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The LEO Fitness ProjectA collaboration between
Lee County Sheriff’s Office (LCSO)AND
The LEO Fitness Project
Ezilon.com Yellowmap.com
FGCU – 10th State University in Florida. University opened in August, 1997
LEO Project
Approximately 1,500 employees• Sworn law enforcement • Corrections• Civilians
Research Team2 faculty from ES program4 senior ES students10‐15 junior ES students1 researcher from George Washington UniversityMedical Director from Cigna Onsite Health Clinic Clinic Operations Manager and Wellness Director for LCSO StarCare Health Clinic
LEO Project• Marieb Hall opened January, 2012.
• Affords students and faculty to take advantage of “world class, state‐of‐the‐art” Human Performance Labs.
• Focal point for campus tours.– Visit from leadership of LCSO, January, ’13
• Institutional Review Board (IRB) approved Phase I in May of 2013 and subsequently approved Phase II (RIP) in November, 2013.
http://www.fgcu.edu/CHPSW/RS/ESBS/facilities.asp
LEO Project• Collaborative Model
• Phase I and II objectives.
• Strategies used to educate LEO participants.
LEO Project• Champions
– Sheriff– Executive Director– FGCU Dean of College of Health Professions and Social Work
– Department of Rehabilitation Science Chair
– Research Team
• Collaborators– Medical Director (COH)
• On‐site Healthcare providers
– LCSO Wellness Director– Exercise Science “Interns”– Exercise Science students
LEO Project
• Phase I– Assist each participant to know where they stood in terms of health/wellness and overall fitness
• Phase II– Discover known and unknown needs
LEO Project• Laboratory Tests
– HGB A1C– Total Cholesterol– LDL– Triglycerides– HDL– Cortisol
• SF36
• Human Performance Lab Assessments– HHQ– Resting BP, HR, Ht.– HRPF components
• Body composition • http://www.fgcu.edu/CHPSW/RS/files/IMG_1973mod.jpg
• CRF • http://www.fgcu.edu/CHPSW/RS/files/IMG_2256mod.jpg
– Muscular Fitness • http://www.fgcu.edu/CHPSW/RS/files/Kaiser_Pneumatic_1.jpg
– Flexibility
LEO Project ‐‐ IEPs10 week Individualized Exercise Program (IEP)
– Developed by research team using participant data, and input on what they wanted to do.
Implementation by FGCU ES “interns”
Weekly meetings
LEO Project ‐‐ IEPs• Post Intervention Plan• Quarterly Assessments
LEO Phase I
What we found
LEO Phase IInitial Results (SFS 36)
SF36 – Patient‐reported survey of patient healthA 36‐item measure of health statusEight sections included are:
vitalityphysical functioningbodily paingeneral health perceptionsphysical role functioningsocial role functioningmental health
Adequate pilot data but not enough data for statistical significance. Three main points coming from the SFS 36 pilot study data:1.) For the participants who began the study but dropped out, data suggested that there was an improvement noted in their energy and mental health functioning.2.) For all of the participants who began the study and completed it, there was an improvement in mental health functioning which can translate into decreased stress and increased energy.3.) Quality of life with regard to physical functioning was at average based on the type of employment.
“Very important findings based on physiology. Just need more participants .”
LEO ‐‐ Phase I and II
LEO Phase I
5.63 5.59PRE POST
Intervention Results – Laboratory Tests
LEO Phase I
192
186
133
107
110
99
19% 9%
Intervention Results – Laboratory Tests
Total Cholesterol
LDLTriglycerides
3%
LEO Phase I
17.1 17.7
Cortisol
Intervention Results – Laboratory Tests
4%
LEO Phase I
Systolic DiastolicPre 134 88Post 116 74
Resting Blood Pressure
Physical Fitness Evaluations – Resting Measures Intervention Results
Resting Heart Rate
Pre
Post
68
71
LEO Phase IPhysical Fitness Evaluations – Resting Measures
Intervention Results
Fat Mass
Pre Post
Fat Free Mass
Pre Post
%Body Fat
Pre Post
LEO Phase I
Upper Body Strength Lower Body Strength Flexibility
Physical Fitness Evaluations –Intervention Results
PRE POST PRE POST PRE POST
LEO Phase ICardiorespiratory Fitness
LEO Sworn Personnel Low High
Physical Fitness Evaluations –CRF Intervention Results
LEO Phase ILaboratory Tests – Quarterly Results
5.35
5.4
5.45
5.5
5.55
5.6
5.65
5.7
5.75
5.8
5.85
HGB A1C CORTISOL
LEO Phase I
0
50
100
150
200
250
6/13 10/13 1/14 3/14 6/14 9/14 12/14 4/15 7/15
Lipid Profiles
TC LDL Trig HDL
LEO ‐‐ Phase I and II
Laboratory Tests – Quarterly Results
LEO Phase IBody Mass
180
185
190
195
200
205
210
215
220
225
230Fat Free Mass/Fat Mass
FFM% FM%
LEO ‐‐ Phase I and II
Body Composition Quarterly Results
