Health Information from your Employer and:

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Health Information from your Employer and
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Health and Lifestyle

• Compared to our grandparents we
• Eat more
• Are less active and less fit
• This has resulted in dramatic increases in the
  rates of obesity, diabetes and heart disease.
• Obesity and its causes are responsible for 20 of
  your health premium.

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Body Mass Index

• The BMI is a measure of body fat percentage
  unless you are very muscular
• BMI of less than 25 is healthiest
• BMI of 30 or more is considered obese

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BMI Weight Status Below 18.5
Underweight 18.5 24.9 Normal 25.0
29.9 Overweight 30.0 and above Obese
Example Height 510 Weight 160 23
BMI Normal
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Obesity Trends Among U.S. AdultsBRFSS, 1985
(BMI ? 30, or 30 lbs overweight for 54 woman)
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Obesity Trends Among U.S. AdultsBRFSS, 1986
(BMI ? 30, or 30 lbs overweight for 54 woman)
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Obesity Trends Among U.S. AdultsBRFSS, 1987
(BMI ? 30, or 30 lbs overweight for 54 woman)
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Obesity Trends Among U.S. AdultsBRFSS, 1988
(BMI ? 30, or 30 lbs overweight for 54 woman)
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Obesity Trends Among U.S. AdultsBRFSS, 1989
(BMI ? 30, or 30 lbs overweight for 54 woman)
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Obesity Trends Among U.S. AdultsBRFSS, 1990
(BMI ? 30, or 30 lbs overweight for 54 woman)
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Obesity Trends Among U.S. AdultsBRFSS, 1991
(BMI ? 30, or 30 lbs overweight for 54 woman)
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Obesity Trends Among U.S. AdultsBRFSS, 1992
(BMI ? 30, or 30 lbs overweight for 54 woman)
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Obesity Trends Among U.S. AdultsBRFSS, 1993
(BMI ? 30, or 30 lbs overweight for 54 woman)
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Obesity Trends Among U.S. AdultsBRFSS, 1994
(BMI ? 30, or 30 lbs overweight for 54 woman)
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Obesity Trends Among U.S. AdultsBRFSS, 1995
(BMI ? 30, or 30 lbs overweight for 54 woman)
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Obesity Trends Among U.S. AdultsBRFSS, 1996
(BMI ? 30, or 30 lbs overweight for 54 woman)
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Obesity Trends Among U.S. AdultsBRFSS, 1997
(BMI ? 30, or 30 lbs overweight for 54 woman)
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Obesity Trends Among U.S. AdultsBRFSS, 1998
(BMI ? 30, or 30 lbs overweight for 54 woman)
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Obesity Trends Among U.S. AdultsBRFSS, 1999
(BMI ? 30, or 30 lbs overweight for 54 woman)
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Obesity Trends Among U.S. AdultsBRFSS, 2000
(BMI ? 30, or 30 lbs overweight for 54 woman)
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Obesity Trends Among U.S. AdultsBRFSS 2001
(BMI ? 30, or 30 lbs overweight for 54 woman)
?25
No Data lt10 10-14
15-19 20-24
Source Mokdad A H, et al. J Am Med Assoc,
200328976-79
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These maps are based on what people say about
their weight and height.When you actually
measure heights and weights to determine who is
obese you find
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Overweight and Obese Adults Age 20-74 Years

• In 1980
• 15 adults obese (BMI30)
• 32 adults overweight (BMI 25-29.9)
• In 2001
• 31 adults obese
• 35 adults overweight

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Childhood Obesity

• Childhood obesity leads to adult obesity
• If a child is obese between ages 6 17 years
  they are 5 7 times as likely to be an obese
  adult
• From Whitaker RC, et al. NEJM 1997337869-73

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Obese Children

• Currently
• 25 of obese children are pre-diabetic
• If we do nothing differently
• 35 of children born in 2003 will develop
  diabetes
• Those with diabetes will lose an average of 13
  years of life

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Lifestyle Choices

• Diabetes
• Heart disease
• Kidney failure
• High blood pressure
• Certain cancers
• Arthritis
• Many other conditions

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What works?

• The combination of increased fit muscle and
  fitness and healthy food choices will
• Increase your lifespan
• Decrease the risk of
• diabetes,
• heart disease
• Certain cancers
• Be more effective than any medical or drug
  therapy

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How much change is necessary?

• Modest changes in weight and activity produce
  large benefits
• In those at high risk for diabetes walking 30
  minutes a day and losing 10 pounds decreased
  diabetes rates by 58

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What Are The Healthy Foods?

• Food Choices
• More fruits and vegetables
• More whole grain foods
• More fish and poultry
• More poly and monounsaturated fats (canola oil,
  olive oil, etc) instead of saturated fat (animal
  fats, shortening, lard)
• Less fat overall

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Activity

• What is enough?
• 10,000 steps a day 5 miles of walking per day
• Or equivalent

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How do we Change?

• Slowly and gradually
• Adopting small changes we can live with
• Adding additional small changes 2 or 3 times a
  year
• Setting examples for our children
• Listening to what our children are hearing at
  school
• Keeping a positive message Eat and play your
  way to better health
• Look for more information from work and schools
  over the next year

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Health Information from your Employer and the