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Employee Wellness… The Intersect of a Productive Worker Drew Bossen, PT, MBA Atlas Ergonomics.

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Presentation on theme: "Employee Wellness… The Intersect of a Productive Worker Drew Bossen, PT, MBA Atlas Ergonomics."— Presentation transcript:

1 Employee Wellness… The Intersect of a Productive Worker Drew Bossen, PT, MBA Atlas Ergonomics

2 Introduction The Boomer’s are Coming… - The Age Shift - Workforce Implications -Design Consideration Size Matters… -Prevalence -Medical Conditions & Associated Costs -Atlas Data -The Future Agenda…

3 Employee Triage Reactive Ergonomics Recordable Event Rehab Services Return to Work Evaluation Case Management Pre-work Screens Essential Function Profiles of Jobs Discomfort Pro-active Ergonomics & Wellness Atlas Overview… Total Systems Approach

4 Employee Triage Reactive Ergonomics Recordable Event Rehab Services Return to Work Evaluation Case Management Pre-work Screens Essential Function Profiles of Jobs Discomfort Pro-active Ergonomics & Wellness Atlas Overview… Hire the right people

5 Employee Triage Reactive Ergonomics Recordable Event Rehab Services Return to Work Evaluation Case Management Pre-work Screens Essential Function Profiles of Jobs Discomfort Pro-active Ergonomics & Wellness Atlas Overview… Help them avoid injury Hire the right people

6 Employee Triage Reactive Ergonomics Recordable Event Rehab Services Return to Work Evaluation Case Management Pre-work Screens Essential Function Profiles of Jobs Discomfort Pro-active Ergonomics & Wellness Atlas Overview… Get them back to work quickly Help them avoid injury Hire the right people

7 Employee Triage Reactive Ergonomics Recordable Event Rehab Services Return to Work Evaluation Case Management Pre-work Screens Essential Function Profiles of Jobs Discomfort Proactive Approach Pro-active Ergonomics & Wellness Atlas Overview…

8 Employee Triage Reactive Ergonomics Recordable Event Rehab Services Return to Work Evaluation Case Management Pre-work Screens Essential Function Profiles of Jobs Discomfort Proactive Approach Reactive Approach Pro-active Ergonomics & Wellness Atlas Overview…

9 Employee Triage Reactive Ergonomics Recordable Event Rehab Services Return to Work Evaluation Case Management Pre-work Screens Essential Function Profiles of Jobs Discomfort Medical Management Pro-active Ergonomics & Wellness Atlas Overview…

10 Employee Triage Reactive Ergonomics Recordable Event Rehab Services Return to Work Evaluation Case Management Pre-work Screens Essential Function Profiles of Jobs Discomfort Medical Management Case Management Pro-active Ergonomics & Wellness Atlas Overview…

11 Employee Triage Reactive Ergonomics Recordable Event Rehab Services Return to Work Evaluation Case Management Pre-work Screens Essential Function Profiles of Jobs Discomfort Pro-active Ergonomics & Wellness Atlas Overview… Data Flow

12 Employee Triage Reactive Ergonomics Recordable Event Rehab Services Return to Work Evaluation Case Management Pre-work Screens Essential Function Profiles of Jobs Discomfort Pro-active Ergonomics & Wellness Atlas Overview… Total Systems Approach

13 The Boomer’s are Coming… What are the implications…

14 A Generation Defined by…

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19 It is the fastest growing population segment. It is the most affluent consumer group that exists. It accounts for over 40% of total consumer demand. It control over 48% of all discretionary purchases in the U.S. It owns 62% of all large Wall Street investment accounts. It dines out 4-5 times per week. Boomer Factoids… Source: Gary Onks – SoldOnSeniors, Inc. SoldOnSeniors.com As of today… Every 7 seconds someone in America turns 50. Regarding that 50+ age group:

20 Population by Age and Sex: years and over 85 to 89 years 80 to 85 years 75 to 79 years 70 to 74 years 65 to 69 years 60 to 64 years 55 to 59 years 50 to 54 years 45 to 49 years 40 to 44 years 35 to 39 years 30 to 34 years 25 to 29 years 20 to 24 years 15 to 19 years 10 to 14 years 5 to 9 years Under 5 years Male (millions) Female (millions) Source of Life Expectancy: National Center of Health Statistics, Health, United States, 1990, Hyattsville, MD: Public Health Service, Life Expectancy…

