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Obesity in America A Growing Epidemic Workplace Strategies and Solutions Janine V. Kyrillos, MD Director, Preventive Health Care Program Medical Coordinator,

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Presentation on theme: "Obesity in America A Growing Epidemic Workplace Strategies and Solutions Janine V. Kyrillos, MD Director, Preventive Health Care Program Medical Coordinator,"— Presentation transcript:

1 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 janine.kyrillos@jefferson.edu Sponsored by Health Advocate, Inc.

2 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

3 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

4 Obesity on the Map

5 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

6 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

7 Definitions of Obesity ClassificationBMI (kg/m 2 )Comorbidity Risk Underweight< 18.5Low* Normal range18.5 to 24.9Average Overweight25.0 to 29.9Increased Obese class 130.0 to 34.9Moderate Obese class 235.0 to 39.9Severe Obese class 3 (Morbidly obese) 40.0Very severe *risk of other clinical problems increased Calculate your own BMI: http://www.nhlbisupport.com/bmi/http://www.nhlbisupport.com/bmi/

8 Apples and Pears Waist circumference is tied to cardiovascular risk Tipping Point: Men: >40 inches Women: >35 inches

9  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 Obesity Major Player in Many Diseases

10 Natural Selection?

11 Energy Balance

12 Helping Shift the Balance of Energy  Lifestyle modification  Mindful eating  Exercise  Healthy self-talk  Diets  Medication  Surgery

13 An Informed Approach  Recognize as chronic disease  Responsibility exists at many levels  Prevention as individual and society  Can make impact in workplace

14 Why Workplace Solutions?  Workplace can be part of the problem  Employees willing to pay for it  An ideal opportunity for social reinforcement

15 Workplace Solutions: A Range of Options  Education  Community resources  Getting involved  Inexpensive approaches

16 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

17 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

18 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

19 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

20 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

21 Additional Strategies  Wellness programs with onsite or online wellness coaches are effective  Incentives  Ongoing reminders through newsletters, posters, speakers  Weight management support groups

22 Partner with Community Resources  Local speakers or personal trainers  Walk-a-thons, bike-a- thons  Health fairs  Onsite employee meetings with Overeaters Anonymous or Weight Watchers

23 Real Experiences  CDC  Highmark Inc.  North Carolina Department of Health and Human Services  http://www.eatsmartmovemorenc.com/ http://www.eatsmartmovemorenc.com/  NEAT!

24 NEAT

25 Change Is Not Instantaneous

26 Questions?

27 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

28 Call: 1-866-385-8033, prompt 2 (toll-free) Email: info@HealthAdvocate.com Order your FREE Obesity White Paper and Checklist for Workplace Strategies


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