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How Healthy Are You?It’s up to you.
Agenda
CSBT – who are we? Define Healthy Trends and indicators
Key factors influencing health and wellness in Canada The whole package Making the commitment Resources
Community Services Benefits Trust (CSBT)
• Established in 2002 by 7 agencies in the Community Living Sector in BC
• Original mandate– Provide fully insured employee benefits to social service agencies– Deliver the service through local agents– No infrastructure
• Benefits programs are delivered through GroupHEALTH Global Benefits, a Canada wide company with 50 agencies in 9 provinces
• Currently have 202 clients across the country – BC to the Maritimes
• Board of Trustees – ED’s or senior mgmt from sector
Define Healthy
• Three pronged approach– Body– Mind – Spirit
Health
Health is a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity.
World Health Organization
The only way to keep your health is to eat what you don’t want, drink what you don’t like, and do what you’d rather not.
Mark Twain
The greatest wealth is healthVirgil
The Bad News!!
• Chronic disease on the increase• Poor nutrition and obesity on the increase• Rising incidence of deadly disease• Stress levels at all time high• Mental illness strikes one in five• Dog bites on the increase
“Healthcare costs for Canadian employer plans are expected to rise 15% in 2010.”
- Source: Benefits Benchmarking 2009: Balancing Competitiveness and Costs
Consider…The Bad News!!
“Mental illness is associated with more lost work days than any other chronic condition, costing the Canadian economy $51 billion annually in lost productivity. The cost to a company for a single employee on a short-term disability leave due to mental health concerns totals nearly $18,000.”
- Source: Centre for Addiction and Mental Health
Consider…The Bad News!!
The Changing Landscape
• Baby boomers are aging
• Workforce is shrinking
• Public Health services are decreasing
• Obesity, depression, diabetes are alarmingly on the rise
• Prescription drug costs are skyrocketing
• Employers are bearing a growing proportion of the burden
For the first time in two centuries life expectancy will begin to decrease!
The Prevalence of Illness
1 in 5 Canadians will experience a mental illness in their lifetime - (Global Economic and Business Roundtable)
Approximately 59% of Canadians are overweight or obese - (Stats Canada)
8 in 10 Canadians have at least one risk factor for cardiovascular disease
(Canadian Population Health Study 2000)
In Canada, cancer will develop in 45% of men and 40% of women during their lifetime - (Canadian Cancer Statistics, 2008)
40% of adults have high blood cholesterol - (Centre for Chronic Disease Prevention)
The Good News!
• Chronic diseases related to lifestyle account for 70% of total health care spending
• Improved diet and exercise could reduce cancer rates between 30-40% worldwide - (Health Canada)
• A large proportion of diabetes, hypertension, cardiovascular disease and colon cancer are preventable
• Reducing salt intake by less than one teaspoon per day would reduce the incidence of high blood pressure by 30%, saving up to $430 million per year due to a reduced need for physician visits, laboratory tests, and medications
- (Simon Fraser University) • 80% of cases of coronary heart disease and 90% of cases of type 2 diabetes,
could be avoided by elimination of certain risk factors.
The Good News!
• Studies indicate that diet, exercise and appropriate medical screening can have a dramatic influence on all of these things (except the dog bite thing)
• Wellness is not a cure-all but it is the closest thing we have
• Education is a powerful tool to implement change
70% of an organization’s benefit costs are incurred in six disease categories:
Cardiovascular Musculo-skeletal Respiratory Digestive Cancer Stress
The Good News!
Of these, most are largely preventable through diet, exercise and other lifestyle choices
The Good News!
• “ if all British Columbians had a normal weight (BMI between 20 and 25) and did not smoke, the cost avoidance for BC’s healthcare system could reach $2 billion each year”
Dr. Perry Kendall – BC’s Chief Medical Officer
The Good News!
It’s up to you!
Body
“Environment and genetics carry a 20% stake in a persons overall health, … but 50% is accounted for by
lifestyle choices,……….”Centers for Disease Control and Prevention
Fitness and Exercise
• Physical fitness and weight are 2 different things
• Probably no better investment in a wellness program than a fitness component
• Incorporate fitness in a number of ways to include all employees and multiple levels of current engagement and fitness
Fitness and Exercise
Exercise... the poor person's plastic surgery
Fitness and Exercise
Employee Health Concerns:1900 – Tuberculosis, pneumonia, infectious diarrhea
- Contagious diseases2010 - Heart disease, cancer, stroke
- Lifestyle – physical activity
Fitness and Exercise
Fitness and Exercise
Physical fitness can be defined as the capacity to carry out the days activities, pursue recreational activities and have the physical capacity to handle emergency situations5 components of physical fitness• Cardiovascular endurance• Muscular strength• Muscular endurance• Flexibility• Body Mass
Doing 30 minutes of physical activity of moderate intensity every day reduces your risk of heart disease, diabetes, cancer, stroke and other maladies. Walkers have been shown to live longer and live to a healthy, active old age in greater numbers than their couch potato friends.