21 90 years and over 85 to 89 years 80 to 85 years 75 to 79 years 70 to 74 years 65 to 69 years 60 to 64 years 55 to 59 years 50 to 54 years 45 to 49 years 40 to 44 years 35 to 39 years 30 to 34 years 25 to 29 years 20 to 24 years 15 to 19 years 10 to 14 years 5 to 9 years Under 5 years Male (millions) Female (millions) Population by Age and Sex: 1990 Source of Life Expectancy: National Center of Health Statistics, “Advance Report of Final Mortality Statistics, 1990, “Monthly vital Statistics Report, Vol.41, no. 7, Supplement, Hyattsville, MD: Public Health Service, Boomers Life Expectancy…

22 Population by Age and Sex: years and over 85 to 89 years 80 to 85 years 75 to 79 years 70 to 74 years 65 to 69 years 60 to 64 years 55 to 59 years 50 to 54 years 45 to 49 years 40 to 44 years 35 to 39 years 30 to 34 years 25 to 29 years 20 to 24 years 15 to 19 years 10 to 14 years 5 to 9 years Under 5 years Male (millions) Female (millions) Source of Life Expectancy: National Center of Health Statistics, “Advance Report of Final Mortality Statistics, 1990, “Monthly vital Statistics Report, Vol.41, no. 7, Supplement, Hyattsville, MD: Public Health Service, Boomers Life Expectancy…

23 90 years and over 85 to 89 years 80 to 85 years 75 to 79 years 70 to 74 years 65 to 69 years 60 to 64 years 55 to 59 years 50 to 54 years 45 to 49 years 40 to 44 years 35 to 39 years 30 to 34 years 25 to 29 years 20 to 24 years 15 to 19 years 10 to 14 years 5 to 9 years Under 5 years Population by Age and Sex: 2040 Male (millions) Female (millions) Source of Life Expectancy: National Center of Health Statistics, “Advance Report of Final Mortality Statistics, 1990, “Monthly vital Statistics Report, Vol.41, no. 7, Supplement, Hyattsville, MD: Public Health Service, Boomers Life Expectancy…

24 Reported in Millions Source of Life Expectancy: National Center of Health Statistics, “Advance Report of Final Mortality Statistics, 1990, “Monthly vital Statistics Report, Vol.41, no. 7, Supplement, Hyattsville, MD: Public Health Service, Life Expectancy…

25 Given that… What are the implication for the workforce as we approach 2015? Changes in the Workforce…

26 The Implications…

27 Visual acuity declines with age ≈ 25% by age 60 Visual reaction time doubles The time to react to glare increases 50% More light is required with aging –40-year old requires 2X –60-year old requires 5-6X Vision…

28 Contrast sensitivity decreases with aging –40-year old requires 120% –50-year old requires 160% –65-year old requires 270% Vision…

29 Contrast sensitivity decreases with aging –40-year old requires 120% –50-year old requires 160% –65-year old requires 270% Field of view, motion perception, and depth perception all decline with age Vision…

30 Consistent hearing loss with aging –2-3.5% per year throughout life Mid-range hearing loss –By age 50, is 10 dB, –By age 60 it is 25 dB, –By age 70 it is 35 dB Decreased ability to tune out background noise Hearing…

31 Information processing declines with age Cognitive ability declines with age –Learn new material or skills –Attend to two or more tasks at once –Long term memory Cognitive Ability…

32 Strength…

33 Strength decreases with age –5% by age 40 –20% by age 55 –40% by age 75 Most dramatic after the age 65. –80% of the loss is due to inactivity however it can be maintained with training Tendon strength decrease with age –Rotator Cuff tears –Achilles Tendon ruptures

