Corporate Fitness and Active Aging

WELCOA, Wellness Council of America, recently released an interview with Dr. Stephen Blair, one of the most renowned researchers in physical activity. The interview profiled the dangers of sitting too much. Although it touched on population health, the focus was on opportunities specific to employee wellness.

Move More, Sit Less

Throughout the interview, Dr. Blair points to the basic premise that moving more is better for your health. He outlines how today’s workforce sits way too much and then points to some fairly recent worksite wellness research, which shows that simple breaks in sitting (such as standing more often and moving a little bit throughout the day) can lead to positive change in important health markers like blood pressure and waist circumference. It's important to note that these short breaks in sitting didn't qualify for the classic 10-minute walk break; they were very minimal breaks in sitting.

How Company Wellness Programs Can Help

The good news is that this type of frequent break from sitting might be actionable by much of America's workforce. For those who are intimidated by the Surgeon General's recommendation to accumulate 30 minutes of physical activity most days of the week, “sit less” sounds a little more doable. Even better, employers could start to order their employees' days to truly encourage this type of movement.

Making changes in sitting patterns during the day won't take off extra body weight, but it might be the catalyst to a little more movement, and then a little more movement...which leads to that 10-minute walk break.

What are you doing to encourage movement for a healthy workforce?

Childhood obesity is on the rise. According to the CDC, in 1980 the prevalence of obesity in children aged 6 to 10 was 6.5% compared to 19.6% in 2008. Among adolescents aged 12 to 19, obesity has grown from 5.0% to 18.1%. That is a whopping 13% increase in childhood obesity in 28 years.

At this rate, some believe this will be the first generation of parents to outlive their children. Childhood obesity is an expensive employee health issue now and will continue to be so into the next generation if parents don't intervene. Let's look at the factors parents can control.

What Can I Do as a Parent?

The main responsibility of a parent is ensuring the safety, health, and well being of their child. Children come into this world knowing only what they learn from their parents and immediate surroundings. If your child is carrying around excess weight, as a responsible parent it is your job to explore any avenue you can to keep your child healthy. Here are some ideas to get your child on the road to living a long, healthy life:

• Teach your child that exercise and play can be fun. The American Heart Association recommends that children and adolescents participate in at least 60 minutes of moderate to vigorous physical activity every day. Treat this as an opportunity to spend quality time together and learn more about what your child enjoys. Explore new activities together like bike riding, going to the park, walking the family pet, jumping in a local bounce house, or joining them in another favorite activity.   
• Set an example. Children learn from their parents. Your child will generally pick up any habits that you have or practice. Use this to your advantage and keep it in mind in everything you do. If you currently have the luxury of using a corporate fitness facility, take what you have learned and incorporate it into your home life. 
• Make fresh, healthy foods available. Ultimately, you or your spouse is responsible for the grocery shopping. Bring home a variety of fresh fruits, veggies, and healthy snacks for the family to enjoy together. If you don't buy the bad stuff, it won't be around for them to eat. Your kids don't like produce? Start with the sweeter fruits like strawberries or apples that they are more likely to enjoy. If you need to, keep around a low-sugar or low-fat dip like fat-free CoolWhip for them eat along with fruit.

Take Responsibility for Your Child's Health

Keep these tips in mind as you point your child toward living a healthy lifestyle. Don't hesitate to start taking some personal responsibility for your child's future. We don't want to outlive our children!

Before I launch into my list, I want to note that this is not an all-inclusive list, nor is it ranked in order of importance. It’s just four pieces of the 1,000-piece puzzle that so many health practitioners, employers, employees, and others are trying to solve.

1. People don't realize how much of a problem their weight is.

Perception is reality, and adults’ perceptions about their weight are way out of whack. According to an August 2010 Harris Interactive/Health Day poll that included feedback from almost 2,500 adults ages 18 and older:

• 30 percent of overweight people think they’re actually normal size.
• 70 percent of obese people feel they are merely overweight.
• 39 percent of morbidly obese people think they are overweight but not obese.

