Title: Getting Employees to Adopt and Maintain A Healthy Lifestyle: The Culprit and the Cure
1 Getting Employees to Adopt and Maintain A
Healthy Lifestyle The Culprit and the Cure
2Obesity Trends Among U.S. AdultsBRFSS, 1985
3Obesity Trends Among U.S. AdultsBRFSS, 1986
4Obesity Trends Among U.S. AdultsBRFSS, 1987
5Obesity Trends Among U.S. AdultsBRFSS, 1988
6Obesity Trends Among U.S. AdultsBRFSS, 1989
7Obesity Trends Among U.S. AdultsBRFSS, 1990
8Obesity Trends Among U.S. AdultsBRFSS, 1991
9Obesity Trends Among U.S. AdultsBRFSS, 1992
10Obesity Trends Among U.S. AdultsBRFSS, 1993
11Obesity Trends Among U.S. AdultsBRFSS, 1994
12Obesity Trends Among U.S. AdultsBRFSS, 1995
13Obesity Trends Among U.S. AdultsBRFSS, 1996
14Obesity Trends Among U.S. AdultsBRFSS, 1997
15Obesity Trends Among U.S. AdultsBRFSS, 1998
16Obesity Trends Among U.S. AdultsBRFSS, 1999
17Obesity Trends Among U.S. AdultsBRFSS, 2000
18Obesity Trends Among U.S. AdultsBRFSS, 2001
No Data 1519 2024 25
19Obesity Trends Among U.S. AdultsBRFSS, 2002
(BMI ?30, or 30 lbs overweight for 54 person)
No Data 1519 2024 25
20Obesity Trends Among U.S. AdultsBRFSS, 2003
No Data 1519 2024 25
21Obesity Trends Among U.S. AdultsBRFSS, 2004
No Data 1519 2024 25
22Obesity Trends Among U.S. AdultsBRFSS, 2004
No Data 1519 2024 25
23Percent of adults who are overweight or obese
67
2/3 of adults are overweight or obese
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25Excess Body Weight and Reduction of Lifespan
-3.1
-3.3
-5.8
-7.1
Ann Intern Med. 200313824-32
26Diabetes Among Adults in the U.S.,BRFSS 1990
27Diabetes Among Adults in the U.S.,BRFSS 1992
28Diabetes Among Adults in the U.S.,BRFSS 1994
29Diabetes Among Adults in the U.S.,BRFSS 1996
30Diabetes Among Adults in the U.S.,BRFSS 1997
31Diabetes Among Adults in the U.S.,BRFSS 1998
32Diabetes Among Adults in the U.S.,BRFSS 1999
33Diabetes Among Adults in the U.S.,BRFSS 2000
34Diabetes Among Adults in the U.S.,BRFSS 2001
35Diabetes and Reduction in Lifespan
-14.3 yrs
-11.6 yrs
JAMA 20032901884-1890
36Lifetime Risk of Diabetes for Children Born in
2000
49
Venkat Narayan, JAMA 20032901884
37Life Expectancy in the U.S.
2-5 year decline in life expectancy
38Lifetime Risk for Chronic Diseases
49
NCI Canada, 2.0 Lancet 199935389
39How People Died in 2003
Cancer 24
Accidents Suicide Infections Kidney failure Lung
failure Others 40
Cardiovascular Disease 36
40How People Died in 2003
CVD
Cancer
Other
Up to 70 of all causes of death are lifestyle
related and preventable
41Percent of Chronic Diseases That Are Caused by
Poor Lifestyle
91
82
71
70
Sources Stampfer, 2000 Platz, 2000 Hu, 2001
42National prevalence of health risks
80
78
CDC, BRFSS, 2002
43How did we get this way?
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455-a-day 1 million
Food Marketing 25 Billion
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53Texas Double Whopper
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56Our Current (Western) Lifestyle
- Little Physical Activity
- Red meat
- Processed meat
- Butter
- Potatoes
- Refined grains
- High fat dairy foods
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58Western vs Prudent
- A Western diet has significantly higher risk of
- Type II diabetes
- Cancer
- Cardiovascular disease
- Premature death
59U.S. Health Care as a Percentage of the GDP
Today 15 of GDP
US Military uses 3.2
60In 2001, US Spends More Than the Rest
2001, General Accounting Office, 2004
61US Has the Worst Health Outcomes
2001, General Accounting Office, 2004
62U.S. Health Care as a Percentage of the GDP
Today 15 of GDP
63U.S. Health Care as a Percentage of the GDP
64U.S. Health Care as a Percentage of the GDP
65U.S. Health Care as a Percentage of the GDP
66U.S. Health Care as a Percentage of the GDP
67Doctor Day, January 1, 2226
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69Health Care Costs for Each Person
Centers for Medicare and Medicaid Services
70Health Care Costs for Each Person
6,423
Centers for Medicare and Medicaid Services
71A Few Facts About Health Care
- The cost health care will continue to rise
- All health care costs are paid by individuals
- Lower health care cost for companies and
individuals is a function of shifting who pays a
greater portion - Lifestyle change can impact health care costs,
but it is not the solution
72Health and Productivity Management (HPM)
73Employee Health and Productivity Continuum
Unhealthy Low Productivity
Healthy High Productivity
74Unhealthy Low Productivity
Healthy High Productivity
75Health and Productivity Management (HPM)
76Health and Productivity Management (HPM)
77Health and Productivity Management (HPM)
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79Portion of Health Care That is Related to Health
Risk
80Health Care Costs by Health Risks
StayWell data analyzed by U of Michigan (N
43,687)
81-4
4
N5390
82-13
-2
15
N15,986
83N7,845
84Its All About Behavior Change
85Its All About Behavior Change
- Educate
- Motivate
- Build skills
- Change the environment
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91Difference in Years of Life Between High and Low
Health Risk
Frazier, Arch Intern Med. 20011611645
92Low vs High Health Risks and Life Expectancy
(cumulative)
Age
Frazier et al,Arch Intern Med. 20011611645
93Life Span in 7th Day Adventists
Fraser et al. Arch Intern Med, 20011611645-1652
94Life Span in 10,000 California Mormons
Mormon High Priests and Wives, Enstrom, UCLA, 1989
95What Can I Expect if I Reduce My Health Risks?
10 to 20 years of extended, high-quality living
96Compression of Morbidity
Morbidity
Lifespan in years
76
0
critical illness
Ann Intern Med, 2003139455-459
97Compression of Morbidity
Morbidity
Lifespan in years
0
?
76
86
critical illness
98End of Life Benefits
Morbidity
Lifespan in years
10-20 Years
Morbidity
Lifespan in years
99What is the Impact of Lifestyle on Employee Costs
- absenteeism
- health care costs
- disability
- workers compensation
- productivity
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101Health Promotion Programs and Health Care Costs
- Only 4 of the 32 studies failed to report lower
health care costs - Cost benefit ratios from this literature ranged
from a low of 2.3 to a high of 5.9 (average was
3.48)
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104www.culpritandcure.com