34 Strength…

35 Metabolic Rate…

36 Basal metabolic rate declines with age

37 Sedentary Time Change: 10,000 years …

38 Med. Sci. Sports Exerc., Vol. 41, No. 5, pp. 998–1005, 2009

39 Aerobic Power… Maximum Aerobic Power declines with age –At age of 65 it is 70% of what it was at age of 25

40 Aerobic Power… Max HR = 220 – age

41 Age vs. Activity…

42 Changes in our Tissues… Aging is associated with changes within skeletal muscle –Decrease force, power, endurance, and –Increase recover time for an injury More vulnerable to injury Reduced capacity to regenerate after tissue injury due to overexertion

43 Musculoskeletal Disorders (MSDs)… MSDs are the most common cause of disability among workers in their 50’s and 60’s Advancing age is associated with more spinal complaints, hand pain, and other upper extremity pain

44 Slips, Trips and Falls… Reaction times slow with aging –40-year old requires 25% more time –60-year old requires 150% more time Trips are common in older people because of age related changes in gait A weaker skeleton intensify the injuries associates with falls in older people

45 So here they come…

46 A Boomer’s Perspective… Who We Are: As 77 million boundless, ageless, timeless baby boomers move into the next stage of their lives, they are redefining quality of life itself and continuing their signature quest for personal and social meaning. Boomers are redesigning mid-life, redefining the empty nest, reinventing retirement and exploring life in new and unexpected ways.

47 A Boomer’s Perspective… OPTIMISM: ANOTHER WORD FOR DENIAL A large majority (89 percent) of Boomer respondents are optimistic that they will have a healthy future and nearly all (97 percent) look forward to an active lifestyle in retirement. This optimism is belied, however, by the way many baby boomers actually live -- and choose to ignore potential health problems. Clyde Yancy, MD American Heart Association Board Member Professor of Medicine/Cardiology, Univ. of Texas Source: American Heart Association, January 2004

48 Size Does Matter…

49 Prevalence of Obesity by Age… Source: aspe.hhs.gov/health/prevention/fig1

50 Overweight: excess of body weight. –Muscle –Bone –Fat –Body water. Obesity: abnormally high proportion of body fat. BMI is a reliable indicator of total body fat. –Calculation based on height & weight –It is not gender specific –Does not directly measure % of body fat –Better measure than weight alone Definitions…

51 The limits of BMI include: It may overestimate body fat in athletes and others who have a muscular build. It may underestimate body fat in older persons and others who have lost muscle mass. Appropriate weight gain during pregnancy varies and depends upon initial body weight or BMI level. –Pregnant women should contact a health professional to assure appropriate weight gain during pregnancy. Limits of BMI…

52 Calculation of BMI… BMI = ( Weight in Pounds (Height in inches) x (Height in inches) ) x 703

53 BMI Tables…

54 Prevalence of Overweight… 36% Data

55 Prevalence of Obesity… Data

56 Prevalence of overweight, obese and extreme obbesity among adults. Percentage of adults aged who were classified as obese (body mass index ≥25.00 kg/m²) in the National Health Examination Survey 1 (NHES1) and in eight National Health and Nutrition Examination Surveys (NHANES) Prevalence of Overweight / Obese...

57 No Data <10% 10%–14% (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) Source: Behavioral Risk Factor Surveillance System, CDC Obese Trends – BRFSS,

58 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14% Source: Behavioral Risk Factor Surveillance System, CDC Obese Trends – BRFSS,

59 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14% Source: Behavioral Risk Factor Surveillance System, CDC Obese Trends – BRFSS,

60 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14% Source: Behavioral Risk Factor Surveillance System, CDC Obese Trends – BRFSS,

61 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14% Source: Behavioral Risk Factor Surveillance System, CDC Obese Trends – BRFSS,

62 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14% Source: Behavioral Risk Factor Surveillance System, CDC Obese Trends – BRFSS,

63 No Data <10% 10%–14% 15%–19% (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) Source: Behavioral Risk Factor Surveillance System, CDC Obese Trends – BRFSS,

64 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14% 15%–19% Source: Behavioral Risk Factor Surveillance System, CDC Obese Trends – BRFSS,

65 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14% 15%–19% Source: Behavioral Risk Factor Surveillance System, CDC Obese Trends – BRFSS,