2. Many workplaces have a bad health culture.

Healthy corporate environment and policies are often overshadowed by an unhealthy workplace culture that supports donuts at meetings and candy bars for fund-raisers.

3. Office wellness initiatives lack educated leadership.

Knowledge is power. Unfortunately, most corporate health promotion initiatives are overseen by individuals lacking the appropriate educational background to safely and effectively sustain those efforts.

4. Politics and uncertainty hamper corporate wellness programs.

Legal landmines tied to worksite health promotion scare away serious wellness efforts that might have a healthy impact on the workforce. Add to that the great unknown that is Health Reform and employers start to feel like their health promotion hands are tied.

We always hear that fiber is an important part of our diet. You probably know that it helps to keep bowel movements regular. But are there other reasons you should pay attention to your daily fiber intake?

I read in my worksite wellness newsletter that fiber can also lower cholesterol and help control blood sugar levels. But, most importantly, I read that it can aid in weight loss! This caught my eye and made me want to find out more information.

How Does Fiber Help with Weight Loss?

Fiber helps you to feel full for a longer period of time, which will help you to eat less. To lose weight, you need to take in fewer calories than you burn. Because the body does not break down fiber, it can grab some dietary fat and carry it out of the body.

Which Foods Contain Fiber?

Some good sources of fiber include

• Whole-grain products
• Fruits
• Vegetables
• Beans
• Peas
• Nuts
• Seeds

Several brands now have fiber bars on the market. Kellogg’s has some high-fiber cereals and snacks. You can also add a fiber supplement called Benefiber to many hot or cold beverages.

Make sure you gradually add fiber to your diet. Contact an onsite fitness center staff member to get a nutrition consultation and exercise prescription. Choose your diet carefully and don’t forget your fiber!

NBC’s reality TV show The Biggest Loser has taken America by storm since 2004. The show is now in its tenth season and still largely popular due to its relatable concepts and life-changing power. Why not take the themes of The Biggest Loser and transform them into your own employee health incentive? Here are some ways to safely launch your worksite weight-loss program:

1. First things first: To avoid legal trouble, rename your program so that it doesn’t bear the trademark The Biggest Loser name, but is still recognizable, for example, "Lose to Win."
2. Don’t vote anyone off. Yes, there should be an overall winner to make it a true competition, but participants should be given the opportunity to continue through the entirety of the program, reinforcing lifelong habits.
3. Avoid singling out individuals in a negative way. If a participant has a bad week of weight loss, discuss what factors may have been inhibiting them and move on with an action plan toward the next weigh-in.
4. Do push your participants out of their comfort zone into more strenuous workouts, keeping in mind their physical limits. Watching the show can give you many new ideas of exercises, but not all of them can be appropriate for your clientele. Remember, the show has trained medics on standby at all times.
5. Do record all baseline health measurements at the beginning of the program and periodically throughout. On the show, Dr. Huizenga performs extensive assessments on the players, telling them their body’s age, showing scans of their fat distribution, and so on. At the very minimum, record weight, percent body fat, girth measurements, BMI, resting heart rate, and blood pressure.
6. Do encourage participants to understand the root of their weight gain and possible underlying issues that have made them unsuccessful at past weight-loss attempts. Jillian Michaels, trainer on The Biggest Loser, takes this to a bit of an extreme, making it her personal goal to emotionally break down each player to his or her point of realization and future empowerment. Get to know your clients' lifestyles and remind them that weight loss is such a multifaceted process that emotional and relational issues play a role.
7. Lastly, be realistic. Remind participants (and yourself) that you most likely aren’t going to see more than 10 pounds of weight loss in one week. Your corporate participants also have a job, a family, and other obligations that The Biggest Loser's players are removed from during their time at the ranch.

If there’s one theme from the show worth stressing to your clients, it’s a line in the theme song: “What have you done today to make you feel proud?”

