Stories From the Field: State Agency Experiences

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 – First iPod Launched 2004 – Facebook Created 2005 – YouTube Created 2006 – Wii Launched 2006 – PS3 Introduced 2006 – Abiocor Artificial Heart Approved by FDA 2007 – First iPhone Launched 2010 – Xbox 360 Kinect Introduced 2010 – First iPad Released

What do all of these

new creations have in

common?

“But……………”

Source: Behavioral Risk Factor Surveillance System, CDC.

Obesity Trends* Among U.S. AdultsBRFSS, 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. AdultsBRFSS, 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. AdultsBRFSS, 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. AdultsBRFSS, 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. AdultsBRFSS, 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. AdultsBRFSS, 2001

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

Source: Behavioral Risk Factor Surveillance System, CDC.

Obesity Trends* Among U.S. AdultsBRFSS, 2003

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Obesity Trends* Among U.S. AdultsBRFSS, 2005

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

Obesity Trends* Among U.S. AdultsBRFSS, 2007

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Source: Behavioral Risk Factor Surveillance System, CDC.

Obesity Trends* Among U.S. AdultsBRFSS, 2009

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Source: Behavioral Risk Factor Surveillance System, CDC.

Obesity Trends* Among U.S. AdultsBRFSS, 2010

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% 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

16 oz 32 oz 44 oz 52 oz 64 oz

48 Teaspoons Sugar

Portion Size

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

Energy Intake Energy Expenditure

Energy Balance

Food and Beverage Intake

Physical Activity

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

41

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.

42

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

43

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.

44

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.

Gov. Code Chapt 664 The “Shalls” and the “Mays”

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?

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]

www.wellness.state.tx.us