66 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14% 15%–19% Source: Behavioral Risk Factor Surveillance System, CDC Obese Trends – BRFSS,

67 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14% 15%–19% Source: Behavioral Risk Factor Surveillance System, CDC Obese Trends – BRFSS,

68 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14% 15%–19% Source: Behavioral Risk Factor Surveillance System, CDC Obese Trends – BRFSS,

69 No Data <10% 10%–14% 15%–19% ≥20 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) Source: Behavioral Risk Factor Surveillance System, CDC Obese Trends – BRFSS,

70 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14% 15%–19% ≥20 Source: Behavioral Risk Factor Surveillance System, CDC Obese Trends – BRFSS,

71 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14% 15%–19% ≥20 Source: Behavioral Risk Factor Surveillance System, CDC Obese Trends – BRFSS,

72 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) No Data <10% 10%–14% 15%–19% ≥20 Source: Behavioral Risk Factor Surveillance System, CDC Obese Trends – BRFSS,

73 <10% 10%–14% 15%–19% 20%–24% ≥25% (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) Source: Behavioral Risk Factor Surveillance System, CDC Obese Trends – BRFSS,

74 Source: Behavioral Risk Factor Surveillance System, CDC (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) <10% 10%–14% 15%–19% 20%–24% ≥25% Obese Trends – BRFSS,

75 Source: Behavioral Risk Factor Surveillance System, CDC (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) <10% 10%–14% 15%–19% 20%–24% ≥25% Obese Trends – BRFSS,

76 Source: Behavioral Risk Factor Surveillance System, CDC (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) <10% 10%–14% 15%–19% 20%–24% ≥25% Obese Trends – BRFSS,

77 Source: Behavioral Risk Factor Surveillance System, CDC (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) <10% 10%–14% 15%–19% 20%–24% ≥25% Obese Trends – BRFSS,

78 Source: Behavioral Risk Factor Surveillance System, CDC (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) <10% 10%–14% 15%–19% 20%–24% ≥25% Obese Trends – BRFSS,

79 Source: Behavioral Risk Factor Surveillance System, CDC (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) <10% 10%–14% 15%–19% 20%–24% ≥25% Obese Trends – BRFSS,

80 Source: Behavioral Risk Factor Surveillance System, CDC (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) <10% 10%–14% 15%–19% 20%–24% ≥25% Obese Trends – BRFSS,

81 Source: Behavioral Risk Factor Surveillance System, CDC (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) <10% 10%–14% 15%–19% 20%–24% ≥25% Obese Trends – BRFSS,

82 Source: Behavioral Risk Factor Surveillance System, CDC (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman) <10% 10%–14% 15%–19% 20%–24% ≥25% Obese Trends – BRFSS,

83 Physical Activity…

84 Overweight and obesity are known risk factors for: Diabetes Heart Disease Stroke Hypertension Gallbladder Disease Osteoarthritis (degeneration of cartilage and bone of joints) Sleep Apnea and other breathing problems Some forms of cancer (uterine, breast, colorectal, kidney) Medical Conditions…

85 Medical Conditions vs. BMI…

86

87 Healthcare Spend…

88 Office / Healthcare / Transportation…

89 Don’t Wait for the Defect…

90 Root Causes Don’t Wait for the Defect…

91 Discomfort Root Causes Don’t Wait for the Defect…

92 Discomfort Root Causes Pain & Dysfunction Don’t Wait for the Defect…

93 Discomfort Recordable Injury Root Causes Pain & Dysfunction Don’t Wait for the Defect…

94 Discomfort Recordable Injury Root Causes Pain & Dysfunction Don’t Wait for the Defect…

95 Office…

96 921 participants U.S. Utility Call Center

97 Atlas Data…

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101 % of Population Experiencing Low Back Discomfort

102 Atlas Data… 28,000 participants Schneider National, Inc.

103 Atlas Data… Source: The Measurement of Man & Woman. Revised Edition; Human Factors in Design; Henry Dreyfuss Associates. Publisher John Wiley & Sons, Inc.