I believe that getting an annual flu shot is the right thing for my boys. I know there’s a lot of controversy out there around vaccinations for kids, but the thought of seeing my kids down for the count for days with an illness that I could have prevented doesn’t sit well with me. And I haven’t found the science against vaccinations to be compelling enough to change my mind. Having said that, I almost reversed my flu-shots-are-the-right-thing-to-do philosophy when I took my kids to a local drugstore to get their shots the other day.

Getting Flu Shots Is Not Always a Smooth Experience

I should have known I was in for a ride when my five-year-old said he wanted his brother, who is two years old, to go first. Truthfully, the two-year-old did pretty well: He cried, but he was still, and he didn’t freak out. The five-year-old, on the other hand, basically had to be strapped down. Not only did I have to hold and brace him, but the RN administering the shot felt it was best to shut the clinic door to help dampen the sound of his bone-chilling screams. Seriously—you would have thought we were cutting off his arm with a blunt instrument. It was pure hysteria. 

Needless to say, he did survive (and so did I), but we might have to find a new neighborhood drugstore. (If you're in the same boat, you can find CVS MinuteClinic locations here, and Walgreens Take Care Clinics here.)

Flu Shots for the Family Help the Kids and the Company, Too

Despite the fact that my son will likely describe his experience as torture, I believe I did a good thing for his health. I’m willing to bet my employer thinks so, too. Of course, it’s smart for businesses to offer flu shots for their employees. According to the CDC, the flu shot is the best defense against the flu, reducing the number of cases by up to 70 percent. Preventing the flu at work helps with decreasing presenteeism and preventing absenteeism; employees are healthier and more productive—that is, of course, unless your employee’s family members come down with the flu. Consider that flu-related absenteeism can range from two to seven days. That is a lot of lost work time caring for sick loved ones.

Support your corporate wellness program—get your family members vaccinated!

The current healthcare model in this country is scary.

It’s scary from a cost standpoint, to be sure. We spend more than $2 trillion annually on healthcare, and according to the American Medical Association, 75 percent of U.S. medical care dollars are spent on preventable illnesses like cardiovascular disease and diabetes. U.S. healthcare can be scary from a user standpoint, too.

A Frightening ER Adventure

I recently had an experience with strep throat while I was out of town. Unfortunately, my best Jedi mind tricks couldn’t beat his bug, so one raging fever and a wicked sore throat later, I found myself at the hotel lobby at 11:30 p.m. asking for help finding an emergency room.

The ER waiting room was an adventure in itself. After having to weave through a maze of men who appeared to be “sleeping it off,” I noticed that the waiting room smelled like urine. One of the would-be patients was vomiting in the most gut-wrenching way possible every two or three minutes. And there was this weird guy sitting in front of me who wasn’t wearing a shirt, had a gaping wound on his forehead, and (of  course) he felt it was acceptable to take off his shoes and socks to lay down on the lounge chair.  In a creepy (but I think well-meaning paternal) way, he repeately asked me, “Honey, are you OK?”

There’s nothing like a scary ER waiting room in a strange town to make you think twice about just how sick you really are!

Can Worksite Wellness Be the Place to Start?

Forgive me this sweeping generalization, but I think promoting better health really is the answer to this country’s scary sick-care model. If we can keep more people well, it will take some of the burden off of our overworked system (and hopefully help keep our emergency rooms from looking like something out of a horror film).

Worksites really do have a captive audience to target for worksite health promotion. Unfortunately, it seems that building a healthier workforce is getting scary, too. There are legal landmines to navigate, value-based benefits design to decode, communication strategies to build, and leadership to get on board. And if that isn’t a scary enough to-do list, many worksites are embarking on these healthier strategies with an army of one (or sometimes half of one) person.

“It’s scary” isn’t a reason to not get to work incentivizing better health in your workforce (it’s never wrong to do the right thing), but it certainly has stalled the best-laid plans.

What is your worksite doing to bravely improve employee health?

With our busy lifestyles, running to the pharmacy is just that: racing in and out as quickly as possible. Is this placing employee health in danger? Well, it could be. It's ultimately up to each of us to filter what substances go into our bodies.

