “Benefits” and then Section K”Wellness Programs”
http://hhscx.hhsc.state.tx.us/hr/HRM/contents.htm
 Direct Link:
http://hhscx.hhsc.state.tx.us/hr/HRM/ch8.htm#wellness
Gov. Code Chapt 664
The “Shalls” and the “Mays”
State Agencies Shall:
Appoint an Agency Wellness
Liaison between the agency and
the Statewide Wellness
Coordinator at DSHS.
41
Gov. Code Chapt 664
The “Shalls” and the “Mays”
State Agencies May:
Develop an agency wellness council to:
Increase employee interest in worksite
wellness,
Develop and implement policies to improve
agency infrastructure to allow for increased
worksite wellness, and
42
Gov. Code Chapt 664
The “Shalls” and the “Mays”
State Agencies May:
Allow each employee 30 minutes during
normal working hours for exercise three
times each week.
Allow all employees to attend on-site
wellness seminars when offered.
43
Gov. Code Chapt 664
The “Shalls” and the “Mays”
State Agencies May:
Provide eight hours of additional leave
time each year to an employee who:
1. Completes a health risk assessment
online or in person, and
2. Receives a physical examination.
44
State Agency Model Wellness
Program Priority Objectives
 Increase Usage of Preventive Services and Screenings
 Improve Tobacco Cessation and Prevention
 Increase Routine Physical Activity
 Improve Healthy Eating Choices
 Improve Stress Management
 Improve Lactation Support for Nursing Mothers
Agency-Level Wellness Planning
 Logistical implementation of major initiatives
 Policy development
 Environmental supports
 Fitness Rooms
 Classes
 Nutrition/Healthy Eating
 Massage Therapy
 Zumba
 Yoga
Questions?
www.wellness.state.tx.us
Statewide Wellness Coordinator - Rocky Payne
512-776-3672
[email protected]
Brett Spencer
Manager, Primary Prevention Branch
Department of State Health Services
512-776-6161, [email protected]