104 ** Occupational Screening for Obstructive Sleep Apnea in Commercial Drivers Indira Gurubhagavatula, Greg Maislin, Jonathan E. Nkwuo and Allan I. Pack American Journal of Respiratory and Critical Care Medicine Vol 170. pp , (2004) BMI Distribution in Commercial Drivers…

105 ** Occupational Screening for Obstructive Sleep Apnea in Commercial Drivers Indira Gurubhagavatula, Greg Maislin, Jonathan E. Nkwuo and Allan I. Pack American Journal of Respiratory and Critical Care Medicine Vol 170. pp , (2004) BMI Distribution in Commercial Drivers…

106 Atlas Data… Source: 2009 Atlas White Paper Transportation Ergonomics: Relationship between Demographics and Discomfort in the Trucking Industry. March 2009

107 Atlas Data… Source: 2009 Atlas White Paper Transportation Ergonomics: Relationship between Demographics and Discomfort in the Trucking Industry. March 2009

108 Atlas Data… Source: 2009 Atlas White Paper Transportation Ergonomics: Relationship between Demographics and Discomfort in the Trucking Industry. March 2009

109 Archives of Internal Medicine 2007; 167;

110 Claim Costs / BMI… Archives of Internal Medicine 2007; 167;

111 LWD per Claims / BMI… Archives of Internal Medicine 2007; 167;

112 Short Term Disability… Archives of Internal Medicine 2007; 167;

113 Workplace Injuries… Archives of Internal Medicine 2007; 167;

114 BMI Tables…

115

116 Medical Claims… Per 100 FTE's Measure Normal Weight Obese Class III % Increase Archives of Internal Medicine 2007; 167;

117 Medical Claims… Per 100 FTE's Measure Normal Weight Obese Class III % Increase Medical Claims % Archives of Internal Medicine 2007; 167;

118 Medical Claims Costs… Per 100 FTE's Measure Normal Weight Obese Class III % Increase Medical Claims % Medical Claims Costs$7,503$51,091581% Archives of Internal Medicine 2007; 167;

119 Lost Workdays… Per 100 FTE's Measure Normal Weight Obese Class III % Increase Medical Claims % Medical Claims Costs$7,503$51,091581% Lost Workdays % Archives of Internal Medicine 2007; 167;

120 Indemnity Claims Costs… Per 100 FTE's Measure Normal Weight Obese Class III % Increase Medical Claims % Medical Claims Costs$7,503$51,091581% Lost Workdays % Indemnity Claims Costs$5,396$59,178997% Archives of Internal Medicine 2007; 167;

121 Risky Behaviors…

122 Analysis by Jon Anderson & Stephen Burks; University of Minnesota, Morris. For background, see the Truckers & Turnover Project web page: BMI GroupingDriver CountRisk Ratio EstimateCI BMI NA BMI 25 – (0.92, 1.44) BMI (1.08, 1.70) BMI (1.06, 2.06) Preliminary Estimates from SNI New Hire Panel Study

123 Risky Behaviors… Analysis by Jon Anderson & Stephen Burks; University of Minnesota, Morris. For background, see the Truckers & Turnover Project web page: BMI GroupingDriver CountRisk Ratio EstimateCI BMI NA BMI 25 – (0.92, 1.44) BMI (1.08, 1.70) BMI (1.06, 2.06) Preliminary Estimates from SNI New Hire Panel Study

124 So… The dog caught the car!!

125 Critical Reading… Dee W. Edington Health Management Research Center University of Michigan March 2009

126 Paradigm Shift… “The Total Value of Healthcare” (Managing Health Status) “The Cost of Healthcare” (Treating Disease) To

127 Optimal Health Chronic Illness Birth Death Health Continuum…

128 Optimal Health Chronic Illness Birth Death Health Risk Factors Health Continuum…

129 Optimal Health Chronic Illness Birth Death Health Risk Factors Health Continuum…

130 Optimal Health Chronic Illness Birth Death Wellness Health Risk Factors Health Continuum…

131 Optimal Health Chronic Illness Birth Death Treatment Wellness Health Risk Factors Health Continuum…

132 Optimal Health Chronic Illness Birth Death PreventionTreatment Wellness Health Risk Factors Health Continuum…

133 Optimal Health Chronic Illness Birth Death PreventionTreatment Wellness Health Risk Factors Health Continuum… So how might we slow down this process… or Improve the health status??