Check Your Medicine

Even before paying for the medication, you should check the name, medication, and dose to ensure that the prescription has been correctly filled and belongs to you. Pharmacies require personal information such as name, date of birth, Social Security number (for insurance), or driver’s license number to guarantee that the medication is dispensed to the right individual. But it doesn't hurt to check.

Prescription Questions

Be aware of what you are putting into your system. Ask questions. The pharmacist is there not only to fill prescriptions, but also to answer questions. Know the answers to these questions before taking the medication:

• What is the name of the medicine?
• What is it supposed to do?
• How and when do I take it and for how long?
• What do I do if I forget to take the medicine?
• Are there any side effects?
• What should I do if I experience any side effects?
• Is there an information sheet about this medication?
• Are there any interactions with other drugs you are taking? (Check here to find out.)

Next time you head to the pharmacy to pick up a prescription, don’t rush. Take the time to check the prescription and ask questions for your own safety.

This much-debated topic has gone round and round in the medical and fitness community. Is it possible to be overweight and still be healthy?

On one side of the coin, researchers speculate that if an overweight or obese person has normal blood pressure, cholesterol, and glucose levels, there is no reason to push weight loss. On the other side, a study published by Circulation online in 2009 concluded that overweight (body mass of greater than 25) individuals with no abnormalities of blood pressure, cholesterol, or glucose have a 50 percent increased risk of developing heart disease compared to those of normal weight (body mass of less than 25). Beyond being bad for your heart, increased weight increases the risk of cancer and type 2 diabetes.

Regardless of what side of the debate you fall on, one thing is unanimous: Fitness is key and pounds matter less than type of body fat. That is where a worksite wellness program and corporate fitness staff can come into play to help you identify and reduce your dangerous fat.

Recently there has been a push to look beyond the standard BMI (body mass index) measurement and into true body composition testing. Skinfold testing, BOD POD, and underwater weighing are just a few of the tests available to determine the true percentage of body fat.

BMI does serve a purpose, but it also has its shortcomings. For example, check out the Shapely Prose blog by Kate Harding. She runs a “BMI Project,” a series of photos of individuals of different sizes with their BMI levels. It’s a glaring example of how skewed the BMI measurement can be at times. 

The fact is that being overweight or obese is not necessarily good for you, but more importantly being overfat is the largest concern. So eat a balanced diet, get plenty of exercise, and take care of yourself. Regardless of the debate, you have only one body, so take care of it!

Perform a search for components of an employee health and wellness program and you’ll find that smoking cessation makes its way into nearly all wellness programs. Tobacco-free employees have fewer health risks and cost their employers less than their tobacco-using counterparts do.

The Staggering Cost of Employee Tobacco Use

If you’re like me, you know that tobacco users must cost a company more money. But I didn’t realize how staggering the cost actually is. According to the CDC, tobacco users cost their employers nearly $3,500 per person each year in medical costs and lost productivity. If you figure that approximately one in four employees uses tobacco, the approximate cost per year for a 2,000-employee site is nearly $1.75 million!

Approaches to Encouraging Tobacco Cessation

Companies take two different approaches to tobacco cessation: incentives and penalties. My company's wellness incentive programs, for example, put a lot of focus on rewarding employees for their efforts to quit tobacco. With benefits ranging from reimbursement for medication to free counseling, becoming tobacco free is a priority. They even offer employees an extra cash bonus in their flex account for being or striving to be tobacco free.

On the opposite end of the spectrum, other companies impose penalties on tobacco users. In a recent survey of major U.S. companies, almost 50 percent of companies surveyed showed interest in penalizing their employees for not complying with all aspects of their wellness programs. In these companies, employees could face higher insurance premiums or increased deductibles. Some companies may even refuse to hire tobacco users.

In my opinion, the best way to keep employees on track for healthy behaviors is staffing a corporate fitness center with highly trained experts familiar with the company’s wellness programs. Onsite fitness center management provides the tools and resources that both employers and employees need to reach the goal of becoming tobacco free.  

So which approach is more effective toward the goal of having a tobacco-free workplace? Share your thoughts in the comments section.