LEO Phase I
3.5
7
10.5
14
17.5
21
24.5
28
31.5
35
38.5
42
45.5
49
#1 #2 #3 #4 #5 #6 #7 #8 #9
ml/k
g/min
Cardiorespiratory Fitness – Quarterly Results
Intervention
Year 1
Year 2
Total Outcome
LEO Phase I
Upper and Lower Body Strength
UBS LBS
Muscular Endurance
ME
LEO ‐‐ Phase I and II
Muscular Fitness Quarterly Results
LEO Phase I
Flexibility
Muscular Fitness Quarterly Results
LEO Project – Phase II
www.sheriffleefl.org/main
LEO Phase II• Wellness emphasis (RIP)
• 150 Participants (November 2013)
• Present strategies based on RIP outcomes
LEO Phase IIRIP – Protocol
• IRB and informed consent
• Procedures
– Risk inventory survey
– Blood draw
– Resting biometric measures
LEO ‐‐ Phase I and II
LEO Phase II• Direct measurements
– Resting blood pressure– Resting heart rate– Body composition– Lab measures
• Dyslipidemia• Diabetes• Stress level (cortisol)
• Web‐based survey– Nutrition– Smoking– Family health history– Quality of life status– Physical activity
RIP – Participants Males
<30 = 930‐39 = 4240 – 49 = 2950 – 59 = 360 and > = 2
154 Participants
Males = 85Females = 69Total = 154
Females<30 = 1530‐39 = 2640 – 49 = 1950 – 59 = 660 and > = 3
LEO ‐‐ Phase I and II
LEO Phase II
0
10
20
30
40
50
60
70
80
90
100
Total Males Females
# of Participants
TC < 200 TC 200‐239 TC >240
Total Cholesterol
LEO Phase II‐‐ RIP Results ‐ Triglycerides
0
10
20
30
40
50
60
70
Males Females
# of Participants
<150 150‐199 200‐499
LEO ‐‐ Phase I and II
LEO Phase II ‐‐ RIP Results Dyslipidemia
0
10
20
30
40
50
60
70
80
Total # of Participants Male Female
Self‐Reported High Risk Lab Results
Cholesterol
LEO Phase II RIP Results
Labs FHx Meds0
10
20
30
40
50
HGB A1C>5.7
Total Males Females
Diabetes
Measured Diagnosed On Meds FHx
SBP DBP
LEO Phase II ‐‐ RIP ResultsRisk of Hypertension
LEO Phase II – RIP Results
Body Composition
7‐20
>24
Males Females
Body Mass IndexMales Females
>30
>30
25‐29.9
25‐29.9
18.6‐24.9
18.6‐24.9
20.1‐24
30.1‐37
15‐30
7‐20
LEO Phase I – RIP Results
Males
NormalOverfat
overweight
Females
Normal
Overweight
Overfat
Body Composition
LEO Phase I – RIP Results
Perception of Body Fat
Survey BMI Body Composition Analysis
LEO Phase I– RIP Results
Guidelines Self‐rating
never
Meet
Physical Activity/Sedentary LifestyleDoes Not Meet
LEO Phase I – RIP ResultsSmoking
NonSmoker
Current
Former
Vaping
DNV
>5/day 1x/day
LEO ‐‐ Conclusions• Need to enhance PF (especially sworn personnel)
• LEO – Phase I aerobic capacity VO2
• Increased general medical health, wellness and QoL
LCSO/FGCUPotential Future Collaborations
Assessment and Training Service Agreement– 2 year assessment program involving the members of the
LCSO special operations units to enhance healthcare delivery• Assessment program• Use LCSO Employee Healthcare Clinic’s Electronic Medical Records
– 3 year agreement to develop IEP for the operators who are involved in the assessment project.
• IEP’s developed, implemented and supervised by faculty and senior level exercise science students.
LCSO/FGCUPotential Future Collaborations
– Communications department (“dispatcher” pool)
– PA program following national guidelines of daily PA.
– Health‐fitness assessment– Assessment data would be integrated
into their EMR currently kept at the employee healthcare clinic.• Integration of the data using a “team” concept of developing and implementing an activity based program to improve the subject’s health (i.e. wellness) would be utilized during study period.
• Senior level ES students supervising subjects
– 3X/day
Active Work Station (AWS) Pilot Study
The LEO Fitness ProjectThank you
Participants of the LEO projectNational Strength & Conditioning AssociationSheriff Mike ScottDean Mitchell Cordova, PhD, ATC, FNATA, FACSMEric Shamus, PhD, DPT, CSCS, Chair, Department of Rehab Sciences Bill Bergquist, Executive Director, Civilian Operations Executive BureauJoel Caschette, MD and members of the StarCare ClinicConnie Metzger, RN COHCFaculty of Clinical Lab SciencesArmando Hernandez, Kirby Retzer, Tyler Golde, Jacob YoungFGCU Exercise Sciences students
The LEO Fitness ProjectA collaboration between
Florida Gulf Coast University (FGCU) and
Lee County Sheriff’s Office (LCSO)Contact Information:
Dennis Hunt, EdD, CSCS Capt. Scott Lucia Barbara Hess, MAFGCU Lee County Sheriff’s Dept FGCUDept of Rehab 14750 Six Mile Cypress Pkwy Dept of Rehab Sciences10501 FGCU Blvd Fort Myers, FL 33912 10501 FGCU BlvdFort Myers, FL 33965 Fort Myers, FL 33965 239‐590‐7536 239‐477‐1000 239‐590‐[email protected] [email protected] [email protected]