134 Optimal Health Chronic Illness Birth Death PreventionTreatment Wellness Health Risk Factors Health Continuum…

135 Optimal Health Chronic Illness Birth Death PreventionTreatment Wellness Health Risk Factors Health Continuum…

136 Optimal Health Chronic Illness Birth Death PreventionTreatment Wellness Health Risk Factors Health Continuum…

137 Optimal Health Chronic Illness Birth Death PreventionTreatment Wellness Health Risk Factors Health Continuum…

138 Bending the Curve… The “Do Nothing Strategy”

139 1.Keep the Healthy… Healthy Wellness Strategy…

140 1.Keep the Healthy… Healthy 2.Everyone Else… Don’t Get Worse Wellness Strategy…

141 Optimal Health Chronic Illness Birth Death PreventionTreatment Wellness Health Risk Factors Health Continuum… Bending the Curve of Healthcare

142 Schneider National, Inc Wellness Program Why Wellness…

143 Obesity is linked to a multitude disease states Also linked to a various Work-Comp Metrics Why Wellness…

144 Wellness Programming… Screening programs linked to medical care delivery to ensure follow-up and appropriate treatment. Health education that focuses on skill development and lifestyle behavior change. Supportive social and physical environments and policies that promote health. Integration of the worksite program into the organization’s culture. Related programs to assist employee success.

145 Wellness Programming…

146 Height and Weight Blood Pressure Screening Resting Heart Rate Blood Work a. Total Cholesterol b. Triglycerides c. Glucose Cardio-Vascular Test Health Risk Assessment

147 Access Point…

148 Demographics…

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152 Scoring Methodology…

153 What we’ve Learned… Recruiting and program retention is successful when it’s relationship-based. Office, Shop and Driver associates all demonstrated positive health outcomes with the Wellness Program. There is a general lack of knowledge and application of general health principles by all groups.

154 Challenge Rating 1.Smoking 2.BMI 3.Triglycerides 4.Blood Pressure 5.Glucose 6.Cholesterol Ratio 7.Aerobic Capacity 8.Finding a Primary Care MD / carrying medical insurance Easily attainable Most Challenging What we’ve Learned…

155 Learning healthy behaviors isn’t “Rocket Science”, so why is it so hard? Diet + Exercise – Smoking = Better Health What we’ve Learned…

156 For the Participant, it is a 2 step process: 1.Understand your current condition What we’ve Learned…

157 For the Participant, it is a 2 step process: 1.Understand your current condition 2.Convert your new knowledge into practice What we’ve Learned…

158 Coaching…

159 Seasonal Programming…

160 What we’ve Learned… Wellness is a key to keeping our fleet on the road. A typical driver DOT exam, or annual physical does not address wellness. Helping parents along the road to wellness will help our future – children mimic what they see. We have to provide the education and the opportunity to facilitate lifestyle changes… it will not happen on its own. We need to create the culture of wellness at every turn. It is not inherent to this industry.

161 This is why wellness matters!

162 Finally, the Future…

163 Prevalence of obesity among children and adolescents. Percentage of children aged 2-5, 6-11, and adolescents 12-19, who were classified as overweight (95 th percentile of body mass index for age according to the 2000 Center for Disease Control growth charts) in the National Health Examination Survey 1 (NHES1) and in four National Health and Nutrition Examination Surveys (NHANES) Prevalence of Overweight - Children…

164 Funding vs. Disease Prevalence…

165 NIH Appropriations & Obesity…

166 Life Expectancy… Obesity could shorten the average lifespan of an entire generation. –2-5 year reduction in the lifespan of a child born today New England Journal of Medicine March 2005

167 Life Expectancy… “Childhood obesity is like a massive tsunami headed toward the United States.” David Ludwig, MD Pediatric Endocrinologist Boston’s Children’s Hospital

168 Finally… We must take care of our kids…

169 Drew Bossen, PT, MBA 4191 Westcott Drive NE Iowa City, IA Phone: Ext Cell: Fax: Questions…


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