Fitness and Exercise
Fitness Examples
• 10,000 steps program (pedometers)• Form a walking group – think up names• Sports leagues (ultimate frisbee, slowpitch, bowling
league, etc)• Stair climbing challenge• Charity events (Terry Fox, Relay for Life, Breast
Cancer, etc.)• Organize a scavenger hunt (neighbourhood)
Swimming is a healthy activity that can be continued for a lifetime—the health benefits swimming offers are
worth the effort it takes you to get to the pool. It is an activity that keeps
your heart rate up and takes some of the impact stress off of your body.
Regular swimming builds endurance, muscle strength and cardio-vascular
fitness. It can serve as a cross-training element to your regular
workouts.
Fitness and Exercise
Fitness activities
• Discounted gym memberships• Encourage people to bike to work• Park a block away from work• Walk your dog / cat / turtle / children• Reward appropriate behaviours• Keep it fun
Fitness and Exercise
“Ask your doctor if getting off your butt is
right for you”
A modest exercise program provides the following health benefits:• Weight Loss• Lower blood pressure• Stronger bones and reduced risk of
osteoporosis• Lower total cholesterol• Decreased levels of LDL• Increased levels of HDL• Decreased levels of triglycerides• Increased strength and coordination• Enhanced immune system
• US Surgeon General (1980)
Health TipFitness and Exercise
Take a 20-minute walk every day. Aside from the proven benefits to your heart, walking is the perfect gentle exercise for improving digestion and encouraging the cleansing of the lymphatic system.
Fitness and Exercise
6 REASONS YOU FEEL SO TIRED… 1. You don’t exercise
2. You keep poor sleep patterns
3. You’re carrying extra weight
4. You drink too much coffee
5. You don’t eat breakfast 6. You suffer from iron
deficiency
Fitness and Exercise
“Our study showed that a person’s exercise capacity, measured by their
ability to perform on a treadmill, was a more powerful predictor of mortality
than all other risk factors. It also showed that, regardless of any other
risk factors you have, if you’re physically fit, you can cut your risk of
premature death in half”
Dr. Jonathan Myers, PHD (as quoted in Prevention Magazine)
Fitness and Exercise
Weight management
• 68% of North Americans are overweight or obese• How much weight is too much?• Overweight – BMI over 25• Obese – BMI over 30• BMI – body mass index – simple tool to assess a
person’s fat content
BMI
There are many BMI calculators available on line for individuals to determine their BMI.
Google: BMI Calculator
Healthy Body
Who’s definition?
Health Effects
• Type 2 diabetes• Coronary heart disease• Cancer• Sleep apnea• Liver disease • High blood pressure / stroke risk
Diet and weight loss
Life expectancy would grow by leaps and bounds if green vegetables smelled as good as bacon - Doug Larson
Managing your weight doesn’t have to mean altering your life
dramatically. Take small steps, aim modestly and realistically, and then build from there. A small, steady weight loss of a pound or two a
week (1 kg) is much easier to attain and healthier for your heart than a larger drop. Research also shows that you’ll be much more likely to
keep it off.
Take Control!!
Walking is an excellent weight loss mechanism. One pound is equal to 3500 calories. Walking burns about 500 calories for a 8 km walk. 500 calories times 7 days = 3500 calories or one pound of weight lost.
Fitness and Exercise
Exercise and weight loss
A total of 10,000 steps per day, equivalent to 5 miles (8.0 km), is recommended by some to be the benchmark for an active lifestyle. This also equates to an approximate 3500 calorie expenditure of energy
Activities
• Education is key to a successful program• Bring in Speakers• Discuss weight loss in organization communications• Direct people to community resources• Put up posters• Sponsor a healthy, low calorie recipe contest• Hold a workplace weight loss contest• Eliminate non nutritional snacks from meetings
Take Control!!
Having a hard time shedding pounds? Keep a food journal. It holds you accountable and helps you lose weight!
A fresh roll of sushi can be a flavourful and light meal. In some cases, however, it can be a diet-buster. Some California rolls are loaded with
mayonnaise and dynamite rolls are made with battered and deep-fried shrimp. Imitation crab, found in most mall-variety California
rolls is high in carbohydrates, and so is the rice around it. Dipped in soy sauce, these sushi rolls aren’t much better than a fast-food meal.
Choose fresh, sustainable sashimi instead, and order brown rice where possible.
Take a second look
After a short stay in America, Michelangelo's David returned to Europe this week.
Healthy Body
Mind
The human brain starts working the moment you are born and never stops until you stand up to speak in public.
George Jessel
With an unquiet mind, neither exercise, nor diet, nor physique can be of much use.
Samuel Johnson
It is sweet to let the mind unbend on occasion. Horace
We become what we think aboutEarl Nightingale
As a man thinketh – so is heBible
Stress
• Stress is a physical and / or mental response to real or perceived demands or threats
• Dr. Hans Seyle divided stress into two categories – eustress and distress– Stress which enhances function (physical or mental
training or challenging work) would be considered eustress– Persistent stress that is not resolved through adaptation or
coping can be deemed distress and can lead to anxiety and withdrawal
Stress has been linked to heart disease, high blood pressure, accelerated aging and type 2 Diabetes. A healthy alternative to
decrease the effects of stress is to make sure you get enough sleep, lower your fat intake, increase your consumption of antioxidant
rich fruits and veggies, and exercise regularly.
Stress
Stress
“Stress is when you wake up screaming and you realize you haven't fallen asleep yet “
• Experts say that 80% to 90% of all disease is stress related• 25% of all employees view their jobs as stressful• 40% report as “very” or “extremely” stressful• 20% have quit a job because of workplace stress
“Stress is nothing more than a socially acceptable form of mental illness “
Stress - activities
• Take time to read a good book• Classes on time management• Classes on communications skills• Arrange for a financial wellness workshop• Take stress reduction classes– Meditation– Self hypnosis / guided imagery– Positive thinking– Progressive muscle relaxation– Breathing exercises
Stress - activities
• Watch comedies over the lunch hour• Volunteer for someone / something you believe in• Create a quiet place / break place• Group fingerpainting• Managers need to help set the example• When fingerpainting is not enough – EAP
“The time to relax is when you don't have time for it.”
Tobacco
Tobacco
• 20% of people in North America smoke• 7 out of 10 smokers say they would like to quit• 5 to 7 relapses are the norm before a smoker finally
quits• Smokers are addicted to the drugs in cigarettes• Detrimental effects:– Cancers– Heart and lung disease– Affects pregnancy
Good news about quitting
After quitting:• 1 Day - oxygen and carbon monoxide levels return to normal,
blood pressure begins to drop• 2 Days – sense of taste and smell are sharpened• 3 – 6 months – lung function increases and circulation improves• 1 year – Risk of heart attack is cut in half• 2 years (women) risk of cervical cancer drops• 10 years – risk of stroke and heart disease close to non-smoker• 15 years – risk of stroke and heart disease no more than a non
smoker• Long term – 10 or more years added to person’s life
Activities
• Hold on site smoking cessation program• Work with groups – mutual support• Offer incentives• Consider adding drug cessation to your Extended
Health plans• Education flyers / posters
Spirit
• Physical strength can never permanently withstand the impact of spiritual force. Franklin D. Roosevelt
• Spiritual relationship is far more precious than physical. Physical relationship divorced from spiritual is body without soul. Mohandas Gandhi
• Every natural fact is a symbol of some spiritual fact. Ralph Waldo Emerson
Spirit
If you believe in nothing else – believe in yourself!!
Spirit
Determine a Focus
• What is the most important focus in your life right now?– Fitness and exercise– Stress– Tobacco– Obesity– Chronic Illness– Addictions (alcohol and other drugs)
Getting it started
• How do we measure?– McLean’s magazine – Q-Gap test – quality of life
assessmenthttp://www.scientahealth.com/qgap2/macleans2010/index.aspx
– Literally hundreds of online surveys
– Fitness professional – fitness club, YMCA / YWCA or other qualified individuals
Getting it started
– One step at a time– We didn’t get where we are overnight – and we
won’t get to our ideal overnight– Give yourself time (realistic)– Involve others in your goals
Be true to yourself
Take Control!!
If you don't design your own life plan, chances are you'll fall into someone else's plan. And guess what they have planned for you? Not much.:: Jim Rohn
Wrapping it up
• Elements of a successful wellness program–Balanced approach – body / mind / spirit – Take control of your own situation– Set goals–Get started
Resources
Dr. Martin Collis’ website
Resources
Your insurance carrier has a number of resources available to you
www.inalco.com
Click on CyberClient
Ceridan LifeWorks website for agencies with EAP
Resources
Resources
Government of Canada has many resources to assist in almost any area of wellness
www.canada.gc.ca
Resources
Take Control!!
We generally change ourselves for one of two reasons: inspiration or desperation
:: Jim Rohn
That’s a wrap!
